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Lloyd White
Head of Democratic Services
London Borough of Hillingdon,
3E/05, Civic Centre, High Street, Uxbridge, UB8 1UW
www.hillingdon.gov.uk
External
Services
Scrutiny
Committee
Date: WEDNESDAY, 14 JULY
2010
Time: 6.00 PM
Venue: COMMITTEE ROOM 6 -
CIVIC CENTRE, HIGH
STREET, UXBRIDGE UB8
1UW
Meeting
Details:
Members of the Public and
Press are welcome to attend
this meeting
Councillors on the Committee
Mary O'Connor (Chairman)
Michael White (Vice-Chairman)
Phoday Jarjussey (Labour Lead)
Judy Kelly
Peter Kemp
Published: Tuesday, 6 July 2010
This agenda and associated
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request. Please contact us for
further information.
Contact: Nikki Stubbs
Tel: 01895 250472
Fax: 01895 277373
Email:
nstubbs@hillingdon.gov.uk
This Agenda is available online at:
http://modgov.hillingdon.gov.uk/ieListMeetings.aspx?CId=118&Year=2010
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Terms of Reference
1. To scrutinise local NHS organisations in line with th e health powers conferred by the
Health and Social Care Act 2001, including:
(a) scrutiny of local NHS organisations by calling the relevant Chief Executive(s) to
account for the work of their organisation(s) and undertaking a review into issues
of concern;
(b) consider NHS service reconfigurations which the Committee agree to be
substantial, establishing a joint committee if the proposals affect more than one
Overview and Scrutiny Committee area; and to refer contested major service
configurations to the Independent Reconfiguration Panel (in accordance with the
Health and Social Care Act); and
(c) respond to any relevant NHS consultations.
2. To act as a Crime and Disorder Committee as defined in the Crime and Disorder
(Overview and Scrutiny) Regulations 2009 and carry out the bi-annual scrutiny of
decisions made, or other action taken, in connection with the discharge by the
responsible authorities of their crime and disorder functions.
3. To scrutinise the work of non-Hillingdon Council agen cies whose actions affect
residents of the London Borough of Hillingdon.
4. To identify areas of concern to the community within their remit and instigate an
appropriate review process.
Agenda
PART I - MEMBERS, PUBLIC AND PRESS
Page
1 Apologies for absence and to report the presence of any substitute
Members
2 Declarations of Interest in matters coming before this meeting
3 Minutes of the meeting - 9 June 2010 1 - 8
4 Minutes of the meeting - 16 June 2010 9 - 14
5 Exclusion of Press and Public
To confirm that all items marked Part 1 will be considered in public and that any items
marked Part 2 will be considered in private
6 Safer Transport 15 - 18
7 Work Programme 19 - 22
PART II - PRIVATE, MEMBERS ONLY
8 Any Business transferred from Part 1
Minutes
EXTERNAL SERVICES SCRUTINY COMMITTEE
9 June 2010
Meeting held at Committee Room 4 - Civic Centre,
High Street, Uxbridge UB8 1UW
Committee Members Present:
Councillors Mary O’Connor (Chairman), Michael White (Vice-Chairman), Phoday
Jarjussey (Labour Lead), Judy Kelly and Peter Kemp
Witnesses Present:
Superintendent Des Rock – Metropolitan Police Service
Chief Inspector Maurice Hartnett – Metropolitan Police Service
Carole Jones – Strong & Active Communities Partnership
Dr Ellis Friedman, Joint Director of Public Health – PCT
Professor Ian Campbell – Brunel University
Yewande Akindele, Equality and Diversity Manager – Brunel University
Ted Hill – Hillingdon Association of Voluntary Services (HAVS)
Colin Gribble – London Fire Brigade
Duncan Struthers – Hillingdon Inter Faith Network
Others Present:
Councillors Dominic Gilham and John Major
Malcolm Ellis, Standards Committee Vice-Chairman
LBH Officers Present:
Ed Shaylor, Fiona Gibbs and Nikki Stubbs
3. EXCLUSION OF PRESS AND PUBLIC (Agenda Item 5)
Action by
RESOLVED: That all items be considered in public.
