Venue: Room 2, Civic Centre, Silver Street, Enfield, EN1 3XA. View directions
Contact: Elaine Huckell
INTRODUCTIONS - PURPOSE OF EVENING
· Councillor Sinan Boztas – Chair, Health Scrutiny Panel
· Confirmation of Vice Chair
Apologies for absence were received from Councillors Taylor, Brett, Akpinar and Elif Erbil
Councillor Boztas (Chair), welcomed everyone to the meeting and asked whether Cllr De Silva would continue as Vice Chair. Cllr De Silva accepted, and this was agreed by Cllrs Pite and Neville.
The purpose of the meeting was to hear from Cabinet Members and Health Partners to allow the Panel to devise a work programme for the year.
There were no declarations of interest.
NATIONAL CONTEXT/ LOCAL PRIORITIES
The Scrutiny Panel will hear from the following, outlining priorities and areas of challenge.
· Cllr Alev Cazimoglu, Cabinet Member for Health and Adult Social Care
· Cllr Mahtab Uddin, Cabinet Member for Public Health
· Bindi Nagra, LBE Director of Health and Social Care
· Stuart Lines, LBE Director of Public Health
· Graham McDougall, Director of Commissioning, Enfield CCG
Cabinet Members and Officers will be asked to leave the meeting at this point.
Cabinet Members and Officers outlined health issues set against the national context and identified local priorities.
2.1 Health and Adult Social Care
Nationally, the NHS has challenges and locally the Clinical Commissioning Group (CCG) has significant financial challenges relating to the method of allocation from Central Government.
Both the North Middlesex Hospital Trust and the Barnet, Enfield and Haringey Mental Health Trust will receive inspections from the Care Quality Commission (CQC) during the Summer/Autumn period.
The Royal Free Hospital Trust now governs the Chase Farm site. There are issues relating to the future operations of the phlebotomy services in GP surgeries and at hospital sites.
The results of the engagement process relating to elective orthopaedics are due to be published during 2019/20. Both hospital trusts need to be satisfied with the outcome of the engagement process.
During the planning period for the new Chase Farm Site, it was suggested that a GP surgery would be established on the site, however, this may not proceed.
As Integrated Care Systems are developed as part of the 10-year plan, we need to consider what this means for Enfield.
Healthwatch have raised issues relating to Continuing Health Care and this could be explored further.
Funding for health and adult social care isn’t meeting demand.
2.2 Public Health
Public Health England have retained responsibility for several areas, eg, bowel screening, cancer screening and immunisation. Immunisation in Enfield has a relatively poor take-up especially with the flu vaccination rate. The figure across London is 50% but the take up in Enfield is only 29%.
The substance mis-use service based in Edmonton and the sexual health service operating from Enfield Town both provide an invaluable range of services.
The Health and Wellbeing Board are focusing on several issues including smoking cessation.
2.3 Enfield CCG
The CCG are working towards reducing their financial deficit and the CCG’s Medium-term Financial Strategy will be available in January- March.
The local ambulance service has issues in performance, however this was discussed at the NCL Joint Health Overview and Scrutiny Committee earlier this year.
Some of the other areas the CCG are currently working on include - Access to Primary Care, a peer review across GP practices, Urgent Care Centre opening times and future use, transforming services and reducing the number of face to face appointments, the assessment and review process for Continuing Health Care.
Cabinet Members and Officers were thanked for their input and then asked to leave the meeting.
PLANNING THE WORK PROGRAMME 2019/20
· To agree and prioritise items for the new work programme
Members and the CEO of Healthwatch discussed the issues raised in conjunction with their own items of interest.
It was agreed that a draft work programme would be circulated for approval.
ACTION: Andy Ellis
For information, the Terms of Reference for the Health Scrutiny Panel are attached.
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DATES OF FUTURE MEETINGS
Tuesday 10 September 2019
Thursday 23 January 2020
Wednesday 25 March 2020
Tuesday 10th September
Thursday 23rd January
Wednesday 25th March
All meetings will commence at 7.30pm and will be held in the Conference Room.