Agenda and minutes

(Special), Overview and Scrutiny Committee - Tuesday 8 December 2009 7.30 pm

Venue: Committee Room Harrow Civic Centre

Contact: Damian Markland, Acting Senior Democratic Services Officer  Tel: 020 8424 1785 E-mail:  damian.markland@harrow.gov.uk

Items
No. Item

PART I - RECOMMENDATIONS - NIL

PART II - MINUTES

659.

Welcome

Minutes:

The Chairman welcomed representatives from NHS Harrow.

660.

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.

Minutes:

 

RESOLVED:  To note the attendance at this meeting of the following duly appointed Reserve Members:-

 

Ordinary Member

 

Reserve Member

Councillor Mrs VinaMithani

Councillor John Cowan

Councillor Janet Mote

Councillor Mrs Camilla Bath

Councillor Jerry Miles

Councillor Ms Nana Asante

 

661.

Declarations of Interest

To receive declarations of personal or prejudicial interests, arising from business to be transacted at this meeting, from:

 

(a)               all Members of the Committee, Sub Committee, Panel or Forum;

(b)               all other Members present in any part of the room or chamber.

Minutes:

 

RESOLVED:  To note that the following interests were declared:

 

Agenda Item

 

 

Member

Nature of Interest

5.     Integrated Care Organisation for Ealing and Harrow

 

6.     Enhanced Primary and Community Care Services in East Harrow

 

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Councillor Dinesh Solanki

 

Personal - Cabinet Support Member to the Portfolio Holder for Adults and Housing and a patient at Belmont Health Centre.  The Member remained in the room during the discussion and decision making on these items.

 

Councillor Yogesh Teli

 

 

 

Personal - Cabinet Support Member to the Portfolio Holder for Adults and Housing. The Member remained in the room during the discussion and decision making on these items.

 

 

Councillor Brian Gate

Personal - Married to a health professional based at St Peter’s Medical Centre and currently a patient at Ridgeway Surgery and Alexandra Avenue Health and Social Care Centre.  The Member remained in the room during the discussion and decision making on these items.

 

 

Councillor Mitzi Green

 

 

 

Personal – Currently a patient at Belmont Health Centre.  The Member remained in the room during the discussion and decision making on these items.

 

 

Councillor Mrs Rekha Shah

 

 

Personal – Currently employed by Brent Council in the Community Health Team.  The Member remained in the room during the discussion and decision making on these items.

 

 

Councillor Stanley Sheinwald

 

Personal - Chair of the Carers' Partnership Group.  The Member remained in the room during the discussion and decision making on these items.

 

 

Councillor Mark Versallion

Personal - Non-Executive Director of North West London Hospitals NHS Trust.  The Member remained in the room during the discussion and decision making on these items.

 

 

Councillor Ms Nana Asante

Personal – Patient at Mollison Way Health Centre and previously a patient at Belmont Health Centre. The Member remained in the room during the discussion and decision making on these items.

 

 

Councillor Mrs Margaret Davine

Personal – Mother received social care services.  The Member remained in the room during the discussion and decision making on these items.

 

662.

Minutes

That the minutes of the meeting held on 24 November 2009, be deferred until the next ordinary meeting of the Committee.

Minutes:

 

RESOLVED:  That the minutes of the meeting held on 24 November 2009 be deferred to the next ordinary meeting of the Committee.

663.

Deputations

To receive deputations (if any) under the provisions of Overview and Scrutiny Procedure Rule 10.

Minutes:

 

RESOLVED:  To note that no deputations were received.

664.

Integrated Care Organisation for Ealing and Harrow pdf icon PDF 142 KB

Report of the Managing Director, Ealing and Harrow Community Services.

 

(The Chief Executive of Harrow Primary Care Trust will be in attendance for this item)

Additional documents:

Minutes:

An officer informed the Committee that no NHS representatives were in attendance to introduce the report or to answer questions.  It was explained that, following the Committee’s decision on 24 November 2009 to defer consideration of the Integrated Care Organisation proposals, a letter had been sent to the NHS representatives inviting them to attend a special meeting of the Committee on 8 December 2009.  However, the Chief Executive and the Leader of the Council had also invited the NHS representatives to meet with them on 17 December 2009.  The officer stated that the NHS representatives had concluded that their attendance at the Committee was no longer required.

 

Following a general discussion, Members stated that, although the proposals had already been approved by the relevant PCT Boards, it was important that the Committee investigate the impact the changes would have on local residents.

 

RESOLVED:  That a challenge panel be convened in early 2010 to consider the Integrated Care Organisation proposals.

665.

Enhanced Primary and Community Care Services in East Harrow

Report of the Acting Director, Development and System Management for NHS Harrow

 

(The Acting Director for Development and System Management for NHS Harrow will be in attendance for this item)

Additional documents:

Minutes:

The Committee received a report which set out the proposed changes to primary and community care services in East Harrow.

 

The NHS representative stated that the NHS was facing significant financial challenges and, based upon NHS London’s assumptions regarding underlying levels of cost and volume growth within the acute sector, a funding shortfall of between £20 million and £54 million was expected by 2013/14.  In order to address this, there was a need to invest in community healthcare provision that would reduce reliance on hospital services.

 

The NHS representative explained that the proposed new model of healthcare in East Harrow was based on a polysystem hub and spoke model, with one central Community Health Centre (hub) supported by GP?led Health Centres (spokes).  Under the proposals, Belmont Health Centre would function as the hub of the polysystem, with Mollison Way Health Centre operating as a GP?led Health Centre.  Whilst a second GP?led Health Centre at either Kenmore Clinic or Honeypot Lane Clinic had initially been considered, this was no longer considered viable.  The NHS representative stated that the proposed changes to primary and community care services in East Harrow had been approved by NHS London, subject to full public consultation and a final gateway review.  If approved, the polysystem was expected to be fully operational by 2013.

 

The Committee was informed that the public consultation was due to commence on 9 December 2009 and would run until 17 March 2010.  In order to ensure a good response rate, stakeholder mapping had been used to identify those that were likely to be most interested in the consultation, with letters sent to these groups.  In addition, consultation documents would be made available in public places, including GP surgeries and supermarkets.  In order to raise awareness of the consultation, NHS Harrow would be holding a number of public events in the early 2010.  In addition, the views of historically underrepresented groups would be obtained through the use of focus groups.

 

In response to questions from the Committee, the NHS representatives stated that:

 

·                     all building redevelopment was expected to be completed by 2012.  However, financial systems were not expected to be fully operational until 2013.  During the redevelopment of Belmont Health Centre, services would either continue to be provided in part of the building or, if this was not possible, moved to a temporary location;

 

·                     information regarding the future of the Kenmore Clinic site was not available at present;

 

·                     NHS Harrow was in discussions with Transport for London (TfL) regarding the provision of transport infrastructure to support the proposed polysystem.  TfL would only alter or implement new bus routes if the changes were commercially viable;

 

·                     although Honeypot Lane Clinic and Kenmore Clinic would not be redeveloped as GP?led health centres, both sites were currently subject to GP proposals;

 

·                     NHS Harrow would receive a resource allocation increase of 5.2% for 2010/11.   However, due to current economic conditions, it was possible that there would be no further increases  ...  view the full minutes text for item 665.