Greenwich Council

Agenda and minutes

Venue: Town Hall, Wellington Street, Woolwich SE18 6PW. View directions

Contact: Daniel Wilkinson  Email: daniel.wilkinson@royalgreenwich.gov.uk or tel: 020 8921 5102

Items
No. Item

1.

Apologies for Absence

To receive apologies for absence from Members of the Board.

Minutes:

Apologies for absence were received on behalf of Board Members as follows:

Councillor:

Denise Scott-McDonald

 

NHS Greenwich:

Dr Krishna Subbarayan

Dr Sabah Salman

Andy Trotter (Ben Travis was sent as a representative)

 

Apologies for lateness was received on behalf of Board Member Councillor:

David Gardner, and he was in attendance for Items 6 to 11.

2.

Urgent Business

The Chair to announce any items of urgent business circulated separately from the main agenda.

Minutes:

There was no urgent business.

3.

Declarations of Interest pdf icon PDF 33 KB

Members to declare any personal and financial interests in items on the agenda.  Attention is drawn to the Council’s Constitution; the Council’s Code of Conduct and associated advice.

Minutes:

Resolved –

 

That the list of Councillors’ memberships as Council appointed representatives on outside bodies, joint committees and school governing bodies be noted.

4.

Minutes pdf icon PDF 65 KB

Members are requested to confirm as an accurate record the Minutes of the meeting held on 5 December 2016.

 

No motion or discussion may take place upon the Minutes except as to their accuracy, and any question on this point will be determined by a majority of the Members of the body attending who were present when the matter in question was decided.  Once confirmed, with or without amendment, the person presiding will sign the Minutes.

Minutes:

Resolved –

 

That the minutes of the meeting of the Health and Wellbeing Board held on 5 December 2016 be agreed and signed as a true and accurate record.

5.

Greenwich Clinical Commissioning Group updates pdf icon PDF 188 KB

To note updates and progress that the Clinical Commissioning Group (CCG) has made as regards;

      Sustainability and Transformation Plan (STP) delivery

      Musculoskeletal (MSK) Impact Assessment and Next Steps

      Plans for the CCG’s Quality Improvement Prevention and Productivity (QIPP) savings plans for 2017/18.

 

To note the Clinical Commissioning Group’s progress to becoming a level 3 delegated Co-commissioner for primary care.

Additional documents:

Minutes:

The Chief Officer of the Greenwich Clinical Commissioning Group (GCCG) summarised the content the report to the Board, highlighting updates and progress made in regard to the Sustainability and Transformation Plan (STP), the Musclo-Skeletal Services, the Plan for Quality Improvement Prevention and Productivity (QIPP), and Primary Care co-commissioning and governance issues.

 

The Board noted the report, and a response to questions by the Chief Officer of the GCCG that in spite of the challenges, service delivery had been maintained, and reviews were underway to determine the impact of clinical and financial health of the Lewisham and Greenwich NHS Trust.  It was stated that stakeholders’ contributions were therefore useful in ensuring a sustainable service that placed local people at the heart of the GCCG plans, policies and decisions in relation to NHS health care.  In particular, the GCCG would continue to consult and negotiate with Clinical Commissioning Groups, the Acute and Mental Health Trusts, other London boroughs, users, voluntary sector representatives, and General Practitioners (GPs).  It was stated that it is hoped the efforts would also support objectives aimed at freeing up capacity within the NHS health system so that priorities would be identified on a case-by-case basis based on clinical evidence for patients with the greatest need for treatment.

 

Commenting on information relating to an intention to award Musculoskeletal contract to Circle Holdings, the Board made further enquiries and was advised by the Chair of GCCG that mitigating factors would be embedded in the planning process as a means of clarifying the basis of contract outcomes.  The Board was advised that at a recent special meeting of the GCCG’s Governing Body, its Members reaffirmed commitments to determine and select the best possible options in contract negotiations for better outcomes for patients at varying stages of planning and delivering.

