Agenda and draft minutes
Venue: Committee Room One - Town Hall, Mulberry Place, 5 Clove Crescent, London, E14 2BG. View directions
Contact: Daniel Kerr, Strategy, Policy and Performance Officer
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APOLOGIES FOR ABSENCE To receive any apologies for absence.
Minutes: The Chair, Councillor Clare Harrisson asked everyone to introduce themselves and stated this meeting was an opportunity for members to further consider the ‘Transforming Services Together’ programme and the planned transformation of health services across the London Boroughs of Tower Hamlets, Newham, Hackney, Waltham Forest and the City of London.
In particular the meeting would examine proposals for:
· Self-Care; · Elective Care; · Movement of Services and patient pathways.
Apologies for absence were received from Cllr Mustaquim (LBTH), Cllr James Beckles (LBN) and Cllr McAlmont (LBN).
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DECLARATIONS OF INTEREST Any Member of the Committee or any other Member present in the meeting room, having any personal or prejudicial interest in any item before the meeting is reminded to make the appropriate oral declaration at the start of proceedings. At meetings where the public are allowed to be in attendance and with permission speak, any Member with a prejudicial interest may also make representations, answer questions or give evidence but must then withdraw from the meeting room before the matter is discussed and before any vote is taken.
Minutes: Cllr Ben Hayhurst declared he is a Partner Governor at Homerton University Trust Hospital.
PUBLIC PARTICIPATION
Dr Jackie Applebee, Chair of Tower Hamlets Local Medical Committee addressed the Committee (see Appendix A) and made the point that whilst the NHS might expect everyone to be self-caring, not everyone would be able to managing their health issues alone. Dr Applebee also expressed her concern about the model put forward and pressures faced by health professionals – such as Pharmacies who were facing change and reform.
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MINUTES FROM THE PREVIOUS MEETING PDF 40 KB To agree the minutes of the meeting held on 7th November 2016. TO FOLLOW
Additional documents: Minutes: The minutes from the previous meeting held on the 7th November will be considered at the next meeting of the Inner North East London Joint Health Overview and Scrutiny meeting scheduled to take place on the 13th December 2016.
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Additional documents:
Minutes: Mr Terry Huff, Chief Officer for Waltham Forest Clinical Commissioning Group (CCG) introduced the report and stated the purpose of the presentation was to give Members a better understanding of how the ‘Transforming Service Together’ (TST) programme intended to re-model services with particular focus on the introduction of Self-Care initiatives plus proposed changes to Elective care. NHS representatives around the table intended to give Members an overview of how services would move and an idea of the new patient pathways that would be created.
Self-Care Mr Steve Gilvin, Chief Officer for Newham CCG referred Members to the diagram on page 39, which demonstrated how the Self-Care model would work. He said it was important to see the model in the wider sense because Self-Care would empower people to take control of their own health. Patients would be supported, giving them confidence, knowledge and skills to manage their long-term condition such as diabetes or COPD.
The person-centred approach to self-care would mean patients staying out of hospital with a range of professional input provided through the community from General Practice, Pharmacies, Social Care and the Third Sector. Mr Gilvin stated each CCG area in North East London had developed their own social prescribing initiatives and the Third-Sector was hugely important in signposting and supporting patients. He referred the Committee to pages 40-41 which provided examples of Self-Care initiatives in the region.
Isabel Hodkinson, for Tower Hamlets CCG stated people were keen to see the NHS make a digital offer such as information and advice on Self-Care and that evidence showed patients wanted digital access to their own medical records. This could create major savings for the NHS.
This was followed by questions and comments from Members who stated:
· Cllr Harrisson: Great to hear the NHS intends to provide a more digital offer but it’s the most vulnerable in society such as elderly, homeless who do not have access to technology or are not accustomed to it. How do you intend to reach people in these groups? · Cllr Munn: Page 14, point 1.5 refers to Patient Activation Measures (PAM). What is this and how to you intend to measure the success of any self-care programme? · Cllr Masters: Has an Equalities Impact Assessment been undertaken in relation to the ‘TST’ programme? · Cllr Harrisson: Can the NHS map out the journey for a patient who falls in the middle group – i.e. they may not be computer savvy nor are they hard to reach; what will the pathway look like for them? · Cllr Hayhurst: Are the Self-Care initiatives mentioned in the slides replacing existing services such as services for those with Diabetes? · Cllr Harrisson: How do you intend to strengthen the relationship between health and social care services? Concerned that if the Self-Care pathways are implemented what the knock on effect would be for Local Authorities.
· Cllr Masters: The diagram refers to the Third Sector. How will they be supported to provide these bespoke services?
In response, NHS Representatives stated ... view the full minutes text for item 4. |
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ANY OTHER BUSINESS Minutes: Members of the INEL JHOSC agreed 1. They required further information on how the ‘Transforming Services Together’ agenda fitted in with the NEL STP and information on the consultation with patients and local authorities. 2. Required further information about STP Governance and how the transformation programmes will be rolled out and implemented and if specific proposals constitute a ‘significant variation’. 3. Report on the Hackney proposal and cross border working –Pathology Laboratory issue and its overlap with STP? 4. Required more specific examples and not the boarder vision – in particular the financial impact and the NHS estates strategy. 5. Request the CEO of the LAS to attend and look at the impact the closure of King George Hospital will have on Bart’s Health.
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