Agenda and minutes

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No. Item


Apologies for absence and clarification of alternate members

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.


The following apologies for absence were received:

·           Mr Frederick (Co-opted Member)

·           Lesley Gouldbourne (Observer)

·           Jean Roberts (Observer)



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.


Councillor Ketan Sheth declared that he was:

  • a lead governor at Central and North West London (CNWL) National Health Service (NHS) Foundation Trust;
  • a patron of the Silver Star Diabetes charity; and
  • an ambassador for the All-Party Parliamentary Group for Diabetes


Ms Askwith deckared that she was a governor at Wembley Primary School.



Deputations (if any)

To hear any deputations received from members of the public in accordance with Standing Order 67.


There were no deputations received.



Minutes of the previous meeting pdf icon PDF 103 KB

To approve the minutes of the previous meeting as a correct record.



RESOLVED that the minutes of the previous meeting, held on 28 March 2018, be approved as an accurate record.



Matters arising (if any)




Childhood and School-Age Immunisation Programmes in Brent pdf icon PDF 80 KB

The report summarises the work in providing immunisation programmes to children in the London Borough of Brent in 2017/18.

Additional documents:


Dr Catherine Heffernan (Principal Advisor for Commissioning Immunisations and Vaccination Services, Public Health England) and Lucy Rumbellow (Immunisation Commissioning Manager for North West London, Public Health England) introduced the report which provided an overview of Section 7a childhood and school age immunisation programmes in the London Borough of Brent for 2017/18. There were 18 publicly funded immunisation programmes under Section 7a which covered the life-course. However, Dr Heffernan said that the focus of the paper was on immunisation programmes provided for 0-5 years under the national Routine Childhood Immunisation Schedule and those programmes provided for children aged 4-18. She spoke about the routine childhood immunisation programme outlined in section 4.1 of the report (page 16 of the Agenda pack) and said that London had been a complicated area to examine and it had performed worse than other parts of the country. Some of the reasons for this could be related to the vast diversity of the population living in the city, the high mobility rates and the high turnover of people. For example, by the age of one, one-third of children would have changed address at least once which this made it difficult to collect and track data.  


The Committee heard that in line with other London Boroughs, Brent had not achieved the World Health Organisation recommended 95% uptake coverage for the primaries and Measles, Mumps and Rubella (MMR). Although the Borough’s rates were one of the highest in North West London, there was a concern that a cluster could be created in an area where people had not been vaccinated. Therefore, it was important for residents to visit their General Practitioners (GPs) and get their vaccinations done. Dr Heffernan pointed out that Public Health England was working to increase the number of vaccinations available as well as the number of vaccination nurses.


Ms Rumbellow provided an update of specific vaccinations such the ones against MMR and flu. She said that drop prior to the second intake of the MMR vaccine was in line with national trends and that although there had been an increase in the update of flu vaccines (current rate 34%), there were dips in years 2, 3 and 4 which had been addressed with the Local Authority. In relation to risks, Ms Rumbellow noted that there had been a national Measles incident, with young adults who had not had their MMR vaccination being a group of concern. An action plan to respond to an outbreak of Measles had been created and Public Health England was working towards raising awareness of the importance of having the MMR vaccine. Members heard that if a cluster or an outbreak was declared, the initial response would be to vaccinate people in the nearby area. 


As far as challenges related to uptake were concerned, it was noted that although Brent had some specific barriers, these were not dissimilar from the ones in other areas of London. As Brent had a very diverse community, it was difficult to ensure that immunisation records  ...  view the full minutes text for item 6.


Diabetes: Diagnosis, Treatment and Prevention in Brent pdf icon PDF 307 KB

This report provides an update for the Overview and Scrutiny Committee on diabetes services in Brent. It focuses on high risk factors, prevention, diagnosis and treatment initiatives in Brent and also addresses the system-wide approach to addressing the challenges of managing diabetes.  


Additional documents:


Dr Shazia Siddiqi (Clinical Director, Brent Clinical Commissioning Group (CCG) introduced the paper which provided an update on diabetes services in Brent, focusing on high-risk factors, prevention, diagnosis and treatment initiatives. Dr Siddiqi said that it was estimated that the total number of adults with both Type 1 and Type 2 diabetes in England was 3.8 million people, 90% of whom had Type 2 diabetes, costing the National Health Service (NHS) approximately £10 billion a year. She directed Members’ attention to table 7 on page 55 of the Agenda pack which showed how Brent compared to other boroughs. Prevalence of diabetes in Brent was higher than the national average and Public Health England had estimated that there were approximately 7,500 undiagnosed patients so engaging them should be a key priority for Brent Council and Brent CCG. Dr Siddiqi spoke of the Public Health England Diabetes Prevalence Model which had found that diabetes was more common in men, people from South Asian and Black ethnic groups and older members of society.


Dr Melanie Smith (Brent Council’s Director of Public Health) spoke about the need for a whole population approach to be adopted to prevent diabetes and she noted that intervention should be underpinned by three objectives – encouraging physical activity, reducing weight and eating a healthy diet. She referred to heath checks that had been commissioned from patients’ General Practitioners (GPs) (section 5.2 of the report on page 43 of the Agenda pack) and said that the Brent Integrated Diabetes Service had been launched in October 2014. Its main focus had been to strengthen and increase the overall management of the condition, improve health and reduce health inequalities among the Borough’s population and deliver high quality services that were easily accessible. Dr Smith explained that more information about the services available at different tiers could be found in Table 5 on page 47 of the Agenda pack.


Introducing Charlotte Summers (Chief Operating Officer, said that it was the world’s largest diabetes community, providing a platform to facilitate conversation between people affected by the condition. The organisation had developed a low carb programme and had been working on weight loss, among other initiatives aimed at empowering people to achieve remission of Type 2 diabetes. Members heard that information could be tailored according to individual needs and it could be accessed online and on mobile devices to increase flexibility.


The Chair invited the Diabetes Community Champions present at the meeting to share their experiences. Tony Hennessey spoke about his experience of engaging people at various events ranging from health fairs, though visiting community groups to holding stalls at Brent Civic Centre. He emphasised the importance of getting the right message to residents and educating them about diabetes. Dee Sime shared her personal experience of being diagnosed with borderline Type 2 diabetes and the measures she had taken to try and reverse the condition. Ms Sime explained how she had decided to become a Diabetes Community Champion in February 2015 and said  ...  view the full minutes text for item 7.


Overview and Scrutiny Annual Report 2017/18 pdf icon PDF 80 KB

This report summarises the work of the three scrutiny committees during the 2017-2018 municipal year.

Additional documents:


RESOLVED that the contents of the 2017-18 Annual Scrutiny report be noted.



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 60.