Venue: Committee Rooms, West Wing, Guildhall
Contact: Philippa Sewell
tel. no.: 020 7332 1426
Email: philippa.sewell@cityoflondon.gov.uk
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Apologies Minutes: Apologies were received from Alderman Alison Gowman. |
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Members' Declarations under the Code of Conduct in respect of items on the agenda Minutes: The Revd Dr Martin Dudley, Vivienne Littlechild, and Steve Stevenson declared standing interests by virtue of being residents of the City of London. |
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To agree the public minutes of the meeting held on 10 May 2016. Minutes: RESOLVED - That the public minutes of the meeting held on 10 May 2016 be agreed as a correct record.
Matters Arising
Planned Private Patients Unit at St Bartholomew’s Hospital Members asked officers to follow up with Bart Health NHS Trust regarding the lease period and to provide reassurance and details regarding the revenue stream that would be invested back into NHS services. |
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Presentation: Sustainable Transformation Plan Minutes: The Committee received a presentation covering Sustainability and Transformation Plans, the Hackney devolution pilot, and the Integrated Commissioning Model.
In December 2015, NHS England announced a requirement for five year Sustainability and Transformation Plans (STPs) to set out how local areas proposed to meet the challenges set out in the Five Year Forward View. The City of London Corporation was part of the North East London STP, which included eight local authorities, seven Clinical Commissioning Groups and three acute hospital trusts. Guidance from NHS England set out that all STPs would have a single ‘system’ budget made up of the operational budgets for each organisation involved. Funding could therefore be moved between organisations by agreement, provided the overall budget total did not change, which posed a potential risk where funding from local organisations may be used to support other organisations in the system that were experiencing financial difficulties. There were a number of challenges across North East London, including increasing population, deprivation, health inequalities, capacity in some services, fragmentation of service pathways, as well as significant financial pressures. New models of care were therefore being explored through the STP, the ‘Transforming Services Together’ programme (overseen by the Joint Health Overview and Scrutiny Committee), and the Hackney devolution pilot.
Paul Haigh from the City & Hackney Clinical Commissioning Group introduced the Hackney devolution pilot, one of five across London, which aimed to explore the delegation of powers to a local level to better support the achievement of plans. The pilot sought to develop an integrated health and social care commissioning and delivery model system, develop estate and implement new approaches to prevention. The City of London was not part of the pilot, but had been involved throughout to ensure potential benefits for the City could be realised and unintended consequences could be |
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The terms of reference of the Health and Social Care Scrutiny Committee are attached for your consideration. Minutes: Members discussed the Committee’s Terms of Reference and agreed that although a larger membership would be preferable it would be difficult to achieve.
RESOLVED – That the terms of reference be approved. |
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Defibrillators Oral update to be provided. Minutes: Officers reported that BT had deferred their strategy regarding installation of defibrillators in phone boxes until January 2017. Members noted that work was progressing with Waitrose regarding the installation of a defibrillator in their branch on Whitecross Street. It was hoped that, if successful, this could be held up as an example and other supermarkets would follow suit. Steve Stevenson advised that, at the London Ambulance Patients’ Forum, Sainsbury’s had undertaken to install thousands of defibrillators in their stores across the country. |
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Integrated Commissioning for Health and Social Care PDF 165 KB Report of the Director of Community & Children’s Services. Minutes: This report was considered at agenda item 4. |
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The Adult Social Care Duty System PDF 105 KB Report of the Director of Community & Children’s Services. Minutes: The Committee received a report of the Director of Community & Children’s Services regarding the Adult Social Care Duty System and the pathway for professional and public enquiries and referrals into Adult Social Care.
Members discussed the report, querying the low numbers associated with mental health assessments and access to reablement services for people discharged from A&E. Officers advised that the 15 assessments quoted were carried out by the Approved Mental Health Professional in the Adult Social Care Team and did not include urgent, out of hours, or emergency assessments. With regard to discharges, officers advised that the onus was on the A&E department to contact reablement services, but noted there was a potential for patients to be overlooked.
Members requested the City of London Police be asked for comments regarding the team’s performance and service regarding mental health needs and, in response to a query regarding detox figures for the City, officers reported that public health data was aggregated with the relevant borough that provided the service, although social care figures were monitored by the Corporation.
Members requested the City of London Police be asked for comments regarding the team’s performance and service regarding mental health needs and, in response to a query regarding Delayed Transfers of Care (DTOC) figures for the City, officers reported that any delays due to social care were monitored by the Corporation but delays due to the NHS were reported by the relevant hospitals.
RESOLVED – That the report be noted. |
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Questions on Matters Relating to the Work of the Committee Minutes: There were no questions. |
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Any Other Business that the Chairman Considers Urgent Minutes: There was no other business. |