4. COMMUNITY COHESION: RESPONDING TO AND
UNDERSTANDING LOCAL CHALLENGES (Agenda Item 6)
Action by
The Chairman welcomed those present to the meeting. This meeting
had previously been scheduled for 26 April 2010 but ha d been
cancelled following a power cut in the Civic Centre.
Strong & Active Communities Partnership
The purpose of the Strong & Active Communities Partner ship theme
group, established in April 2009, was to provide the o pportunity for
agencies delivering services across the Borough to come toget her to
build strong and cohesive communities for residents in Hi llingdon and
deliver priorities under the Hillingdon Sustainable Community Strategy.
Strong & Active Communities Partnership was one of six thematic
groups within Hillingdon's Local Strategic Partnership (LSP). As part of
its work, the Strong & Active Communities Partnership t heme group
was responsible for overseeing the impact of the Local Ar ea
Agreement indicators, including monitoring their progre ss against
Agenda Item 3
Page 1
agreed targets, and evaluating the impact of outcomes o n community
cohesion across the Borough.
Ms Fiona Gibbs, the Council’s Stronger Communities Manag er,
advised that the Strong & Active Communities Partnershi p theme
group was chaired by Ms Carole Jones. The core focus of t his group
was around developing partnership working and developi ng models of
good practice that could be shared and which were sustain able. One
of the core areas of focus had been upon delivering pro grammes that
engaged young people, schools and families
Ms Jones stated that community cohesion and partnership wor king
underpinned everything that was done by the Strong & Active
Communities Partnership theme group. It was noted th at work had
been undertaken with young people and their parents in nine schools in
the Yeading area. In addition, the national Heartst one project Festival
of Flight had been delivered in Hillingdon in 2009 and was now re-
branded as Reach for the Sky - this project focussed on hel ping young
people to understand discrimination and build aspiratio n. The project
had been a joint partnership with Brunel University, Yeading Junior
school, Healthy Hillingdon and Stronger Communities an d was now
being cascaded to other schools with the young people who had
already participated in the project acting as mentor s. The Strong &
Active Communities Partnership theme group had been in volved in a
number of other projects such as One World Week 2010 and Streets
Ahead 2010 and plans were afoot for Hayes Carnival. Ms Jones
circulated a booklet entitled Joining the Pieces which summ arised
some of the best practice models of working that had been developed
with Yeading Junior school and other partners as part of the Strong &
Active Communities Partnership theme group action plan.
It was noted that a range of sub groups had been estab lished by the
Strong & Active Communities Partnership theme group which looked at
issues such as the prevention of extremism and community tensions,
ESOL provision and the practitioners group for schools.
Hillingdon Inter Faith Network, the Travellers Forum and a range of
other voluntary organisations were also supported thro ugh the group’s
action plan with regards capacity building and improvin g community
engagement.
Ms Jones advised that she had been chosen to work on a Nat ional
project, which had now ended, as a community cohesion adv ocate,
leading the way on improving community cohesion outcom es through
schools. This role had given her the opportunity to sho wcase the work
that had been undertaken by the Strong & Active Commu nities
Partnership theme group on a national level and high light some of the
unique approaches being developed and delivered in Hillingdon.
The Department of Education had been particularly inte rested in the
work that had been undertaken at Yeading Community House which
had opened in February 2008. It was noted that a cele bratory event
involving approximately 150 women would be held at the House on 19
June 2010.
Page 2
With regard to understanding the risks and benefits asso ciated with
community cohesion, Ms Gibbs advised that data had been p ulled
together to help us understand what community cohesion looked like in
Hillingdon – what were the positive factors and what m ight the
challenges be, alongside mapping and understanding the diversity of
the Borough and where those communities were, such as ra cist
incidents and anti social behaviour. This has been cited as a unique
approach by CLG to understanding community cohesion as, u nlike
other boroughs, Hillingdon mapped both positive and n egative data
across the area. It was anticipated that this would be b uilt upon over
the next year and would then enable the Council to i dentify an even
stronger understanding of what a strong and active commu nity looked
like and would highlight where resources should be focussed.
