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Agenda and minutes

Venue: Council Chamber - Waltham Forest Town Hall. View directions

Contact: Debra Marlow, Acting Democratic Services Team Leader  020 8496 4211 | Email: debra.marlow@walthamforest.gov.uk

Items
No. Item

1.

APOLOGIES FOR ABSENCE AND SUBSTITUTE MEMBERS

Minutes:

Apologies for absence were received from Councillor Angie Bean, Portfolio Lead for Adult Services, Dr Anwar Khan and Sue Toole, Healthwatch.

 

2.

DECLARATIONS OF INTEREST

Members are required to declare any pecuniary or non-pecuniary interests they or their spouse/partner may have in any matter which is to be considered at this meeting. Interests are defined on the inside cover of this agenda.

Minutes:

None declared.

3.

MINUTES OF THE PREVIOUS MEETING pdf icon PDF 79 KB

Minutes:

The minutes of the previous meeting held on 10 March 2016 were approved as a correct record and signed by the Chair subject to the following amendments:

 

The inclusion of “Dr Tonia Myers” in the list of Board Members present; and

 

Minute number 19:  Whipps Cross CQC Update Report paragraph 7 be amended to delete the words “or the CCG” to now read:

Cllr Rusling further expressed his disappointment that no-one from Barts Health or the CCG were at the recent Safeguarding Board meeting.

 

4.

PUBLIC PARTICIPATION

Minutes:

Mary Burnett, local resident addressed the Board on behalf of Waltham Forest Save our NHS (WFSONHS) regarding the proposed changes to local health services proposed in the Transforming Services Together (TST)  document prepared by the CCGs of Tower Hamlets, Newham and Waltham Forest, together with Barts Health NHS Trust.  Ms Burnett expressed concerns about the cuts to budgets particularly the cuts to emergency surgery at Whipps Cross which they believe is a direct threat to accident and emergency (A&E) and maternity services at the hospital. 

The Chair thanked Ms Burnett for her contribution and stated that the TST is an ambitious plan and was pleased that groups like SONHS were scrutinising the plan and making sure residents and patients were involved.  

The Chair also thanked SONHS for its detailed written response to the TST, previously circulated to the Board (attached as an Appendix to these minutes), and stated that he had spoken to TST team who would be providing a written response to their concerns and offered to organise a meeting with representatives of SONHS, the local council, CCG and the TST team if they still had concerns.

On behalf of Board, the Chair concluded he would like to think he speaks behalf of the board when he says the Board would not support  any plan that would put at risk the maternity department, A&E or Whipps Cross as a district hospital in the area.

5.

HEALTH AND WELLBEING FORUM pdf icon PDF 108 KB

The minutes of the Health and Wellbeing Forum held on 2nd June, 2016 are attached. These will be discussed as part of the following substantive agenda items as they are reached through the meeting.

 

Minutes:

The Board noted the minutes of the Health and Wellbeing Forum held onThursday 2nd June 2016.   The Chair invited Sadia Warraich, Healthwatch, to feedback comments from Healthwatch after each item.

 

6.

STRATEGIC BOARDS AND CROSS CUTTING THEMES pdf icon PDF 68 KB

Additional documents:

Minutes:

Consideration was given to the report of the Head of Strategic Partnerships.

 

Suzanne Elwick gave feedback on development on the new Strategic Partnerships Unit and work undertaken to find some consistency and co-ordination of the four strategic boards: Health and Wellbeing Board (HWBB); Safeguarding Adults Board (SAB); Waltham Forest Safeguarding Children Board (WFSCB); and SafetyNet.

 

It was explained that a Strategic Partnership Executive had been developed to provide high level leadership across the four boards.  The Executive had agreed that all Boards develop a Business Management Group to support the Board to ensure appropriate information comes to the Boards and ensure they all add value and do not duplicate work. 

 

Dr Andrew Taylor welcomed the report as a ground-breaking visionary way of working not currently being considered in other London boroughs.

 

The Chair added it was excellent initiative with partners on prevention working.

 

Decision:

The Board noted the contents of the report.

 

7.

HEALTHY SCHOOLS INNOVATION pdf icon PDF 73 KB

Additional documents:

Minutes:

Consideration was given to the report of the Public Health Strategist.

 

Yaccub Enum, Public Health presented the report and drew the Boards’ attention to the number of schools that have signed up to the scheme and the aspirations for the coming year.

 

Healthwatch Forum feedback: pleased that schools are undertaking health initiatives like the daily mile. Concerned that there is a focus on social media to communicate with young people as a survey undertaken by Dudley Healthwatch showed that they prefer mediums such as You Tube.Concerns were also expressed about schools that have become academies and the implications if more become academies. Criticisms were made as the report did not include any information about special needs schools and it was felt that special consideration ought to be given to looked-after-children.

 

In response to Healthwatch comments, Dr Andrew Taylor stated that they may need to adapt the offer for academies but they would continue to have strong links with them.  Dr Taylor reassured the Forum that the healthy schools initiative does operate in special needs schools. 

 

Cllr Grace Williams reiterated that she was committed to working with all schools.

 

Dr Tonia Myers thought the public health team were doing a great job in schools however, she was was concerned that  information was not being disseminated in all schools, which would result in some children missing out.

 

The Chair thanked officers for the report and added that it was vital that children, young people and their families are empowered to make healthier decisions.

 

Decision:

The Board noted the report.

 

8.

WHIPPS CROSS ACTION PLAN REVIEW pdf icon PDF 60 KB

Additional documents:

Minutes:

The Board expressed their utmost disappointment and frustration that there were no representatives from Whipps Cross Hospital to present their report.