 

The Board

 

Resolved –

 

1.            That the performance update relating to the work of the Greenwich Clinical Commissioning Group (GCCG) be noted.

 

2.             That progress made by the GCCG to become a level 3 delegated Co-commissioner for primary care be noted.

6.

Air Quality and Health in Greenwich Update on the Joint Strategic Needs Assessment on Outdoor Air Quality and Health in the Borough pdf icon PDF 123 KB

To note the content and findings of the Joint Strategic Needs Assessment on Outdoor Air Quality and Health.

Additional documents:

Minutes:

The Public Health Speciality Registrar gave an illustrative presentation to the Board on the findings of the Joint Strategic Needs Assessment on Outdoor Air Quality and Health about air quality and the impact on health in the Royal Borough of Greenwich (Royal Borough).

 

The Board noted the presentation, and that a draft plan for 2016-20 in relation to the Royal Borough’s review of its Air Quality Action Plan had been released for public consultation.

 

The Director of Public Health and Wellbeing responded to questions raised, advising the Board that the potential for increased levels of air pollutants as a result of population change forecasted for the Royal Borough was evident.  However, the fact remained that the largest source of air pollution was from traffic, particular on Transport for London’s (TfL) controlled roads.  Furthermore, the management of emissions from London busses was outside of the control of the Council’s remit.  Therefore, the Council would continue with work with officials at TfL on ways to minimise air pollution on local roads.  The Chair of Greenwich Clinical Commissioning Group (GCCG) added that one of the priorities for the GCCG was to improve primary care in recognition that air quality was associated with respiratory episodes.

 

In light of a concern, Councillor Thorpe responded that it was unlikely for air quality in the Royal Borough to be adversely exacerbated by the arrival of the cruise liners in May 2017.  It was stated that the Royal Borough had an extensive air quality monitoring system when compared with other London boroughs.  Furthermore, the Council had developed a 5-year strategic plan to embrace new developments.  Councillor Thorpe stated that the Council was utilising Section 106 Agreements on planning matters to use financial contributions by developers to monitor implementation and mitigate risks associated with new developments.

 

The Board

 

Resolved –

 

That the content and findings of the Joint Strategic Needs Assessment on Outdoor Air Quality and Health be noted.

7.

Greenwich Alcohol Strategy pdf icon PDF 122 KB

To endorse the Greenwich Alcohol Strategy, note the 2016/2017 Delivery Plan and propose new actions for inclusion in the 2018 Delivery Plan.

Additional documents:

Minutes:

The Head of Public Health Development gave an illustrated presentation to the report to the Board on matters relating to the Greenwich Alcohol Strategy.

 

The Board noted a summary of the delivery plan for 2016/17, and key challenges and priorities for 2017/18.  It was recognised that the Strategy was agreed by the Safer Greenwich Partnership in September 2016.

 

Commenting on the report, the Board asked questions and received clarification from the Head of Public Health Development that there was no safe level of alcohol drinking.  However, 14 units had been recognised by national guidance as the maximum target level of in-take per week for adults.  Furthermore, the percentage of people drinking alcohol was decreasing but information from the findings highlighted an increase in women between the ages of 45 and 65 years of age.

 

The Head of Public Health Development also reiterated to the Board that information sharing geared towards alcohol related tackling violence was fundamental to the development of the Strategy.  In particular, arrangements to support and engage with vulnerable individuals, families and new parents who were abusing alcohol intake, or experiencing abuse as a result, were embed in the action plan.  Also, in addition to alcohol identification and intervention training for partner agencies who were working with vulnerable and hard to reach communities, there were plans to support campaigns to highlight the links between domestic violence and alcohol abuse.  It was stated that efforts were ongoing to further identify support to help street-based drinkers into treatment and/or direct them to other service areas for assistance in identifying lifestyle choices away from alcohol abuse.

