Agenda and minutes
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Contact: Democratic Services Tel: 020 7364 4848 E-mail: david.knight@towerhamlets.gov.uk
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DECLARATIONS OF DISCLOSABLE PECUNIARY INTERESTS PDF 68 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: Nil items |
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MINUTES OF THE PREVIOUS MEETING(S) PDF 103 KB To confirm as a correct record the minutes of the last meeting of the Health Scrutiny Sub-Committee Minutes: Agreed |
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REPORTS FOR CONSIDERATION |
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Self Care and Prevention PDF 69 KB This report aims to provide the Health
Scrutiny Sub-Committee with an overview of Self Care &
Prevention and develop an understanding of the impact it has on
residents health and social care. This report aims to: Additional documents: Minutes: The Sub-Committee received and noted a report that aimed to an overview of Self Care & Prevention and develop an understanding of the impact it has on resident’s health and social care. The report it was noted aimed to:
The questions and comments from Members on the report may be summarised as follows:
The Sub-Committee:
· Noted that self-care refers to anything you do for yourself that promotes healthy choices and helps prevent or deal with illness. It is therefore important that there is a focus on elements that influence wellness, like hygiene, nutrition, lifestyle choices, the environment, socio-economic factors and self-medication; · Asked how we will be able to measure those outcomes referenced in the report over a period of time. Also exactly what will we be measuring and how will we be gathering that data. I response it was noted that one of the things the LBTH and its partners need to do is we need to use all the same measures (e.g. “well-being measurers” and train providers to use the same measurement) and this is an opportunity to push forward on such measures; · Asked if consideration was being given to the improvement of “clinical outcomes”. In response it was noted that there is a need to undertake research on those interventions to understand the best way forward. Also in LBTH this process is assisted by the large data base upon which can be utilised (e.g. We have started to collect that and in a year there will be enough data to show the benefits); · Noted that there is a need to look at cultural changes; what is important to residents as to what will improve their health and well-being and have we made a difference in their lives. Also whilst it is important to look at what has been done and how intervention has had a positive impact upon people’s lives. In addition, it is important that we look at how we can help people to tap into the various resources that are already there; · Agreed that when considering self-care it is important to look at where dentistry sits in supporting oral self-care and dental clinic attendance; · Agreed that NHS England has a key role to play in the process of the development of self-care as well as Housing Providers and the Third Sector; · Agreed that it was important to look at the foot print of needs to be addressed across communities; · Asked that in considering the development of the idea of the good self-care habits that there is a strategy to engage with ... view the full minutes text for item 3.1 |
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Tower Hamlets council recently introduced the
Aging Well strategy. This report provides the Health Scrutiny
Sub-Committee with an overview of the Aging Well strategy, insight
into the implementation of the strategy, and details its impact on
residents health and wellbeing Additional documents:
Minutes: The Sub-Committee that received and noted a report that provided an overview of the Aging Well Strategy; insight into the implementation of the Strategy, and set out details its impact on resident’s health and wellbeing.
The questions and comments from Members on the report may be summarised as follows:
The Sub-Committee:
· Stated that it would wish to see figures on the local capacity to support the aging population in a small London Borough (Including those living in borough or those in adjacent boroughs to be near families); The Housing Providers needed to become more involved in the development of this Strategy; · Agreed it was important to engage Housing Providers on the configuration and building of future provision so as to get the best deal for older residents; · Agreed that there was a need to recognise that there are older people needing extra accommodation for those that look after them, otherwise they have to go into a care home. Therefore, careful consideration is need on what is that the best way forward to meet the needs of the older residents; · Noted that it was accepted that there is a challenge around addressing those issues but this is looking over a longer term 5 years to 10 years; · Noted that it is felt that a strategy should be developed to ensure that LBTH has an overview of meeting the housing needs of the older residents (e.g. the nature of the offer to those living on their own and those in private and public sector); and · Noted that there should be no differences in offer between the private and public sector and there are a number of innovative schemes to such people living in their own homes (e.g. sheltered properties or adaptions to a person’s own home).
Accordingly, the Chair Moved and it was:-
RESOLVED
To note the report
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Health and Wellbeing Strategy PDF 59 KB The Tower Hamlets Health and Wellbeing
Strategy 2017-2020 sets out a framework to improve the health and
wellbeing of the local population. This report provides the Health
Scrutiny Sub-Committee with an overview of the Health &
Wellbeing Strategy and reviews how the four key priority areas in
the strategy are being implemented. Additional documents:
Minutes: The Sub-Committee received and noted a report that provided an overview of the Health & Wellbeing Strategy and reviewed how the four key priority areas in the Strategy are being implemented.
The questions and comments from Members on the report may be summarised as follows:
The Sub-Committee:
· Noted that the Tower Hamlets Health and Wellbeing Strategy 2017-2020 outlines a framework to improve the health and wellbeing of the local population; · Noted that regarding greenhouse gas emissions in LBTH are falling, however the Borough still remains as one of the highest emitters of carbon dioxide emissions in London. There is also a growing public awareness and concern about climate change. As the Council has a clear focus and responsibility for explaining, reducing and responding to the risks associated with climate change as a key part of its community leadership role (e.g. challenging those Housing Providers who out their parking spaces on their estates to commuters; · Acknowledged that it is well documented that poor air quality has adverse effects on the health of residents and exacerbates certain medical conditions such as asthma; and · Agreed that there is a need to give consideration to local schools (e.g. playground design and energy conservation).
