Venue: Tooley Street , ground floor
To receive any apologies for absence.
Cllr Sandra Rhule’s apologies were noted.
Notification of any items of business which the chair deems urgent
In special circumstances, an item of business may be added to an agenda within five clear working days of the meeting.
There were none.
Disclosure of Interests and Dispensations
Members to declare any interests and dispensations in respect of any item of business to be considered at this meeting.
Cllr Sunny Lambe said that a family member works for the NHS.
To approve as a correct record the Minutes of the open section of the meeting on 23 March 2021.
The minutes of the meeting on held on 23 March 2021 were agreed as an accurate record.
A member asked about the follow up information on AT Medics. Officers said this is now ready to share.
Sam Hepplewhite, Place Based Director (Southwark), NHS South East London CCG gave a presentation on Partnership Southwark, with input from Genette laws, Director of Commissioning, Southwark Council.
The chair invited comments and the following points were made:
· The Integrated Care Systems (ICS) will be made up of an ICS NHS Body and an ICS Health and Care Partnership, bringing together the NHS, local government and partners. This will be based across South East London (SEL). There will also be a local care partnership (Partnership Southwark), which NHS and officers want to be an effective board in order take delegated authority from the SEL ICS for local health and social care decisions.
· Members stressed the importance of local decision making and gave COVID-19 as a prime example of different needs, different populations, and with each borough needing a voice at the table. The Director of Commissioning agreed and said they are working hard to articulate why budgets ought to delegated, for place based work, in order to meet the unique needs of the local population.
· The Place Based Director was asked how the new system is going to work with commissions and providers and the safeguards to prevent in inappropriate commissioning, when providers will be on the ICS. She explained that there has always been a blurring of the lines between commissioning and providing and the NHS has been working with providers about outcomes for some time. There will continue to be contracts and two parties, but the approach will be more facilitative and developing.
· The Director of Commissioning added that Social Care and NHS have blurred for sometime and the ICS will be an extension of this. Closer collaboration can also see the benefits of innovation. She said however they do need to be mindful of the risks, including controlling budgets and impacting on other providers.
The Place Based Director (Southwark) will provide follow up information on the composition of the ICS SEL NHS Body and the ICS SEL Health and Care Partnership, bringing together the NHS, local government and partners.
Scrutiny Review : Health Inequalities BAME young people
An update report has been provided on the work of the Children And Young People’s Emotional Wellbeing and Mental Health Equality Monitoring Task and Finish Group
The draft scrutiny review report is enclosed.
The draft Health Inequalities of Black and Minority young people report was discussed and the following points made:
· The report will use Black and Minority Ethnic people rather than the acronym BAME as a result of consultation from Southwark Stands Together feedback that it is not liked.
· Officers will be asked to provide updated figures on Domestic Abuse.
· Further outreach and consultation on Domestic Abuse is a potential area for the next year’s commission workplan, as community groups have reported high demand.
· There is a common thread of economical disadvantage impacting on mental health.
· More data will be added on South American and Eastern European communities and references threaded through the report.
· The low take up of vaccination amongst certain communities referenced in the report is concerning, though this is improving. In addition members said that a lot of people ‘without status’ are finding it difficult to access the vaccine and this an area the commission could examine further.
· Outreach with churches and councillors role in encourage people to get the jab was discussed. Churches can be good places to reach people who are ‘without status’, for example Ecuadorian and Ghanaian communities.
· The report highlights how the trust deficit is impacting on health care and vaccination rates. This is a historical issue, particularly among the black community. There is a need to start building that trust back up, and lessons to build on here.
· It is important that the mental health needs of children, and services such as the Nest, are better known about in the community. Community outreach and language is vital in achieving this.
· The recommendation on the under-representation of the black children and young people in mental health community care services and CAMHS, and conversely the over-representation in crisis and forensics care could benefit from clarification and strengthening.
· SLaM ought to be asked to return to the commission in six months to report on progress in tackling the under-representation of black young people in accessing mental health care.
The following work-plan items were indicated for next year:
· Completing the report on Health Inequalities of Black, Asian and Minority Ethnic Children and Young People
· Long COVID
· Update and outreach on Domestic Abuse
· Impact of Skunk on mental health
· Hospital Trusts recovery plans
· Impact of Brexit on workforce
· Bring back the NHS to discuss the ICS (autumn)