Agenda and minutes

Venue: Committee Rooms, West Wing, Guildhall

Contact: Philippa Sewell
tel. no.: 020 7332 1426  Email: philippa.sewell@cityoflondon.gov.uk

Items
No. Item

1.

Apologies

Minutes:

There were no apologies.

 ...  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 Revd Dr Martin Dudley, Vivienne Littlechild, and Steve Stevenson declared an interest by virtue of being residents of the City of London. The Revd Dr Martin Dudley also declared an interest in item 9, by virtue of the proposed development being in his Parish.

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

3.

ORDER OF THE COURT OF COMMON COUNCIL 21 APRIL 2016 pdf icon PDF 84 KB

To receive the Order of The Court of Common Council from 21 April 2016.

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

Minutes:

RESOLVED – That the Order of the Court of Common Council of 21 April 2016, appointing the Committee and approving its terms of reference, be noted.

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

4.

ELECTION OF CHAIRMAN

To elect a Chairman in accordance with Standing Order 29.

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

Minutes:

The Committee proceeded to elect a Chairman in accordance with Standing Order No.29. The Town Clerk read a list of Members eligible to stand and Wendy Mead, being the only Member expressing a willingness to serve, was duly elected as Chairman of the Committee for the ensuing year.

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

5.

ELECTION OF DEPUTY CHAIRMAN

To elect a Deputy Chairman in accordance with Standing Order 30.

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

Minutes:

The Committee proceeded to elect a Deputy Chairman in accordance with Standing Order No. 30. A list of Members eligible to stand was read, and Chris Boden and Revd Dr Martin Dudley declared their willingness to serve, if elected.

 

A ballot having been taken, votes were cast as follows:-

Chris Boden 1 vote

Revd Dr Martin Dudley 3 votes

 

RESOLVED - That the Revd Dr Martin Dudley be duly elected as Deputy Chairman for the ensuing year.

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

6.

CO-OPTION OF A HEALTHWATCH REPRESENTATIVE

To co-opt one representative from Healthwatch City of London.

 

Healthwatch have nominated Steve Stevenson for appointment.

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

Minutes:

RESOLVED – That Steve Stevenson be co-opted as the representative for Healthwatch.

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

7.

APPOINTMENT OF INNER NORTH EAST LONDON JOINT HEALTH OVERVIEW AND SCRUTINY COMMITTEE REPRESENTATIVE(S)

To appoint representative(s) to the INEL JHOSC representative.

 

It is proposed that the Chairman and Deputy Chairman are appointed.

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

Minutes:

RESOLVED – That the Chairman and Deputy Chairman be appointed to the Inner North East London Joint Health Overview and Scrutiny Committee.

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

8.

Annual Workplan pdf icon PDF 87 KB

Joint report of the Town Clerk and Director of Community & Children’s Services.

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

Minutes:

Members received a joint report of the Town Clerk and Director of Community & Children’s Services regarding the Committee’s meetings and activities for the year. The Director of Community & Children’s Services advised that Agenda Planning meetings would be co-ordinated by the Town Clerk for all Committee Members to feed into the workplan, and confirmed that the officer support would be divided between Social Care and Public Health items to ensure any potential for conflict of interest for officers was avoided.

 

RESOLVED – That the proposed schedule of meetings and officer arrangements be agreed.

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

9.

Public Health Service Level Agreement between the City of London and the London Borough of Hackney pdf icon PDF 93 KB

Report of the London Borough of Hackney.

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

Minutes:

The Committee welcomed Gareth Wall, Head of Public Health Services for Adults at the London Borough of Hackney, to the meeting. Mr Wall presented a report on an agreement between the City of London and the London Borough of Hackney regarding the management of public health services. An agreement of this nature had been in place since April 2013 and was reviewed annually for content, activity and price.

 

Members discussed the report, and noted that a large proportion of spend went on sexual health (education and testing). This was demand-led, with individuals accessing care on a walk-in basis and costs recovered from the patient’s home borough. Mr Wall advised of an integrated tariff agreed across London to simplify and improve the cost recovery basis. In response to a Member’s question, Mr Wall reported that costs of care for City workers were currently met by the City of London Corporation, but that work was underway to improve the identification of patients’ home postcodes which, combined with the integrated tariff, would improve billing to the appropriate borough.

 

RESOLVED – That the report be noted.

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

10.

Planned Private Patients Unit at St Bartholomew's Hospital

Presentation from Barts Health NHS Trust.

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

Minutes:

The Committee welcomed Casper Ridley and Ian Walker, Commercial Director and Trust Secretary for Barts Health NHS Trust, to the meeting. Mr Ridley and Mr Walker gave a presentation regarding a proposal for a private healthcare provider to invest in the Pathology Building and RSQ Building at St Bartholomew’s Hospital, which were in in a dilapidated state and required significant investment to make them usable. Barts Health did not have the resources to develop the site for NHS use, and were seeking to develop their private sector revenue stream.

 

Mr Ridley advised that this opportunity would benefit Barts Health and City workers and residents for a number of reasons, and made the following points:

·         There would be no negative impact on NHS services provided at the hospital.

·         There would be no cost to the NHS. The land would be leased and the freehold retained, with all costs of restoring and equipping the buildings for use as a modern healthcare facility being absorbed by Nuffield Health (as the preferred bidder). The completed facility would be handed back to Barts Health at the end of the lease period (which was yet to be confirmed).

·         A multimillion pound revenue stream would be provided over its lifetime for Barts Health to invest back into NHS services.

·         Nuffield Health had also indicated interest in buying NHS services on top of this lease agreement. This would provide for further revenue, and would ensure expensive equipment owned by Barts would be fully utilised.

·         Barts Health employed consultants currently undertaking private practice work elsewhere could move this to a site closer to their primary NHS work. This would have benefits to emergency planning.

·         City workers and residents would be allowed an increased choice for private medical care, as well as the provision of a joined-up care pathway through

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

11.

City of London Care Navigator pdf icon PDF 94 KB

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

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

Minutes:

The Committee welcomed Marion Willicome-Lang, Service Manager for Adult Social Care, who presented a report on the Care Navigator role in the City of London. Members noted that the service was designed to help ensure City residents being discharged from hospital were being successfully linked up with the correct follow-on services and support. The service had been operational since January 2015 and was commissioned from Age UK East London. Members noted that, building on the success of the role, funding had been secured from the Better Care Fund for a continuation of the service for a further year.

 

In response to Members questions, Members noted the City and Hackney CCG had allocated some non-recurring funding to help address delayed transfers of care and emergency admissions in the City of London, and that proposals were being developed for a new service to support City residents taken to Accident and Emergency but not admitted to hospital, who needed support to return home safely during unsociable hours. With regard to staffing, Members noted the Age UK East London provided back-office support and covered when a Care Navigator was on leave.

 

RESOLVED – That the report be noted.

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

12.

Agenda items for next meeting

To be discussed.

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

Minutes:

RESOLVED – That the Committee’s Terms of Reference be reviewed at a future meeting.

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

13.

Questions on Matters Relating to the Work of the Committee

Minutes:

There were no questions.

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

14.

Any Other Business that the Chairman Considers Urgent

Minutes:

There was no urgent business.

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