Welcome from the Chair and introductions

Confirmation of appointment of Dudu Sher-Arami as Director of Public Health for LB Enfield.

Councillor Nesil Caliskan, Chair, welcomed everyone to the virtual meeting.

Apologies for absence were received from Dr Helene Brown and Dr Alan McGlennan, and from Belinda Danso-Langley (Enfield Community Services).

Members are asked to declare any pecuniary, other pecuniary or non-pecuniary interests relating to items on the agenda. 

There were no declarations of interest in respect of any items on the agenda.

i.          Epidemiology and outlook – PH Intelligence Team. Gayan Perera

ii.         Care home status, visiting support, and vaccination status – Des O’Donoghue, Brokerage and Market Development Manager, LB Enfield

iii.        Vaccination update (COVID and Influenza) – Dudu Sher-Arami, Riyad Karim, Hetul Shah, Belinda Danso-Langley

i.             Epidemiology and Outlook

RECEIVED the presentation, Enfield Covid-19 Dashboard, providing an update and analysis of Covid-19 related data in Enfield from LBE Public Health Intelligence.

NOTED

1.    Introduction by Gayan Perera, LBE Public Health Intelligence Team, on the latest infection rates in Enfield.

2.    Currently the main concern was the new Omicron variant. At the moment Enfield had no reported cases of the variant.

3.    Covid-19 cases were slightly increasing in number, but hospitalisations were low.

4.    Most recent information on deaths, hospitalisations, testing, cases in schools, and vaccination numbers.

ii.            Care home status, visiting support, and vaccination status

RECEIVED an update presentation on care home vaccination status.

NOTED

5.    Introduction by Des O’Donoghue, LBE Service Manager – Community Services, of numbers of care home residents and staff vaccinated, and numbers who had received the booster.

6.    There had been a targeted approach to encourage vaccination uptake.

iii.          Vaccination Update

RECEIVED the vaccination update presented by Dudu Sher-Arami, Director of Public Health, LBE and Dr Hetul Shah, GP.

NOTED

7.    There was a focus on groups experiencing the lowest vaccination uptake.

8.    Rules and guidance were being amended in response to the Omicron variant. The vaccination programme was being expanded and accelerated. The delivery plan in Enfield would be worked on at the Enfield Phase 3 Covid and Flu ICP meeting next week.

IN RESPONSE

9.    In response to the Chair’s queries, it was confirmed that the number of tests happening, both PCR and LFT, were going up and this was anticipated to continue. The Government was also recommending people use an LFT test before attending activities involving others. There was capacity in laboratories to process the tests in a timely manner.

10. It was confirmed that many hospitalisations were in the clinically vulnerable, and the un- and under-vaccinated. The Chair asked for further information on hospitalisation in younger cohorts.

Andrew Wright, Director of Strategic Development, Director of Planning and Partnerships BEH MHT

Natalie Fox, Chief Operating Officer and Deputy Chief Executive BEH MHT

RECEIVED the BEH MHT update presentation, introduced by Andrew Wright, Director of Planning and Partnerships, BEH MHT, Natalie Fox, Deputy Chief Executive, and Parmjit Rai, Managing Director of Enfield Community Services.

NOTED

1.    The response to Covid-19 over the last 20 months was set out, and the key current challenges, including a significant increase in demand for services.

2.    Work around addressing local health inequalities and improving facilities was highlighted.

3.    The programme of transformation of services was set out, which would deliver care in ways services users wanted.

4.    A partnership had been entered into with Camden and Islington Foundation Trust.

IN RESPONSE

5.    In response to Councillor Cazimoglu’s queries, it was recognised that the current service offer differed across boroughs but work was being done in respect of a core offer across NCL, and what a good core offer should look like had been developed. Levelling up was emphasised, and forthcoming investment, bringing all to the same high level and reducing variation.

6.    In response to Vivien Giladi’s queries about the Long Covid clinic, it was advised this was now becoming more established; the referral routes were being expanded and it would be promoted more.

7.    In response to Vivien Giladi’s queries in respect of Camden and Islington, the work with them would maximise resources and capacity across the five boroughs, and as more information became available an update could be brought to the Health and Wellbeing Board.

8.    The Chair’s positive comments on this opportunity for levelling up across the NCL area, and keenness to link up work with the Local Authority’s skills agenda in workforce and recruitment. Additionally, that the Local Authority would be proactive around venues and places for any proposed facilities in Enfield.

Doug Wilson, Head of Strategy and Service Development, Health, Housing and Adult Social Care Directorate, LB Enfield

RECEIVED the report: Update Report from the Joint Health & Social Care Commissioning Board – Health & Adult Social Care, introduced by Doug Wilson, Head of Strategy and Service Development, Health, Housing & Adult Social Care, LB Enfield.

NOTED

1.    The Integrated Care Partnership’s priorities were set out, and were addressed in the Better Care Fund Plan.

2.    An ambition was to reduce permanent residential admissions, and encourage safe care in the community.

3.    The team won in the Local Government Chronicle’s (LGC) 2021 annual awards in the ‘Health & Social Care’ category, recognising the high-quality care in response to the challenges created by Covid-19.

IN RESPONSE

4.    Board members welcomed the award and the report.

5.    In response to Dr Nnenna Osuji’s queries, it was confirmed that the capacity to deliver had never stepped down during the pandemic, regular communication with providers continued, and additional capacity had been booked in preparedness for winter. Work continued on understanding and reducing daily attendance numbers at North Middlesex Hospital A&E.

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.

NOTED

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.

IN RESPONSE

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.

To receive and agree the minutes of the meeting held on 7 October 2021.

AGREED the minutes of the meeting held on 7 October 2021.

Proposed date of the next meeting:

Thurs 17 March 2022

Development Sessions to commence at 4:30pm.

Formal Board meetings to commence at 6:30pm.

Unless otherwise advised.

Venues to be confirmed.

NOTED

1.    The next Board meeting was scheduled for Thursday 17 March 2022.

2.    The Pharmaceutical Needs Assessment (3 yearly assessment) had to be completed by October 2022 and an update on progress would be submitted to the next Board meeting.

3.    The Chair thanked all attendees for their participation and wished everyone a good Christmas.