Agenda and draft minutes
Venue: Room C1, 1st Floor, Town Hall, Mulberry Place, 5 Clove Crescent, London, E14 2BG
Contact: Alan Ingram, Democratic Services Tel: 020 7364 0842, E-mail: alan.ingram@towerhamlets.gov.uk
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ELECTION OF VICE-CHAIR The Overview and Scrutiny Committee at their 4 June 2013 meeting will appoint the Chair of the Health and Scrutiny Panel for the Municipal Year 2013/2014.
However, it is necessary to elect a Vice-Chair of the Health Scrutiny Panel for the Municipal Year 2013/2014. Minutes: The Chair nominated Councillor David Edgar to serve as Vice-Chair of the Panel for the remainder of the Municipal Year. The nomination was seconded by Councillor Zenith Rahman.
RESOLVED
That Councillor David Edgar be elected Vice-Chair of the Health Scrutiny Panel for the remainder of the Municipal Year 2013/14.
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APOLOGIES FOR ABSENCE To receive any apologies for absence. Minutes: Apologies for absence were submitted on behalf of Councillor M.A. Mukit MBE (for whom Councillor Lesley Pavitt deputised) and Dr Amjad Rahi, Co-opted Member.
Councillor David Edgar indicated that he would have to leave at 7.00 p.m., due to other meeting commitments.
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DECLARATIONS OF DISCLOSABLE PECUNIARY INTEREST PDF 56 KB To note any declarations of interest made by Members, including those restricting Members from voting on the questions detailed in Section 106 of the Local Government Finance Act, 1992. See attached note from the Monitoring Officer.
Minutes: There were no declarations of Disclosable Pecuniary Interest.
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UNRESTRICTED MINUTES PDF 78 KB To confirm as a correct record of the proceedings the unrestricted minutes of the ordinary meeting of Health Scrutiny Panel held on 23 April 2013. Minutes: Mr Alan Ingram, Senior Committee Officer, reported that Ms J. Milligan, Chief Officer, Tower Hamlets Clinical Commissioning Group, had requested that her name be added to the list of those present at the meeting. This was agreed.
RESOLVED
That the unrestricted minutes of the meeting of the Panel held on 23 April 2013 be agreed as a correct record of the proceedings.
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REPORTS FOR CONSIDERATION |
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Health Scrutiny Panel Terms of Reference, Quorum, Membership and Dates of Meetings PDF 53 KB Additional documents:
Minutes: The Panel received a report detailing the Terms of Reference, quorum, membership and dates of meetings of the Panel for the Municipal Year 2013/14.
RESOLVED
That the report be noted.
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LIFE COURSE - YOUNG ADULTS SESSION Minutes: The Chair commented that the Panel would be adopting a life course approach as a focused method for arranging the business at its meetings. The current session would concentrate on issues relating to 11-24 year olds and it was hoped that recommendations would emerge that would help achieve service improvements. |
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Introduction and Presentation from Public Health on Young Adults PDF 38 KB Public Health Leads – Chris Lovitt and Esther Trenchard-Mabere, Associate Directors of Public Health)
a) Marmot Review about the life course with focus on young adults. b) Overview of health issues from JSNA c) Link to HWB Strategy and related strategies
Additional documents: Minutes: Chris Lovitt, Associate Director of Public Health, introduced a presentation on behalf of the Tower Hamlets Public Health service. Particular points made were that:
Ø Giving every child the best possible start in life. Ø Enabling them all to make the most of their capabilities and have control over their lives. Ø Creating fair employment and good work for all. Ø Ensuring a healthy standard of living for all. Ø Creating and developing healthy and sustainable places and communities. Ø Strengthening the role and impact of ill-health prevention.
Mr Lovitt concluded that it was not possible for one agency to deal with the multiple elements to be addressed and a partnership approach was required. The Chair thanked Mr Lovitt for his presentation and added that consideration would be given to what was needed in terms of service provision. |
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Clinical Commissioning Group Presentation Rahima Miah and Hannah Falvey presenting on what they are commissioning in terms of young adults’ health.
