Greenwich Council

Agenda and minutes.

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

Contact: Gurdeep Sehmi  Email: gurdeep.sehmi@royalgreenwich.gov.uk or tel. 020 8921 5134

Items
No. Item

1.

Apologies for Absence

To receive apologies for absence from Members of the Panel.

Minutes:

Apologies for absence were received from Councillor Perks.

 

Apologies for leaving early were received from Councillors Babatola and Lolavar.

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 37 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 66 KB

Members are requested to confirm as an accurate record the Minutes of the meeting held on 25th April 2019.

 

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 25th April 2019 be agreed and signed as a true and accurate record.

5.

Cabinet Member Report pdf icon PDF 268 KB

The panel is requested to note and consider the Cabinet Member’s Report on the council’s public health functions, the resources dedicated to carrying out these functions and the areas of spend currently prioritised by the council.

Minutes:

The Cabinet Member for Adult's Social Care, Health and Anti-Poverty, addressed the Panel and asked that if Members were happy, they go straight to questions.  Members agreed and in response to their questions the Cabinet Member responded as follows:

 

In terms of the Public Health Grant spend on tackling domestic violence, the Cabinet Member informed Members that the spend was made up of funding from the Public Health and Housing Revenue Account budgets, and the corporate fund.  She confirmed that further support was provided by Safer Communities which fell under the remit of the Cabinet Member for Children’s Services and Community Safety.  The Cabinet Member assured Members that Domestic Violence was being addressed through the Royal Borough’s work with the HER Centre and refuges across Greenwich which were commissioned through the voluntary centre.  

 

The Director of Health and Adult Social Care added that a lot of joint work was being carried out between Public Health, Housing and Community Safety.


The Cabinet Member suggested that because so much of the work carried out to tackle Domestic Violence spanned several directorates, the Overview and Scrutiny Panel may wish to examine more closely how this work pooled together and its effectiveness.     

 

       Action: Cabinet Member for Adult Social Care, Health and

                                                                                      Anti-Poverty

 

The Cabinet Member advised the Panel that money ring fenced for this work was available until March 2020.  The Director of Health and Adult Social Care added that a set of conditions for the spend of this money would be issued and guidance submitted in due course. 

 

Members requested a breakdown of Public Health spend by Department

to be circulated.

                                                                                                                    Action: Director of Public Health

 

 

 

 

 

 

 

6.

Work Programme Schedule 2019-20 pdf icon PDF 43 KB

The Panel is asked to agree the attached schedule for the Healthier Communities and Adult Social Care Scrutiny Panel (HCASC) work programme for 2019/20.

The Panel is asked to note and agree to attend the Children and Young People Scrutiny Panel on 4 July 2019 to take part in the pre-decision scrutiny of the CAMHS service.

Additional documents:

Minutes:

The report was presented by the Chair. 

 

The Chair reminded Members that the schedule had been prepared on a thematic basis and that the joint meeting with the Children and Young People Scrutiny Panel had been agreed with a date to be confirmed.

 

The Chair explained that a pre-decision scrutiny item, 0-19 Nursing (Start-Well) service, was originally scheduled to be presented at today’s meeting but had now been scheduled to be presented at the Children and Young People’s Scrutiny Panel (CYPSP) on 4th July 2019.  The pre-scrutiny of the CAMHS service would also be taking place at the 4th July meeting and there would be an additional two items on the agenda:

 

Update on Healthy Weight in Greenwich

CYPSP – Performance Monitoring 2018/19 Q4 – focus on health and wellbeing.

 

The Chair urged Members to attend this meeting and take part in the discussions, particularly those items for pre-decision scrutiny. 

 

There was a discussion around the order in which items appeared on the work programme and the following revisions were agreed:

 

The Adults Discharge and Occupational Therapy reports would be combined, and Adaptations for Disabled People would be brought forward from the November meeting so that all three can be reported on together at the September meeting.

 

                                      Action: Corporate Governance Manager

 

The Winter Pressures item would be moved from the January 2020 meeting to the November 2019 meeting with the outcomes report to be presented in March 2020.

 

                                      Action: Corporate Governance Manager

 

The Chair requested that a representative from Occupational Therapy be invited to the September meeting to discuss adaptations and waiting times.

 

                                                                                                                    Action: Director of Health and Adult Social Care

 

 

7.

