Health in Hackney scrutiny commission
We are is finalising our review of how to improve survival rates, focused on early detection of cancer. The commission heard from key stakeholders and visited several community groups, which helped to shape their findings. Find out more about our cancer survival rates review.
Support services for chronic alcoholism
Deaths caused by alcohol have risen after two years in decline. This review looks at why this is happening and what can be done to reverse the trend. Find out more about our support services for chronic alcoholism review.
About this commission
Health in Hackney's remit is to scrutinise local health and social care services, frequently making recommendations to NHS bodies and the Council to improve services. Health Scrutiny committees across the country have particular responsibilities, as laid out in the NHS Act 2006.
You can view the Commission's full work programme for the year on the agenda for each of its meetings.
Commission Details: membership, meetings, and contacts
Less than half the Commission's work is taken up with reviews. For the remainder the Commission considers regular updates from the local NHS Trusts - Homerton Hospital, East London Foundation Trust (for mental health services), Barts Health NHS Trust, as well as the new City & Hackney Clinical Commissioning Group (which has replaced the PCT). We also receive regular updates from the Council's Adult Social Care department particularly on the Transformation of Adult Social Care programme, the City and Hackney Safeguarding Adults Board and the new Health and Wellbeing Board.
Members of Hackney Local Involvement Network (LINk) were regular attendees at meetings, contributing fully to discussions and reviews. This relationship is continuing with the new HealthWatch Hackney organisation which has replaced it.
We also respond to any urgent issues which might arise and invite key officers from the Council or our partners to attend meetings to answer Members' questions. A key example was the concern about the procurement of a new provider for the GP Out of Hours service. We take up urgent issues at a strategic level but do not get involved in individual complaints.
In 2012-13 we dealt with some of the following:
- Update on City and Hackney Health and Wellbeing Profile
- Transfer of the PALS service from the PCT and briefing on GP Out of Hours service
- The Management of the GP Out of Hours contract and securing a new provider
- New Structures for the NHS England and NHS North and East London Commissioning Support Unit (further information is available in this briefing)
- Transition of Public Health function from the PCT to the Council
- Action Plan for Access to Primary Medical Services and Re-investment Plan for savings from the closure of the Walk-In Centres in Hackney
- LB Hackney Health and Wellbeing Strategy
- The development of HealthWatch Hackney
- LB Hackney Health Inequalities Action Plan Update
- City and Hackney Health and Wellbeing Profile 2011-12
Service change proposals
If a public health provider wants to make a 'substantial variation' to the way it provides services this needs to be presented to health scrutiny committees first. There more information about this process in the CfPS guide, and this year's service change discussions are outlined below:
- Older People Mental Health Service
- Urgent Care Services
- Community Dental Practices
- Acute Trust Merger Proposals - Barts and East London Healthcare
Inner North East London Joint Health Overview and Scrutiny Committee
Three of our Members also sit on the INEL JHOSC with councillors from the Corporation of London, Newham and Tower Hamlets. The Committee has been convened twice in 2012/13.
The first time was on 30th April 2013 to consider proposals from the NHS to change the provision of urological cancer services in North and East London, such that complex prostate and bladder surgery (but not all treatment) will be concentrated at UCLH hospital at Euston and complex kidney surgery at the Royal Free hospital in Hampstead and we examined the projected impact on local populations.
- Minutes of the meeting
- The formal response of the Committee to London Cancer and NHS North and East London Commissioning Support Unit
The second meeting on 29th May 2013 examined the Quality Accounts for Barts Health NHS Trust. In the past each borough has taken its own approach to this but the Committee agreed that, as the newly merged Barts Trust is now so large, a joint approach to scrutinising its Quality Accounts would be more productive. The Trust is the merger of the Barts, Newham and Whipps Cross Trusts and now comprises 6 acute hospitals.
- The formal submission to Barts Health
Page updated: 24 Jun 2013