Agenda and minutes

Health and Social Care Scrutiny Sub-Committee - Monday 4 February 2019 7.30 pm

Venue: Committee Rooms 1 & 2, Harrow Civic Centre, Station Road, Harrow, HA1 2XY. View directions

Contact: Daksha Ghelani, Senior Democratic Services Officer  Tel: 020 8424 1881 E-mail:

No. Item


Attendance by Reserve Members

To note the attendance at this meeting of any duly appointed Reserve Members.


Reserve Members may attend meetings:-


(i)                 to take the place of an ordinary Member for whom they are a reserve;

(ii)               where the ordinary Member will be absent for the whole of the meeting; and

(iii)             the meeting notes at the start of the meeting at the item ‘Reserves’ that the Reserve Member is or will be attending as a reserve;

(iv)              if a Reserve Member whose intention to attend has been noted arrives after the commencement of the meeting, then that Reserve Member can only act as a Member from the start of the next item of business on the agenda after his/her arrival.


RESOLVED:  To note that there were no Reserve Members in attendance.


Declarations of Interest

To receive declarations of disclosable pecuniary or non pecuniary interests, arising from business to be transacted at this meeting, from:


(a)               all Members of the Sub-Committee;

(b)               all other Members present.


RESOLVED:  To note that the following interests were declared:


Agenda item 7 – CQC Progress Report including actions from the Quality Summit


Councillor Chris Mote, a member of the Sub-Committee, declared a non-pecuniary interest in that his daughter was employed at Northwick Park Hospital.  He would remain in the room whilst the matter was considered and voted upon.


Agenda item 8 – Alexandra Avenue GP Access Centre – Changes to walk-in services and the impact of changes


Councillor Maxine Henson, a member of the Sub-Committee, declared a non-pecuniary interest in that Alexandra Avenue GP Access Centre was situated in Roxbourne Ward which she represented.


Minutes pdf icon PDF 173 KB

That the minutes of the meeting held on 16 October 2018 be taken as read and signed as a correct record.


RESOLVED:  That the minutes of the meeting held on 16 October 2018, be taken as read and signed as a correct record.


Public Questions

To receive any public questions received in accordance with Committee Procedure Rule 17 (Part 4B of the Constitution).


Questions will be asked in the order in which they were received.  There will be a time limit of 15 minutes for the asking and answering of public questions.


[The deadline for receipt of public questions is 3.00 pm, 30 January 2019.  Questions should be sent to  

No person may submit more than one question].


RESOLVED:  To note that no public questions were received.



To receive petitions (if any) submitted by members of the public/Councillors under the provisions of Committee Procedure Rule 15 (Part 4B of the Constitution).


RESOLVED:  To note that no petitions were received.


References from Council and Other Committees/Panels

To receive any references from Council and/or other Committees or Panels.





CQC Progress Report including Actions from the Quality Summit pdf icon PDF 411 KB

Report of the London North West University Healthcare NHS Trust

Additional documents:


The Forum noted that, at its meeting in October 2018, the Sub-Committee had received a report of the London North West University Healthcare NHS Trust setting out the response to the Inspection Report of the Care Quality Commission (CQC).


The report before Members at tonight’s meeting (4 January 2019) provided an update on the following:


-               the recent unannounced CQC visit on 10 January 2019;

-               an update on the completion of the ‘MUST DO’ Action Plan;

-               an overview of the developed Composite Improvement Plan;

-               a progress update on the Actions from the Quality Summit;

-               a proposal of the CQC Preparation Plan.


A representative of the Trust introduced the report and stated that, since the Inspection, a CQC Review Group had been set up to consider the Action Plan, which was attached to the report.  Good progress had been made and the CQC had made an unannounced visit in January 2019 and their further report was awaited.


Another representative informed Members of the progress made following the CQC Inspection Report and the next steps for the Trust.  She added that the Trust had made good progress towards the recommendations of the CQC.  A strong governance framework had been established to ensure that the progress made was sustainable.  The visit by the CQC in January 2019 related to the ‘Warning Notices’ issued following the Inspection in 2018, which had mostly been technical in nature and had not compromised safety of patients.  All the issues raised at both the Ealing Hospital and Northwick Park Hospital sites had been addressed.  She re-iterated that a further report of the CQC was awaited.


The Sub-Committee was informed that since the receipt of the Inspection Report, the Trust had engaged with frontline staff and comprehensive measures had been put in place in relation to Maternity Services.  The pledges following the Quality Summit were also being addressed.


Members asked the following questions:


·                     Action Plan - which actions in the Plan had been completed? What was outstanding?  How had the staff been involved in the implementation and had they taken ownership?  Which actions in the Plan were proving particularly challenging to implement and why?


