Greenwich Council

Agenda and minutes.

Venue: Committee Room 5 - Town Hall, Wellington Street, Woolwich SE18 6PW. View directions

Contact: Anthony Soyinka  Email: anthony.soyinka@royalgreenwich.gov.uk or tel: 020 8921 2230

Items
No. Item

1.

Apologies for Absence

To receive apologies for absence from Members of the Board.

Minutes:

Apologies for absence were received from Val Davison, Simon Dobinson, Andy Trotter, Dr Gregg Ussher and Steve Whiteman.

2.

Urgent Business

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

Minutes:

There was no urgent business.

3.

Declarations of Interest pdf icon PDF 40 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.

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 74 KB

Members are requested to confirm as an accurate record the Minutes of the meeting held on 19 December 2018.

 

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 Health and Wellbeing Board held on 19 December 2018 be agreed and signed as a true and accurate record.

5.

NHS Long Term Plan (LTP) 2019 pdf icon PDF 24 KB

To receive a presentation by the Managing Director NHS Greenwich CCG on NHS long term plan and consider the priorities within the Long Term Plan and the implications for the health and care system in Greenwich.

Minutes:

The Managing Director of NHS Greenwich CCG gave a presentation to Board. He highlighted the key messages of the NHS Long Term Plan (LTP) and how it fit with Greenwich Strategy and discussed investment in primary care.

 

The Board expressed that there were concerns among London Councils that proposals in the LTP appeared to indicate a move away from Local Authority Public Health commissioning and a restructure of the NHS. 

 

The Managing Director of NHS Greenwich CCG stated that a Green Paper on Prevention was expected later on in the year.

 

The Chief Executive of Lewisham and Greenwich Trust stated the emphasis on all health providers working collaboratively was positive.

 

The Board felt there needed to be a move away from talking about systems and focus brought back to people.

 

The Managing Director of NHS Greenwich CCG stated that the NHS Long Term Plan was about working together to get the best possible outcomes for individuals.

 

*

The Chair agreed to a member of the public addressing the Board.

 

A member of the public raised questions about the risk assessments carried out regarding Primary Care Networks, the proposed development in the provision of primary care, the engagement and consultation with patients on the proposals for/in Greenwich.

 

The Managing Director NHS Greenwich CCG stated that in respects of a timeline that it was a national piece of work. They were trying to get additional funds into primary care, from 1st April 2019 £14,000 would be going to every practice in a PCN with additional funds expected from 1st July 2019. He said it was up to GP practices on how they wanted to take the process forward however, the guidance stated that the plans should make sense geographically, to local communities and to local authorities. He advised that the Health and Wellbeing Executive Group would be reviewing all applications together with systems partners to ensure the configuration was appropriate and suitable.      

 

Resolved –

 

That the presentation on the NHS Long Term Plan be noted.

6.

Better Care Fund 2019-20 pdf icon PDF 23 KB

To receive a verbal update on the use of the 2019-20 Better Care Fund between the Council and the CCG.

Minutes:

The Director of Health and Adult Services gave a verbal update. He advised the Board that the Better Care Fund had been in place in developing forms, since 2014 and was a joint Department of Health and Ministry of Housing, Communities and Local Government. He stated the Council were in the process of signing off The Better Care fund 18/19 Quarter 4 and were currently negotiating the fund for 19/20. Adding that as part of the negotiation process there had been meetings with Senior Officers to identify areas of liquidity.

 

In response to questions from the Board, the Director of Health and Adult Services said the report on the Better Care Fund for 2019/20 will be presented at the next meeting of the Health and Wellbeing Board as the outline plans needed formal approval from the Board.

 

Resolved –

 

That the verbal update on the use of the 2019-20 Better Care Fund between the Council and the CCG be noted.

7.

Care Quality Commission report on Lewisham and Greenwich Trust pdf icon PDF 24 KB

To receive a presentation on the findings of the CQC inspection of Lewisham and Greenwich Trust in 2018.

Additional documents:

Minutes:

The Chief Executive of Lewisham and Greenwich NHS Trust gave a presentation to the Board.

