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Agenda and draft minutes

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Items
No. Item

178.

Introductions

Minutes:

The Chair introduced Members and officers to the meeting

179.

Apologies for Absence

Minutes:

Councillor Gallagher and Klute and Khondoker for lateness

180.

Declaration of Substitute Members

Minutes:

None

181.

Declarations of Interest

If you have a Disclosable Pecuniary Interest* in an item of business:

§  if it is not yet on the council’s register, you must declare both the existence and details of it at the start of the meeting or when it becomes apparent;

§  you may choose to declare a Disclosable Pecuniary Interest that is already in the register in the interests of openness and transparency. 

In both the above cases, you must leave the room without participating in discussion of the item.

If you have a personal interest in an item of business and you intend to speak or vote on the item you must declare both the existence and details of it at the start of the meeting or when it becomes apparent but you may participate in the discussion and vote on the item.

 

*(a)Employment, etc - Any employment, office, trade, profession or vocation carried on for profit or gain.

 (b)Sponsorship - Any payment or other financial benefit in respect of your expenses in carrying out

  duties as a member, or of your election; including from a trade union.

 (c)Contracts - Any current contract for goods, services or works, between you or your partner (or a body

 in which one of you has a beneficial interest) and the council.

 (d)Land - Any beneficial interest in land which is within the council’s area.

 (e)Licences- Any licence to occupy land in the council’s area for a month or longer.

 (f)Corporate tenancies - Any tenancy between the council and a body in which you or your partner have

  a beneficial interest.

 (g)Securities - Any beneficial interest in securities of a body which has a place of business or land in the council’s area, if the total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body or of any one class of its issued share capital. 

 

This applies to all members present at the meeting.

 

 

Minutes:

None

182.

Minutes of the previous meeting pdf icon PDF 101 KB

Minutes:

RESOLVED:

That the minutes of the meeting of the Committee held on 10 September 2020 be confirmed and the Chair be authorised to sign them

 

183.

Membership/Terms of Reference pdf icon PDF 93 KB

Minutes:

RESOLVED:

That the report be noted

184.

Chair's Report

Minutes:

The Chair stated that she had discussed with Members of the Committee a possible scrutiny topic for the remainder of the year and that BAME Members of the Committee had expressed the view that a review on Health Inequalities should be considered, especially in view of the COVID pandemic

 

The Chair added that the new Executive Member for Health and Social Care will be looking at this and dependent on his findings the Committee could consider this as a future scrutiny topic

185.

Public Questions

For members of the public to ask questions relating to any subject on the meeting agenda under Procedure Rule 70.5. Alternatively, the Chair may opt to accept questions from the public during the discussion on each agenda item.

Minutes:

The Chair outlined the procedure for Public questions

186.

Health and Well-being update pdf icon PDF 3 MB

Additional documents:

Minutes:

None

187.

Healthwatch Annual Report/Work Programme

Minutes:

Emma Whitby, Healthwatch was present and outlined the report and presentation for Members {copy interleaved)

 

During consideration of the report the following main points were made –

 

·       Work in 20/21 – Whittington Estates – more diverse engagement in this consultation. Non – emergency patient transport service – Healthwatch not involved in consultation process and continue to raise concerns about this system. Mental Health – highlighted poor access for BAME communities. Digital Divide – extended model in to supported accommodation. Borough Partnership – are an active Member and will be the lead on inequality

·       20 volunteers and 5 staff 2 of whom are full time and £156000 funding from Local Authority. 3931 people engaged with Healthwatch through website and 650 people shared their health and social care story. 1141 people accessed the information services and 7 reports produced about the improvements people would like in local health and social care services

·       Responding to pandemic – advice on how to get NHS Dentist, updated advice on shielding, how to cope during lockdown

·       Work in a variety of partnerships and bring resources to grass roots organisations and provide a diverse communities health voice

·       Work Plan for 2020/21 – Pandemic – impacts, response, access, reduced engagement. Accurate information, Digital inclusion, Fairer Together Borough Partnership, Quality of Delivery and noted that there will be no visits to services until future notice

·       In response to a question it was stated that residents feedback was that they did feel that the NHS was doing its best to maintain services during the pandemic, and that the NHS should be  better at promoting the successes of the service

·       Reference was made to the 111 service and that residents were not being advised not to go to A&E. Healthwatch stated that they had no reports of concerns from residents however they would investigate this following the meeting

·       In response to a question as to the merger of the CCG’s in NCL it was stated that the Haringey represented on the CCG Governing Body and other boroughs were represented on the CCG Patient and Engagement Partnership and Equalities Committee NCL experts by Experience in Mental Health, the NCL Leders learning disability, and the CCG delivery and strategy Boards

·       It was stated that work was still taking place with Help on Your Doorstep, and contact taking place with residents who had limited access to IT

 

 

 

 

                    The Chair thanked Emma Whitby for attending

188.

