Agenda item - Sub Board Updates

Agenda item

Sub Board Updates

To receive updates from the following:

 

·       Health Improvement Partnership Board

·       Joint Commissioning Board (To Follow)

·       Primary Care (To Follow)

·       Better Care Fund

Minutes:

1.               Health Improvement Partnership Update

 

The Board received an update report from Shahed Ahmad, Director of Public Health, on the Health Improvement Partnership. 

 

NOTED

 

1.1           A public health sustainability fund was being considered. 

 

1.2           The North Central London Strategic Planning Group was due to make an initial submission on its 5 year plan in March 2016 with a final application in June 2016.  It was hoped that engagement would take place at an early stage and not just at the end of the process.

 

1.3           Public Health was collaborating with North Central London on the case for change.  Gaps being addressed included health care and financial issues. 

 

1.4           Enfield was co-leading on health care.  There was a general feeling that talent was being fragmented and there was duplication in several areas. 

 

1.5           Enfield’s work on blood pressure was coming to prominence across London.  Analysis shows that if London could do as well as Canada we could reduce stroke incidence by 5,000 which would save the NHS £80m over 5 years. 

 

1.6           The problem of unregistered patients was highlighted.  Shahed Ahmad would feed back to the Board on how GP registration was recorded and how this was being monitored. 

 

1.7           A draft report on mental health had been produced and would be available shortly.

 

AGREED to note the contents of the report. 

 

2.               Joint Commissioning Board Update 

 

The Board received a report from Bindi Nagra, Assistant Director Strategy and Resources, Health, Housing and Adult Social Care, updating them on the work of the Joint Commissioning Board.  Christine Williams, Public Health Commissioning Manager introduced the report. 

 

NOTED

 

2.1           Councillors Keazor and Brett have been working with officers to organise a conference for the Turkish community warning them on the dangers of smoking which is a particular problem for this community.

 

2.2           There has been a gradual long term improvement in the proportion of people with dementia with a formal diagnosis.  This has improved from 45% to 68% between June 2014 and November 2015. 

 

2.3           There is evidence that social isolation and loneliness are linked to a number of risk factors including risk to wellbeing, mental health and vulnerability to abuse.  A scheme was being piloted to address this issue. 

 

2.4           The Quality Checkers Project were doing a piece to work to establish the quality of activities in care homes across the borough.

 

2.5           The increase in the proportion of people suffering from Hypertension, now estimated to be 3,000 is likely to be due to the improvement in collecting data.  It is important that hypertension is recognised and assisted more than it had been in the past.   

 

2.6           Concern was expressed about the lack of legislation surrounding the use of electric cigarettes.  Current thinking indicated that most people using them were already cigarette smokers and that therefore they were less harmful that real cigarettes and helped people to give up smoking.  Other people are concerned that the electronic cigarettes normalise smoking and are becoming fashionable, particularly among the young.  If they were to encourage more young people to take up smoking, it would be dangerous.  These concerns would be fed through to the Tobacco Control Alliance. 

 

AGREED to note the content of the report. 

 

Councillor Ayfer Orhan and Councillor Doug Taylor (Chair of the Board) left the meeting at this point.  Mo Abedi (Vice Chair) took over the position of chair for the rest of the meeting. 

 

3.               Primary Care Update

 

Mo Abedi, Chair of the Enfield Clinical Commissioning Board) presented the report updating the Board on primary care matters across the borough focussing on the Enfield Patient Offer and the Quality and Outcomes Framework Achievement 2014/15. 

 

NOTED

 

1.               Four priority areas had been identified for implementation in respect of the patient offer:  patients with atrial fibrillation, diabetes and cardio vascular disease, primary care estates, primary care work force development and optimisation and exploitation of clinical IT systems.

 

2.               These areas had been discussed during a workshop involving 70% of GP practices. 

 

3.               Enfield scores in the Quality and Outcomes Framework had improved significantly to be listed 183 out of 206 CCGs.  This was better than boroughs with similar demographics like Haringey and had been achieved with lower expenditure. 

 

AGREED to note the report. 

 

4.               Better Care Fund Update

 

The Board received an update report from Bindi Nagra (Assistant Director Health, Housing and Adult Social Care and Graham MacDougal (Director of Strategy and Partnerships at the CCG). 

 

Any questions would be forwarded to Bindi Nagra. 

 

AGREED

 

1.              To note the contents of the report, including the current performance metrics and activity taking place to improve performance in response to recent reviews.

 

2.              To note that NHS England quarter three data submission was due in February 2016. 

 

3.              To note that the Better Care Fund 2016/17 policy framework has been published but the detail of the planning guidance was delayed.

 

4.              To note that a further development session would be held on 17 February 2016 with the Integration Board.  The session would inform strategic planning in relation to the Better Care Fund and the future of integration in Enfield. 

 

5.              To note that a London Better Care Fund network has been set up and led by ADASS (Association of Directors of Adult Social Services) and NHS London.  The network would facilitate the sharing of good practice, address issues of concern and assist with embedding the principles of the Better Care Fund at the local level. 

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