In December 2009, Ms Gibbs had been invited to attend a European
conference in Sweden to talk about her experience in Hi llingdon with
regard to community cohesion. Following this trip, a S wedish
ministerial delegation visited Hillingdon to learn f rom the Council’s
experience and use some of its ideas.
It was noted that the Strong & Active Communities Part nership theme
group was facing a number of challenges posed by the ra pidly
changing communities, the diversity of their needs and a ccess to
services which had a real impact on residents’ sense of bel onging.
Alongside this was the continued threat of terrorism and far right
extremism. The group would be focussing on the areas w here there
were challenges and how these could be addressed in part nership as
well as continuing to promote the positives. Further w ork would also
need to be undertaken on how communities could be empo wered,
tensions monitoring and partnership working across boundaries. It was
suggested that Councillors feed back any information th at they were
aware of in relation to local tensions in their Wards.
Brunel University
Professor Ian Campbell advised that the University had held a number
of events over the last year around community cohesion which
included One World Week 2010 and the Active for Life sch eme. In
addition, work had been undertaken in relation to di sability and
dyslexia.
Members were advised that approximately 1,400 Brunel University
students were now involved in volunteering following t he launch of an
initiative to get more students working in the communit y. Professor
Campbell stated that the students work in making allotme nts
wheelchair accessible had gained them recognition at the recent
Volunteer Awards evening. Members asked that their tha nks be
passed on to the students that had been involved in the se volunteering
activities as they had brought the community together.
The University had also been involved in the Festival of Flight project.
As part of One World Week Parents and children from the local schools
involved were invited to the University campus and the e vent
culminated in some of the parents applying for courses. A further
Page 3
event was planned for 16 July 2010 to raise aspirations, develop
children’s skills and engage with their parents.
With regard to extremism, support was provided for stud ents to enable
them to speak to their peers.
The key aim of the education week held at Brunel Unive rsity this year
was to engage with as many cultures as possible. Childr en from nine
local schools visited the University and had been given th e task of
pretending to be from a different country. This invo lved things like
dressing in national costume, eating national food and gave them a
better understanding of other cultures.
Union of Brunel Students
It was noted that the Union of Brunel Students had coo rdinated RAG
week (which raised approximately £20k for the local commu nity) and
put on events including FRESH (a festival of creative e xpression that
reached out into the community) and a fashion show whi ch raised
approximately £1k for cancer community care in West Dray ton. It was
anticipated that more events would be organised in the future.
Hillingdon Association of Voluntary Services (HAVS)
Mr Ted Hill advised that there were now more than 40 0 groups
affiliated to HAVS with approximately 40,000 volunt eers. It was noted
that the economic situation was a worry for the organ isation in that the
demand for voluntary services had increased whilst the ca pacity had
decreased. Members were advised that the Council had gi ven
additional funding to Citizens Advice Bureau and to R elate which had
eased their financial situation.
HAVS had fared well in the recent Audit Commission Place Survey with
regard to local people feeling that they could make a difference and
contribute to changes.
