Agenda and minutes

Health, Inclusion and Social Care Policy and Accountability Committee - Wednesday, 2nd November, 2016 7.00 pm

Venue: Courtyard Room - Hammersmith Town Hall. View directions

Contact: Bathsheba Mall 

No. Item


Apologies for Absence


Apologies for absence were received from co-optees Debbie Domb and Patrick McVeigh, and, Councillors Hannah Barlow, Sue Fennimore, Sharon Holder. 



Declaration of Interest

If a Councillor has a disclosable pecuniary interest in a particular item, whether or not it is entered in the Authority’s register of interests, or any other significant interest which they consider should be declared in the public interest, they should declare the existence and, unless it is a sensitive interest as defined in the Member Code of Conduct, the nature of the interest at the commencement of the consideration of that item or as soon as it becomes apparent.


At meetings where members of the public are allowed to be in attendance and speak, any Councillor with a disclosable pecuniary interest or other significant interest may also make representations, give evidence or answer questions about the matter. The Councillor must then withdraw immediately from the meeting before the matter is discussed and any vote taken.


Where Members of the public are not allowed to be in attendance and speak, then the Councillor with a disclosable pecuniary interest should withdraw from the meeting whilst the matter is under consideration. Councillors who have declared other significant interests should also withdraw from the meeting if they consider their continued participation in the matter would not be reasonable in the circumstances and may give rise to a perception of a conflict of interest.


Councillors are not obliged to withdraw from the meeting where a dispensation to that effect has been obtained from the Audit, Pensions and Standards Committee.



A declaration of interest was received from Councillor Joe Carlebach in respect of Agenda Item 3, in his role as Vice-chairman, of the Board of Trustees for the Royal National Orthopaedic NHS Hospital Trust.


A declaration of interest was received from Councillor Andrew Brown, in respect of Agenda Item 4, as a former member of the Safeguarding Adults Executive Board.


Developing the Joint Health and Wellbeing Strategy pdf icon PDF 309 KB

This report updates on progress with developing the Health and Wellbeing Board’s Joint Health and Wellbeing Strategy 2016-2021 (JHWS) and the outcomes of the period of public consultation which have been used to inform the next draft of the plan (Appendix 1). The Adult Social Care and Social Inclusion Policy and Accountability Committee are invited to comment on and contribute to, the development of the final plan scheduled to be approved by Cabinet in December.


Additional documents:


Councillor Vaughan welcomed Sarah McBride, Director of Partnerships, Adult Social Care and Harley Collins, Health and Wellbeing Manager, who provided a joint presentation.  The joint report between the Council and the CCG set out the development details of the Joint Health and Wellbeing Strategy, 2016-21 and emerging priority areas including mental health, children, young people and families and long term conditions.  The development process had been structured in three phases: The first, from January to March, involved a large-scale review of the evidence of need; the second phase, covering April-May, included a series of workshops with patients and stakeholders; the third phase has included a fourteen-week period of public consultation during July-October. 


It was explained that consultation and engagement was a key principle throughout all stages of the work and had been an opportunity to share emerging thinking. During the public consultation, an online questionnaire was set up and sent to over 500 local organisations, details of which had been provided by Sobus.  40 responses had been received from a mixture of businesses and individual residents, and greater weight had been given to those from organisations.   The responses indicated strong support for the four draft priority areas and for a preventative approach that sought to proactively keep people well rather than reactively treat people who were sick.  There was support for a healthy diet and exercise, and, early identification and intervention for people with mental health disorders. 


Co-optee Bryan Naylor thanked the presenters for the report and observed that there was no direct mention of older aged people.  As a group that was increasing in number, many were users of health and adult social care services and the only inference was under the section on long term conditions.  By extension, he expressed additional concerns about the lack of reference to elderly social isolation and loneliness in the strategy and about who had been consulted, reporting that the Older Peoples Consultative Forum had not been consulted.  In response, Harley Collins acknowledged the lack of reference to older people and explained that an event had been held in RBKC which 142 people had attended, the details of which would be made available.  It was noted that whilst older people were referenced under long term conditions, many of these, such as mental health, were not specific to any one group and that the aim had been to avoid isolating conditions as specific to, elderly people.  Sarah McBride added that there was growing evidence indicating a link between social isolation, loneliness, and mental health issues, addressed in the strategy and that more detailed plans would be set out in the delivery and action plan in terms of how it would be tackled.  Councillor Lukey and Harley Collins accepted an invitation attend the next meeting of the Older People’s Consultative Forum, taking place at 10.30am, on 22 November. 


