Agenda item
INTRODUCTIONS FROM KEY PARTNERS
Minutes:
Adults Health and Community
Denise Radley, Corporate Director Health, Adults and Community, introduced her team to the Committee. The following officers were introduced:
· David Jones, Interim Divisional Director Adult Social Care.
· Somen Banerjee, Director of Public Health
· Ann Corbett, Divisional Director Community Safety
· Warwick Tomsett, Divisional Director Integrated Commissioning (this is a joint post between LBTH and THCCG).
David Jones explained that the Adult Social Care provide a range of services including:
• Initial Assessment and Hospital Social Work, Integrated Community Learning Disability Service, Mental Health – both with ELFT, Community equipment - reablement, Day Centres, long term support plans.
• There were plans to develop localities co-terminus with extended primary care teams and linked to GPs and other local health services.
• It was noted that one of the challenges in adult social care was a high number of vacant posts, out of 132 bank positions 29 remain unfilled. The majority of recruits are newly qualified and so required additional training and support.
Warwick Tomsett informed the Committee that Tower Hamlets Together was a local partnership that would support the joint commissioning function. He said that it would look at ways of working, devise commissioning principles and to look into making savings.
· Key programmes of work included: home care, residential nursing, information and advice supported by the voluntary sector, carer services and mental health provision co-commissioned by partner East London Foundation Trust and supported by the voluntary sector.
· Personalisation - there would be a person centred approach to integration.
· To support commissioning plans THT will use data and financial analysis to understand need across the system.
· The joint commissioning executive will look to align with the wider East London network.
Questions from members:
Are we working in partnership to be more cost effective, or where have we come from to get to where we are today?
Denise Radley explained that one of the priorities in the health and wellbeing strategy was integration. Tower Hamlets was part of the national vanguard to pilot more integrated ways of working that produced better outcomes.
What kind of support is there for the voluntary sector to be involved in commissioning?
The Council funds Tower Hamlets Council for Voluntary Services to deliver a programme of support. A key element of the support includes assisting voluntary sector organisations in building consortia and bidding for contracts.
Dr Somen Banerjee provided a brief overview of the remit of Public Health
• Public Health moved into the Council as a department in 2013.
• They are structured around six programmes:
o Healthy Environments
o Healthy Communities
o Healthy Early Years
o Healthy Children and Adolescents
o Healthy Young Adults
o Healthy Middle Age and Later Years
• Each programme has five work streams including: intelligence, strategy, delivery, partnership and evaluation
• Public Health receives £35 million in funding from Public Health England, key areas of spend in Tower Hamlets include: sexual health, drugs and Alcohol (sits in Community Safety), smoking cessation, weight management, communities driving change.
• PH also oversees around £17m Section 106 health infrastructure expenditure (working with planning, parks and NHS).
• A paper on the borough profile was tabled.
Discussion:
· Why do cancers tend to be diagnosed at a critical stage? The early symptoms of cancer can be vague and can be confused with the symptoms of pre-existing conditions or general aliments such as a cough.
· THCCG is the NEL Cancer lead, they were awarded funding from the Cancer Alliance to do specific work on early diagnosis in the boroughs of Tower Hamlets, Newham and Barking & Dagenham. Simon Hall offered to return to the committee to present on this work.
· There seems to be a lot of provision for children’s dental health, what is being done to support adult dental health? THCCG officers explained that the commissioning of dental services were outside of their remit. Dental services have gone back to being commissioned at the national level. However the east London health and social care partnerships across the 7 borough have put in a case to NHS England to bring dental services back into the local commissioning sphere.
The Kings Fund
The Committee watched a film released by the Kings Fund on how the Health and Social Care system in the UK works.
Tower Hamlets CCG
The Committee heard a presentation from Simon Hall, Managing Director Tower Hamlets Clinical Commissioning Group
Mr Hall provided an Introduction to Tower Hamlets CCG management and gave an overview of how the local system works and fits into regional and national health systems.
· CCG priorities include: person centred care, a focus on mental health as well as physical health and primary care at the centre.