Heath & Wellbeing Strategy pdf icon PDF 72 KB

This report provides an update on progress in the refresh of the Greenwich Health and Wellbeing Strategy (2019-2024).

 

Scrutiny panel members are requested to consider and comment on the progress to date in the refresh of the strategy.

Additional documents:

Minutes:

The Director of Public Health presented this item to Panel to enable pre-decision scrutiny.  He outlined that the refresh of the Greenwich Health and Wellbeing (HWB) Strategy had been developed with partners and the final decision will be made at the next Health and Well-being Board, who are responsible for delivering a joint HWB Strategy.

 

Members requested a copy of the draft strategy be circulated so that they can make comment on the content.

 

ACTION: Director of Public Health

 

The Director of Public Health advised that life expectancy (nationally) had plateaued.  The Panel felt this could be attributed to an increase in the number of people in poverty. 

 

Resolved –

 

Members considered the Health and Well-being refresh to the strategy.

8.

Performance Report pdf icon PDF 443 KB

This report provides an update on key Public Health outcomes. The Healthier Communities and Adult Social Care Scrutiny Panel is requested to examine and consider the information and format on the selected indicators.

 

At the March 2019 Panel meeting, Members identified a specific concern in relation to the relatively low level of female life expectancy in the Borough. This report therefore takes a specific look at the factors that may be contributing to this situation.

Minutes:

The Director of Public Health presented this report focusing on female life expectancy, alongside a presentation.  

 

He informed the Panel that people from deprived backgrounds had a greater proportion of life lived in poor health.  Further, that the quantum of life lived in poor health was a major driver of costs to the health and care system. 

 

Members requested the data on the top areas relating to morbidity be broken down by ward and circulated.

 

                                               ACTION: Director of Public Health

 

In response to a question from Members, the Director of Public Health confirmed that cancer screening was the responsibility of NHS England.  The role of the Royal Borough was to monitor the effectiveness of screening programmes, provide surveillance and assurance, and present reports to the Health and Wellbeing Board.  The Royal Borough liaised with NHS England regarding local initiatives and raising awareness.  Accuracy of data held by GPs was essential in terms of people who were not registered. 

 

Ethnicity data for cancer screenings was not currently available but the Director of Public Health would carry out analysis using the information currently held.

                                                                                                             

                                               ACTION: Director of Public Health

 

Resolved: -

 

Members considered the Performance Report.

9.

Social Prescribing pdf icon PDF 716 KB

The Panel is requested to: 

 

·          Consider the progress made in relation to the development of the Live Well Greenwich Prevention System and continue to champion the prevention at scale approach for Greenwich.

·          Note the current delivery of social prescribing in Greenwich and proposals for expansion.

·          Note areas for future development including opportunities to develop social prescribing within the Primary Care Networks. 

Minutes:

The Director of Public Health presented the report, alongside a presentation. 

 

He noted that social prescribing in Greenwich was branded as Live Well, a scheme which enabled health and other professionals to refer people to a range of local, non-clinical services.

 

To date, the Live Well service had been accessed by between 1,000 and 2,000 residents.  A full evaluation of the impact of Live Well had not yet been carried out as it was still being piloted.  The scheme would be rolled out across GP practices borough-wide which would enable more residents to access the scheme.  There were currently Live Well coaches stationed in GLLaB and Job Centre Plus who were providing support over a series of weeks for people needing additional help from a trained Health Coach.  The funding for Live Well was part of the recurrent budget. 

 

Members requested a breakdown of service user statistics broken down by website hits, phone calls etc. The evaluation would cover the number of people signposted to the service who then went on to access it. 

                                                                                                                   ACTION: Director of Public Health

 

Members requested more information about Live Well to enable them to promote the scheme to residents.                                                                             

 

                                               ACTION: Director of Public Health

 

The Panel was unanimous in their support for this service.

 

Resolved: -

 

The Panel considered the Live Well Greenwich Update.                        

10.

Action Monitoring pdf icon PDF 48 KB

The Panel isrequested to note that future meetings will include a report to monitor that actions raised by the Panel have been completed.

Minutes:

The report was presented by the Corporate Governance Manager.

 

Resolved:

 

That future panel meetings would include a report to monitor that actions raised by the Panel had been completed.