Councillor Natalia Perez offered her congratulations on the draft strategy and whilst she appreciated it was work in progress, enquired whether consideration of welfare reforms informed the  ...  view the full minutes text for item 101.


Annual Report of the Safeguarding Adults Executive Board pdf icon PDF 21 KB

This is the third Annual Report of the Safeguarding Adult Executive Board (SAEB). The multi-agency Board provides leadership of adult safeguarding across the London Borough of Hammersmith & Fulham; the Royal Borough of Kensington and Chelsea; and the City of Westminster.


Additional documents:


Councillor Vaughan welcomed Mike Howard, Independent Chair of the Safeguarding Adults Executive Board (SAEB), and Helen Banham, Strategic Lead, Professional Standards and Safeguarding, Westminster City Council.  The report presented the third annual report of the SAEB, which worked across the three boroughs.  The key statutory agencies involved were: the local authority, police and health professionals including directors of public health, NHS trusts, including The Royal Marsden, Imperial, West London Mental Health Trust, Central and North West London and Central London Community Healthcare. 


The SAEB was responsible for conducting Safeguarding Adult Enquiries (section 42) and reviews (section 44), stipulated under of the Care Act 2014 (CA, 2014) and offered guidance to employers on how to recruit staff safely.  Safeguarding adults was a matter for all agencies and Mike Howard explained that they were fortunate in the high level of involvement and commitment offered by residents operating at the heart of safeguarding.  Focusing on harm, neglect and scams, Trading Standards had a pivotal role in ensuring that residents are made aware frauds targeting vulnerable adults.  A key message was to ensure that the language used was simple and effectively communicated and connected with people.  To illustrate, two consultation events were held, with feedback used to inform and develop the SAEB strategy.   The role of community champions was also essential to ensure local input and were now represented on the SAEB. 


Setting out the methods under which the SAEB conducted itself, Mike Howard explained that the aim was understand why a situation had developed, what were the causal factors that resulted in harm or neglect.  The SAEB had not yet experienced a situation where they have had to invoke section 45 of the CA 2014 because of the co-operative nature of the relationships with the organisations or agencies they worked with.


Councillor Carlebach welcomed the report and enquired about the role of the SAEB in relation to the Children’s Safeguarding Board, with regards to children with Local Offers transitioning to adult support services, commenting that this group was particularly vulnerable and difficult to identify.  Helen Banham confirmed that were there locally agreed protocols for working with local safeguarding committees.   The main area of overlap was with children that were transitioning.  Those under a Local Offer usually go on to have planned care.  Those who do not for some reason move to receiving adult services, may become vulnerable at a later stage and come to the attention of ASC.  It was important to note that there were no eligibility criteria for adult safeguarding. 


Councillor Natalia Perez referred to an earlier comment regarding the simplicity of the language used and enquired what methods were used to ensure that information about adult safeguarding was fully communicated to black and minority ethnic groups or to those whose first language was not English.  Mike Howard responded that the SAEB consultation events were open to all and confirmed that the Board relied on the operational capacities within individual organisations to ensure that the information was communicated in a variety  ...  view the full minutes text for item 102.


Work Programme pdf icon PDF 75 KB

The Committee is asked to consider its work programme for the remainder of the municpal year.

Additional documents:


The Committee discussed the Older Peoples Housing Strategy and the Sheltered Housing Review reports recently considered by the Economic Regeneration, Housing and the Arts Policy and Accountability Committee (ERHA).  It was agreed that both items would be circulated and members would discuss further at the next meeting of the Committee.  Councillor Lukey suggested that this might form part of a joint PAC meeting with ERHA, to also discuss the strategy for people with learning disabilities.  Councillor Andrew Brown asked that an item on tuberculosis be added to the Work Programme, and this was agreed. 






That the report be noted.


Dates of Future Meetings

Monday, 12th December 2016

Tuesday, 31st January 2017

Wednesday, 8th March, 2017

Wednesday, 26th April 2017


The Committee noted that the date of the next meeting will be Monday, 12th December 2016.