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Agenda and minutes

Venue: Committee Room 3 - Waltham Forest Town Hall. View directions

Contact: Christopher Foxton, Democratic Services  020 8496 4102 | Email: christopher.foxton@walthamforest.gov.uk

Items
No. Item

16.

APOLOGIES FOR ABSENCE AND SUBSTITUTE MEMBERS

Minutes:

Apologies were received from Anwar Khan, Zebina Ratansi, Althea Bart and Alan Gurney.

 

Healthwatch sent a statement to Neil Young in response to item 4 a) and Whipps Cross, Barts Health was represented by Alastair Finney.

17.

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:

The Chair, Counsellor Naheed Asghar, declared that she was a landlord.

18.

MINUTES OF THE PREVIOUS MEETING pdf icon PDF 122 KB

Minutes:

The minutes of the meeting of the meeting held on the 4th of July 2018 were approved as correct and signed by the Chair.

19.

DEEP DIVE THEME: RESPIRATORY DISEASES, AIR QUALITY & AND SMOKING CESSATION pdf icon PDF 188 KB

Additional documents:

Minutes:

The item was introduced by the Chair and explained that the idea of the Deep Dive was to explore what the board can do to support the issues brought up by the theme.

 

The Chair requested that the first issue to be looked at was item 4c) [Respiratory Diseases].

 

Joe MacDonnell presented the theme of the Deep Dive and then invited Ada Onyeagwara, the WF CCG Associate Director of Medicines Optimisation and Long Term Conditions, to present her report on Respiratory Diseases – Care Pathways.

 

Ada Onyeagwara presented the report, highlighting that smoking was in the top 5 mortality causes for men and in the top 8 for women and that they were starting work with RightCare to help identify those with Chronic Obstructive Pulmonary Disease (COPD), also that they were continuing to improve outcomes for those with asthma with action plans and that these plans should be added to the health scorecard.

 

Dr Ken Aswani stated that self-management is the ultimate goal that our priorities should be; first of all, prevention and then rehabilitation. Dr Aswani highlighted the smoking cessation programmes and that it was also relevant to consider green spaces and the environment.

 

Dr Tonia Myers noted that 1 child a month dies from asthma and that there was a lot of work happening in schools to make sure that each child who needs a pump has access to their own, but Dr Myers was not sure that this was getting to the public level.

 

Joe McDonnell said that we need to coordinate with pharmacies and clinical groups with families to help support them and that we can pick up with the housing and social services teams to help support prevention and identify any needs.

 

The Chair then moved onto item 4a) [Smoking Cessation]

 

Gemma Lyons introduced and presented the report, making note that the Stop Smoking programme is a pan-London initiative and that one of the challenges was that there were fewer referrals coming in, one of the reasons for this is that many were not aware of the service, they also had recorded that only 1% of anyone who had seen an advert had followed up on it. Ms Lyons asked the board if they should be looking at opening up the eligibility criteria.

 

The Chair asked if targets are not met when opening up the criteria, if there would be a decrease in funding received, Joe McDonnell said that the issue was that there was a possibility of overloading the service if the criteria were to be relaxed and that we need to be publically reminding people that the service exists.

 

Linzi Roberts-Egan stated that this was about supporting and complimenting services, that we need to look at what the partnership can do to support, that if this is made a key priority, then this would need to be looked at a fundamental level. Helen Davenport added that we have an opportunity to work together as a partnership on working with families on  ...  view the full minutes text for item 19.

20.

HOUSING & HEALTH UPDATE pdf icon PDF 211 KB

Minutes:

John Coker introduced and presented the report alongside a presentation which gave a summary of the update. There were queries previously on how the housing team was working with Adult Social Care, John Coker highlighted the work that we being done around tackling “cuckooing”, where the homes of the vulnerable are being exploited for criminal activity, that a multi-agency group is being set up to help identify potential victims, create more effective information sharing and raising awareness amongst council services.

 

John Coker then explained the process of allocating temporary housing in the borough and explained the standards that the accommodation needs to have met. Mr Coker also highlighted that there was also a focus on the obligations that had in regards to the Childrens Act 2004.

 

Mr Coker was asked about the standards that placements for those being located out of the borough and he responded that all properties had to meet a lettable standard and all properties were inspected beforehand.