Accordingly, the Chair Moved and it was:-
RESOLVED
To note the report
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Low Value Medicines Consultation PDF 77 KB This paper summarises the consultation run by
NHS England (NHSE) and NHS Clinical Commissioners as part of a plan
to develop new guidance on prescribing. It is hoped this guidance
could help the NHS save money, while continuing to deliver the best
possible outcomes for patients. There is an NHSE requirement that
the consultation is discussed at the local overview and scrutiny
committee. Additional documents:
Minutes: This paper summarises the consultation run by NHS England (NHSE) and NHS Clinical Commissioners as part of a plan to develop new guidance on prescribing. It is hoped this guidance could help the NHS save money, while continuing to deliver the best possible outcomes for patients. There is an NHSE requirement that the consultation is discussed at the local overview and scrutiny committee.
The new guidance could mean items that are often routinely prescribed could only be provided where they are absolutely necessary and deemed to be ‘clinically effective’ with the aim to produce a clear and equal prescribing process across the country and make savings which would be reinvested in patient care.
A list of 18 items considered to be low priority for NHS funding has been produced as part of the consultation. This list, along with full details of the consultation, is available on the NHS England website. In addition the consultation is asking for views on the routine prescribing of some over the counter (OTC) medicines used for minor ailments or self-limiting illness. The consultation is open until 21 October 2017.
It was noted that Tower Hamlets Clinical Commissioning Group (THCCG) has:
I. full year costs of £636,172 on the affected items but this would not be realised as a potential saving as patients may require alternative medicines to be prescribed; II. prescribing which falls within the TOP 50% of CCGs for 7 of the 18 items being covered by the consultation; III. prescribing guidance in place already managing the costs of some of the affected items which is already and continuing to reduce the prescribing of these medicines; and IV. not undertaken any work on proposals or guidance to reduce the routine prescribing of over the counter (OTC) medicines used for minor ailments or self-limiting illness.
The questions and comments from Members on the report may be summarised as follows:
The Sub-Committee:
· Noted the list of 18 items considered to be low priority for NHS funding and why are they actually available on prescription. However, the Sub-Committee queried that if somebody was only able to get such specific medication on prescription what would be the impact on LBTH; · Noted those implications would need to be mapped as part of a wider look of the impact in the changes; and · Asked that more should be done to encourage people to move towards self-care/management of certain medicines or accessing their medical needs via a Local Pharmacy rather than a General Practitioner’s Surgery. Accordingly, the Chair Moved and it was:-
RESOLVED
To:
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TH CCG Finance Update PDF 60 KB NHS Tower Hamlets CCG faces an unprecedented
shortfall of £18 million this year. This shortfall is mainly
due to the greater demand on services from the local population,
greater complexity of patients being treated and a change in the
allocation formula received from national government. This
trajectory is expected to continue over the next few years. The CCG
is sharing its financial position with local partners, including
its membership, local patients and the public, allowing the
opportunity for stakeholders to both understand and discuss the
financial pressures faced by the CCG Additional documents: Minutes: A report was received and noted that stated that Tower Hamlets Clinical Commissioning Group (CCG) faced an unprecedented shortfall of £18 million in the current year. This shortfall being primarily due to the greater demand on services from the local population, greater complexity of patients being treated and a change in the allocation formula received from the Government. It was noted that this trajectory is expected to continue over the next few years. The CCG is sharing its financial position with local partners, including its membership, local patients and the public, allowing for there to be an opportunity for stakeholders to both understand and discuss the financial pressures faced by the CCG.
The questions and comments from Members on the report may be summarised as follows:
The Sub-Committee:
· Noted the lag between the number of resident’s and the funding that the CCG receives is an issue through how the funding formula works; · Asked if consideration is being given to address the increase in population through utilising those monies currently available from the Community Infrastructure Levy and Section 106 funding; · Noted that the funding formula does not work in favour of LBTH due in part to the annual churn of population; · Stated that residents should be encouraged to register at a General Practitioners Clinic as this draw down additional funding for LBTH; · Wanted to see more about what is being done for Homeless and Refugee Families; and · Noted that the aim of joining the CCGs together was to get more equitable footprint on the cost burden.
Accordingly, the Chair Moved and it was:-
RESOLVED
To note the CCG
1. Target for savings in next year is £13.2m;
2. Has so far identified £6.5m of savings;
· Urgent care system redesign – redirecting patients to the appropriate care setting e.g. locality hubs; · Reducing unnecessary testing; and · Prescribing - switching to cost effective products/change in dosage. · Providing alternatives to outpatient services in the community e.g. tele-dermatology.
3. Is working with our members, the public and partners to identify further savings opportunities.is |
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ANY OTHER BUSINESS WHICH THE CHAIR CONSIDERS TO BE URGENT Minutes: Nil items |