Issue - meetings

To receive updates from the following: 

1.         Health Improvement Partnership

2.         Joint Commissioning Partnership Board

3.         Improving Primary Care Board (To Follow)

4.         Children’s Services Update

4.1       Change and Challenge Programme

4.2       Fulfilling Lives Big Lottery Bid

7.1             Joint Commissioning Board Report

7.1.1   The Board received a report from Bindi Nagra, Joint Chief Commissioning Officer.

He highlighted the following: 

• The Voluntary and Community Strategy had been agreed by Cabinet.  Implementation would be phased in. 

• The Council has been successful in its application to be part of a pilot programme for the implementation of direct payments in residential care.  Details on how the pilot will operate have not yet been received. 

• A response to the Joint Commissioning Board on the roll out of direct payments in healthcare is being prepared. 

• The Quality Checker Programme have recruited and trained over 50 quality checkers.  They have already undertaken 191 visits to 57 sites.  Visits are made with a view to look at what is being done well, as well as what could be improved.  Further information will be provided to the Board at a later meeting. 

• A network multidisciplinary team had been established in the North West area of the borough as part of the Integrated Care Programme for Older People.  This will also be rolled out to the other parts of the Borough. 

7.1.2   Questions/Comments

7.1.2.1      The Quality Checker Scheme is unique to Enfield.  All volunteers are thoroughly trained and take part in an induction process.  This will not take the place of regulatory or inspection visits but has been designed to complement them.  The Care Quality Commission is aware of the scheme and has expressed support.  Enfield has been invited to share the model with other authorities. 

7.1.2.2      A review of all grant funded voluntary sector organisations is being undertaken over a period of 18 months. 

7.1.2.3      The consultation on direct payments for healthcare is a national consultation exercise.  The scheme promotes choice and enables patients to have greater control over their own care.  It is in the interests of both patients and the council that it can work well.  .

7.1.2.4      The use of overt and covert surveillance to deter and detect abuse of adults at risk is a national issue.  It was felt that the Council had a moral duty to explore its use in care settings, as the technology was now readily available and it was a way of protecting service users.  Some felt that it was not the Local Authority’s job to act as snoopers and that human rights issues were involved.  The Council had recently received two safeguarding alerts, for which the public had gathered evidence covertly.  This was an issue which would be subject to further discussion. 

7.1.2.5      The network multidisciplinary team was to be rolled out to the South East and North East of the borough soon. 

7.1.2.6            Andrew Fraser was awaiting further information from Derby on the recent safeguarding case involving the Philpot family, where parents had been found guilty of killing their own children.  He would be looking to learn from the information provided to apply in Enfield.  Tony Theodoulou, Assistant Director Children’s Services, could be asked to provide a report for the board on  ...  view the full minutes text for item 7