Items
No. |
Item |
45. |
Death of Her Majesty Queen Elizabeth II
Minutes:
Before moving to the
formal business of the meeting the Chair with great sadness asked
the Committee to note the death of her Majesty Queen Elizabeth
II. Throughout her reign of more
than 70 years, the Queen had been an
inspiration to people not only from this Country but across the
world, through her tireless commitment to her public duties and to
her people. She would be sorely missed. May she rest in
peace.
The Chair then asked everybody to
stand in quiet reflection for a minute’s silence.
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46. |
Declaration of Members' Interests
In accordance with the Council’s
Constitution, Members are asked to declare any interest they may
have in any matter which is to be considered at this meeting.
Minutes:
There were no declarations of interest.
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47. |
Minutes - To confirm as correct the minutes of the meeting held on 23 March 2022 PDF 97 KB
Minutes:
The minutes of the meeting held on 23 March
2022 were confirmed as correct.
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48. |
Proposed Diagnostic Centre at Barking Community Hospital PDF 54 KB
Additional documents:
Minutes:
The
Director of Strategy and Partnerships (DSP) and the Diagnostics
Programme Director (DPD) at Barking, Havering and Redbridge
University Hospitals NHS Trust (BHRUT) delivered a presentation on
the proposed diagnostic centre at Barking Community Hospital (BCH),
which was part of a national NHS England-funded programme of
diagnostic centre building, that would help to improve access to
diagnostics to support the early diagnosis of disease. The
presentation detailed that:
- The Community Diagnostic Centre (CDC) preparations were already
underway, with a Computed Tomography (CT) scanner and Magnetic
Resonance Imaging (MRI) scanner currently being built
there.
- The construction of the larger building containing the majority
of the diagnostic capacity had been subject to two recent public
consultations, which had both reported very positive findings. The
CDC was proposed to cost £15 million to build and would
contain the full suite of diagnostic services (such as CTs, MRIs,
X-rays, ultrasounds, physiological measurements and blood
tests);
- The aim of the CDC was to enable residents to go to a ‘one
stop shop’ for diagnostics before they were fully referred
into secondary care, so that any issues could be
determined.
- Over the next couple of years, it was planned to build one CDC
in Barking, one in Mile End and a third in another
location.
- The Barking CDC was proposed to open between October-December
2023.
The
Cabinet Member (CM) for Adult Social Care and Health Integration
stated that, whilst herself and other Council colleagues had
lobbied hard for this very positive development, she wished to put
on record her thanks that the system had listened to all concerns
and taken action to address these.
In
response to questions from Members, the DSP and DPD stated
that:
- BHRUT had submitted a provisional business case to NHS England
(NHSE). Whilst this did not specify every exact detail, it would
provide BHRUT with the
£14.9 million for the construction of the building. NHSE
had confirmed that it was satisfied with the provisional business
case and had given BHRUT a formal letter of agreement to confirm
that BHRUT could access this funding.
- NHSE had also committed to three years of revenue funding to pay
for the staff to run the scans within the centre. Whilst this was
the maximum length of funding that NHSE would currently provide,
this was not to say that there would not be funding after this
three-year period.
- The funding was entirely new money that was being given to the
system from the NHSE pot of programme funding, that would not need
to be repaid.
- Whilst BHRUT could not guarantee exact waiting times as part of
this new CDC as it did not know how much demand would change and
grow, the CDC would help to reduce the current backlog. The
majority of access to the CDC would be through direct GP referrals,
rather than through lengthier referral processes through GPs and
then hospital consultants as previously.
- As
the CDC would not be based in a hospital, the diagnostic services
would be more sustainable and could ...
view the full minutes text for item 48.
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49. |
Enhanced Access Update PDF 61 KB
Additional documents:
Minutes:
The Director
of Primary Care Transformation (DPCT) and the Clinical and Care
Director (CCD) Barking and Dagenham at NHS North East London (NEL)
delivered an update on enhanced access. The presentation detailed
that:
- All Primary Care Networks (PCNs) in England would be required to
offer patients a new ‘enhanced access’ model of care
from 1 October 2022, which would see GP practices open between
6.30pm-8pm from Mondays to Fridays, and between 9am and 5pm on
Saturdays. This would replace the current Extended Hours
and Extended Access services, marking a shift in the way
out-of-hours non-urgent services were provided across North East
London.
- The PCNs had subcontracted and were working alongside the GP
Federation to provide these services. As part of the NHS England
(NHSE) specification, the PCNs were also working alongside new
roles funded by the NHSE, such as clinical pharmacists,
physiotherapists and occupational therapists.
- To
support PCNs with engaging their patients, NHS NEL had run a North
East London-wide survey on provided services, of which there were
just under 5,000 responses from Barking and Dagenham
residents.
- The model would evolve as ongoing resident feedback was
received, as well as to cater to the needs of patients.
- A
mixture of GP, nurse and therapist services would be offered, as
well as face-to-face, telephone and remote
appointments.
- The new model would run from three sites locally.
- Additional funding had also been secured to keep the current GP
Access Hub service running until 31 March 2023.
