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Agenda and minutes

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

Contact: Perminder Purewal, Democratic Services Officer  020 8496 4357 | Email: perminder.purewal@walthamforest.gov.uk

Items
No. Item

27.

APOLOGIES FOR ABSENCE AND SUBSTITUTE MEMBERS

Minutes:

Apologies for absence were received from Councillor Grace Williams (LBWF), Dr Anwar Khan (WFCCG) and Jaime Walsh (Healthwatch)

 

The following substitution arrangements were in place:

Daniella Muenzel for Jaime Walsh

28.

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:

There were no declarations of interest.

 

29.

MINUTES OF THE PREVIOUS MEETING pdf icon PDF 142 KB

Minutes:

The minutes of the previous meeting held on 15 September 2016 were approved as a correct record and signed by the Chair.

 

30.

HEALTH AND WELLBEING FORUM pdf icon PDF 56 KB

Minutes:

The Board noted the key points of the Health and Wellbeing Forum held on Thursday, 24 November 2016.  The Chair invited Daniela Muenzel, Healthwatch, to feedback comments from Healthwatch after each item.

 

31.

WHIPPS CROSS ACTION PLAN - UPDATE pdf icon PDF 109 KB

Additional documents:

Minutes:

Consideration was given to the report of Simon Steward, Assistant Director, Workforce Development, Barts Health NHS Trust.

 

Simon Steward presented his paper with focus on the challenge questions put forward by the Board’s Business Management Group (BMG):

·      What improvements have there been, in terms of staffing and recruitment, since the first CQC report?

·      What particular issues still need improvement and how can other partners help?

 

Simon Steward talked about the importance of getting the institutional structures right, noting that Barts Health has undertaken two safer staffing reviews and funded an extra 150 nursing posts. It was reported that currently 83% of staff posts are filled; nursing posts account for around half of the 425 vacancies. The Board noted the improvements from a 50:50 split between temporary and agency staff to 60:40, with the aim to reach 80:20.

 

Retention and turnover improvements had also been achieved by improving staff benefits and on-site leadership and management presence to allow problems to be dealt with more quickly. The Board noted the challenges that Whipps Cross faces, including a national shortage of nurses and high, increasing accommodation costs in this part of London. There had been some contact with local estate agents to explore making a deal with the Trust. 

 

The Trust is in special measures and has to deliver its improvement plan within existing resources.

 

In response to a question by the Chair, Simon Steward advised that increasing accommodation costs was a disincentive for overseas staff. The Trust cannot offer accommodation, only able to offer £1,000 towards a deposit.

 

Linzi Roberts-Egan noted that a recent Whipps Cross management meeting had noted that lots of work had been done to improve recruitment and retention. The newly launched Waltham Forest Letting Agency is targeting key workers and links can be made with Barts Health to help secure accommodation for staff.

 

Lucy Shomali added that the Council could also help with accommodation by having early stage conversations with housing developers to act as broker and facilitator to ensure Barts Trust has a greater opportunity to negotiate and secure affordable housing for staff. The Director of Regeneration and Growth also asked that the Barts Health workforce strategy links into the Council’s skills and partnership work to create local employment opportunities and close skills gaps.

 

Terry Huff explained that there is a transforming services together (TST) workforce strategy group and was surprised that the Trust had not been frequent attending.

 

Linzi Roberts-Egan congratulated Barts Health on the progress it has made to date, stating that there is a correlation between a more permanent, satisfied workforce and the quality of care people experience in hospital.

 

In response to comments raised by Healthwatch, Simon Steward said they were addressing staff moral, bullying and turnover rates.

 

Decision:

The Board noted the report.

 

 

32.

NELFT CQC INSPECTION OUTCOME AND ACTION PLANNING; ISSUES FOR WALTHAM FOREST pdf icon PDF 181 KB

Minutes:

Consideration was given to the report of Sue Boon, Waltham Forest Integrated Care Director.

 

Sue Boon informed the Board that the CQC inspection of NELFT found one of 14 core services to be inadequate – Brookside, the young people in-patient service at Goodmayes. The unit has already received a re-inspection: early feedback was positive with the final report due at the month end.  Sue Boon was unsure whether the CQC would carry out another full-scale re-inspection of the whole of NELFT services, but said there would be inspection of service areas that required action.

 

Decision:

The Board noted the report.

 

33.

HEALTH AND WELLBEING BOARD SCORECARD - FOCUS ON CANCER pdf icon PDF 655 KB

Additional documents:

Minutes:

Consideration was given to the report of Joe McDonnell Interim Director of Public Health who reminded the Board that they had approved the scorecard at the last meeting. The BMG determined that it would request a series of deep dives into specific indicators. This report presented the first “Deep Dive” report to the Board into high prevalence cancers diagnosed at an early stage.

 

Joe McDonnell highlighted the main findings of the deep dive, and the Board noted that Waltham Forest is currently identifying a lower proportion of its cancers at an early stage than would be expected based on performance elsewhere. This is likely to have an impact on cancer survival rates. 