Other work being undertaken by HAVS included:
• an Equalities Conference held in March 2010 which inclu ded
organisations from across the Borough – HAVS was now
analysing the feedback from this Conference
• a Child Services Showcase held in April 2010
• the development of the HAVS website
• engagement with groups that didn’t usually engage wi th HAVS
such as encouraging those people who didn’t have English as
their first language to attend IT courses
Hillingdon Inter Faith Network
It was noted that there were more than 80 different faith groups
providing over 900 community activities in the Borough . Mr Struthers
advised that there had been much work undertaken since t he last
External Services Scrutiny Committee meeting which included:
• the Brunel University Youth on Religion (YOR) resear ch project
– it was anticipated that the results of the phase 1 of this project
would assist individual high schools as well as the Standin g
Advisory Council for Religious Education (SACRE)
• a number of schools running inter faith events through the year
Page 4
with the help of Network members
• appendices in relation to guidance relevant to faith s being
included in the Healthy Hillingdon publication Managi ng Loss,
Trauma and Crisis
• the Hillingdon Walk of Peace which attracted over 30 0 people
with schools, faith groups and other agencies involved
• the first National Week of Faith which logged over 15 different
activities
Mr Struthers advised that there were great opportunit ies for strategic
planning and a need to recognise that some of the vol untary
organisations were not as good as they could be about m eeting the
faith needs of their volunteers. Further work would b e undertaken to
address this.
Metropolitan Police Service (MPS)
Chief Inspector (CI) Hartnett advised that policing re volved around the
prevention and detection of crime but that community co hesion was an
integral part of this. In the last year, the MPS ha d engaged with more
than 10,000 people who had attended Panel meetings.
More than 3,000 children were now involved in the Jun ior Citizen
scheme which involved Year 6pupils. This scheme was seen as one of
the best in London.
It was noted that there were now more than 60 volunt ary Police Cadets
which included children from disadvantaged backgrounds. I t was
hoped that there would be three Corps running by the end of the year.
In addition, the MPS had 85 volunteers who had contri buted
approximately 10,000 volunteer hours and 60 Special Constables.
The MPS had been involved in the One World Week even t organised
by Brunel University. It was noted that there had be en a positive
reaction to the police uniform (as well as the Mayoral robes) from the
children that had attended the event.
CI Hartnett advised that, with regard to hate crime a nd community
tensions, the MPS was working closely with Ms Gibbs. Howev er, it
was noted that Hillingdon had one of the lowest level s of hate crime in
London. CI Hartnett stated that the area with the highest levels in the
Borough changed each year.
Members were advised that the MPS could provide fundi ng for the
promotion of community groups. As an example of the applications
that were being received from community groups, CI Ha rtnett stated
that one group had applied and received funding for a new sewing
machine.
London Fire Brigade (LFB)
Mr Gribble advised Members that the fire cadets had no t yet been
established in Hillingdon. Two other London boroughs had set up
cadets and their progress would be monitored before thi s was taken
forward in Hillingdon.
Page 5
It was noted that, 20+ years ago, there was no communit y aspect to
the work of the LFB. However, there were now a numb er of smaller
projects being undertaken by each station. In Hillingdo n, these
included work on Domestic Violence, drug and alcohol abu se. Mr
Gribble believed that the most vulnerable people in our society were
the ones most susceptible to fire and it was important t o ensure that
the LFB targeted them.
The LFB had hosted the Junior Citizen event which had been attended
by app
roximately 3,000 children from a huge number of schoo ls.
Consideration would be given to widening out the VIP day to enable
more Councillors to attend the event.
In addition, the LFB was running the Junior Firesetter s Intervention
Scheme which involved firefighters volunteering to meet with young
people who had shown an interest in fire (and their parents), to reduce
this interest. Dealing with this issue at an early age would help prevent
these individuals from committing arson at a later age.
The LIFE project identified young people aged 13-18 who had been in
trouble or who had experienced problems communicating. The project
held courses at Wembley headquarters costing £1,000 per p erson (for
a maximum of 20 young people) and lasted for a week. The courses
encouraged the participants to work as a team.
Mr Gribble had been visiting secondary schools for more t han five
years and had talked to more than 7,000 students. Th e purpose of his
visits was to ensure make young people more aware of th e non-
obvious consequences of fires. He had also been involved in giving
talks to Year 6 students on road safety.
Hillingdon Primary Care Trust (PCT)
Dr Friedman observed that community cohesion resulted in positive
effects such as an increased sense of wellbeing, a better e conomy and
the prevention of hate crimes. It was suggested that th e provision of
positive role models would help individuals to have a pride in their
community.
