Agenda item

NHS City and Hackney Clinical Commissioning Group to be heard.

The Committee received a verbal update on the City and Hackney restoration and recovery plan post-COIVD-19.  The CCG’s Managing Director informed the Committee that the CCG is expecting a phase 4 letter, which will explain the mandate from NHS England for practices in terms of adhering to its statutory responsibilities during the pandemic, as the country awaits another lockdown. The phase 4 letter will maintain elective surgeries during the next peak. The CCG City and Hackney has a strong plan for managing a number of hubs sites across North East London, taking a specialism approach in specific parts of elective surgeries. The capacities identified within the Trusts will allow the medical professionals to continue to run elective surgeries and manage the critical care aspect of the services, should the need arise. The Royal London Hospital has its 14^th and 15^th floor on standby to run any critical care services from there.

The Managing Director informed the Committee that there are two concerns that the CCG needs to be aware of, the first being the risks of transmission to NHS staff and frontline workers; hence the testing regime and the turnaround around the testing are very crucial to ensure a smooth running of services. The second point of concern is the worries around mental health, which requires public health orientated work to provide support for people to assist around their mental health and wellbeing.

At this point the Chairman asked that the report states that 98% of the CCG allocation will be retained locally with teams and resources continuing to deliver to local agenda and what is the 2% figure which will which are to be allocated North East London. The Managing Director informed the Committee the North East London is allocated £10 million. Additionally, the City and Hackney CCG hold 1% of its allocation in the reserve funds; the reserved funds were used in the past to assist in times of difficulties in supporting other CCGs across London.

The Managing Director thanked the Committee for its leadership and scrutiny.

The Committee was further informed that since 2019 Public Health England has published its Local Authority Health Profiles on its Fingertips website; however, the City of London’s profile can’t be made available in this way due to the need to include indicators from multiple profiles and because some of the indicators are combined with Hackney’s data.

The Deputy Chairman raised a question on the clarity of those Killed and seriously injured (KSI) on roads and whether the figures were for the accident's location or the location of the resident. The Deputy Director of Public Health agreed to look into this and come back to the Committee after the double-checking matter. It was agreed that the figures are relatively high for the City of London.

This was followed by another Member who asked that the number of children in low-income families lower than the national average,  and if the families in the   East of the City of London who attend the GP practices in Tower Hamlets are they included in Tower Hamlets CCG or the City and Hackney CCG. The Deputy Director of Public Health informed the Committee that the figures would be reflected upon the borough where they reside in, rather than the GP practice they are registered with.

Another Member asked if some of the residents used business addresses to register with a GP for personal reasons, will this impact the data.  The Deputy Director of Public Health responded that from the data gathered from historical work, the City noted that a very small margin had used their business addresses, and as such, this will not have a massive impact should someone use their business addresses.

RESOLVED – that, the verbal update be received and noted the City of London Health Profile 2019 and consider how they might use it to shape their forward-planning process.