The Chair welcomed everyone to the meeting and asked everyone introduced themselves.

Apologies for lateness were received from Cllr Birsen Demirel.

Members of the Council are invited to identify any disclosable pecuniary,

other pecuniary or non-pecuniary interests relevant to the items on the

agenda.

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

To agree the minutes of the Health & Adult Social Care Scrutiny Panel meeting held on the 8 June 2021.

The minutes of the meeting held on the 8^th June 2021 were agreed apart from the following:

Cllr Christine Hamilton stepped down as Vice Chair of the Health & Wellbeing Scrutiny Panel.  She nominated Cllr Tolga Aramaz to replace her. This was seconded by Cllr Alessandro Georgiou and agreed by Chair.

To receive Safeguarding Enfield Annual Report 2020/21 update – including Safeguarding Concern figures and Deprivation of Liberty Safeguards information

Cllr Alev Cazimoglu (Cabinet Member for Health & Social Care) introduced the Safeguarding Report. The Council is required by law to publish this report and is a partnership report with our service users, tackling safeguarding issues in the community, especially during this difficult year.  The Chair thanked Sharon Burgess and her team personally for the exceptional work they have undertaken to produce this document. The report is in draft form and comments are welcomed before being heard at Cabinet and then Council in November.

The following comments were received:

1. Sharon Burgess (Head of Safeguarding Adults & Quality) thanked everyone for their feedback, advising that scrutiny feedback was vital to the report and the safeguarding partnership is a strong group.

2.  , The North Middlesex Hospital have secured a safeguarding team, which has ensured that safeguarding has had a high priority for our health colleagues throughout the pandemic.

 The Modern Slavery Team have had y 120 referrals. There are no patterns emerging and there is a close working relationship between the police and emergency services, The Modern slavery team support the police in providing information on crimjnals and offer support to victims were required. All individual cases of Modern Slavery are referred into our MASH teams for children and adults. The Modern Slavery team has existed for 2 years now and improvements are being seen, the up to date report can be viewed on our website. Enfield are the first to have a Modern Slavery team in the Country. Sharon Burgess chairs the Pan London Modern Slavery team.   It is an evolving area, but more understanding is needed.

3.  Figures from the Care Quality Commission (CQC) showed an increase of registrations (without inspections) for 2020-2021 of 27% compared to 14% the year before.  This was probably due to reduced inspections because of the pandemic but are now recommencing.

4. All care homes that have a listing of requires improvement are now being supported and preventative measures are being put in place to help those to put in place required improvements. There is list of providers that are high risk which is shared on a reqular basis with the Cabinet Member, although CQC are currently changing the way they inspect care providers, which will focus more on having a quicker turnaround for reports and more engagement with residents, friends and family

5.  The total number of safeguarding adult referrals in 2020-2021 for Enfield are high compared to our neighbouring Boroughs. The BEH MHT data is more focussed on forensic wards on their patch and the forensic unit is based in Enfield although many do not live in the borough.

6.  Enfield now have an infection control worker for the last 8/9 months has responded to outbreaks of Covid in the care homes. She provides assessments and visits to control and support the care homes. The care homes also have robust controls of the management of infections.   Infection control grants have helped to get situations under control and staff infected were not allowed back  ...  view the full minutes text for item 4.

To receive a presentation on Enfield Integrated Care Partnership

Report Update

Received a report from Deborah McBeal, Director of Integration, Enfield Borough Directorate, NCL CCG and Stephen Wells, head of Enfield Integrated Care partnership Programme, Enfield Borough Directorate, NCL CCG on the Enfield Integrated Care Partnership.

It was noted that:

1.  There are local relationships and collaborative working in place to develop a plan for Enfield.  During the pandemic, the organisations came together remotely to develop a plan to move us forward into joint working.

2. Although joint working exists, Enfield do have a degree of independence and flexibility and there is an integrated care system including all the 5 neighbouring boroughs.  The Integrated Care System places a duty on all organisations to collaborate and there is a need to work with all our communities to respond to what the residents tell us they want.

3.  Enfield have developed a robust plan over the pandemic period.  Responses to flu vaccine improved and this model has been used to help improve take up of covid vaccinations.

4.  Within NCL there are national timelines for recruitment and the Chair is currently Mike Cooke who used to be the CEX at Camden Council so much experience is already there. The ultimate goal is the deliver a successful plan. 

5.  The CCG have a £2m investment fund to maximise inequalities issues and 8 proposals have been put forward and funded. Challenges need to be understood and communicated with our residents. 

6.  The ICP Plan in Enfield started off small and continues to grow and will eventually deliver all requirements.

7.  Enfield CCG merged with Barnet, Camden, Haringey and Islington CCGs on 1^st April 2020 to form North Central London (NCL) CCG. The Health and Care Act 2021 means that transactional work is now underway to develop NCL CCG into an Integrated Care System to include the Local Authority, Acute Trusts, and wider health & wellbeing/resident groups. At borough level, there will be Integrated Care Partnerships (ICPs) with similar membership.

8.  This large organisational change to the NHS will not affect the way scrutiny is undertaken. The only change will be that local partnerships will work closer together, which will make a difference to local residents.

9.  With regard to the transactional changes, there is concern that there is a democratic deficit. The appropriate level of governance is needed at NCL ICS and local ICP level, but positive improvements have been seen.

10. It was confirmed that further work is going ahead independently to develop the Enfield ICP with a number of workshops planned to include stakeholders at the end of September/beginning of October.

11.  A difference can be made by continuing to work in partnership. Enfield has received more than a 5^th share of the £2.5m from the NCL inequalities levy, which is focused on tackling inequalities.

12. There is a challenge in the Health and Care Act in respect of procurement rules - the NHS will have an exemption, but Enfield Council will not. 

12.  By working as an Enfield ICP we  ...  view the full minutes text for item 5.

To note the dates of future meetings as follows:

·         Thursday 16 September 2021

·         Thursday 20 January 2022

·         Wednesday 23 March 2022

The date of the next Overview & Scrutiny Committee was confirmed as the 8^th September 2021. The date of the next Health and Adult Social Care Scrutiny Panel was 16^th September 2021.