Agenda and minutes
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Contact: Peter Goss, Democratic Services 020 8937 1353, Email: peter.goss@brent.gov.uk
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Introductions Minutes: The following people introduced themselves to the committee and the Chair welcomed their attendance: Natalie Fox – Borough Director for Brent, CNWL Trust. Robyn Doran – Chief Operating Officer, CNWL Trust Dorothy Griffiths – Chair CNWL Trust Dr Aunpam Kishore Clinical Director Sarah Mansuralli - Interim Chief Operating Officer, Brent CCG Julie Pal – Healthwatch Brent Ian Niven - Healthwatch Brent |
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Declarations of interests Members are invited to declare at this stage of the meeting, any relevant disclosable pecuniary, personal or prejudicial interests in the items on this agenda. Minutes: Councillor Miller declared a non prejudicial interest in item 5 by virtue of holding the position of Public Affairs Officer for the charity Rethink Mental Illness. |
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Deputations (if any) Minutes: None received. |
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Minutes of the previous meeting PDF 88 KB Minutes: RESOLVED:-
that the minutes of the previous meeting held on 12 August 2015 be approved as an accurate record of the meeting. |
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Matters arising Minutes: Council's future transport strategy The Chair reported that the transport strategy had been submitted to Cabinet along with the views of the Scrutiny Committee. The Cabinet had taken a different view on what form the strategy should take and had adopted the strategy as submitted. |
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The Care Quality Commission (CQC) has published a report on the quality of services provided by Central North West London NHS Foundation Trust and an action plan has been developed by the Trust to respond to the findings of the inspection.
Additional documents: Minutes: The committee had before it the report published by the Care Quality Commission (CQC) on the quality of services provided by Central North West London NHS Foundation Trust (CNWL) and the action plan developed to respond to the findings of the inspection.
The committee welcomed to the meeting Natalie Fox (Borough Director for Brent, CNWL Trust), Robyn Doran (Chief Operating Officer, CNWL Trust), Dorothy Griffiths (Chair CNWL Trust), Dr Aunpam Kishore (Clinical Director) and Sarah Mansuralli (Chief Operating Officer, Brent CCG).
Dorothy Griffiths stated that the Trust welcomed the report and recognised the findings of the inspection. On behalf of the Trust, she was proud to point out that it had been graded as outstanding for caring and other areas had been rated as good. However, she recognised that the concern of the committee was over the acute services for adults and core mental health services which had been rated as requiring improvement for which she apologised on behalf of the Trust.
With the aid of a presentation, Natalie Fox informed the committee of the work already undertaken or planned to be done in order to bring standards into line with the recommendations from the inspection. She outlined the ‘must do’ actions which comprised addressing blind spots on the wards at Park Royal, making sure there were adequate numbers of staff and that they were suitably trained, improving monitoring and record keeping, better bed management, reducing the time patients were moved around, providing private telephone facilities for patients, reducing the risk of AWOLS and ensuring adequate contingency plans. Natalie Fox explained to the committee the actions that had already been taken to address some of the required actions and the plans for ensuring all of them were implemented within an agreed timescale.
In answer to questions from the committee, it was explained that the effect of the financial cuts had not been disproportionately applied to mental health services but they did have an effect on the ability to deliver the service. The Trust was required to achieve a higher level of efficiency and the CCG and Social Care services were working to ensure redesigned pathways did not disadvantage any groups. Sarah Mansuralli stated that the Trust was taking a more transformational approach to delivering mental health services. It was stated that few other Trusts had received outstanding for caring and the majority of them had received a similar level of ‘must do’ actions.
