Agenda and draft minutes

Health and Social Care Scrutiny Commission
Thursday 21 January 2021 7.00 pm

Contact: Julie Timbrell  020 7525 0514

Items
No. Item

1.

Apologies

2.

Notification of any items of business which the chair deems urgent

3.

Disclosure of Interests and Dispensations

4.

Minutes

5.

Vaccine and testing roll-out, safety and confidence

     

    Liz Brutus, Consultant in Public Health (Health Improvement), will provide a presentation on Southwark Council’s Lateral Flow Testing Rollout. A briefing is attached.

     

    A presentation on the vaccination programme is attached and along with a presentation on insights to build confidence.

    Supporting documents:

    Minutes:

    Vaccine rollout

     

    Sam Hepplewhite, Director of Integrated Commissioning, Southwark NHS, gave a presentation on vaccine rollout. The chair then invited questions and the following points were made: 

     

    ·  Sam Hepplewhite confirmed that cohort 4 is the over 70s and people who are clinically extremely vulnerable.

     

    ·  Councillors have been contacted by people concerned that they will miss communication for their vaccine appointment as many do not have a mobile phone to receive a text and in some areas the post is unreliable. Sam Hepplewhite said that GPs will use multiple ways to contact people, including ringing landlines.

     

    ·  Some people have received duplicate vaccine invitations from their GPs, local hospitals and the national programme based at the Excel because of different lists being used by different institutions, which have not yet been integrated.  There will be multiple invitations until the process is coordinated, however the NHS believe more is better , as there is only a small risk people will have more than one vaccination , which is in any case not a health risk.

     

    ·  The vaccine refusal rate is declining – and some people may change their mind and decide to be vaccinated later down the line. So far 71% of over 80s are receiving the vaccine.

     

    ·  Cohorts may get done in different orders depending on geography as the priority is speed of distribution. Southwark were ready before Bromley so will move onto new cohorts once top priority people are vaccinated.

     

    ·  The second dose has been set aside for 12 weeks, and this will come before some cohorts are given their first jab.

     

    ·  The Excel centre is run nationally and the criterion is living within a 40 minute travel time.

     

    ·  There is not an open access list for vaccines left over. There is a list of NHS staff members who can come in at short notice so no vaccine is wasted.

     

    ·  London has given out all the vaccines received.

     

    ·  People who have received the vaccine will get a card and a sticker.

     

     

     

     

    RESOLVED

     

    Sam Hepplewhite undertook to respond to councillors regarding any community concerns generally and with more details on how GPs will be contacting vaccine candidates in particular.

     

    Lateral Flow tests

     

    Liz Brutus, Consultant in Public Health (Health Improvement), provided a presentation on Southwark Council’s Lateral Flow Testing Rollout. The chair then invited questions:

     

    ·  The Damilola Taylor Youth Centre is being used for testing. Members raised concerns about people having to travel long distances by bus and place themselves at more risk of Covid, in order to test and asked if  there was a possibility of using local pharmacies as test locations, particularly as some local ones are keen .Liz Brutus said local pharmacies are being encouraged to provide ‘expressions of interest’ to deliver tests. One of the challenges of rolling out testing from local pharmacies are the financial issues of breaking even. However officers do want to open up testing across the borough.

     

    ·  Officers have scoped out a space in Southwark Park, which is north of the borough. Once teething  ...  view the full minutes text for item 5.

6.

NHS South East London Clinical Commissioning Group - integration

    Southwark’s  NHS Clinical Commissioning Group (CCG) have been invited to update  the Commission on the integration of South East London CCGs, and the Southwark branch of Keep Our NHS Public (KNOP), have been invited to contribute to the discussion. KNOP have provided the attached papers.

    Supporting documents:

    Minutes:

    David Cooper and Steve Lancashire from Keep Our NHS Public (KONP) provided a presentation with reference to the paper supplied. The chair then invited questions and the following points were made:

     

     

    ·  Councillors on the Joint Health Overview and Scrutiny Committee (JHOSC) working across South East London (SEL) said that Southwark Council did not support becoming a partner of the STPs (Sustainability and Transformation Plans) when they were first brought in by central government several years ago to work across the 6 local CCGs (Clinical Commissioning Groups) of South East London (Southwark, Lambeth, Lewisham, Bromley, Greenwich and Bexley). The situation has now moved on and the 6 CCGs are now merged into one and the Our Healthier South East London (OHSEL) programme established.

     

    ·  KNOP representatives said that NHS structures are a central government political decision and somewhat out of control. The changes brought in by the Coalition Government under the Health and Social Care Act 2012 was referred to, and the subsequent increase in commissioning outside of the NHS. A member said that the changes brought in at that time included the move of Public Health to local authorities, which has generally been welcomed; furthermore councils have in many ways been commissioning services for longer. The various structural and legal changes to promote integration with social care were referred to, with KNOP emphasising the importance of good relationships to actually effect change and closer working.

     

    ·  KONP said that the NHS is underfunded, with more money going to the private sector, and what recent investment there has been for Covid has been directed to the private sector, where they raised concerns about ineffective delivery and cronyism nationally.

     

    ·  KONP and members concurred that local scrutiny does offer an opportunity to influence local NHS delivery, integration and community engagement, both through local borough scrutiny, and the JHOSC working across South East London to deliver OHSEL. These are good fora to register concerns about transparency, accountability, and democracy. KONP said  that  most of the governance done by the CCG is by clinical experts , who do have  knowledge and skills , alongside bog accountancy firms like Mckinsey,  with little understanding of the local population , and there is a gap in local democratic representation and limited community engagement . Covid has been given as a reason by the NHS for more limited community engagement however in KNOPs view this was limited even before the pandemic.

     

    ·  A member agreed that local politicians ought to be involved in steering the work of the NHS, particularly given the health inequalities of the population of Southwark, and emphasised the importance of a diversity of local leadership. Other members and officers said that presently the clinical lead for the 6 CCGs is a longstanding Southwark local doctor, who trained locally, with a passion and expertise in health inequalities.

     

    ·  Members said the OHSEL JHOSC was not meeting as regularly as it once did, which is a concern.  When the JHOSC did last meet community engagement was raised by members as a  ...  view the full minutes text for item 6.

7.

Interview with the Cabinet Member for Social Support & Homelessness

    Cllr Helen Dennis, Cabinet Member for Social Support & Homelessness, will be interviewed on her portfolio, attached.

     

    Supporting documents:

    Minutes:

    Cllr Helen Dennis, Cabinet Member for Social Support & Homelessness, was interviewed on her portfolio.

     

    The following themes were covered:

     

    ·  Care homes infection control,

     

    ·  Expedited discharged from hospital,

     

    ·  Communication from the Community Hub,

     

    ·  Evictions and plans when the ban gets lifted,

     

    ·  The budget and impact on:

     

      Day centres provision

     

      Care package review

     

      More towards self contained housing from hostel

     

    ·  Sanctuary Movement,

     

    ·  Advice centres,

     

    ·  No recourse to public funds.

     

8.

Work Programme