Agenda and minutes

Venue: VIRTUAL MEETING – ACCESSIBLE REMOTELY

Contact: Rofikul Islam Tel: 020 7332 1174  Email: Rofikul.islam@cityoflondon.gov.uk

Items
No. Item

1.

Apologies

Minutes:

Apologies were received from Vivienne Littlechild.

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

2.

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

Minutes:

The following declarations were made;

Barbara Newman;

Vivienne Littlechild;

Steve Stevenson;

all declared they were resident in the City and patients of the Neaman Practice.

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

3.

Minutes pdf icon PDF 204 KB

To agree the public minutes and non-public summary of the meeting held on Tuesday, 3 November 2020.

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

Minutes:

RESOLVED – That the public minutes of the meeting held on Tuesday, 3 November 2020 be agreed as a correct record.

 

Matters arising:

The Committee received the oral update from Assistant Director Partnerships & Commissioning that the Neaman Practice had put in a bid from the City of London’s Central Grant team for the use of chiropody.

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

4.

Workplan pdf icon PDF 153 KB

To note the Committees workplan.

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

Minutes:

The Committee noted the work plan and agreed that the following items are

discussed in future meetings;

 

·         Carers services and support

·         St Bartholomew's Hospital (Barts) Minor Injuries Unit

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

5.

Children and Young People’s Mental Health (Presentation) pdf icon PDF 458 KB

Programme Manager, NHS City and Hackney Clinical Commissioning Group to be heard.

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

Minutes:

The Committee received an oral update from the Programme Manager, NHS City and Hackney Clinical Commissioning Group on the Children and Young People’s Mental Health.

 

The Committee was informed that normally at this stage of the year, the Grand Committee would have received an update on the CAMHS; however, due to COVID-19, the transformation programmes are at a halt on a national level.

The Committee was made aware that Tier 2 First Steps had a reduction in referrals over the first lockdown period, but referrals have been significantly increasing since then and now back to normal levels for Q3. There are concerns, however, that the referral trajectory for Q4 is abnormally high.

 

Tier 3 Specialist CAMHS have seen a significant surge in referrals for Q3 compared to previous years (almost double). Q4 also projected to be abnormally high. The service is under significant strain and we are at a critical point

The City of London saw an increase of self-harm 30%; social problems 30%; 40% depression, low mood/ Anxiety. There has also been a 50% increase in Eating Disorder too, as such as a management support is being provided to local CAMHS services. Furthermore, the School provisions are also being used to make awareness and help facility a critical response in a joint up operation during this surge.

 

The crisis services will now be continuing from 9am to 9pm service, which has now become a permanent fixture due to new provision being available. There is a need to have such service available around the clock due to the complex need.

The Committee was further informed that the significant pressures on Tier 4 beds and paediatric units (NEL activity currently remains within target) Although there have not been any significant increases in admissions to tier 4, there has been a reduction

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

6.

Hospital Discharge Report pdf icon PDF 155 KB

Report of the Director of Community and Children’s Services.

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

Minutes:

The Committee received a report of the Director of Community and

Children’s Services on the Hospital Discharge Report. The report outlines an approach to the Hospital Discharge Process during the COVID-19.  The model has been reviewed, and changes have been made following the Government guidelines.

 

The Committee was advised that before March 2020 City of London Adults Duty team were available during the core hours of 09:00 and 17:00 Monday to Friday to liaise with hospitals and ensure appropriate services were in place to facilitate safe discharge.

 

The discharges themselves could take place outside of these hours.

A Member noted that it is vital to ensure that the social care package should also kick in as soon as a patient is discharged from the hospital. The Adults Service Manager noted that social workers are available to assist with the discharges.

 

RESOLVED – that, Members noted the report.

 

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

7.

WEL Estates Update to CoL - Tower Hamlets Goodmans Fields project update pdf icon PDF 684 KB

Report of the Strategic Estates Manager WEL CCG.

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

Minutes:

The Committee received a report of the Strategic Estates Manager

WEL CCG on the WEL Estates Update to CoL - Tower Hamlets Goodman’s Fields Health Centre Project Update.