In
response to questions from Members, the DPCT and the CCD stated
that:
- The model would be flexed to accommodate the various preference
types for appointments and the PCNs would continue to work with
patient groups, to suit their needs. NHSE had also specified that
PCNs needed to provide a range of appointment types.
- When patients booked an appointment, they would be asked which
type of appointment they wanted; if a patient wished to have a
face-to-face appointment, it would be offered to them.
- They would return to the Committee early in 2023 once the
service had been running for a few months, to bring back data and
feedback from residents as to the new services offered.
- Whilst there was already an existing weekend and evening service
for urgent appointments, the ‘enhanced access’ model
would be for routine appointments and would increase GP opening
hours for these.
- It
was estimated that around 72,000 additional appointments could be
undertaken each year through the six PCNs in Barking and Dagenham
working together, as part of the “enhanced access”
model. NHS NEL would ensure that the current in-hours offer would
not reduce due to this, and could bring back data on the number of
appointments provided in the first quarter, upon their return to
the Committee in January 2023.
- It
was hoped that the model would increase the uptake of screening
programmes, for those who were only able to book after-work
appointments.
- NHS NEL was in discussion with Council colleagues about the
Borough’s Family and Children’s Hubs, and services
...
view the full minutes text for item 49.
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50. |
Tulasi Medical Centre Update PDF 60 KB
Additional documents:
Minutes:
The Director of
Primary Care Transformation (DPCT) and the Clinical and Care
Director (CCD) Barking and Dagenham at NHS North East London (NEL)
delivered an update on the Tulasi Medical Centre and the Faircross
Health Centre, following their inadequate Care Quality Commission
(CQC) ratings, to assure the Committee of the action that was being
taken to improve these. The presentation detailed that:
- Tulasi Medical Centre
had been rated inadequate against all key questions asked by the
CQC (about whether services were safe, effective, caring,
responsive to people’s needs, and well-led). It had also had
its registration with the CQC suspended; it could still hold its GP
contracts under the regulations, but whilst it was rated inadequate
and addressing CQC issues, it had had to subcontract its services
to the GP Federation.
- There would be a
six-month period in which Tulasi Medical Centre would have an
action plan in place, approved by the CQC and NHS NEL, to address
the issues found by the CQC. An NHS NEL team would monitor progress
with the Centre on a weekly basis, as well as to support around
aspects such as medicine management, safeguarding and infection and
disease control.
- As a commissioner,
NHS NEL had also issued a breach notice to Tulasi Medical Centre,
which the Centre had six months to address. The Centre would be
monitored by the regulator, CQC, and NHS NEL as it provided its
services under the GP contract. NHS NEL would also work with NHSE
to look at the competencies of the clinicians working at the
site.
- Faircross Medical
Centre had been rated inadequate by the CQC, but could still hold
their registration with the CQC. Whilst NHS NEL was working with
Faircross on its action plan, it had been inspected earlier in the
year, and so was further ahead in addressing its remedial
actions.
In
response to questions from Members, the DPCT and the CCD stated
that:
- At
the end of the six-month remedial period, a CQC reinspection would
take place. These often took between four-five days, with the CQC
bringing in a new team to thoroughly check actions across all key
domains, to ensure that auditing was being undertaken correctly and
that policies were in place.
- GP
practices did change over time. The Tulasi Medical Centre lead held
a lot of responsibility on their own; one of their actions was to
look into recruiting partners to share the workload. The lead had
held various roles in the system and had since stepped back from
these, to concentrate on their GP practice.
- The CQC worked independently from NHS NEL, but other practices
were undergoing inspections as part of the CQC’s inspection
cycle. Through the Borough Partnership, NHS NEL was looking at
holding a quality roundtable to look into general practice,
focusing on workforce, funding and workload issues, as well as what
the system could do to best support practices and help them to
prepare for CQC inspections. It was also holding educational
training events looking at inspections, data ...
view the full minutes text for item 50.
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51. |
Appointments to the Outer North East London Joint Health Overview and Scrutiny Committee PDF 87 KB
Additional documents:
Minutes:
The
Chair presented a report asking the Committee to appoint three
Members to the Outer North East London Joint Health Overview and
Scrutiny Committee (ONEL JHOSC) for the 2022/23 municipal year. The
Committee agreed to appoint Councillors Robinson, Lumsden and
Chowdhury to the ONEL JHOSC.
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52. |
Minutes of the Joint Health Overview and Scrutiny Committee meeting on 28 July 2022 PDF 198 KB
Minutes:
It
was noted that the minutes of the last meeting of the Joint Health
Overview and Scrutiny Committee were included as part of pages
47-51 of the agenda.
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53. |
Health Scrutiny Committee Work Programme 2022/23 PDF 83 KB
Additional documents:
Minutes:
The Chair presented
the draft work programme for 2022/23, following previous
discussions with the Director of Public Health, the Operational
Director for Adults Social Care and the Cabinet Member for Social
Care and Health Integration, as to what the priorities should be
for the year.
Members agreed the
draft Work Programme, as well as to undertake a scrutiny review
relating to the Voluntary and Community Sector (VCS) during this
municipal year; of which the terms of reference would be scoped and
brought back for agreement at the Committee’s next meeting on
14 November 2022.
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