Dr Friedman advised that those communities that fared best were
where there was an equality of opportunity and fairn ess. There were
clear links between inequality and community cohesion.
Mr Shaylor noted that much good work was continuing acr oss the
Borough. He advised that Ms Gibbs had been leading fo r the Council
on a project which was looking at the needs of Somali fa milies. A
report was being compiled from the findings (which inclu ded positive
feedback) and was expected to be available by the end of July 2010.
It was clear that the economy was continuing to be a pre ssure on
employment which could cause tensions between communities. There
were a small number of incidents of gang crime in the B orough despite
there being a large ethnic mix. It was also noted tha t there was a
relatively low level of racial harassment in the Borou gh with
approximately 100 cases being reported to the Council and 350 cases
Page 6
reported to the police each year.
It was anticipated that further work would be undertaken by the Council
in relation to licensing.
Members advised that the Council’s Residents’ and Environ mental
Services Policy Overview Committee would be undertaking a review on
KHAT. It was noted that Mr David Brough, Chairman o f Hayes Town
Partnership, had written to the Home Office to ask tha t consideration
be given to making the drug illegal. Members were kee n to raise
awareness of the impact that KHAT could have on health , e.g., it could
cause throat cancer.
In order to address inequalities, there would need to be continued
partnership working and a commitment to ensuring that all services
were available to everyone. It was also thought impo rtant to be aware
of the new communities within the Borough and issues th at were
relevant to them, e.g., economic, education, health, etc.
Voting for groups such as the BNP and National Front w as quite high
during the recent elections. Rather than lobby again st them,
organisations had worked to mitigate the problems caused. It was
thought important to challenge perpetrators of abuse a nd use any
powers available to deal with the issues, e.g., ASBOs, tenancy
injunctions, etc.
RESOLVED: That the reports be noted.
5. MINUTES OF THE PREVIOUS MEETING - 31 MARCH 2010 (Agenda
Item 3)
Action by
RESOLVED: That the minutes of the meeting held on 31 March
2010 be agreed as a correct record.
6. MINUTES OF THE PREVIOUS MEETING - 13 MAY 2010 (Agenda
Item 4)
Action by
RESOLVED: That the minutes of the meeting held on 13 May 2010
be agreed as a correct record.
7. WORK PROGRAMME (Agenda Item 7)
Action by
16 June 2010
It was noted that Councillor Philip Corthorne, as the Cabinet Member
for Social Services, Health and Housing, be invited to attend the
meeting which would focus on the vertical integration of provider
services and the Hillingdon LINk.
14 July 2010
Safer Transport would be considered at this meeting (ra ther than 22
September 2010 which had been suggested on the draft W ork
Programme attached to the agenda).
Page 7
22 September 2010
It was agreed that this meeting be cancelled. Should a n urgent matter
arise around this time, a replacement meeting could be scheduled.
28 October 2010
As suggested on the draft Work Programme attached to the agenda.
24 November 2010
It was agreed that the progress and effectiveness of prov ider services
be considered at this meeting. Members suggested that spe ech and
language therapy be included at this meeting as well a s end of life
care: focussing residents’ expectations, provision of clear guidance,
options available and where help could be obtained.
11 January 2011
To be decided.
23 February 2011 / 30 March 2011 / 26 April 2011
As suggested on the draft Work Programme attached to the agenda.
Health Inequalities Working Group
It was agreed that a Working Group be set up to conside r the effect of
overcrowding on educational attainment and children’s d evelopment.
Councillors O’Connor, Kelly and White would participat e in this
Working Group. The Democratic Services Manager would con tact the
Labour Group Chief Whip to request two Labour Member s for the
Working Group and to advise that Councillor O’Connor h ad specifically
requested that Councillor Jarjussey be one of these. On ce these
names had been confirmed, consideration would be given to ensuring
that there was a representative from the Education and Children’s
Services POC and the Social Services, Health and Housing POC on
the Working Group.
