Greenwich Council

Agenda and minutes

Venue: Council Chamber - Town Hall, Wellington Street, Woolwich SE18 6PW. View directions

Contact: Jean Riddler  Email: jean.riddler@royalgreenwich.gov.uk or tel. 020 8921 5857

Items
No. Item

1.

Apologies for Absence

To receive apologies for absence from Members of the Panel.

Minutes:

Apologies for absence were received for Councillors Mandy Brinkhurst, Matt Hartley, Paul Morrissey and Cherry Parker.

 

Apologies for lateness were received for Councillor John Fahy.

2.

Urgent Business

The Chair to announce any items of urgent business circulated separately from the main agenda.

Minutes:

There were no items of urgent business for consideration.

3.

Declarations of Interest pdf icon PDF 34 KB

Members to declare any personal and financial interests in items on the agenda.  Attention is drawn to the Council’s Constitution; the Council’s Code of Conduct and associated advice.

Additional documents:

Minutes:

Councillor Clare Morris declared a personal interest in all items on the agenda as she had an honorary contract with Lewisham and Greenwich NHS Trust.

 

Councillor Mark James declared a personal interest in Item 7 – Improving public health through modal shift, as an employee of Transport for London (TfL). 

 

Resolved –

 

1.     That the list of Councillors’ memberships as Council appointed representatives on outside bodies, joint committees and school governing bodies be noted.

 

2.     That the personal declarations made by Councillor Morris and M. James be noted.

4.

Minutes pdf icon PDF 122 KB

Members are requested to confirm as an accurate record the Minutes of the meeting held on 26 September 2017.

 

No motion or discussion may take place upon the Minutes except as to their accuracy, and any question on this point will be determined by a majority of the Members of the body attending who were present when the matter in question was decided.  Once confirmed, with or without amendment, the person presiding will sign the Minutes.

Minutes:

The Chair advised that she had been made aware that the minutes of the meeting of the 26 September 2017 required some adjustment and therefore proposed that the decision to agree these minutes be deferred to the next meeting.

 

Resolved -

 

That consideration of the minutes of the meeting of the Healthier Communities & Older People Scrutiny Panel held on 26 September 2017 be deferred to the next meeting.

5.

Update report from Oxleas NHS Foundation Trust - Mental Health pdf icon PDF 40 KB

To consider the attached update report from Oxleas NHS Foundation Trust.

Additional documents:

Minutes:

In presenting the report the Deputy Chief Executive Officer (DCEO) of Oxleas provided an update on the integration of adult and learning disability services into a single service provision, which was initiated as of April 2017.  That the integrated service would look at the person as a whole, which would bring greater benefits for all patients including those with long term health and mental health issues.  The integrated service would reduce duplication in assessments and treatments with a single care record which would enable each healthcare professional to see what other Oxleas treatments and services the person was receiving. 

 

She continued that this year, the trust had had to find 3.8% national efficiencies and the Care Commissioning Group (CCG) were also seeking efficiencies in light of their own financial challenges.  The DCEO Oxleas acknowledged the valuable contribution by the Royal Borough of Greenwich and the Lewisham & Greenwich Trust in relation to the care and support offered by Oxleas.

 

In response to Members’ questions the DCEO Oxleas confirmed that the majority of the Trusts budget was provided by the CCG, though NHS funding, with the exception of a few specific areas of provision.

 

In respect of the local efficiencies required by the CCG in some services for patients with long term conditions, the DCEO Oxleas responded that Oxleas clinicians were working with the governing body of the CCG, to ensure that there was clarity on the impact on patient care.  She continued that a reduction in finances was not ideal but that she was confident that the areas identified would not see a significant reduction in the quality of service provision and that Oxleas were looking to secure as much of the savings as possible through savings in management, administration and buildings costs.

 

The DCEO Oxleas confirmed to Members that Oxleas was the first Trust to become fully no smoking and patients were given a range of support mechanisms to stop smoking. 

 

Members noted the high percentage of positive patient feedback but questioned what the percentage meant in real terms of numbers of people, exampling 3% could be 3 people or 300 people.

 

The DCEO Oxleas noted that there were figures in the paper but that further analysis could be provided. She confirmed that the feedback was gained from patients and family members on discharge and that she would provide Members with a breakdown of the numbers of people who responded.

 Action: The DCEO Oxleas

 

In respect of the transitional arrangement, for young people moving to adult service provision, the DCEO Oxleas informed Members that this was a substantial area of work supported by collaborative working between young people and adult services clinicians.  The exact age at which a young person transitioned from one service to the other was dependant on the individual and services seek to be as flexible as possible and did not have an ‘18th birthday’ cut-off. There was at least a six-month transition period of joint working, involving both sets of services with the young person,  ...  view the full minutes text for item 5.

6.

Learning Disability Day Opportunities Transformation pdf icon PDF 88 KB

To update the panel on the progress of the Learning Disability Day Opportunities Transformation.

