Agenda for Overview & Scrutiny Committee on Wednesday, 8th November, 2017, 7.00 pm

Agenda and minutes

Venue: Conference Room, Civic Centre, Silver Street, Enfield, EN1 3XA. View directions

Contact: Stacey Gilmour 

Items
No. Item

336.

WELCOME AND INTRODUCTIONS

Minutes:

The Chair welcomed attendees to the meeting.  Apologies for absence had been received from Councillor Elif Erbil and Tony Murphy and for lateness from Councillor Abdullahi.

 

Councillor Levy explained that this Joint meeting between the Overview and Scrutiny and Health Scrutiny Committees had been arranged to primarily look at the issue of ‘Delayed Transfer of Care’ and colleagues from the Health Service have been invited to attend to look at this issue.  A report on the Air Quality Action Plan would also be discussed. 

 

A Call-In had been received on a Cabinet decision regarding ‘Prevention and Early Intervention Contract Awards’. The Call-In has subsequently been withdrawn - further details are shown under agenda item 3.

 

For the interests of clarity the minutes are shown in the agenda order. 

 

337.

DECLARATIONS OF INTEREST

Members of the Council are invited to identify any disclosable pecuniary, other pecuniary or non-pecuniary interests relevant to items on the agenda.

Minutes:

There were no declarations of interest.

338.

CALL-IN-PREVENTION AND EARLY INTERVENTION CONTRACT AWARDS pdf icon PDF 141 KB

To receive and consider a report from the Executive Director of Health, Housing and Adult Social Care outlining details of a call-in received on the Cabinet decision taken on the Prevention and Early Intervention Contract Awards: (Report No:99). 

 

The decision that has been called in was taken at Cabinet on 18 October 2017 and included on the Publication of Decision List No: 33/17-18 (List Ref:2/33/17-18) issued on 20 October 2017.

 

This report will be considered in conjunction with the information included on the part 2 agenda.

 

It is proposed that consideration of the call-in be structured as follows:

 

·       Brief outline of reasons for the call-in by representative (s) of the members who have called in the decision.

·       Response to the reasons provided for the Call-In by the Cabinet members responsible for taking the decision.

·       Debate by Overview & Scrutiny Committee and agreement on action to be taken. 

 

Additional documents:

Minutes:

The Chair explained that it had been decided to withdraw the Call- In regarding the Prevention and Early Intervention Contract Awards on the understanding that:

a)    The decision to award the contract to Community Barnet is referred back to Cabinet for further consideration and

b)    Officers agree to produce a report to Overview and Scrutiny Committee in due course, summarising the success measures and performance expectations that are built into the more detailed agreements with each consortia.

Councillor Levy went on to say that the Committee would not enter into any further discussion on this item, for now, as there were no outstanding issues of contention for the Overview and Scrutiny Committee to consider.

 

Bindi Nagra stated that this matter would therefore be brought back to Cabinet. He emphasised the need for promptness as a number of funding for organisations would come to an end in November.  It was pointed out however, that it was necessary for sufficient notice to be given before the item could be considered by Cabinet.

339.

DELAYED TRANSFER OF CARE pdf icon PDF 397 KB

To receive a report from Bindi Nagra, Assistant Director Health, Housing and Adult Social Care.

 

Minutes:

Councillor Abdullahi, as Chair of the Health Scrutiny Panel welcomed colleagues from Enfield CCG, North Middlesex University Hospital (NMUH) and Barnet, Enfield & Haringey Mental Health NHS Trust (BEHMHT) to discuss this issue.

 

Bindi Nagra (AD Health Housing and Adult Social Care) introduced the report which gave a summary of the current performance and reasons for delayed transfers of care, it also provided a summary of schemes which are part of the Integrated and Better Care Fund, that is being used to reduce delays in hospital.

 

Jon Newton (Head of Service Older People & Physical Disabilities) presented the report which highlighted the following

