Agenda and minutes

Apologies had been received from Dr Dudley, Simon Murrells and Neil Roberts.

Glyn Kyle declared an interest in item 18: Adult Social Care Commissioning Intentions as he was a trustee of a service contracted by the City of London Corporation.

To agree the minutes of the previous meeting.

Resolved: That the minutes of the previous meeting be agreed as an accurate record.

Report of the Director of Community and Children’s Services

Members received a report that provided background information on the work of the City and Hackney Safeguarding Adults Board (CHSAB) - as set out in the CHSAB Annual Report 2013/14.

Members noted the information regarding the governance and membership of the Adult Safeguarding Board. Members further noted that Safeguarding Adult Boards would be placed on the same statutory footing as Children Safeguarding Boards as a result of the Care Act 2014, and as such Health and Wellbeing Boards would need to have regard for the adult safeguarding arrangements in their area.

Members thanked Officers for their work.

RECEIVED.

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

Members received an overview of the City of London Safeguarding Children arrangements for 2013/14 as reflected in the City and Hackney Safeguarding Children Board (CHSCB) Annual report 2013/14.  The Annual Report provided detailed coverage of the work undertook by partners and the CHSCB to ensure robust safeguarding arrangements were in place, as required by Working Together to Safeguard Children statutory guidance.

Members noted that Safeguarding Adult Boards would be placed on the same statutory footing as Children Safeguarding Boards, and, as a result of the Care Act

2014, Health and Well Being Boards would need to have regard for the adult safeguarding arrangements in their area.

Officers complimented the partnership working between Town Clerk, Director of Community and Children’s Services and the Independent Chair of the City and Hackney Safeguarding Board.

Members noted that there were 898 children living in the City of London of which 21% lived in low income families. Members agreed that tackling this should be a priority and the pressures faces y children living in the City were different from other areas but were just as serious.

RECEIVED.

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

Members were presented an overview of the City and Hackney Clinical Commissioning Group’s (CCG) commissioning intentions for 2015/16.

The CCG’s five key ambitions are:

·       Increase life expectancy

·       Quality of life

·       Quick recovery

·       Good experience of care

·       Patient safety

The CCG commission services in line with the following key objectives:

·       Keep our health economy productive and efficient

·       Maintaining referral rates, eliminating steps in the pathway which don’t deliver patient benefit

·       Reducing unnecessary emergency hospital activity

·       Empower and support our patients to be in control of their health and decisions about their health

·       Address concerns and feedback from our patients, members and stakeholders

·       Align our work with Public Health commissioned services

·       Prevention and wellbeing can impact on premature mortality and outcomes as much as what the CCG commissions

·       Ensure parity of esteem between mental and physical health and focus on the mental health needs of our patients

·       Ensure that primary care has the skills and capacity to remain the first point of contact and handle the work arising from our plans

·       Align services across providers to deliver improved clinical quality and outcomes and joined up clinical behaviours

·       Ensure safe and effective 7 day services which deliver patient satisfaction

·       Improve our performance against CCG outcomes and NHS Constitution rights

·       Decide what to do about non recurrently funded schemes which end in 2016

·       Pass the “Think like a taxpayer, act like a patient” test – is it a good use of public money and how will it benefit our patients?

Members noted that the application to delegate authority of the commissioning of primary care services in the City and Hackney had been recently been approved.

RECEIVED.

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

Members received a summary of the report from NHS England, Out of Area GP Registrations from 5 January 2015: Update for City of London Health and Wellbeing Board. This outlined the changes to GP contracts from January 2015. As a result of these changes, GP practices that chose too would be able to accept registrations from patients who are not resident in their practice area.

RECEIVED.

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

Members noted that at the 28^th November 2014 meeting of the Health and Wellbeing Board (HWB), Members received a presentation from Dr Yvonne Doyle, London Regional Director for Public Health England, in regards to the Better Health for London report from the London Health Commission.

The report was a “call to action” for London and proposed measures to combat the public health threats posed by tobacco, alcohol, obesity, lack of exercise and pollution, as well as a raft of recommendations around the provision of health services in London, to make London a healthier place.

Resolved – Members:

·       Approved the formation of an officer working group to further explore a number of the recommendations from the Better Health for London report, selected because they closely reflect the HWB’s strategic priorities. The working group will identify how these recommendations can be implemented in the City and report back to the HWB in six months.

·       Approved the suggested recommendations for the City to lead on the investigation of:

1.     Smoke free parks and open spaces

2.     Encouraging more Londoners to walk 10,000 steps a day and supporting employers to incentivise their employees to walk to work

3.     Promotion of workplace health initiatives

4.     Local health promotion day (‘Imagine Healthy London Day’)

5.     Additional GP services

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

Members noted that The Health and Wellbeing Board had a statutory obligation to produce a Pharmaceutical Needs Assessment (PNA) by 1 April 2015. The PNA contained information about local need, current community pharmacy services and gaps in provision. The PNA would be used by NHS England to commission future pharmacy services in the area. The information contained in the PNA would also inform the commissioning plans of City of London Corporation, LB Hackney and City & Hackney CCG.

Members considered a summary of the key findings for the City. Current pharmacy provision met the current and projected future needs of the resident and working populations. However there is some scope for improvement, particularly by extending access to repeat dispensing services and increasing public health provision through pharmacies for both City residents and workers.

Resolved – Members delegated authority to the Chairman/Deputy Chairman, in consultation with the Director of Public Health, to approve the PNA for publication.

Report of the Assistant Director – Safer City Partnership, Town Clerks.

Members noted the update report on the activities of the Safer City Partnership in relation to the Partnership Plan 2014/2015.

RECEIVED.

Report of the Chair of Healthwatch.

Members were provided with an update on the activities and campaigns of Healthwatch City of London which involved:

·       Bank of America Merrill Lynch event with City of London memory group

·       Update on Barts NHS Trust

·       Healthwatch City of London response to the Ultra Low Emission Zone consultation

·       Training held with Adult Social Care team

·       Feedback from Healthwatch City of London annual conference and AGM

• Summary work plan 2014-16

RECEIVED.

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

Members received a report of key updates to the Board.

RECEIVED.

There were no questions.

Members considered one item of urgent business in relation to the Golden Lane Playground area refurbishment. Members noted that the proposed project aimed to replace an insecure, unsightly facility which is not fit for purpose and not of benefit to the community, with one which provides safe, stimulating play opportunities for young children and contributes to the environmental enhancement of the Grade II listed housing estate. Raising the floor will be required to create the new, more

accessible playground.

RECEIVED.

MOTION - That under Section 100A(4) of the Local Government Act 1972, the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in Paragraph 3 of Part I of Schedule 12A of the Local Government Act.

MOTION - That under Section 100A(4) of the Local Government Act 1972, the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in Paragraph 3 of Part I of Schedule 12A of the Local Government Act.

To agree the minutes of the previous meeting.

Resolved: That the non- public minutes of the previous meeting be agreed as an accurate record.

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

The Committee received the report of the Director of Community and Children’s Services.

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

The Committee received the report of the Director of Community and Children’s Services.

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

The Committee received the report of the Director of Community and Children’s Services.

There were no questions.

There was one item of urgent business.