 

Additional documents:

Minutes:

The Assistant Director Commissioning and Business Support presented the report advising the Panel that the Day Opportunities service was modernised a few years ago, to provide a variety of offer across a range of services.  The majority of services were provided by the Council and were closely associated with the passenger transport service, provided by GSPlus, which made for an expensive and somewhat inflexible service.  The service was highly regarded by users and families and was always full to capacity, 200 individuals, whilst there were currently 915 adults registered with a learning disability within the Borough, of which 615 are receiving some sort of service from the Council.

 

She continued that it was proposed to gradually change the provision of services and in early 2018 a pilot would be established of 30 individuals, including 10 young people transitioning to adult service provision, who both they and their families were willing and interested in supporting a new way of working.  They would be supported by Day Opportunities staff, Community Learning Disability officers and Service Commissioners in identify personal budgets and develop bespoke support plans and packages of care that supported the individuals in a more flexible way than day services could, given availability. The pilot scheme would be evaluated after six months and gently expanded, in as painless way as possible. As current services became less well used they could be closed down or commissioned out to social enterprises.

 

In response to Members’ questions the Assistant Director Commissioning and Business Support advised that the majority of users of the Day Opportunities Service used the provided passenger service.  It was hoped that there would have been a reduction in passenger service users, as they become independent, but this has not proven to be the case. The service was also used by a high number of older people and may not support younger, independent service users.

 

She confirmed that the voluntary sector provided a number of valued services and, as she was also responsible for commissioning 3rd Sector provisions, she was looking at the next round of commissioning and ensuring that lessons had been learned from failings over the past couple of years and how the sustainability of services would be ensured.  She advised that a number of 3rd sector partners were happy to work with the Council in developing a quality assurance framework which would provide the required information to ensure quality, safety and financial viability without over monitoring.

 

The Assistant Director responded to Members that a number of service users had a Freedom Pass, but these were not funded by the Council.  Clients could, in future, also look at using part of their independence allowance on taxis.  She continued that work was being undertaken by colleagues in GSPlus to widen their range of available vehicles.  Further, more taxi companies may be encouraged to have wheelchair friendly cars, where individuals commission their own transport.

 

Members were concerned that some service users would have a higher level of need than others  ...  view the full minutes text for item 6.

7.

Improving public health through modal shift pdf icon PDF 158 KB

The purpose of this report is to outline the role of modal shift in improving air quality within the Royal Borough of Greenwich and provide information on a number of initiatives aimed at supporting that modal shift.

Additional documents:

Minutes:

The Cabinet Member for Regeneration and Sustainability presented the report, advising that it covered modal shift in order to address specific concerns relating to air quality in the Borough and how this work had been achieved. In his role as the Cabinet Member, he had been working to ensure the Council was co-ordinated internally as air quality issues cut across all departments through monitoring, policy and s106 contributions.  He pointed out that, in real terms, emissions were declining across London but public concern was increasing.

 

He continued that he chaired an interdepartmental air quality task force group, attended by officers, including Public Health and other Cabinet Members and part of the group’s remit was to make sure that the message to staff was clear and to make sure that the Air Quality Action Plan fitted in with the Joint Strategic Needs Assessment and Governance guidance.  He noted that there were challenges in dealing with air quality and there was only so much the Council could do but it was necessary to ensure what could be delivered was done well and, where possible, influence other people and organisations.  

 

The Cabinet Member continued that the Transportation Team collected data on how people travel around the Borough, which showed that car journeys were still the prevalent means at around 40% followed by bus or train use, walking and cycling.

 

In respect of cycling the Cabinet Member advised that a lot of work had been undertaken by the Mayor of London which was supported by the Borough’s focus on educating and supporting people to become more active cyclist, installing dedicated cycle lanes and establishing a quiet way network.  A lot of work was undertaken with schools to develop travel plans and a quarter of the schools that took part in this year’s car free day came from Greenwich Borough.  Consideration was now moving toward the potential of closing off spaces outside school, to stop offending parents from dropping of their kids, in order to create safer spaces.  In addition, the first anti-idling event had taken place in Woolwich. 

 

The Cabinet Member advised that a key area, was the establishment of Low Emission Neighbourhood Zones (LENZ), the first in London had been established in Greenwich.  As part of the LENZ project, the Council had looked at different ways of dealing with freight movement, how and when business deliveries were made and sustainable ways of delivering goods and freight.  A lot of work had been undertaking and was ongoing to get people into cleaner cars or onto bikes and creating a more pedestrian friendly environment.  He added that, whilst the focus was currently in East Greenwich, the successes and lessons learned there would be extended out to other areas of the Borough. 

 

The Panel raised that there was an awareness that people living in deprived areas faced poor health outcomes and, to what extend did the Cabinet Member feel the work of the Regeneration Department could help address areas of high social deprivation through improved transport.  ...  view the full minutes text for item 7.