A representative of the Trust reported that engagement with staff had been positive.  For example, in Maternity Services, a staff newsletter had been introduced to ensure that staff were kept informed of developments.  Measures had been put in place to ensure that the progress made was sustainable.  All Trusts faced difficulties in recruiting nursing staff and the Trust was working with NHS Improvement in this regard.  Recruitment and retention measures were also being looked at, including that the Trust needed to be seen as an ‘employer of choice’.  International recruitment was being explored.


Another representative stated that the majority of the recommendations in the Inspection Report related to compliance with training and stock management.  He stated that additional staff training had been put in train, particularly in relation to the Bleep System(s) in Maternity Services.  It was essential to embed practice  ...  view the full minutes text for item 31.


Alexandra Avenue GP Access Centre - Changes to Walk-in Services and the impact of changes pdf icon PDF 337 KB

Report of the NHS Harrow Clinical Commissioning Group.


The Sub-Committee received an information report of the Harrow Clinical Commissioning Group (CCG), which provided an update on the Alexandra Avenue GP Access Centre in relation to ‘Changes to Walk-in Services’ made in November 2018 and the impact of their implementation.  The changes had been aligned with the Urgent Care Strategy which the CCG had adopted.


A representative of NHS Harrow CCG introduced the report and outlined how the implementation of the Alexandra Avenue Walk-in Centre to a GP Access Centre had been launched and promoted, the benefits the change offered to patients in Harrow, how the change had been marketed, how appointments could be booked through both GP Practices in Harrow and the NHS 111 Service, including other Walk-in Centres and the Urgent Care/Treatment Centre.  He referred to the feedback received which had been included in the report.  He added that individuals who had ‘walked into’ the Centre had had their clinical needs assessed and were briefed on how they could access medical care in the future as a result of the changes made.


The representative added that during the first two months, 85% of available appointments had been booked for Monday-Friday but the appointments during the weekends remained largely unused.  The CCG was working with NHS 111 and the Urgent Care Centre to ensure that the capacity at the Access Centre was effectively used and to help reduce the burden on the Urgent Care Centre and the A&E Services, particularly during the winter months.


The Sub-Committee was also informed that there was no evidence that the change to an Access Centre had had any material impact on the services provided both before and after the change.  Data had shown that patients presenting themselves to the various medical services were presenting themselves to the correct service in light of their condition.  It had been noted that there had been an increase in the number of younger patients presenting themselves to the A&E Service and that, year on year, there had been a 14% increase in Brent patients.


The representative from Harrow CCG added that recent data had shown that the usage at Alexandra Avenue GP Access Centre had gone up to 96% and the CCG was working to ensure maximum utilisation.


·                     What had been the impact on the two Walk-in Centres in Harrow?  Was it correct hat the CCG was looking to take out £1m from the medical centre budget?  Would the Walk-in Centres in Harrow be changed to GP Access Centres?


The representative from the CCG stated that the situation at Belmont Walk-in and Pinn Medical Centres had remained static.  In relation to the budget, he was not aware of any such information but undertook to provide details and clarification in this regard.  A Medical Committee, as part of a PMS (Personal Medical Services) Contract Review (part of a wider development of primary care services), would ensure that matters were dealt with as equitably as possible and that patients were not disadvantaged.


The Member concerned  ...  view the full minutes text for item 32.


Update from NW London Joint Health Overview and Scrutiny Committee pdf icon PDF 136 KB

Report of the Divisional Director of Strategic Commissioning, Harrow Council.


The Sub-Committee received a report of the Divisional Director of Strategic Commissioning updating Members on the discussions held at the meeting of the North West London Joint Health and Overview and Scrutiny Committee (JHOSC) held on 4 December 2018.


The Chair reported that the JHOSC had extended its terms of reference to include scrutiny of regional Sustainability and Transformation Plans and the Council; had ratified the extended terms of reference in its own Constitution at its November 2018 full Council meeting.


The Chair reported that the next meeting of the JHOSC was scheduled to meeting on 12 March 2019 at 9.30 am and that it would be hosted by the Council.  She added that the extraordinary meeting referred to in the report would not now meet in February 2019 as indicated in the officer report.


RESOLVED:  That the report be noted.


Meeting Dates for Municipal Year 2019/20

Wednesday 12 June 2019 (7.30pm, Harrow Civic Centre)

Tuesday 5 November 2019 (7.30pm, Harrow Civic Centre)

Monday 3 February 2020 (7.30pm, Harrow Civic Centre).


RESOLVED: To note that, during the Municipal Year 2019/20, the Health and Social Care Scrutiny Sub-Committee was scheduled to meet on the dates set out below:


Wednesday 12 June 2019 at 7.30 pm, Harrow Civic Centre

Tuesday 5 November 2019 at 7.30 pm, Harrow Civic Centre

Monday 3 February 2020 at 7.30 pm, Harrow Civic Centre.