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Venue: Committee Rooms, West Wing, Guildhall

Contact: Joseph Anstee
tel. no.: 020 7332 1480  Email: joseph.anstee@cityoflondon.gov.uk

Items
No. Item

1.

Apologies

Minutes:

Apologies for absence were received from Jo Wilson (NHS England).

 

 ...  view the full minutes text for item 1.

2.

Members' Declarations under the Code of Conduct in respect of items on the agenda

Minutes:

Alderman Alison Gowman, Vivienne Littlechild and Steve Stevenson declared standing interests by virtue of being residents in the City of London, and registered with the Neaman Practice.

 ...  view the full minutes text for item 2.

3.

Minutes pdf icon PDF 268 KB

To agree the public minutes and non-public summary of the meeting held on 30 October 2017.

 ...  view the full agenda text for item 3.

Minutes:

RESOLVED – That the public minutes of the meeting held on 30 October 2017 be agreed as a correct record.

 

Matters Arising

 

Defibrillators

 

The Director of Community and Children’s Services informed the Committee that officers had engaged with the Community Heartbeat Trust and were working on a scheme to encourage business to make defibrillators installed on their premises publicly available. There would be a proposal going to the Health and Wellbeing Board to take the scheme forward.

 

Employment for People with a Learning Disability

 

The Director of Community and Children’s Services informed the Committee that learning disabilities were not recorded specifically in the City of London Corporation’s employment data. With regards to employees declaring a disability, 2.7% of employees declared a disability, and 13% of employees had not declared their disability status.

 

The Committee noted that the City Bridge Trust was currently funding two schemes with the aim of supporting people with disabilities into employment, including the Bridge to Work programme. The Committee noted that the Corporation was not on this scheme as an employer. A Member suggested that officers link with the Corporation’s Disability Inclusive Network for insight into the matter.

 

 ...  view the full minutes text for item 3.

4.

GP Services in the City pdf icon PDF 79 KB

Report of City and Hackney CCG

 ...  view the full agenda text for item 4.

Additional documents:

Minutes:

The Committee received a report of the City and Hackney Clinical Commissioning Group (CCG) and welcomed Sue Neville and Shahannu Uddin, representatives from the Neaman Practice and Richard Bull from City and Hackney CCG. The Committee was given an update on the Neaman Practice and its current performance. The practice currently had around 9400 registered patients, and provided a variety of services alongside GP, nurse and pharmacy appointments such as chiropody, physiotherapy and smoking cessation, and also offered a duty doctor scheme, which had been successful.

 

Practice staff were aware of difficulties with the phone system and were working hard to find a system which maximised the capacity of the reception staff to take bookings for appointments both over the phone and face-to-face. The practice had been selected for City and Hackney’s ‘South Hub’ and would be open from 8am until 8pm on Saturdays from April 2018. The practice was also aiming to increase its capacity and hold an extra three hours of appointments during the week. There were plans to increase capacity for booking online appointments to up to 6 weeks in advance.

 

The Committee noted the practice’s performance against the CCG’s Primary Care Quality Dashboard. Whilst there were some areas of underperformance the practice’s overall score was higher than the City and Hackney average and above the London and National benchmarks. The Committee noted that the practice was within BMA guidelines for weekly appointments per 1000 patients and number of registered patients per doctor. The Committee noted that the practice’s administrative obligations and accountability to the local GP Confederation often had to take a high priority as the practice needed to meet certain targets in order to receive funding.

 

The Chairman reminded the Committee that it was important to keep context of the patients being served in mind

 ...  view the full minutes text for item 4.

5.

Update on Changes to Cancer Services and Breast Cancer Screening pdf icon PDF 80 KB

Report of NHS England

 ...  view the full agenda text for item 5.

Additional documents:

Minutes:

The Committee received a report of NHS England and welcomed Siobhan Harper from the City and Hackney CCG, and Kathie Binysh and Sarah Galbraith, representatives from NHS England to the meeting. The Committee was given an overview of cancer services and breast cancer screening in the City of London. All CCGs were monitored on cancer standards and rated by the Integrated Assessment Framework (IAF) on key indicators such as waiting times, survival rates, patient experience and staging.

 

Siobhan Harper informed the Committee that City and Hackney CCG was underperforming by these standards. There was a need for improvement in cancer services, and this was a high-profile focus of the CCG. There were some issues specific to the area, but performance in City and Hackney had been poor in the last year, with particular issues in the delivery of 62-day referrals for cancer screening. However, performance had been encouraging with regards to survival rates where the CCG was improving significantly. The Committee was informed that there was a lot of work ongoing to learn from methods in other European countries where cancer services were better. A Member expressed concern that the cancer unit at St. Bartholomew’s was not delivering what had been expected when it had opened.

 

Members noted that the CCG’s level of 65.4% for urgent referrals within 62 days was well below neighbouring CCGs and was a significant cause for concern, as the shortfall was greater than in other places. Members expressed the urgent need to work past difficulties and barriers, and made suggestions for increasing referral numbers, such as making screening locations more convenient, and increasing engagement with patients to understand any reasons that might cause barriers to screening. Siobhan Harper told the Committee that there had been some discussion about introducing mobile CT scans, and a GP

 ...  view the full minutes text for item 5.

6.

Proposal to Merge Cedar Lodge with Thames House pdf icon PDF 79 KB

Report of City and Hackney CCG

 ...  view the full agenda text for item 6.

