Agenda item

To receive updates from the sub boards as follows:

·       Health Improvement Partnership Board

·       Joint Commissioning Board

·       Primary Care Improvement Board

·       Integration Board

1.               Health Improvement Partnership Board

The Board received the report from the Health Improvement Partnership Board updating them on work of the board.

Shahed Ahmad highlighted the following from the report:

·       Enfield is a national lead for blood pressure management.  It has been used as a case study by National Public Health England Blood Pressure System Leadership Board and we will be supporting NHS England at a national conference.

·       Enfield is supporting the London Care Transformation across the Capital.

·       The Royal Society of Public Health held a national conference on Health Trainers which was hosted in Edmonton.  Feedback has been very positive. 

2.               Questions/Comments

a.              It was suggested that information about our successful blood pressure work could be the subject of a tweet. 

b.              Our immunisation data performance data is not as accurate as it should be and shows poorer performance than was felt to be the case.  This was due to past IT problems which are now being rectified.  The latest statistics and trends are being sought from NHS England.  There is no room for complacency and the council is working with colleagues to improve immunisation rates, but as there have been no disease outbreaks, it is thought that the coverage was better than implied by the data.  NHS England are now responsible for immunisation.

AGREED to note the report. 

3.               Joint Commissioning Board

The Board received an update report on the work of the Joint Commissioning Board. 

Bindi Nagra presented the report to the Board and highlighted the following:

·       The Integrated Sexual Health and Community services contract will be transferred to the North Middlesex Hospital NHS Trust on 1 November 2015.  Several issues are still to be addressed but we are confident that these will be addressed. 

·       Commissioning responsibility for the Health Visiting and Family Nurse Partnership services has been transferred to the local authority.

4.               Questions/Comments

a.              The Family Nurse Partnership scheme is close to capacity.  There have been lots of discussions about these arrangements and the possibility of replacing the scheme, perhaps with a home grown version.  It was agreed that there was merit in providing a targeted intensive programme, but as the programme has reached capacity it will need to be reshaped in the future.  This is not a priority as we will have to wait until the current agreement expires. 

b.              A transformation plan for the joint Enfield Council and CCG Strategy for the Emotional Wellbeing and Child Adolescent Mental Health for 0-18 years was due to be submitted by 16 October 2015.  This will deliver significant new resources for the borough:  £170,000 in the first, £500,000 in the second and £500,000 in the third years. 

AGREED to note the report and its appendices. 

5.               Primary Care Update

There was no update for this meeting. 

6.               Integration Sub Board

The Board received a report from the Enfield Integration Board.

Mo Abedi presented the report to the board and highlighted the following:

·       Two meetings had taken place since the last formal board meeting.

·       The final business case for the Older People’s Integrated Care Programme had been approved by the Integration Sub Board.

·       The Integration Sub Board had approved in principle a replacement project within the Children and Young People work stream for bringing the support to young people with learning difficulties and challenging behaviours back into the borough in order to improve the quality of provision and provide value for money. 

·       One of the risks identified in the better care fund risk report – the risk around the failure to reduce emergency admissions – had occurred.  A steering group had been set up to analyse the data and produce a recovery plan. 

·       Fluctuating delays in the transfer of care was also a problem.

·       All board members would be invited to future sub board development sessions.   

7.               Questions/Comments

a.              Emergency admissions were increasing but it was felt to be misleading to include the same figures twice on page 33 of the report.  It was felt that it would be more accurate to use one set of data.

AGREED to note the report, including the performance report summarised within the main body of the report.