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Agenda and minutes

Contact: Holly Brogden-Knight, Democratic Services Officer  020 8496 4211 | Email: Holly.Brogden-Knight@walthamforest.gov.uk

Items
No. Item

1.

APOLOGIES FOR ABSENCE AND SUBSTITUTE MEMBERS

Minutes:

No apologies for absence were received.

2.

DECLARATIONS OF INTEREST

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

Minutes:

Councillor Richard Sweden declared a non-pecuniary interest as he is managed, but not employed, by NELFT.

3.

MINUTES OF PREVIOUS MEETING pdf icon PDF 97 KB

To approve the minutes of the meeting held on 24 January 2018.

Minutes:

Subject to a correction of a misspelling of the word Leyton on the final paragraph on page 11, and a grammatical error in paragraph 5 of page 14 of the agenda pack, the minutes of 24 January 2018 were signed and approved as a correct record.

 

Matters arising

 

Page 10

-       Members had requested that details on the numbers accessing bereavement services be circulated to the Committee - nothing provided yet.

-       The Committee requested that officers identify specific hotspots for suicide – if there is a hotspot that is used by non-Waltham Forest residents it will not show on the data. We should have all the information for people who died in Waltham Forest. Joe McDonnell, Director, Public Health, answered that there have been no hotspots identified for Waltham Forest residents

Page 11

-       Hospital admissions drop in self-harm data - Mr McDonnell stated that it was thought that the reason is not a drop in level but difference in path of admission instead. Data for A&E presentation is not same as admissions to beds – bring back for April Committee meeting.

-       Green paper for social media – to be circulated to Committee. Comments had been taken on board and paper to contain specific recommendations for social media.

Page 14

-       Update on Recommendation 8 – council should use new VCSE provider, Community Waltham Forest – nothing received yet.

Page 15

-       Hydrotherapy pool – Chair update: Barts Health NHS Trust are not willing to reopen the hydrotherapy pool at Whipps Cross University Hospital. Council officers have been looking at potential alternatives but there is nothing that can accommodate the temperature of water and equipment required. The member of the public concerned is going to take the issue to Redbridge Council. Barts Health NHS Trust are due to give feedback to the residents affected. Councillor Rackham suggested asking Epping Forest District Council. The Chair responded that they have directed the member of the public to other council areas where services may exist.

 

The Director of Public Health was asked to provide up to date statistical information on the number of still births in the Borough.
Councillor Walker previously asked for data regarding still births relating to Strep B. Mr McDonnell advised that as far as he was aware, they have been unable to identify any and that if there were they would not be able to reveal if the figure was below five.

 

4.

PUBLIC PARTICIPATION

Members of the public are welcome to participate in scrutiny meetings.  You may speak for three minutes on a topic related to the Committee’s work, and fifteen minutes in total is allowed for public speaking, at the discretion of the Chair.  If you would like to speak, please contact Democratic Services (details above) by 12 noon on the day before the meeting.

 

 

Minutes:

None.

5.

THEMED REVIEW: MATERNITY SERVICES IN WALTHAM FOREST - AS COMMISSIONED BY NHS WALTHAM FOREST CCG pdf icon PDF 87 KB

Additional documents:

Minutes:

Kelvin Hankins, Associate Director NHS Waltham Forest CCG introduced the report.

 

He covered the following points:

 

-       Normally ante and post-natal care is provided under the same trust.

-       Waltham Forest CCG is currently in the middle of a two year, continuity of care pilot provided in partnership with Neighbourhood Midwives.

-       There has been an increase to 2.5% of all births being homebirths as a result of the Neighbourhood Midwives pilot. The Whipps Cross home-births team have been restructured and redesigned with positive outcomes. There has also been significant increase in use of the Lilac ward at Whipps Cross.

-       Waltham Forest, Newham and Tower Hamlets had been selected as ‘Maternity Choice and Personalisation Pioneers’ - the continuity of care pilot with Neighbourhood Midwives formed part of this work. It was highlighted that a lot of work had been done to produce online resources to help women make informed choices about where to give birth.

-       The CCG was also participating in the pilot of Personal Maternity Care Budgets.

-       The CGG was developing a third pilot stream for single point of access for maternity – it was recognised that it was sometimes challenging for people accessing maternity services.

-       Waltham Forest CCG has commissioned a charity called Social Action for Health to support women in a community voices partnership.