 

Mr Coker then moved on to the strategy in regards to rough sleeping in the borough and noted that there was ring-fenced funding from MHCLG in seven key areas until July 2019, in which they will bid again for funding.

 

Finally Mr Coker brought an update on the housing strategy progress, whilst there had been a recent unsuccessful bid to the Local Government Association (LGA), they would be bidding again. The housing strategy will also be looked at again after a number of planned focus group sessions and resident engagement, as well as a further review in March 2019, taking into account of a green paper being produced.

 

The Chair then opened the item for questions and discussion, firstly asking how our standards for temporary accommodation compare against PLP’s standards. Darren Welsh responded that we compare ours against both a national and a local London standard. LBWF has been looking at schemes that aim for higher standards and there they are looking to move from high dependency to schemes that will provide more permanent housing solutions.

 

The Chair then asked Mr Welsh which boroughs we are relying on the most for OOB placements. He responded that it’s not necessarily looked at in boroughs, but in zones, that the ideal would be to stay in borough, but then make placements according to neighbours/family, then transport links, then to a wider area. There is not a particular borough we were more reliant on and each case is different. Linzi Roberts-Egan added that while there is still work to done, we have made progress in adult service intervention and housing. There are a lot of challenges in housing in the borough and we need to work with the LGA, but we realise there may be no solution that solves everything.

 

Dr Tonia Myers said it had been noticed among GP’s that was an increase in tension from those who have been placed out of the borough and asked what our support process is. Darren Welsh responded that;

·         There is a clear process  ...  view the full minutes text for item 20.

21.

SCORECARD INDICATORS UPDATE pdf icon PDF 393 KB

Additional documents:

Minutes:

Joe McDonnell presented the Scorecard update, noting that there had been indicators that were removed from the update as they were either; had information only on a quarterly basis, were not in the scope of the HWBB or lack of available data.

 

The first indicator to be addressed was the EHC plans that had been completed. Joe McDonnell said that the targets are to be hit in the future. The second indicator to be addressed was the % of number of children receiving the MMR vaccine. There is discussion and action plans that coming from the Children’s Health and Wellbeing Board, but that we also need to raise awareness to GP’s and parents.

 

The third indicator to be addressed was the number of mental health referrals to Children and Adolescent Mental Health Services (CAMHS) and that it was noted that the quality of school referrals has been better than those that have come from the GP’s. The final indicator to be addressed was the number of referrals to the Multi-Agency Risk Assessment Conference (MARAC) in regards to domestic violence. While this is a discussion from primary care teams, it is being considered how to push this as an issue everywhere.

 

The Chair asked Helen Davenport what is being done with CAMHS in regards to GP’s. Helen responded that there has been triangulation of the prescription of medicine for those referred to CAMHS or MARAC.

 

Dr Tonia Myers stated that had been issues with the conversations to help try and identify domestic violence that it is uncommon to see it, but need to look at how we spot the hidden identifiers. Dr Ken Aswani added that GP’s are not necessarily aware of the referral process and that they need a greater awareness of this and how we promote the services.

 

It was actioned by Helen Davenport that we need to ensure that every GP has the contact details and signposting to the referral services.

 

Linzi Roberts-Egan asked if the scorecard really reflected our residents’ needs and is this case of quantity over quality, Cllr Williams added that it needs to look at how it relates to young adults.

 

The Chair thanked the board for the discussion and moved onto the next item.

 

 

22.

STRATEGIC PRIORITIES: UPDATE ON PROGRESS & PERFORMANCE pdf icon PDF 247 KB

Additional documents:

Minutes:

The Chair said that they would delay this item to the next meeting, that if anyone had any questions to speak to Joe McDonnell.

23.

UPDATE ON CROSS CUTTING WORK

Minutes:

The Chair then invited Suzanne Elwick to deliver a brief verbal update on cross cutting work.

 

Suzanne highlighted the work that was being done around tackling modern slavery in the borough and that an audit was going to be done on this to check if the referral pathways are adequate.

24.

CONCLUDING BUSINESS

Minutes:

The Chair then asked if there was any concluding business, to which there was none and then closed the meeting.