 

The Committee was informed that the report updates the Health and Social Care Scrutiny Committee on GP services in Tower Hamlets. Approximately 16% of City of London residents are registered with GP practices in Tower Hamlets at two main practices (Spitalfields and Whitechapel Health Centre, which also have

the satellite practice at Portsoken). The update provided an update for Members on the development of the new Goodman’s Fields Health Centre, which will house the Whitechapel Health Centre, and the services that had been provided at the Portsoken Satellite Surgery.

 

The development of the new Goodman’s Fields Health Centre will have green space, which will enhance the space and will provide hotdesking spaces for clinicians and other specialists. The development of the new Goodman’s Fields Health Centre is designed in such a way that it can ensure staff can maximize its use and ensure that it provides a welcoming scene. The Committee was shown a number of videos in terms of how the new Centre providing a visual representation of the design.

 

A Member asked what extra services are expected to be provided at the Centre, will there be a service for patients who are not digitally proficient and who will carry out the triage.

 

Officers responded that in terms of the extra services, there are no solid plans are put in place as of yet. It is anticipated that the site will be used for an array of services such as social prescribers, physio at a network level. There is no agreement with other providers as of yet, but discussions are happening.  The digital aspect is one of the options, there will

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

8.

City of London Health and Social Care Scrutiny Committee - Neighbourhoods pdf icon PDF 226 KB

Report of the Neighbourhoods Programme Lead, City and Hackney.

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

Minutes:

The Committee received a report of the Neighbourhoods Programme

Lead, City, and Hackney on the City of London Health and Social Care Scrutiny

Committee – Neighbourhoods.

 

The Committee was informed that the neighborhoods are part of an approach to integrated health and social care based on joining up healthcare services so that people are supported to live healthy lives and receive the right care and support when they need it.

The neighborhood model is built around groups of GP practices with a total registered population of 30,000-50,000. Across City and Hackney, eight neighborhoods have been established, and the City of London is part of the Shoreditch Park and City Neighbourhood. Work is also underway with Tower Hamlet's practices to link in with their integrated care models.

 

The Committee was further advised that it is intended that by working together, staff across different disciplines can communicate regularly, share knowledge and expertise and coordinate care planning and delivery. Working in this way also allows teams to localize the

planning, coordination, and delivery of care for the whole local population. The aim

is to support residents in a way that is joined up, community-based,

proactive, and focused on the whole needs of a person and their families.

 

The Committee was further advised that the Neighbourhood principles we are working towards four areas;

 

1.    Engagement with residents will start with what matters to them rather than what is wrong with them.

 

2.    New services will be provided in the Neighbourhood, such as support from physios and health and wellbeing coaches who will deliver support in Shoreditch Park and the City Neighbourhood.

 

3.    For residents who have longer-term care and support needs, they will be supported by a multi-agency team who work together (within each Neighbourhood) to coordinate their needs.

 

4.    This support will be

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

9.

Questions on Matters Relating to the Work of the Committee

Minutes:

A Member asked that the carer's forum voices are taken into consideration and that their concerns are addressed, as in a pervious meeting they did not receive the opportunity.

 

Officers responded that there was a detailed discussion around a presentation on this very matter at the last Community and Children's Services Committee meeting. Some of the issues raised by the members are addressed in the discussions there and can be shared with Members of this Committee. Officers agreed to send a link to the discussion to the Committee.

 

The Member asked if the carers were consulted on the presentation. Officers agreed to bring the relevant Services Manager to a future meeting of this Committee.

 

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

10.

Any Other Business that the Chairman Considers Urgent

Minutes:

Election of Deputy Chairman

The Chairman informed the Committee that the post would be vacant and if any Members had any interest in expressing their intentions, to do so before the next meeting.

 

Departure of staff

The Chairman thanks David Maher, Managing Director, City and Hackney CCG and Jane Milligan, Accountable Officer, NEL Sustainability and Transformation Partnership, for their services to the Committee.

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

11.

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 11.

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.

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

12.

Questions on Matters Relating to the Work of the Committee

Minutes:

There were no questions.

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

13.

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 13.