· The CCG is partnered with the following organisations and strategies: Tower Hamlets Together, Council Health and Wellbeing Strategy, North East London Commissioning Alliance, the Community Plan, East London Health and Care Partnership.
· Priorities for 2018/19 include: Implementing new model of urgent care (UTC @ Royal London, GP hubs in each locality, NHS 111)
· Primary care strategy e.g. new single GP registration process and website
· Developing the THT partnership.
ACTION:For SPP officer to circulate the change to walk in services consultation letter to the Committee.
Barts Health
Jackie Sullivan -Executive Managing Director (Royal London and Mile End Hospitals), Barts Health NHS Trust, provided an introduction to Barts Health. Summary of points:
· 4 major hospital sites, 6000 people treated a day, biggest emergency and maternity service in England.
· Strategic aims for Royal London and Mile End Hospital – improve flow and integrated care, staff wellbeing.
· Barts has gone on an improvement journey from 2015 when CQC inspections found some areas to be inadequate, to 2017 when good and outstanding were achieved for most areas.
East London Foundation Trust
The Committee received a presentation from Edwin Ndlovu on an introduction to East London Foundation Trust (ELFT).
Adult Services:
· In patient care wards based at Mile End Hospital
· 4 Community Mental Health Teams (in which LBTH Social Workers are integrated)
· Early Intervention Service
· Primary Care Mental Health service
· Older people Community mental health team (in which LBTH Social Workers are integrated)
· Community Learning disability services (LBTH Social Workers are integrated)
· RESET Drug and Alcohol service
· Recovery College
· Psychiatric Liaison Service based in the Royal London Hospital
· Psychological Therapies- Secondary and Primary care.
Children and young people’s services:
· Is delivered by ELFT and commissioned jointly by the CCG and LBTH.
· Provides a targeted and specialist assessment and intervention service to children and young people 0-18 (0-19 flexibly)
· Forensic Services in other North East London Boroughs
· Emotional & Behavioural Team for children and young people with disorders such as anxiety, depression, eating disorders.
· Neurodevelopmental Team for children and young people with learning disability - ADHD and autism
· Adolescent Team for children and young people with psychosis and other serious disorders of adolescence.
· Support for looked after children.
· Paediatric Liaison Team for children and young people with physical problems and illness.
Achievements:
· Care Quality Commission compliant
· Recruitment and retention of staff
· Top five Trusts in the country
· Excellent staff satisfaction surveys
· Have been successfully delivering a £50 million CRES programme since 2010.
The GP Care Group
Community Interest Company limited by shares. Board comprises:
• 8 elected representatives, (1 per primary care network)
• Non-executive Director (and 2 vacancies)
• Chief Executive
• Executive Directors
• Staff – approx. 370 headcount
Purpose :
• to be the voice of general practice working at scale
• to ensure sustainability of general practice
Delivery:
• 36 practices, 8 networks.
• The networks focus on population health across a geography, encourage collaboration between different sectors such as schools charities businesses, share resources, knowledge and specialist equipment - integrated working.
• Partner in the Tower Hamlets Together Board
• Nurse Training Programme.
RESOLVED:
i. To note the presentations.
Supporting documents:
- 1. Denise Radley Health and Scrutiny_100718 [Compatibility Mode], item 6. PDF 226 KB
- 2.Slide from David Jones, item 6. PDF 204 KB
- 3. INTEGRATED COMMISSIONING Warrick Tomsett IC, item 6. PDF 202 KB
- 4. SomenB Public Health Info slide, item 6. PDF 283 KB
- 4.1 PUBLIC HEALTH - SomenB Borough Profile, item 6. PDF 966 KB
- 5. VIDEO, item 6. PDF 20 KB
- 6. Simon Hall _Health Scrutiny July 18, item 6. PDF 581 KB
- 7. Jackie Sullivan Health SCR INTRODUCTION BARTS HEALTH, item 6. PDF 904 KB
- 8. ELFT presentation to Health Scrutiny Panel, item 6. PDF 405 KB
- 9. GPCG Brief Overview May 2018, item 6. PDF 590 KB
- Briefing for TH Councillors WiC changes, item 6. PDF 437 KB
- NEL NHS guide for councillors 2018, item 6. PDF 670 KB