Additional documents:

Minutes:

The Committee received a report of the City and Hackney CCG and welcomed Dan Burningham, representing the City and Hackney CCG, and Dr Waleed Fawzi, representing the East London NHS Foundation Trust, to the meeting. The report presented an outline proposal to merge two continuing care dementia wards to create a shared older adult dementia inpatient ward at Thames House Ward, Mile End Hospital. The involved the closure of Cedar Lodge, a ward based on The Lodge site in City and Hackney, and increasing the number of beds available at Thames House Ward from 12 to 18 beds.

 

There had previously been three wards on The Lodge site, but as 2 had been relocated Cedar Lodge was now isolated. Cedar Lodge currently had no onsite junior doctor coverage and required ambulances in emergencies. Patients had previously been expected to live in these wards before end of life care. However, the need for beds had reduced in the last 5 years as more patients were being assessed as requiring nursing home care. If physical needs predominated, then a care setting was thought to be more appropriate. The aim of the proposal in bringing the two wards together was to create a centralised inpatient service where patients with physical needs could be treated before eventually returning to being nursed in the community. As both wards were under-occupied and under-utilised, the merger would increase financial and staffing provision and enable the use of therapies that could not currently be provided at Cedar Lodge.

 

Whilst there were wider issues with regards to funding allocation and the delineation between healthcare and social care, the merger was a medium-term solution which would provide a better service than at present in both wards, and was part of an overall strategy to improve standards in Older Adults inpatient

 ...  view the full minutes text for item 6.

7.

Update on Transformation of Local Sexual Health Services pdf icon PDF 125 KB

Report of the Director of Community and Children’s Services

 ...  view the full agenda text for item 7.

Minutes:

The Committee received a report of the Director of Community and Children’s Services concerning local sexual health services. The Director of Community and Children’s Services informed the Committee that a new custom-built sexual health clinic would open at 80 Leadenhall on 3 April 2018. Officers had taken action to promote the new clinic, including posters and press releases, and would be in contact with the Barbican Centre and other places to spread awareness of the availability of the new clinic.

 

The new clinic would enable work postcodes used by City workers attending the clinic to be filtered out, and so ensure the City of London Corporation was not paying for the residents of other boroughs. As the clinic was in a more convenient location, it was hoped the new clinic would attract more City workers.

 

RESOLVED – That the report be noted.

 

 ...  view the full minutes text for item 7.

8.

Inner North-East London Update pdf icon PDF 91 KB

Includes the minutes of Thursday 9 November 2017 INELJHOSC meeting.

 ...  view the full agenda text for item 8.

Minutes:

The Committee received the minutes of the last meeting of the Inner North-East London Joint Health Overview and Scrutiny Committee (INELJHOSC). The Committee noted that the JHOSC had also discussed the Babylon GP service. The Chairman informed the Committee that he was unable to attend the next meeting and asked that if available, another Member of the Committee attend in his place.

 

RESOLVED – That the minutes of the last INELJHOSC meeting be noted.

 

 ...  view the full minutes text for item 8.

9.

Annual Workplan pdf icon PDF 117 KB

Report of the Town Clerk

 ...  view the full agenda text for item 9.

Minutes:

The Committee received a report of the Town Clerk updating them on the annual workplan. The Chairman suggested that the Committee could revisit the Corporation’s role in supporting people with learning disabilities. Committee Members suggested the Babylon service and NHS 111 system and its rollout could be discussed the next meeting. A Member suggested that the newly-appointed Accountable Care Officer discussed at the INELJHOSC could be invited to a future meeting.

 

RESOLVED – That the annual workplan be noted and would be updated ahead of the next meeting.

 

 

 ...  view the full minutes text for item 9.

10.

Annual Review of Terms of Reference pdf icon PDF 89 KB

Report of the Town Clerk

 ...  view the full agenda text for item 10.

Minutes:

The Committee considered a report of the Town Clerk concerning the annual review of the Committee’s terms of reference.

 

RESOLVED – That the terms of reference of the Committee be approved for submission to the Court as set out.

 ...  view the full minutes text for item 10.

11.

Questions on Matters Relating to the Work of the Committee

Minutes:

There were no questions.

 ...  view the full minutes text for item 11.

12.

Any Other Business that the Chairman Considers Urgent

Minutes:

There was no other business.

 ...  view the full minutes text for item 12.

13.

Exclusion of the Public

MOTION - That under Section 100(A) of the Local Government Act 1972, the public be excluded from the meeting for the following items on the grounds that they involve the likely disclosure of exempt information as defined in Part I of the Schedule 12A of the Local Government Act.

 ...  view the full agenda text for item 13.

Minutes:

RESOLVED – That, under Section 100A of the Local Government Act 1972, the public be excluded from the meeting for the following items on the grounds that the involve the likely disclosure of exempt information as defined in Part 1 of Schedule 12A of the Local Government Act.

 

            Item Nos.                                                        Exempt Paragraph(s)  
                14                                                                               3

               15-16                                                                             -

 ...  view the full minutes text for item 13.

14.

Non-Public Minutes

To agree the non-public minutes of the meeting held on 30 October 2017.

 ...  view the full agenda text for item 14.

Minutes:

RESOLVED - That the non-public minutes of the meeting held on 30 October 2017 be agreed as a correct record.

 ...  view the full minutes text for item 14.

15.

Questions on Matters Relating to the Work of the Committee

Minutes:

There were no questions.

 ...  view the full minutes text for item 15.

16.

Any Other Business that the Chairman Considers Urgent and which the Committee Agree Should be Considered Whilst the Public are Excluded

Minutes:

There was no other business.

 ...  view the full minutes text for item 16.

 


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