 

The Head of Public Health Development also confirmed to the Board that the process of embedding an on-line alcohol identification and intervention tool within the primary care system was continuing.  It was stated that the efforts to further improve data sharing between commissioners and service providers had proved useful.

 

The representative from the Metropolitan Police Services commented that data sharing links to the criminal justice system was a welcomed opportunity.

 

The Board

 

Resolved –

 

1.            That it be agreed to endorse the Greenwich Alcohol Strategy.

 

2.            That the 2016/17 Delivery Plan be noted.

 

3.            That information to progress with the 2018 Delivery Plan be noted.

8.

Winter 2016/17 pdf icon PDF 106 KB

To receive and note the verbal presentation on the pressures faced; actions taken and lessons learned over the 2016/17 Winter period.

Minutes:

The Director of Health and Adult Social Care (H&ASC) gave an oral report to the Board, highlighting pressures in regard to demand on services during 2016/17, and lessons learned as a result of the pressures.

 

In response to questions raised, the Director of H&ASC advised the Board that the reason for the spike in demand was a result of high capacity in the period, in particular that people were not living longer well.  Therefore, to alleviate the pressures, alternatives in service provision were implemented in order to prevent the use of the Queen Elizabeth’s Hospital’s Accident and Emergency Service as the default access point.

 

The Board

 

Resolved –

 

That the verbal presentation on the pressures faced, and actions taken and lessons learned over the 2016/17 winder period be noted.

9.

Better Care Fund 2016/17 and beyond pdf icon PDF 52 KB

To provide the Board with an update on the Better Care Fund.

Additional documents:

Minutes:

The Director of Health and Adult Social Care (H&ASC) summarised the content of the report to the Board, highlighting updates on the progress in relation to the implementation of Better Care Fund (BCF).

 

In response to questions raised, the Director of H&ASC reiterated to the Board that detailed guidance from the Department of Health priorities for the Better Care Fund for 2017/18 had been substantially delayed.  However, the Council and the Greenwich Clinical Commissioning Group would continue to scrutinise and monitor spending levels, and explore with other local authorities who had implemented BCFs.

 

The Board

 

Resolved –

 

That update on the Better Care Fund be noted.

10.

Oxleas Care Quality Commission inspection - progress on action plans (Information item) pdf icon PDF 109 KB

To receive and note the presentation ‘Oxleas – Our CQC inspection – progress on action plans’.

Additional documents:

Minutes:

 

The Chief Executive of Oxleas NHS Foundation Trust (Oxleas Trust) summarised the content of the report, advising the Board to note progress on action plans aimed at improving lives.

 

In response to questions raised, the Chief Executive advised the Board that capacity within Oxleas Trust continued to be a challenge.  It was stated that additional 12 beds had been purchased from East London Trust, and work was ongoing with counterparts in Bromley to help meet demands.  However, achieving a longer-term solution to the challenges was vital to the work of Oxleas Trust, and it was identifying contributions from partnering agencies to support the development of its strategic admissions arrangements.  It was stated that as part of the review, Oxleas Trust was consulting with the Greenwich Clinical Commissioning Group to further identify improvement strategies.

 

The Board also received confirmation from the Chief Executive that a final report on the review would be completed at the end of May 2017 to coincide with Oxleas Trust’s annual report.  Thus, information on the improvement journey in regard to the performance of Oxleas Trust would be reported to the Board at its next meeting.

 

Resolved –

 

That the report on progress relating Oxleas NHS Foundation Trust’s Care Quality Commission Inspection be noted.

11.

Addition of a Metropolitan Police Representative to the Health and Wellbeing Board as a voting member pdf icon PDF 114 KB

To agree that Metropolitan Police Chief Superintendent Simon Dobinson become a voting member of the Health and Wellbeing Board.

Additional documents:

Minutes:

Resolved –

 

That it be agreed that Metropolitan Police Chief Superintendent, Simon Dobson, become a voting member of the Health and Wellbeing Board.