 

 

9.

JOINT COMMISSIONING SUB-COMMITTEE OVERSIGHT REPORT pdf icon PDF 73 KB

Minutes:

Consideration was given to the report of the Joint Commissioning Lead.

 

Decision:

The Health and Wellbeing Board noted the discussion and recommendations made by the Joint Commissioning Board.

 

10.

SUSTAINABILITY AND TRANSFORMATION PLAN (NHS ENGLAND) pdf icon PDF 45 KB

Additional documents:

Minutes:

Consideration was given to the report of the Director of Public Health.

 

Terry Huff provided the Board with an update on the development of the Sustainability and Transformation Plan (STP). He stated that Waltham Forest is part of the north east London footprint which includes eight local authority areas in NEL.

 

He explained that it was important that the plans are of a reasonable quality as all funding received in next few years will be linked to the plan.  Therefore work was underway in trying to get good link to TST programme.  The draft STP would be submitted to NHS England at the end of June 2016. 

 

The Board expressed concerns about the short timescales that the STP plan is having to be developed especially as we are having to work with boroughs that we do not have close relationships with.  

 

The Chair asked whether there is a local democratic loop built into this process that would feed into scrutiny and the Board.

Mr Huff commented that the STP is the first stepand there will be links with Local authority, but there is no democratic loop at the moment.

 

Decision:

The Board noted the approach set out in the report.

 

11.

SEXUAL HEALTH pdf icon PDF 76 KB

Minutes:

Consideration was given to the report of the Public Health Department.

 

Yaccub Enum provided the Board with an update on the London Sexual Health Transformation Programme and HIV support services. He also gave a brief update on the development of a local young people’s sexual health service and other sexual health services in Waltham Forest. 

 

The Board noted that in order meet the needs of residents, sexual health had to be dealt with in a more cost effective and affordable way therefore Waltham Forest was working together with the other NE London boroughs. 

 

Whitechapel and Stratford had been identified as the best placed locations to host larger Level 3 clinics.

 

Healthwatch Forum feedback: he forum raised concerns that the York Road Clinic, Chingford was going to be closed.  They felt GP’s were not specialists in the area of sexual health, they questioned whether GP’s would have the capacity to deal with the extra workload and feared the lack of local family planning would result in increased pregnancies. They also felt Whipps Cross should offer a full suite of sexual health services.

 

In response, Mr Enum stated that GP’s are offered training every year and they would ensure every area has an enhanced GP contraception advice.

 

Linzi Roberts-Egan asked that more work is done in communicating the changes to residents on accessing the services.

 

Bill Travers, NELFT added that communication should be forthright and clear and explain the consequences of the cuts in service.

 

Dr Myers also commented that the issue of advertising the location of services and made comments on the advantages of a hub in Stratford. 

 

Dr Andrew Taylor took on board the comments around communication and reassured the Board that they would work on advertising in time for the changes taking place in September 2017. 

 

The Chair thanked Mr Enum for the report and asked that the Board be kept updated on the plans for the service.

 

Decision:

 

The Board noted the report.

 

 

12.

SERVICE TRANSFORMATION PLAN - CARE FOR PEOPLE WITH LEARNING DISABILITIES TO REDUCE LONG-TERM (HOSPITAL STYLE CARE) AND CLOSER TO FAMILY AND COMMUNITIES pdf icon PDF 47 KB

Additional documents:

Minutes:

Consideration was given to the report of the WF CCG.

 

The Board noted the national initiative to reduce number of out of borough services that support children, young people and adults with a learning disability in order that the remain close to family and friends. 

 

Healthwatch Forum feedback: The forum questioned the absence of statistics that would explain the planned improvement and cuts to service. They felt the report contained a lot of jargon and abbreviations. Healthwatch were also of the view that much of what is termed improvement to services is part of current legislation and should already have been in place. The Forum would have liked to see who and what is responsible for transition from children to adult services and were also concerned that the plans seem to put responsibility on parents and families rather than the local authority. Finally, they did not feel family members should be given the task to interpret. 

 

Dr Andrew Taylor agreed to feedback the Forum comments to the report author in order to obtain a response.

 

Decision

The Board noted the content of the high-level plan and progress made to date, and agreed to sign up in principle to the embryonic plan.

 

13.

END OF LIFE CARE - REPORT OF THE SOCIAL CARE SCRUTINY COMMITTEE pdf icon PDF 64 KB

Additional documents:

Minutes:

Consideration was given to the report of the Social Care Scrutiny Committee.

 

Councillor Richard Sweden, Chair of Social Care Scrutiny Committee presented the report and stressed that an effective collaborative effort from various agencies was needed in providing end of life care. Cllr Sweden asked the Board to endorse and carry out its recommendations.

 

Terry Huff welcomed the report. He stated that previous CQC reports had highlighted that hospitals were not a desirable place to die. A huge amount of work needs to be done by all agencies and the TST were taking lead on this.

 

Decision:

The Board

(a)      Noted the content of the report

(b)      Noted the findings of the report as set out in Appendix 1 of the report

(c)      Agreed to ask officers to implement the recommendations of the Social Care Scrutiny Report into End of Life Care, as set out in Appendix 1, reporting back to the Board if these cannot be met from within the existing budget allocation.

 

14.

APPENDIX pdf icon PDF 203 KB

Minutes:

Appendix to Minute number 4:  Public Participation

Joint Response of Newham and Waltham Forest Save our NHS and Tower Hamlets Keep our NHS Public to Transforming Services Together (TST) attached.