Councillor Rackham complimented the report and asked, with regards to Neighbourhood Midwives, if a woman decides to go elsewhere to have their baby how does that affect the service delivery from the midwife. Mr McDonnell answered that Neighbourhood Midwives follow women between hospitals within the local area, but cannot act as clinical lead on a ward because of insurance issues. It was highlighted, however, that they would be present to provide support to mother and family. Mr Ali-Rahman asked if there were targets for home births and whether cultural barriers have been encountered in regard to the uptake of home births. Mr Hankins answered that Waltham Forest CCG has a target of 2.5% of births to be home births – historically they have been around 1%. In NE London this is similar to neighbouring Boroughs. With regards to cultural views/barriers – quite a lot of home births were in White British communities but there was starting to be increases in other populations through Neighbourhood Midwives. It was noted that the continuity of care pilot collected ethnicity data as routine.

 

Councillor Walker asked what percentage of women presenting for maternity services are legally entitled to do so. Mr Hankins answered that the local maternity trust would have that information and that he would ask Whipps Cross hospital for the data.

 

Councillor Rackham asked about feedback received from Maternity Voices Partnership. Mr Hankins responded that Maternity Voices requested the Waltham Forest CCG to look at miscarriage pathways irrespective of when the miscarriage occurs. The piece of work done to address this has now been shared with other CCGs.

 

Councillor Mitchell asked about apparent cost and projected need for the service.  ...  view the full minutes text for item 5.

6.

PROMOTING HEALTHY WEIGHT FOR CHILDREN UP TO FIVE pdf icon PDF 266 KB

Minutes:

Mr McDonnell introduced the report and talked generally about environments that affect obesity and how changing the family environment will effect change in diet and obesity. He covered the following points:

 

-       Promoting breast feeding being a critical component of efforts to promote childhood healthy weight.

-       The sugar and healthy food pledge made last year and ensuring that we as a Local Authority are not promoting poor food choices.

-       Links between obesity and food poverty – local funding for food poverty action programmes.

-       Waltham Forest will be participating in the Mayor of London healthy early years scheme – includes nurseries, child care and other services for under 5s.


Councillor Rackham was interested in siblings of the young children, possibly buying younger siblings poor quality food from takeaways, and conveyed concern over the number of takeaways in the area. She stated that this kind of behaviour was being passed down in each family and asked what was being done to ensure takeaways provide better food.

 

Mr McDonnell answered that the London Borough of Waltham Forest was one of first places to use the planning system to enforce a 400 yard zone around schools to prevent new takeaways opening up including major chains but stated that this does not stop the approximately 300 that were already in place. He clarified that the powers the Council have are quite limiting - we can only encourage local businesses to sign up to a healthy catering commitment. Waltham Forest was also trying to affect demand within schools – convincing children that takeaways and other fast food are not the preferred options.

 

Shumon Ali-Rahman asked what has take-up been to drop in sessions and asked about a correlation between takeaways and obesity. Mr McDonnell answered that it isn’t possible to dig out correlation between takeaways and child obesity – there are multiple factors changing from year to year. With regards to drop in sessions, he answered that his recollection was that take-up was 600-800 per year, but he did not have the data to hand and wanted to check. He did state however that a fair amount of take-up had been among the underweight and had therefore resulted in referrals in the other direction.

 

Councillor Mitchell asked about where Waltham Forest’s position as 18th highest out of 32 London Boroughs, in terms of proportion of pupils overweight or obese in Reception, would place us in comparison to equivalent outer London Boroughs. She further asked what initiatives are being taken forward by other Boroughs. Councillor Mitchell was also interested to see longitudinal figures to see if obesity rates stay the same or increase as cohorts age through school.

 

Mr McDonnell answered that Waltham Forest was 3rd out of 15 for comparative Boroughs in this reception year and for year six Waltham Forest is below the average level of healthy weight. He also stated that although longitudinal figures would be fascinating, population churn can blur the statistics – but the possibility of  ...  view the full minutes text for item 6.

7.

END OF LIFE CARE IN WALTHAM FOREST pdf icon PDF 68 KB

Minutes:

Item deferred until April meeting.

8.

ACTION TRACKER & WORK PROGRAMME pdf icon PDF 54 KB

Additional documents:

Minutes:

The Scrutiny Officer has gone back to the CCG and Public Health to ask for more information on CAMHS and will update at the next meeting.

 

Final meeting – need to add end of life care report after it was deferred.

 

Chair thanked the Scrutiny Officer for his support and work being done on the committee’s final report.