Greenwich Council

Agenda and minutes.

Venue: Rooms 4 & 5, 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 from Councillors Mandy Brinkhurst, John Fahy, Clare Morris and Paul Morrissey.

 

Apologies were received from Councillor Matt Hartley for having to leave early.

2.

Urgent Business

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

Minutes:

Members noted that Appendix two to Item 5 had been issued on a supplementary agenda, in advance of the meeting. Further, that the presentation had been circulated.

3.

Declarations of Interest pdf icon PDF 46 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:

Resolved –

 

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

4.

Minutes pdf icon PDF 113 KB

Members are requested to confirm as an accurate record the Minutes of the meeting held on 14 December 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:

Resolved -

 

That the minutes of the meeting of the Healthier Communities & Older People Scrutiny Panel held on 14 December 2017 be agreed and signed as a true and accurate record.

5.

Mental Health Provision in the Royal Borough of Greenwich pdf icon PDF 50 KB

The Panel is asked to note and comment on the reports on Mental Health Provision in the Royal Borough of Greenwich.

Additional documents:

Minutes:

The Managing Director Greenwich Clinical Commissioning Group (GCCG) addressed the Panel confirming that mental health was an important area and the Mental Health Investment Standard required a strengthening of the 2018-19 planning regimes.  Auditing would be undertaken to ensure additional investment into mental health provision had been made and that services were being protected.  He noted that 53% of patients who presented at the Queen Elizabeth Hospital A&E Department with mental health issues were unknown to the service.  A mental health liaison officer was in post and their appointment had helped reduce the waiting time for this group. 

 

The  Deputy Chief Executive Oxleas NHS addressed the Scrutiny Panel advising that following the comments of the Care Quality Commission (CQC) 18 months ago, improvements had been initiated to the acute and crisis mental health pathways, although the number of admissions remained high causing continuing pressure on the inpatient services. 

 

The Assistant Director Commissioning and Social Care addressed the Scrutiny Panel advising that community services were commissioned from Oxleas NHS and included the availability of 24 hours support to people in their own home to support their independent living.  She continued that Greenwich Mind had been commissioned to provide a drop-in counselling service and voluntary sector and social groups, particularly faith based, were being actively engaged with to widen the understanding of mental health within communities and how to support people to access services.

 

In response to Members questions the Assistant Director Commissioning and Social Care stated that there was a need to look at and make sure the right services were being commissioned, though there were concerns at the limits on weekend provision in a lot of areas.

 

The Scrutiny Panel noted that if half of the people presenting at A&E with mental health issues were unknown to service providers what referral routes were being instigated to address this.   To which the Assistant Director Commissioning and Social Care confirmed that the Council had a referral team which gave assistance either directly or by referral to Oxleas NHS as well as signposting to appropriate provisions.  It was difficult to say what was happening with people who were not using the Council or partners services. 

 

The  Deputy Chief Executive Oxleas NHS confirmed that Oxleas provides a mental health triage service at the Queen Elizabeth Hospital A&E Department, made up of mental health practitioners.  Most assessments by the team were completed within two hours of the patient arriving at A&E but delays to admission could occur if a patient was deemed to require admission and there were no available beds in Oxleas House. In these instances, an acute bed would be arranged in another trust, which could take some time. 

 

The Managing Director GCCG responded to Members that the existing financial position was challenging but a five year plan had been established which would see support to the Live Well Greenwich scheme in partnership with the Greenwich Council, Greenwich Mind and Oxleas NHS. 

 

The Assistant Director Commissioning and Social Care  ...  view the full minutes text for item 5.

6.

Update on childhood obesity in Greenwich pdf icon PDF 519 KB

To review the most recent ward level obesity data (October 2017) and consider what resources are currently aligned to support the Healthy Weight agenda.

 

To note the progress and challenges against recommendations from the scrutiny panel obesity review (July 2016);  good practice community and school based interventions which can make a difference and explore specific activity taking place in two specific areas of the borough; Abbey Wood and Middle Park and to outline the focus of the new RBG Member-level Obesity Taskforce.

 

Additional documents:

Minutes:

The Director of Public Health presented the report advising that childhood obesity was a global problem with links to a range of medical conditions and reduced life expectancy.  The Mayor of London had made this a priority area and was instigating London wide best practice.

 

The Senior Health Improvement Specialist took the Panel through the PowerPoint presentation noting that whilst there was a reported drop in obesity among reception aged children, this would need to be monitored for at least two years to see if it was meaningful.

 

The Senior Health Improvement Specialist responded to Members that one of the areas that need to be addressed was the impact of the food environment such as types of food and snacks available once young people gained independence and became open to influence.

 

The Director of Public Health responded to Members that deprivation had been identified as a key indicator and the lower issues of obesity in more affluent areas may be linked more with the type of shops and food available to young people than their financial position.  He also noted that the gap between children who were obese and those who were not, at pre-school stage, closed, in favour of obesity, as they got older.

 

The Director of Public Health responded to Members that it was anticipated that the impending London Plan would give clearer guidance on the location of fast food outlets.  Some Authorities had tried to bring in their own planning restrictions on fast food outlets near schools, most of which were overturned by the GLA on appeal.   He gave assurance that there was cross department working by Officers looking at urban design on new planning applications, healthy streets, and everyday access to healthy food with a specific focus on mental and physical health in design.

 

The Senior Health Improvement Specialist responded to Members that school meals and breakfast clubs, provided by GSPlus, met the national standards and GSPlus had tried to work with all school authorities in the borough.  Whilst the majority of schools commissioned GSPlus as their provider, academies and independent schools could, and had, chosen other providers. 

 

With regards to the good practice community and school based interventions and specific activity exploration taking place in two specific areas of the borough, the Senior Health Improvement Specialist confirmed that a performance matrix was being complied but it may take some time for meaningful data to appear.  She confirmed that this would be shared when available.

Action: Senior Health Improvement Specialist

 

Greenwich Pensioner Forum / Keep our NHS Public addressed the Scrutiny Panel noting that since catering provision in hospitals and schools had been de-regulated and food was often brought in and standard had decreased, particularly in hospitals.  She noted that at the same time there had been an increase in the number of fast food outlets being opened.  She felt that it would be helpful to analyse what had changed over the past 40 years.

 

Another public speaker added that the food offered at the  ...  view the full minutes text for item 6.

7.

Circle Greenwich MSK Service pdf icon PDF 49 KB

The Panel is asked to note the update report on the Circle Greenwich MSK Service.  

 

Additional documents:

Minutes:

Due to time constraints the Scrutiny Panel accepted the report as submitted but requested that a further update be presented to the next meeting.

Action: SCDO

 

Resolved –

 

That the update report on the Circle Greenwich MSK Service be noted.  

 

8.

HealthWatch Report - Royal Borough of Greenwich Adult Customer Journey - Experiences of Adult Social Care in Royal Borough of Greenwich pdf icon PDF 39 KB

The Panel is asked to note the Healthwatch Report - Royal Borough of Greenwich Adult Customer Journey – Experiences of Adult Social Care in Royal Borough of Greenwich.

 

Additional documents:

Minutes:

The Scrutiny Panel accepted the report as submitted.

 

Resolved –

 

That the Healthwatch Report - Royal Borough of Greenwich Adult Customer Journey – Experiences of Adult Social Care in Royal Borough of Greenwich be noted.