i. ICP / Borough Partnership Update
Deborah McBeal, Director of Integration, Enfield Borough Directorate, NCL Commissioning Group and Stephen Wells, Head of Integrated Care Partnership Programme, NHS NCL CCG. Papers attached.
ii. ICS Transition Update
Frances O’Callaghan, NCL CCG Accountable Officer
iii. Inequalities Workstream
Ruth Donaldson, Director of Communities, NCL CCG
RECEIVED the progress update presentation, introduced by Deborah McBeal, Director of Integration, NCL CCG, and Stephen Wells, Head of Integrated Care Partnership Programme.
1. The overview focussed on the work to facilitate the partnerships as progress was made with the transition to new formal arrangements and the collaboration across all stakeholders.
2. Highlight reports of the four priority workstreams were included in the papers.
3. Frances O’Callaghan, Accountable Officer and ICS Designate CEO, confirmed that the ICS was due to become a legal entity on 1 April 2022. The ICS gave the opportunity to formally bring all work together with a common purpose, and to focus on population health and wellbeing and tackling inequality. The pandemic had shown that there could be a successful response as a system. The need to bring communities and residents with us was stressed. There would also be a community board to recognise those wider relationships.
4. Ruth Donaldson, Director of Communities, NCL CCG, provided an update to confirm that the Inequalities Fund phase 1 schemes had been signed off. Solutions were co-produced with local residents. Phase 2 included schemes relating to food poverty; an asthma nurse for those from areas of deprivation and air pollution; and supporting young people into employment. Evaluation of the impacts was being worked on with Middlesex University.
5. The Chair highlighted the links between the Inequalities Workstream and the recommendations and outcomes of the Enfield Poverty and Inequality Commission Report. It was confirmed that officers from different Council services, and from the CCG and voluntary sector were working together to deliver the bids for the Inequalities Fund, and that Sue Nelson (Director of Customer Experience, LBE) was part of the Inequalities Workstream.
6. In response to Ruth Donaldson’s point in relation to air pollution, Vivien Giladi raised the proposal for the expansion of the North London Waste Authority (NLWA) Eco Park. The Chair advised that the NLWA as an entity were the decision maker on the incinerator expansion, and that she had recently written to the NLWA Chair to raise points of concern about the proposal. The Chair also informed the Health and Wellbeing Board that a motion was passed at the 17 November full Council meeting – a copy of this motion can be found on the Enfield Council website ( http://governance.enfield.gov.uk/documents/s90424/PUBLICATIONOFDECISIONLISTNO3519Nov2021.doc.pdf). On the wider issue of air quality, the Chair confirmed that this continues to be a priority for the council and that future agenda items for the Board could be updates on various initiatives that are being rolled out across the borough in relation to sustainable transport.
Stephen Wells, Head of Integrated Care Partnership Programme, NHS NCL CCG.
Paper to follow.
RECEIVED the progress update presentation, introduced by Stephen Wells, Head of Integrated Care Partnership Programme, and Deborah McBeal, Director of Integration, NCL CCG.
1. Work was highlighted of the four working groups, plus the new working group in respect of Access to Services, Recovery & Innovation, which was jointly chaired by Richard Gourlay (North Middlesex University Hospital) and Jon Newton (LB Enfield)
2. Discussion of concerns and experiences of residents relating to access to GPs and health services for all, noting the pressures on service providers and the provision of significantly more appointments as well as delivering vaccination programmes. The potential for streaming patients away from A&E to appropriate hubs with capacity was being explored. It was difficult to meet current patient demand and a system wide response was needed. The value of communication was also stressed. The new working group would press for solutions.
3. The second phase of the Inequalities Fund was highlighted and the upcoming deadline for submissions. Members should contact Ruth Donaldson or Dudu Sher-Arami with any further ideas.