Minutes: Ms Hannah Falvey, of Tower Hamlets Clinical Commissioning Group (CCG), made a verbal presentation on the work of the Group, including information that: · CCG service provision for children extended to the age of 18 years. · Quality of services was under review to improve outcomes. · Public Health consultation was undertaken and the CCG Board included a representative of Barts Health. Development of working practices with the Council was also underway. · The CCG’s overarching commissioning services were grouped broadly, such as community health and mental health but care was also commissioned for a small number of children with longer term health problems. · The CCG had come into being on 1 April 2013 and there was not yet a strong focus on services for children and young persons. However, a stocktake was being undertaken of all commissioned services, data received and key point indicators to determine whether they were fit for purpose. Work was also in progress on the development of a paediatric continence service and best practice for diabetes services. · Particular attention was being given to asthma, Accident and Emergency and gastroenterology, together with the transition from children’s to adults’ services, in order to identify where improvements could be made.
The Chair thanked Ms Falvey for her presentation.
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Barts Health Presentation PDF 42 KB
Additional documents: Minutes: At the request of the Chair, Dr Ian Basnett, Public Health Director Barts Health NHS Trust, gave an introduction to the presentation on the Trust’s overview for improving the lives of the local population. He indicated that a population-based approach was being adopted, rather than simply treating patients individually and added that three themes relating to health services; staff health and determinants of health (such as employment) were included in this approach.
Dr Basnett then introduced further presenters from the Trust to comment on particular work areas.
Jane Hawdon, Group Director, Women’s and Children’s Health CAG, made her presention and stated that Barts included anyone over 16 years old in adult services. However, there was a moral responsibility to ensure that care provided was age-appropriate. Youth workers were also deployed in acute care departments, especially where persons involved in or victims of crime were treated. The Trust was looking to involve a wider cohort of young people but could not work successfully in isolation from other partners/stakeholders.
Janet Lewis, Director of Operations, CHS, gave details of weight management services and school health services that were in place and indicated that a multi-disciplinary team with a single point of contact was in place, with allocated nurses for all schools in the Borough.
Denise McEneany, Consultant Midwife, Supervisor of Midwives and Named Midwife for Safeguarding Children, spoke on the work of the specialist team of midwives for vulnerable women. She commented that this covered a range of areas and women often had more than one vulnerability. The aim was to promote improvement of their life chances and a relationship had been established with the local community, taking a pro-active approach to contacting women. All safeguarding measures were incorporated into the midwifery services and could apply to women as well as babies. Domestic abuse and violence was a significant problem and young women were helped to develop self-respect, with the help of peer support.
Dr Liat Sarner, Consultant, HIV/GUM, addressed the meeting on problems arising from high rates of sexually transmitted infections and teenage pregnancy. She provided details of the three sexual health hubs available and how life chances could be improved for young persons. All schools received advice from OPTIONS, a dedicated service for under-25s and there was a wide range of community partners who were involved.
Professor Graham Foster, Consultant Hepatologist and Professor of Hepatology, stated that Hepatitis B was now a major health concern. , for which a dedicated services had been established. This treated families as a whole, with a separate clinic for adolescents. This was currently located at the Royal London Hospital but it was intended to expand the service.
The Chair thanked the speakers for their very comprehensive and useful information. |
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Presentations by Community Organisations PDF 38 KB a) Osmani Project – Obesity b) Life Line – Alcohol and Substance Abuse
Additional documents: Minutes: Alema Akthar spoke regarding the work of the Osmani Trust through the Osmani Centre, which aimed to: · reduce child obesity in Tower Hamlets by installing healthy lifestyles for young people in the Borough; · develop the knowledge of young people and their carers so they were better able to live healthier lives; · reduce barriers to participation in health provisions and physical activities for deprived and disadvantaged groups.
George Gallagher of the Lifeline Project stated that there had recently been large cuts in finance available and the service now comprised three substance advisors and him. This was the specialist substance Misuse Agency for young people in Tower Hamlets who were using drugs and alcohol. He then made a wide-ranging presentation on the work of the service, commenting in particular that:
The Chair thanked the speakers for their presentations and opened the session to questions, from which the following emerged:
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ANY OTHER BUSINESS WHICH THE CHAIR CONSIDERS TO BE URGENT Minutes: Nil items.
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