Agenda item

To receive the report of John Wardell, Chief Operating Officer, Enfield CCG and Jon Newton, Head of Older People & Physical Disabilities, LB Enfield.

RECEIVED the report of John Wardell, Chief Operating Officer, Enfield CCG and Jon Newton, Head of Older People and Physical Disabilities, LB Enfield.

NOTED

Dr Mo Abedi and Jon Newton (Head of Older People & Physical Disabilities, LB Enfield) introduced the report, highlighting the following:

?  The ambition for the Sustainability and Transformation Plan (STP) included equity across North Central London so there was a reduction in variation across Barnet, Enfield, Haringey, Camden and Islington.

?  There were 12 work streams within the STP including a Health and Care Closer to Home work stream charged with delivering Care Closer to Home Integrated Networks (CHINs). This was being progressed collaboratively and the progress to date was set out in the report.

?  There were four locality teams in Enfield to locate services together and work to deliver health and social care and to understand the local area and its needs, as different parts of the borough had different needs.

?  A number of outcomes had already been achieved in 2017.

IN RESPONSE comments and questions were received, including:

1.    Parin Bahl welcomed much of the progress and ideas, but there should be emphasis on keeping people well, and making systems easier for patients to understand. Healthwatch were happy to help with the design process.

2.    Vivien Giladi expressed reservations about the STP and cost-cutting, and asked for reassurance that the north-east of the borough would not be failed. She was in favour of a united GP network but questioned the name Enfield Healthcare Co-operative Limited and in particular the use of the word Co-operative.

3.    Councillor Orhan supported previous comments and had concerns for several reasons, including the seemingly top down approach and exclusion of the public. She would also like to see cost factors in documentation. There should also be more details on what the public were not going to receive in future.

4.    Councillor Cazimoglu acknowledged the progress and hard work, but also expressed concerns about viability.

5.    Councillor Fonyonga echoed colleagues’ comments, and noted the benefits to Enfield of the GP Federation but there must also be a way to capture feedback and the reality of how systems were working.

6.    Tessa Lindfield considered that the CHINs model would happen in any case, and recommended that the Board focus on the QIST in the light of variation in approach to different communities.

7.    In response to comments received, Mo Abedi advised that use of Co-operative referred to mutual collaboration rather than being a legal term. He also confirmed that primary care single offer, atrial fibrillation, and pre-diabetes were additional services after the core contract, and nothing would be lost as a result of providing those services. The walk in centres were currently under utilised, and there was data available in respect of the hubs which he would bring back to the Board. He would suggest a development session should be held around patient experience on that pathway, and this was supported by the Board.

AGREED

(1)  That the Health and Wellbeing Board noted the content of the report.

(2)  The Board discussed how it wished to support the development of the Care Closer to Home Network Agenda and agreed that a development session be scheduled to consider the topic further.