Agenda and minutes

1.1  Apologies for absence were received from Cllr Samatar, Dr Stephanie Coughlin, Dr Sandra Husbands, Dr Kirsten Brown, Caroline Millar, Janet McMillan and Helen Woodland.

1.2  The Chair welcomed Louise Ashley and Breeda McManus to their first meeting of the Commission.

2.1  There were no urgent items and order of business was as per the agenda.

3.1  There were none.

4.1  The Chair welcomed:

Louise Ashley (LA), Chief Executive, Homerton Healthcare and new Place Based Leader for City and Hackney Place Based Partnership.

Breeda McManus (BM), Chief Nurse and Director of Governance, Homerton Healthcare

Nina Griffith (NG), Director of Delivery, City & Hackney Place Based System

He welcomed Louise and Breeda to their first meeting of HiH and stated that the purpose of this item was to question the recently appointed CE of our largest acute trust Homerton Healthcare and the Place Based Leader for the City and Hackney Place Base Partnership, which is part of NEL ICS.

4.2  Members gave consideration to a background report: North East London Integrated Care System & City and Hackney Place Based Partnership

4.3  LA thanked Members for the welcome and gave a verbal update the key points of which were noted:

Background as general nurse, paediatric nurse, health visitor, then chief nurse in many places, spending the past 4 years as CE of Dartford and Gravesend Trust. Worked in Homerton previously and set up their Starlight Paediatric Services Unit.

The ground work that’s gone into integrating health and care in City and Hackney has put in it a very good place and is way ahead of comparators.

Having the Mayor on the ICB and Cllr Kennedy as Chair of the City and Hackney Health and Care Partnership Board, both providing a strong voice for the borough, shows a commitment to joint working which is not present in other places.

Conscious that there continues to be a nervousness locally about Barts and fears that the Homerton could not survive on its own but there are excellent working relationships between the two trusts already in place and the good work in integrating care is down to this.

Understand the concerns about finance flows pre vs post ICS and noted that the ICS is working on a financial strategy but this work moves slowly.

She and her Chair, Sir John Gieve, continuously point out that others can learn from C&H and so removing the resource from us to level up elsewhere, where there weren't similar levels of investment say in primary care in the past,is not the way to go. She has excellent working relationships with both Marie Gabriel and Zina Etheridge.

It looks like there will be some sort of return to Payment by Results after two years of block contracts (due to pandemic).  There will be money to place based commissioning for development work and there will be transformation monies also..

Currently no appetite to devolve all commissioning and monies down to Place level and while that might sound like an attractive option it would only distract us from some of the development  work we need to do in the Neighbourhoods for example.  They do not want lots of additional work thrown down from the ICB without the resources to deal with it. 

On the elective backlog at the Homerton itself, most elective work had to be stopped during the pandemic and so they have  ...  view the full minutes text for item 4.

5.1  The Chair stated that the purpose of this discussion was to hear from the commissioners, local dentists, Public Health and Healthwatch about the current provision of dentistry and oral health services in Hackney as there had been concerns from a number of quarters about the service and in particular access and cost and the challenges facing the providers working with an outdated contract and pricing system. He added that commissioning of dentists would soon be devolved from NHSE London to the sub region - NHS North East London, and so this provided an opportunity to improve the services and make them more locally accountable and responsive.  He added that unfortunately that the Dr Stephanie Coughlin the Clinical Lead for City and Hackney Place Based System who had championed the need for this item was now unable to be present but her overview of the current commissioning landscape would be provided by Andrew Trathen one of the Council’s Consultants in Public Health.  He was representing the Director of Public Health who was ill and unable to be present. 

5.2  He welcomed to the following contributors, comprising current and future commissioners, local dentists and Public Health

Jeremy Wallman (JW), Head of Primary Care Commissioning, Dentistry, Optometry, Pharmacy, NHS England London

Richard Bull (RB), Primary Care Commissioning, NHS NEL

Siobhan Harper (SH), Transition Director Primary Care, NHS NEL

Tam Bekele (TB), Secretary, East London  and City Local Dentistry Committee (LDC)

Dr Dewald Fourie (DW), Dentist, Chair, East London and City LDC

Dr Reza Manbajood (RM), Dentist, Treasurer, East London & City LDC

Cllr Chris Kennedy (CK), Cabinet Member Health, Adult Social Care, Voluntary Sector and Culture, Hackney Council

Andrew Trathen (AT), Consultant in Public Health, Hackney Council

And the following who also contributed to the discussion:

Catherine Perez Phillips (CP), Deputy Director of Operations, Healthwatch Hackney

Dr Mark Rickets (MR), NEL ICB Member for Primary Care

Cllr Claudia Turbet-Delof (CT), Member Champion for Mental Health

5.3  Members gave consideration to the following background briefing notes:

5a - Background note setting out the context

5b - Data sheet from the current commissioner - NHS England London

5c - Note from the sub region NHS North East London Primary Care Team

5d - Note from NHS NEL ‘Roadmap to Recovery of Dental Services the next 5 years’

5e - Note from Public Health on Hackney and City Oral Health Prevention and

Promotion Service

5f - Report from Healthwatch Hackney ‘Access to dental care in Hackney – when, where, how’ from January 2022.

5.4  Cllr Kennedy (Cabinet) and Andrew Trathen (Public Health Consultant) standing in for the Director of Public Health introduced the briefing paper and gave an overview of the commissioning landscape for dentistry in Hackney. AT summarised the situation with the 2006 contract and how the payment system operates, how dentists receive business rate reductions and on the Public Health needs assessment which identified that oral health particularly for children in Hackney is poor. A key concern is that access rates for children during  ...  view the full minutes text for item 5.

6.1  Members gave consideration to the draft minutes of the meetings held on 29 June 2022 and 21 September and the Matters Arising.

RESOLVED:

That the minutes of the meetings held on 29 June and 21 September be agreed as a correct record and that the matters arising be noted.

7.1  Members gave consideration to the draft work programme for 2022/23.

RESOLVED:

That the Commission’s rolling work programme for 2022/23 be noted.

8.1  There was none.