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Agenda and minutes

Venue: Committee Room 2 - Waltham Forest Town Hall. View directions

Contact: Chris AC Baker, Democratic Services Officer  020 8496 4204 Email:

No. Item




An apology for absence was received from Shumon Ali-Rahman, Co-opted member.



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.


Councillor Sweden declared a non-pecuniary interest: he was managed, but not employed, by NELFT (North East London NHS Foundation Trust).  Councillor Ros Flowers declared a non-pecuniary interest as her partner worked for Tower Hamlets Council. Councillor Anna Mbachu declared a non-pecuniary interest as she and her partner both work for Barnet, Enfield and Haringey Mental health Trust.



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


The minutes of the meeting held on 24 April 2018 were approved as a correct record and signed by the Chair. 



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.






SERVICE PRIORITIES 2018/19 pdf icon PDF 64 KB

Additional documents:


Jane Mehta introduced the slides.  Her team worked with GPs and others to re-design services.  The 41 GP practices were all members of the Clinical Commissioning Group.  She was discussing with the Council the integrated commissioning of health and social care.


Jonathan Cox explained that Public Health used to be part of the NHS, but since 2013 the function was the responsibility of local authorities.  It included services such as sexual health, drugs misuse, social prescribing and health visiting.  Waltham Forest was the most under-funded service in London.  Priorities for 2018/19 included embedding the new sexual health contract with Barts Health NHS Trust, commissioning a new substance misuse provider, and working with Sports and Leisure in areas such as “Enjoy Waltham Forest”.


Jane Mehta referred the Committee to the three ICS (Integrated Care Systems) in Waltham Forest which aimed to reduce duplication and boundaries:


• End of Life Care

• Urgent Care

• Communities (community care outside hospitals, eg for older people).


Councillor Ros Flowers asked for more details on funding.  Jane Mehta explained that acute services were funded on a PbR (Payment-by-Results) tariff.  The NHS was now moving towards outcome-based funding, for example in mental health.  Most of the easier savings had been achieved, and there were a number of challenges in respect to future funding and decisions related to this. 


Councillor Anna Mbachu asked how PbR compared to outcome-based funding.  Jane Mehta answered that it often meant changes to single contracts focussed on results – for example to reduce the need for people to be in hospital.




The Committee noted the report.


FORWARD PLANNING 2018/19 pdf icon PDF 64 KB

Additional documents:


The Committee considered the report of Andrew Spragg.  The Chair referred the Committee to page 65 which was headed “Recommendations from 17/18 for Forward Plans 18/19”.  The Chair reminded the Committee that it needed to focus on one particular area/theme, as there were only 5 meetings in the year.


Councillor Richard Sweden expressed concern about the purchaser / provider relationship, and that no providers such as NELFT, Whipps Cross Hospital or Barts Health NHS Trust were present.  Andrew Spragg mentioned that there would be an informal 30 July meeting with agencies such as Healthwatch, Alzheimer’s Society and Age UK.  It was a stakeholder session for the Adult Social Care & Health Scrutiny Committees.


The Chair said she was not content with previous responses from CAMHS (Child and Adolescent Mental Health Services) in respect to service pressures.  She wanted to hear more from them.


The Committee considered topics for a themed review, and chose access to health services for homeless people, including rough sleepers.  Andrew Spragg reminded the Committee that witnesses could be invited, such as residents, the voluntary sector, commissioners and service users.  He also stated that the Committee has a duty to consider any substantial variation proposed by commissioners or providers in respect to the provision of health services.




The Chair, Vice-Chair and Scrutiny Officer will prepare a forward plan considering the following possible items:


a)    End of Life Care and 24 hour access specialist palliative care

b)    Integrated commissioning

c)    Health inequalities

d)    The effect of ELHCP (East London Health & Care Partnership) and CCG saving plans on service commissioning and delivery

e)    The Integrated Care Systems

f)     Better Care Together

g)    Whipps Cross Hospital redevelopment

h)   Child and Adolescent Mental Health Services – September

i)     GP Access – September

j)      Time to Change Hub – September

k)    Hospital discharge – September

l)     Impact of the reduction in the Public Health Grant (Budget & Performance Scrutiny)

m)  Healthy Weight for Children (possible).




(i)            Circulate the Kings Fund video and links to the Committee

(ii)          Visit Sexual Health Services – replacement facility in Newham.


Themed Review


This will be on access to health services for homeless people.