Agenda and minutes

The meeting was inquorate for the consideration of the item.

Apologies were received from Ann Holmes, Emma Price, Adam Richardson and Philip Woodhouse. Apologies for lateness were received from the Chairman, Wendy Mead.

The meeting was inquorate for the consideration of the item.

Deputy Chairman Dhruv Patel declared a non-pecuniary interest in item 10 by virtue of his family’s pharmacy business within the City and Hackney CCG (but not within the boundaries of the City).

Report of the Tower Hamlets CCG.

The meeting was inquorate for the consideration of the item.

The Chairman welcomed Jane Milligan from Tower Hamlets Clinical Commissioning Group and Paul Haigh and Gary Marlowe from City & Hackney Clinical Commissioning Group to the meeting.

Ms Milligan reported that the NHS in Tower Hamlets had been in discussions regarding the development of a health facility in the Aldgate area for a considerable amount of time, and since 2010 had  focused on the Goodman’s Field development as the most appropriate location to provide a health facility to meet the health and wellbeing needs of the local population and reduce health inequalities. Members noted that planning permission had now been obtained and the developers were aiming for a start date in autumn 2015 with final completion anticipated for summer 2019. A business case had been submitted to NHS England to amalgamate  two GP surgeries within the area, namely City Wellbeing and Whitechapel Health in the new facility.

In response to questions, Ms Milligan advised that, as the business case was still with NHS England, it was too soon to think about actively disseminating the message to local residents. She reported that more details concerning the future would be available in approximately 6 months. With regard to joined-up working, Mr Haigh reported that Tower Hamlets, City & Hackney, and Islington CCGs were working together to ensure services were aligned, and a workshop had been scheduled for January 2015.

RESOLVED – That the report be noted.

Report of City & Hackney CCG.

The meeting was inquorate for the consideration of the item.

Paul Haigh and Gary Marlowe from City & Hackney Clinical Commissioning Group presented the 5 year plan, they advised Members that CCGs across England were being invited to apply to take back primary care commissioning from NHS England, and City & Hackney CCG would be submitting an expression of interest in January 2015.

In response to a query, Mr Haigh reported that the Hackney model “One Hackney” would bring providers together to ensure patients in both City and Hackney experienced linked up services. The model was divided into four quadrants; the City being part of  the South Western quadrant. Mr Marlowe reported that although the quadrant did not have a City focus, City cases were always given a high priority and well-managed. The Assistant Director, Partnerships and Commissioning advised that the Corporation’s Social Care team had trained Care Navigators who linked in to the quadrant system. Members noted that resources and plans were in place to address any gaps in services that might be identified, and a workshop to highlight any issues had been scheduled between the City of London Corporation, the three main hospital trusts providing for City residents, and the three CCGs. (City and Hackney, Tower Hamlets and Islington)

With regard to the recent quality concerns over Barts Health Trust, Mr Haigh reported that the City & Hackney CCG had written to the Care Quality Commission and offered financial support to the Trust for improvements to outpatient services, and Tower Hamlets CCG were looking at overall quality and ensuring action plans were in place. Ms Milligan confirmed that there were a number of concerns, but a robust system was in place to review the Trust and, generally, once people were being treated they received a good standard of care, but there

Report of Healthwatch City of London.

The meeting was inquorate for the consideration of the item.

The Sub Committee received a report from David Simpson from Healthwatch. Mr Simpson expanded on the items contained in the report, in particular the Healthwatch annual conference and AGM, which took place on 29 October 2014. A review of the year was presented by the Chair Samantha Mauger, followed by discussion groups which discussed various ways Healthwatch could work and engage more effectively with providers of services, young people, children and workers in the City of London.

Members had several questions regarding effective working with other Healthwatches, the level of response from surveys and focus groups, and how widely the newsletter was distributed. Mr Simpson undertook to submit a report to the next meeting regarding joined-up working practise with other Healthwatches, and to feed back details on the newsletter distribution via the Committee and Member Services Officer.

RESOLVED – That:

(a)  Healthwatch submit a report to the next meeting regarding joined-up working practise with other Healthwatches, and

(b)  Details on the Healthwatch newsletter distribution by circulated electronically outside the meeting.

The meeting was inquorate for the consideration of the item.

There were no questions.

The meeting was inquorate for the consideration of the item.

Inner North East London Joint Health Overview and Scrutiny Committee (INEL JHOSC)

The Assistant Director, Partnerships and Commissioning gave an update on the matters discussed at the INEL JHOSC meeting held on 20th November 2014, including the completion of the Cancer and Cardio review. The Committee had also discussed the recent issues raised about Barts Health Trust and concluded that, although they still had concerns, these were being addressed better and more openlyhonestly than in the past. Members noted that the INEL JHOSC representatives were as attending a visiting of the new King George V site on 15th December and this invitation would include a member of  had been extended to  the Sub Committee. The Deputy Chairman  indicated that he would attend on behalf of the Sub Committee and report back to the next meeting.

To agree the public minutes and non-public summary of the meeting held on 19 May 2014.

RESOLVED – That the public minutes and non-public summary of the meeting held on 19 May 2014 be agreed as a correct record.

Matters Arising

Community Nursing Services

The Assistant Director, Partnerships and Commissioning advised that he had written to Dr Vasserman to ascertain whether he was happy with the changes or whether a further review of the new arrangements was necessary.

Cancer and Cardio

Members noted this had been discussed at the Inner North East London Joint Health Overview and Scrutiny Committee (INEL JHOSC) at their meeting earlier in the month.

Healthwatch

Members noted that answers outstanding from the last meeting had been circulated electronically in May 2014.

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

The Sub Committee received a report of the Director of Community and Children’s Services regarding recent national developments and their impact on how local authorities exercised their health overview and scrutiny functions. The City of London Corporation was now a commissioner and provider of public health services and therefore a body which could be scrutinised, and Members considered whether the Sub Committee should examine how or if its own health scrutiny functions could be enhanced. The Chairman requested that minutes of the Board meetings of Barts Health NHS Trust and Homerton University Hospital NHS Foundation Trust be forwarded to Sub Committee wherever possible. Members agreed that, at the next meeting, Members undertake a discussion of the current position of health scrutiny processes in the City, supported by officers’ research of best practice elsewhere.

RESOLVED – That:

(a)  The report be noted;

(b)  The Health and Social Care Scrutiny Sub Committee examine how or if its health scrutiny processes could be enhanced in line with the approach proposed in the report at its next meeting in February 2015; and

(c)  The minutes of the Board meetings of Barts Health NHS Trust, East London NHS Foundation Trust, and Homerton University Hospital NHS Foundation Trust be forwarded to Sub Committee wherever possible.

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.

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)  
              11                                                                              3

            12-13                                                                                      -

The meeting was inquorate for the consideration of the item.

There were no questions.

The meeting was inquorate for the consideration of the item.

There was no other business.

To agree the non-public notes of the Briefing held on 17 September 2014.

RESOLVED – That the non-public minutes of the meeting held on 19 May 2014 be agreed as a correct record.