Questions were asked about the level of absconding and it was reported that during 2013/14 there had been 40 recorded incidents but this had dropped to 26 in 2014/15 and 6 during the first quarter of 2015/16. However there were different classifications for recording patients who had absented themselves and the request was made for figures for all forms of recorded absences since May 2015. This would include the number returned by the police, which it was reported had significantly reduced. Questions were asked about the numbers of restraining incidents, how many took place at Park Royal ... view the full minutes text for item 6. |
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Scrutiny task group on Access to extended GP services and primary care in Brent PDF 123 KB Brent Clinical Commisisoning Group (CCG) and London North West Healthcare NHS Trust are changing the way healthcare is provided in Brent. The Scrutiny Task Group was established to review the primary care element of Brent CCG’s transformation programme and assess the extent of the changes and investment made in the Brent GP networks and primary care services for the effective implementation of the changes to the acute sector set out within Shaping a Healthier Future (SaHF).
Additional documents:
Minutes: The committee received the report of the task group that had been established to review the primary care element of Brent CCG's transformation programme and assess the extent of the changes and investment made in the Brent GP networks and primary care services. Members of the task group, Councillors Conneelly and Hector were also present.
The Chair welcomed to the meeting Ian Niven(Chair, Healthwatch Brent) and Julie Pal (Healthwatch Brent).
Councillor Daly gave the chair of the task group, Councillor Colwill's, apologies that he could not be present to introduce the report. She thanked the officers who had supported the work of the task group. She also thanked the large number of GPs who gave their time to support the work of the task group. Councillor Conneelly stated that the task group was very concerned at the wide range and extensive lack of communication at all levels in the health service shown by the task group's finding that almost half of Brent residents were not aware of their access to out of hours services. Councillor Daly added a concern of the task group that whilst GP Access Hubs had been established to provide access to GPs in times of need the hubs had somehow evolved into permanent fixtures without consultation and, it was suggested, without a full equalities impact being carried out on these changes to the primary care offer to residents. Given the way they had been commissioned their coverage of the borough was patchy. The task group had also found a lack of local planning to promote the provision of preventative services. It was recognised that Brent is meeting nationally set targets for health screening but the task group felt that the targets for delivering health screening for older people were not ambitious enough. The task group was concerned that the total number of GPs had reduced and that many were over 65 years of age and may be approaching retirement. The recruitment and retention of district nursing was raised as an issue during the review and the task group were concerned about a lack of planning for the recruitment of additional district nurses. It was felt that given the poor level of communication and awareness of local services, Healthwatch Brent needed to play a more robust role in representing the voice of local residents and take on a stronger advocacy role.
In addressing how the number of those registered with a GP could be higher than the population of the area, it was explained that people could register across borough boundaries and those that moved abroad did not always take themselves off the register. This was a situation governed by legislation and individual GPs decided whether they could continue to deliver care to those that had moved away. Ian Niven acknowledged that Healthwatch Brent had not been as vocal as it should have been during the last two years. The service had been retendered and it was now time to review its role within ... view the full minutes text for item 7. |
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Terms of reference for task groups on Fly Tipping and CCTV PDF 187 KB These reports set out the proposed scope for the Scrutiny task group on Fly Tipping in Brent on Close Circuit Television (CCTV) in Brent. Additional documents: Minutes: RESOLVED:
(i) that the scope, terms of reference and timescale for the task group on CCTV in Brent, as set out in the appendices attached to the report submitted, be agreed.
(ii) that the scope, terms of reference and timescale for the task group on fly tipping in Brent, as set out in the appendices attached to the report submitted, be agreed. |
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Scrutiny forward plan and key comments, recommendations and actions PDF 51 KB Additional documents: Minutes: The Chair circulated a proposal for a task group on school governance and invited members of the committee to suggest issues to be included in its scope. He asked that any of the co-opted members that wanted to serve on the task group let him know.
The Chair suggested the following further items to be subject to scrutiny: · school admission policy · children and young people mental health · adoption · the Council's budget setting (to be the work of a task group) · housing associations · section 106 and CIL
His aim was for scrutiny to cover all areas of operation of the Council with some topics being cross cutting.
RESOLVED:
that the scrutiny forward plan and the key comments, recommendations and actions be noted. |
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Any other urgent business Notice of items to be raised under this heading must be given in writing to the Head of Executive and Member Services or his representative before the meeting in accordance with Standing Order 64. Minutes: None. |