  • Data shows generally good performance for Enfield.
  • There is an inbuilt two month delay in NHS England providing performance data. Information for September would be available shortly.
  • The Enfield Health and Wellbeing Area had been set a target, by NHS England, of no more than 20.6 DTOC (Delayed Transfers of Care) per day from July 2017.  Data is for people who have not moved on from hospital 24 hours after the notice to discharge is issued.
  • There are many reasons for delay which can be Social Care delays Health delays or Joint delays.  It was noted that a situation where a delay occurs due to family choice, would be categorised as a health delay.
  • Health and social care partners work together to implement the High Impact Change model (HICM) to manage transfers of care.
  • From April 2017, more funds had been provided through the Improved Better Care Fund (iBCF)– for meeting adult social care needs, to reduce pressures on the NHS. 
  • The iBCF has supported schemes to reduce delayed transfer of care -  which includes ‘Discharge to Assess’. This means people can go home and be assessed from there, rather than in hospital. An assessment agreement is needed with the CCG, and the person would continue obtain help/ support at home .
  • Data shows both LBE and ECCG met their target for Quarter 1 and are also on target for Quarter 2.
  • The good joint working with the BEHMHT has helped to enable adults with mental health needs to have appropriate support to enable people to move out of an acute setting into the community.
  • The Mental Health trust had estimated that approximately 1:20 patients with mental health issues in hospital did not need to be in an acute setting.

 

The following issues/ questions were raised

  • When asked about specific targets for each element of DTOC it was pointed out that not all areas have specific targets – there are challenges for example in some cases there is a need for helpers who may not be available at weekends.
  • The report had stated that one of the three main causes for delay in mental health is ‘access to housing’. It was stressed that the close working we have with other organisations is important in this area – in particular, for those people who have ‘no access to public funds’.
  • Councillor Neville said it appears from the table that performance  ...  view the full minutes text for item 339.

340.

AIR QUALITY ACTION PLAN pdf icon PDF 161 KB

To receive a report and the Air Quality Action Plan from Ned Johnson, Principal Officer, Pollution

Additional documents:

Minutes:

Ned Johnson, (Principal Officer Pollution), introduced the Air Quality report, together with the Air Quality Action Plan which provided information on the issues of air pollution faced in LB Enfield and how these problems are being addressed. 

 

The following was highlighted:

  • The introduction of air quality management transcends from European law and is a health based approach.
  • First round of assessment of local air quality completed in 2001 demonstrated the objective levels for nitrogen dioxide and Particulates (PM10) would be exceeded along major routes and a number of heavily trafficked roads, therefore the borough was declared an air quality management area (AQMA). The Air Quality Action Plan for Enfield was prepared following this.
  • The Air Quality Standards Regulations (2010) has set objective levels for pollutants for target dates.
  • Data shows that nitrogen dioxide objective is being exceeded at roadside locations on busy roads.  The data for (PM10) shows that we have not exceeded objectives for this pollutant since 2008.
  • Data is generated from four permanent monitoring sites in the borough. Information captured aims to show what is happening at the roadside and also from areas away from the road.
  • The current Air Quality Action Plan is being reviewed.  Actions are updated as a result of activities/ measures undertaken such as traffic and transportation schemes.

 

The following issues/questions were raised

  • Councillor Levy mentioned that from looking at the report it would appear that some measures while seeking to improve air quality may seem counter to other aims. He referred to the need for correct placing of traffic signals so that traffic idling does not cause higher emissions. He also spoke of the need for encouraging greater cardiovascular exercise – cycling and walking to school.
  • Attention was drawn to the pie- chart shown at p15 of the Air Quality Action Plan. This gave the indicative sources for apportionment of NO2 in Enfield and showed that cars were the source of 9% for this type of pollution compared to 56% attributable to ‘local background’.  It was thought one of the contributors to the ’local background’ category was the provision of central heating from gas fires.  When asked if local or central government were able to influence this issue, it was answered that measures had been taken such as in the area of scrappage schemes for old boilers and improved home insulation schemes.
  • The move to the use of new technologies as soon as practical was considered beneficial, such as the move to hybrid/ electrical cars. It was agreed that the move to electrical cars and installation of electrical charging points was the way forward.
  • Councillor Rye referred to the Cycle Enfield initiative and thought heat maps of Enfield seem to show that an increase in the standing of vehicles at traffic lights appear to indicate an increase in pollutants. Reference was made to the implementation of Cycle Enfield as a measure to reduce car use by providing safe cycle routes.
  • It was asked what measures had been introduced  ...  view the full minutes text for item 340.

341.

MINUTES OF THE MEETING OF OVERVIEW AND SCRUTINY COMMITTEE pdf icon PDF 98 KB

To agree the minutes of the Overview and Scrutiny Committee held on

12 October 2017

Minutes:

AGREED the minutes of the meeting held on 12 October 2017.

342.

DATE OF FUTURE OVERVIEW AND SCRUTINY COMMITTEE MEETINGS

Provisional Call-In Dates – 9 November 2017, 7 December 2017 and 21 December 2017

 

Business Meeting – 18 January 2018

Minutes:

The next OSC Business meeting (Budget) will be held on Thursday 18 January 2018.

 

Councillor Levy thanked everyone for attending the meeting.