 

Daniela Muenzel stated that Healthwatch recognised the problems with late diagnosis, including cultural taboos, especially amongst men. They also felt that there needed to be more workers and volunteers in venues such as pharmacies supporting people to recognise warning signs and to access services. It was felt that the Macmillan service at Whipps Cross is poorly advertised.

 

Mr McDonnell asked the Board on its view for future Deep Dives and the usefulness of the paper. Linzi Roberts Egan asked what was BMG hoping for in requesting the deep dives: was it to educate the Board, alert it to the priority or unblock barriers to action? She asked that her questions be taken back to BMG.Lucy Shomali added that she found the report very interesting with the right level of information and it was presented in a digestible way.

 

The Chair felt it was a helpful report but requested it be written in plain English. He also felt some of the information needed more detail.  He asked that the Board obtain a steer from BMG leaders especially around public health promotion.

 

Decision

The Board noted the information provided in relation to early diagnosis of cancer and considered input into current local plans around cancer as a result.

 

34.

UPDATE ON NORTH EAST LONDON SUSTAINABILITY AND TRANSFORMATION PLAN (NEL STP) pdf icon PDF 120 KB

Additional documents:

Minutes:

 

Consideration was given to the report of Chief Officer Waltham Forest CCG.

 

The Chair invited the following members of the Waltham Forest Save Our NHS Group to speak regarding the North East London Sustainability and Transformation Plan (STP): Terry Day and Norma Dudley

 

They raised the following concerns regarding the STP:

·      STPs across England are being used by the Government to drive through £22 billion of cuts to the NHS over the next 5 years, with £2.5 billion cuts in 2016.

·      The STP projects that the population will increase yet there is no plan for more hospitals to be built or expansion of current hospitals

·      The current plans will not save enough money to meet the needs resulting from predicted population growth. 

·      There has been a lack of transparency and public consultation. The STP was rushed and deliberately kept secret from public.

·      The Council should take stand against the STP and oppose its implementation and the report should be presented at a full Council meeting not a private Cabinet.

 

The Chair corrected the speaker to advise that Cabinet is a public meeting and members of the public can address the meeting at the consent of the Leader.

Daniela Muenzel advised that the Healthwatch had concerns about the lack of engagement and transparency and the secrecy around the plans.

The Chair invited Terry Huff to speak to the report and respond to concerns raised. Terry Huff explained that he leads the Transforming Services Together (TST) plan, covering three CCG areas.  When the TST strategy was issued the consultation lasted six months and had been fully published and included detailed financial plans. Terry Huff reassured members of the public that the TST plans were all included within the STP. Whilst accepting some criticism about the STP consultation, he hoped that this would swiftly improve now the draft plan had been published on the STP website and HealthWatch have been engaged to start the consultation process.

 

Terry Huff further explained that there would not be any cuts to the health service and the health budget is growing, although not fast enough to keep up with projected population growth. He accepted that the expectation of a new hospital made sense, given the population increase would be equal to another London borough. However the view is that 30 to 40% of people currently in hospital are not in the best place for care and this is causing problems for people who do need to be in hospital. Whilst there are no plans to build a new hospital, the plan is for Whipps Cross to be rebuilt Whipps Cross Hospital at a cost of £1 billion.

 

The Chair asked whether the STP gives Waltham Forest the investment that it asked for through the TST. Terry Huff explained that 270,000 extra residents means that services need to be more efficiently organised so patients get the right care, where they need it as well as promoting self-care prevention. TST does not solve the financial pressures because a large  ...  view the full minutes text for item 34.

35.

JOINT COMMISSIONING SUB COMMITTEE HIGHLIGHT REPORT pdf icon PDF 146 KB

Minutes:

Decision      

The Board noted the report.

36.

PHYSICAL ACTIVITY AND SPORTS STRATEGY: ADDRESSING WELLBEING IN THE WIDER SENSE pdf icon PDF 102 KB

Additional documents:

Minutes:

Consideration was given to the report of Joyce Guthrie, Head of Parks and Leisure

 

The Board were given an update on the Strategy by Joyce Guthrie and noted that there are different views on what it means to be active. Work has been undertaken with the voluntary sector to encourage participation in sports. The Council is working on number of projects to encourage participation including liaising with WFCCG on informing GPs, developing a reward app for measuring physical activity and working with primary school pupils so physical activity becomes engrained as a way of life.

 

Sian Therese added that a semi deep dive into mental health and found that any activity can help in tackling the cycle of depression. She also thought that the definition of activity should be broad so it can include housework.

 

Terry Huff raised concerns about obesity being a time bomb and more should be done at primary care level with GPs having conversations with parents about their obese children. Joe McDonnell added that the data collected at schools regarding height and weight had become more joined up with schools and GPs are now given the data in order to have those conversations.

 

The Chair thanked Sian Therese and Joyce Guthrie for the report and made reference to Waltham Forest having one of the best sports infrastructures in London and felt it should be open to people with health issues who are inactive.

 

Lucy Shomali drew the Board’s attention to the opening of Walthamstow Wetlands in 2017, an open, public space for walking and relaxing. She asked that partners work together to encourage people to be excited about visiting and using this new space.

 

Decision:

The Board noted the report.