 

In response to questions from the Board, he explained that the CQC had a complicated algorithm that calculated the rating received for an overall service stating that ‘safety’ and ‘well-led’ tended to be the more important factors affecting the overall rating. He welcomed the suggestion from the Board of having a liaison officer to improve communication between health providers around discharged patients. He stated that it was understood that the discharge process was difficult for patients and that in the last year a transfer of care plan was set up to address this, which was a good example of partnership working and the whole system working together to . He added that from the 1st May 2019 the Queen Elizabeth hospital would be introducing a more comprehensive way of receiving patient feedback on their experience during hospital stay.  

 

The Board requested that district health nurses be invited to a meeting to discuss their work and the hospital team attend to provide a presentation on the readmission rates of different types of patients.

Action: NHS LGT

 

The Chief Executive of Lewisham and Greenwich NHS Trust advised that the CQC had generally gone on a risk-based approach when looking at services, reviewing those which appeared to indicate the highest risk based on the data they held. He stated that the children and young people services at Queen Elizabeth Hospital were excellent although the service struggled in some areas particularly around staffing.  

 

Resolved –

 

That the presentation on the findings of the CQC inspection of Lewisham and Greenwich Trust in 2018 be noted.

8.

CAMHS pdf icon PDF 156 KB

To note the content of the report and the recommended next steps and to receive a presentation on examples of CAMHS service models used elsewhere in country.

Additional documents:

Minutes:

The Assistant Director Strategy, Performance and Commissioning presented the report.

 

The Board felt the starting point of any proposed future service model should look principally to run the best service that engaged and provided support to the most amount of children and young people that required it.

 

The Director of Children’s Services stated that many children and young people who had difficulty with mental health were known to other services therefore thought needed to be given to how the CAMHS service interfaced with all other provisions available for children.

 

The Assistant Director Strategy, Performance and Commissioning added that Greenwich CAMHS was one part of a whole system that supported children and young people’s mental health within the Borough and it was necessary to look at the whole system approach to ensure that there was enough support available below the specialist CAMHS threshold. She stated the waiting times to assessment for the Greenwich CAMHS service were much lower compared to provision across southeast London. However, a number of Trailblazer sites had been selected with additional funding for a 4 week waiting time pilot initiative.

 

The Managing Director CCG stated that the CCG had set up a charitable fund of around £100,000 which was administered by METRO GAVS, the programme had a focus on services that support children and adolescent mental health.

 

The Board felt more work was needed to encourage provision at service Level 1

 

The Assistant Director Strategy, Performance and Commissioning stated that the recommissioning of youth services, school nurses, children centres and health visitors would incorporate support at the lower levels.

 

In response to questions from the Board, the Assistant Director Strategy, Performance and Commissioning stated that Appendix A provided a breakdown of recurrently and non-recurrently funding for Children and Young People mental health services in Greenwich from 2016/17 till 2020/21 which included the CAMHS Transformation Plan funding.

 

The Board received a presentation on ‘CAMHS Service Models’.

 

In response to questions from the Board, the Assistant Director of Oxleas Trust stated that a huge amount of work was ongoing to tackle the concerns about the increased number of children and young people presenting in crisis across southeast London. She advised there was a newly commissioned tri-borough Crisis Liaison Service that was expected to have an impact, improve support and reduce waiting times by providing direct access to specialist CAMHS support for children and young people who present in crisis at A&E outside of working hours.  

 

Resolved –

 

That the report, the recommended next steps and presentation be noted.

9.

Health Protection Annual Report pdf icon PDF 62 KB

To receive and comment on the Health Protection Report 2017/18.

Additional documents:

Minutes:

The Assistant Director of Public Health introduced the Health Protection Annual Report to the Board, providing an overview and key highlights of 2017/18.  

 

Clive Mardner, Volunteer Development and Outreach Officer of Healthwatch Greenwich addressed the Board, introducing Joy Beishon as the new Chief Executive of Healthwatch Greenwich.  

 

Resolved –

 

That the Health Protection Report 2017/18 be noted.