Issue - meetings

Matthew Cole, Director of Public Health, LBBD, presented the report on the performance for Quarter 1 and drew the Board’s attention to a number of improvements and also the further improvements that were needed, the details of which were set out in the report.

The Board discussed a number of issues, including:

·  Primary Care Transformation Strategy.  A report was currently being compiled and would be presented to the next meeting of the Board

·  CQC had inspected Dr P and Dr S Poologanathans’s practice and it had been rated as ‘Good’.

·  Secondary Care Performance

I&E performance, non-elective admissions, BHRUT re-inspection and mentorship from Virgin Mason Institute

·  Mental Health Care
-CAMHS access and usage information and noted that an in-depth needs assessment had been commissioned to look at those waiting for treatment and there were no known breaches of the 18 week wait for treatment target.
-The proportion of adults in the Care Programme Approach that were in employment, the current targeting of funds into Mental Health services and the work of the Mental Health Sub-Group.

·  Adult Social Care
CQC had published six inspection reports, four of which had been rated good and two were rated ‘Requires Improvement’ or ‘Inadequate’.  The action that had been taken in regard to the later two was set out in Appendix C to the report.  Reviews had also been undertaken of the care homes and it was noted that the social workers that had visited were satisfied.  The Chair advised that she would discuss with the Chair and Deputy Chair of HASSC whether they might wish to monitor residential homes.

·  Children’s Care
- Immunisation take up had increased in the previous Q4, however, overall the take-up rate was still below national average.
-The percentage of looked after children with an up-to-date health check had decreased in Q1.  An Action Plan was in place and would be reviewed by the Designated Looked After Children Nurse.

·  Public Health
Chlamydia detection rate, smoking quitters, NHS Health Check uptake.

·  Indices of Deprivation
LBBD was now ranked as the twelfth most deprived borough in England.

Terry Williamson, Stakeholder Engagement Manager North East London, 

London Ambulance Service (LAS) NHS Trust, gave a verbal report on the challenges that the LAS faced, the locally based initiatives they had, and general information, including:

·  Since April 2015 the LAS had responded to over 7,151 calls.  LAS had a target to attend 75% of life threatening calls within the eight minutes.  The pressures and demands on the LAS were increasing across the whole of the London area.

·  Vacancy and retention issues and recruitment and training programmes, including work being undertaken with universities.

·  The need to increase the use of alternative pathways to A&E attendance, including general ill health awareness and information sources so that the public could make informed choices about the where to go for medical assistance or advice and when to go to A&E.

·  The redistribution of patients during pressure periods, which was generally from Queen’s to King Georges Hospital but  ...  view the full minutes text for item 34