COVID 19 Update pdf icon PDF 460 KB

Minutes:

Julie Billett, Director of Public Health was present and was accompanied by Councillor Sue Lukes Executive Member for Community Safety and Pandemic Response -

 

During consideration of the presentation the following main points were made –

 

·         As of 30 September there were a total of 903 confirmed laboratory cases in Islington

·         The average number of cases daily peaked at 17 cases from 29 March to 4 April

·         Over the last 4 weeks the number of cases has increased on a daily basis, but testing has increased dramatically

·         The rate of positive cases has been increasing since beginning of August but is lower than that of England and Islington is showing a decline in the rate of people tested per 100000 since mid- August whilst overall in England there is a rise in testing rates. Positivity rates are similar to that of London around 4%

·         155 deaths in Islington have been COVID related up to 4 September, and 2 death in the week to 11 September

·         Contact tracing – 419 cases in contact with 1118 contacts – 78% of cases have been successfully contacted and of the contacts identified 71% have been successfully contacted

·         Since the outbreak the Islington COVID 19 outbreak prevention and control plan has been strengthened

·         The latest data shows that there are 90.3 cases per 100000 population compared to 99 in London and 150 in England, however there is a rapidly rising community transmission issue

·         Older peoples care homes – care homes are better placed to respond in comparison to the first wave, and there have been no COVID related deaths in care homes for the last 15 weeks. Staffing levels remain relatively stable

·         Key issues – access to testing remains an issue and the Council is working with key partners to look at options to increase testing locally, whilst a national solution is awaited. A local testing centre is now available at the Sobell Centre car park and another in the south of the borough is being considered at a later stage

·         Local contact tracing – focusing on contacting individuals who have tested positive and have not been successfully contacted by the national service within 24 hours. A Task and Finish Group has been convened to plan for the ‘go live’ of locally supported contact tracing and the national system is working with local teams across the country in a phased way to ‘go live’ systematically

·         Key issues – Preventing and mitigating disproportionate impacts, communication and engagement, supporting schools and higher education

·         London cases are doubling every day, however testing has increased over the last few weeks

·         There had been no COVID deaths in the past few weeks but as cases continue to rise the disease would spread to more vulnerable members of the community

·         There is a Home Care testing plan in place and staff are tested on a weekly basis and residents on a monthly basis

·         A testing centre is now in place at the Sobell Car Park

·         There has been small outbreaks in  ...  view the full minutes text for item 188.

189.

Elective Recovery Programme pdf icon PDF 117 KB

Minutes:

Paul Sinden, CCG was present and outlined the report

 

During consideration of the report the following main points were made –

 

·         A&E at the height of the pandemic had seen a 50% reduction in the number of cases, however numbers had now increased to about 80% of normal activity

·         The intention at NCL is to restore elective surgery to pre-COVID levels. The process for dealing with elective surgery prioritisation is clinically led, and maximisation of NHS capacity is the aim. There are longer average waiting times for surgery than pre-COVID and the Royal Free has the highest waiting list, however other NHS Trusts were assisting in reducing this

·         It was noted that an investigation had been carried out on health inequalities impact on waiting lists, and this could be circulated to the Committee when completed

·         There had also been a reduction in GP consultations and these had fallen from 450000/500000 to around 300000/350000 during the height of the pandemic

·         It was stated that COVID has led to increases co-operation between NHS Trusts and clinical prioritisation taking place

·         Reference was made to the procedures for A&E paediatric cases and it was stated that patients would be treated at UCLH, however but transferred to the Whittington in the event of an emergency and that daily reports were available and analysed on this

 

 

 

 

 

 

The Chair thanked Paul Sinden for attending

190.

Merger of CCG's pdf icon PDF 672 KB

Minutes:

Frances O’Callaghan and Alexander Smith, NCL were present and outlined the report

 

During consideration of the report the following main points were made –

 

·         In response to a statement that ‘history was repeating itself’ with the changes in relation to the merger of CCG’s, it was stated that it was agreed that whilst this appeared to be the case it was felt that the changes would enable Boroughs to be represented on the Governing Body, and that this was clinically led. It was felt that the new arrangements would also enable the NCL to commission more effectively and address health inequalities more effectively

·         It was also noted that primary care would also be  able to employ differing staff specialisms, such as social prescribers, pharmacist etc. at practices and this would reduce workload of GP’s

·         In response to a question as to GP patients on borough boundaries that may visit a practice in another borough it was noted that reciprocal arrangements were in place with other boroughs in respect of such patients

 

 

 

RESOLVED:

That a report on 6 month progress on the merger of CCG’s be submitted to the Committee

 

 

 

The Chair thanked Frances O’Callaghan and Alexander Smith for attending

191.

Work Programme 2020/21 pdf icon PDF 50 KB

Minutes:

RESOLVED:

That the report be noted