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Agenda and minutes

Venue: The Council Chamber, Town Hall, Upper Street, N1 2UD

Contact: Boshra Begum  Email:


No. Item



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The Chair welcomed all to the meeting and introductions were given.


Apologies for Absence

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Declaration of Substitute Members

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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.



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Minutes of the previous meeting pdf icon PDF 350 KB

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That the minutes of the meeting held on the 24 April 2023 be confirmed as a correct record and the Chair be authorised to sign them.


Chair's Report

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The Chair welcomed Clare Henderson, the Director of Integration for North Central London ICB who presented on item 10, an update on GP Surgeries.



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.

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Health and Wellbeing Board Update

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Councillor Turan, Executive Member for Health and Social Care, provided an update on local health and wellbeing issues.


Councillor Turan noted that there was no Health and Wellbeing Board since the last committee meeting and therefore there were no significant updates.

The committee were informed that last week the council received the a letter regarding the patient survey for a consultation with the Northern Medical Centre from the ICB around the sudden closure.  It was recommended in writing that the letter be edited to include simple easy to understand language. Councillor Turan has also fed back about making the timescales to respond to the consultations clearer in the letter.


From the 1st of July 2023 the procedure for complaints about NCL practices they will need to contact NCL Integrated Care Board instead of NHS England.



Arrangements for Health and Care Scrutiny Committee 2023/24 pdf icon PDF 273 KB

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The report was noted.


Update on GP Surgeries from NHS Integrated Care Board pdf icon PDF 506 KB

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Clare Henderson, the Director of Integration for North Central London ICB introduced the presentation. Clare was also supported by her colleagues Liam Beadman, Assistant Director Primary Care at North Central London ICB and Dr Rosi Marsh, a General Practitioner in Islington.


The committee were given a presentation covering a background to the practices in Islington, issues around access, equality and workforce, the current work around estates, the work that’s going on around the practices to make them a thriving part of the NHS.


The following points were noted in the discussion:


·       Islington has 31 GP practices operating from 29 sites.

·       All practices are grouped into five Primary Care Network (PCN) which are split out into localities so two in the north and two in the centre and one in the south.

·       There has been an evolving model of GP’s over time and the pandemic has had an effect on demand, increased inequalities, increased the digitisation of appointments. Towards the end of the pandemic there was an unexpected spike in infectious diseases in the child population

·       There has been a gradual rise in the number of appointments over time.

·       There has been a trend of increased digitisation of appointments over time.

·       Primary care has also been affected by industrial action from nurses and junior doctor staff in recent months which has affected the levels of activity.

·       The National GP Access Recovery Plan recognises that there is an issue with appointments in some GP practices, this plan is a priority for the next year and 30% of the incentivised funding of GP practises is based around this plan. Key parts of the plan include the improvement of telephony services, increasing patient feedback such as re-running the friends and family survey that was put on hold during the pandemic.

·       Embracing modern general practice by looking at empowering patients and increasing capacity to meet demands such as the ageing population.

·       Capacity and workforce within GP’s:

The number of GP practices shows a downward trend, Islington has tried to address this with GP Trainees which has been working well with local training hubs to attract trainees in to try to replace the ageing workforce.

·       ARRS roles which was an initiative launched in 2019 to try to increase the number of the types of people who work in general practice, now we have a great number of clinicians and general practitioners that work in GP’s now with the appropriate skillset to deal with problems quicker than making a GP appointment. Examples include Clinical Pharmacists who work with GP’s in clinical management and medication reviews, team of social care prescribers who can navigate non-medical problems. ARRS roles can take appointments directly from patients and be there for oversight to alleviate demand from GPs.

·       All but one of the practices in Islington has been rated ‘good’ by the CQC.

·       Good success this year in work with people with learning disabilities and mental illness, ensuring they have annual health checks exceeding the national targets.

·       Barnsbury Medical Practice in the  ...  view the full minutes text for item 111.


Q3 Public Health Performance Report for Corporate KPI's pdf icon PDF 505 KB

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The Director of Public Health provided an presented the Q3 Public Health Performance Report for Corporate KPI’s.

The following points were noted in the discussion:

·       Suicide prevention is a key priority for Islington Council and are now below the national average and 115 people have now been trained up to deal with suicide prevention in Islington.

·       There has been a lot of hard work with the probation services with opportunities to take this work further and join up with other services. There is support for Drugs and Alcohol within probation services too.

RESOLVED that the report be noted.



Scrutiny Review - selection of topic

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In the interest of time the Chair brought this item forward.


The Chair introduced this item and informed the committee of his suggestion for the Scrutiny Review 2023/2024 which centred around Healthcare and the Adult Social Care front door service, and access to adult social care.


The following points were noted in the discussion:

·       Other topics suggested were scrutinising the OT assessments that were currently in place for residents that were looking to receive additional points for housing allocation, it was suggested that this should sit with Health rather than Housing.

·       Another scrutiny topic suggestion was around diving into drug and alcohol issues, a visit to the west midlands police services around their pre-arrest system which directs people to health, housing, debt support, a complete wrap around service.

·       Other topics suggested centred around the dementia services, mental health issues.


That the scrutiny topic for 2023/2024 would centre around Healthcare and the Adult Social Care front door service, and access to Adult Social Care.

·       Democratic services colleagues to circulate a fuller scope of the topic as a draft scrutiny initiation document to be agreed at the next Committee meeting on 5th September 2023.


Work Programme 2023/24 pdf icon PDF 148 KB

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RESOLVED that the work programme 2023/2024 be agreed.