Children’s Suicide & Self-Harm Working Group
Once the Health Inequalities Working Group had complet ed its review,
consideration would be given to setting up a Working Gr oup to look at
children’s suicide and self harm.
RESOLVED: That:
1. the Democratic Services Manager contact the Labo ur Group
Chief Whip to request two Labour Members for the He alth
Inequalities Working Group; and
2. the Work Programme be agreed subject to the abov e
amendments.
The meeting, which commenced at 5.00 pm, closed at 7.50 pm.
These are the minutes of the above meeting. For more information on any of the
resolutions please contact Nikki Stubbs on 01895 250472. Circulation of these minutes
is to Councillors, Officers, the Press and Members of the Public.
Page 8
Minutes
EXTERNAL SERVICES SCRUTINY COMMITTEE
16 June 2010
Meeting held at Committee Room 4 - Civic Centre,
High Street, Uxbridge UB8 1UW
Committee Members Present:
Councillors Mary O’Connor (Chairman), Phoday Jarjussey (Labour Lead), Dominic
Gilham (Substituting for Councillor Michael White), Shirley Harper-O’Neill (Substituting
for Councillor Judy Kelly) and Peter Kemp
Witnesses Present:
Dr Ellis Friedman, Joint Director of Public Health – PCT
Maria O’Brien, Managing Director, Hillingdon Community Health – PCT
Keith Bullen, Chief Operating Officer – PCT
John Vaughan, Director of Strategic Planning and Partnership – Central & North West
London NHS Foundation Trust
Sandra Brookes, Service Director for Hillingdon – Central & North West London NHS
Foundation Trust
Mick May, Group Managing Director – Groundwork Thames Valley
Gary Jacob, Executive Director – Groundwork Thames Valley
Graham Hawkes, Interim Manager – Hillingdon LINk
Ian Diamant, Vice-Chairman – Hillingdon LINk
Others present:
Councillors Philip Corthorne, Cabinet Member for Social Services, Health & Housing
Councillors Beulah East and Robin Sansarpuri
Malcolm Ellis, Standards Committee Vice-Chairman
LBH Officers Present:
Ian Edwards and Nikki Stubbs
Public present: 2
8. APOLOGIES FOR ABSENCE AND TO REPORT THE PRESENCE
OF ANY SUBSTITUTE MEMBERS (Agenda Item 1)
Action by
Councillors Michael White and Judy Kelly had given thei r apologies for
this meeting and Councillors Dominic Gilham and Shirley Harper-
O’Neill had attended as substitutes.
9. EXCLUSION OF PRESS AND PUBLIC (Agenda Item 3)
Action by
RESOLVED: That all items of business be considered in public.
10. PROGRESS OF LINK (Agenda Item 4)
Action by
Members were advised that there had been some unresolv ed issues
with HAP UK and it had been mutually agreed to end the contract
early, at the end of December 2009. Groundwork Thame s Valley
Agenda Item 4
Page 9
(GTV) had agreed to take on the remainder of the con tract as the host
for Hillingdon LINk until 31 March 2011. Very encoura ging feedback
had been received from the LINk and Board members abo ut the
progress Groundwork had made as the host.
GTV was a long standing partner of the Council and had been asked to
provide staff and manage the LINk contract at very short notice in an
area with which it was unfamiliar. HAP UK staff had been transferred
across to GTV under TUPE regulations (Transfer of Under takings
(Protection of Employment)).
Mr Mick May, Group Managing Director at GTV, stated tha t, as GTV
was an environmental regeneration charity, it had stra yed outside of its
usual area of expertise. Whilst GTV was happy to keep t he contract
until 31 March 2011 and was happy to continue working with the
Council on other projects, Mr May advised that GTV woul d not seek to
renew the host contract.
With regard to the future, Members were advised that t he availability of
future funding for the LINk was unclear. Whatever the outcome, if
Government funding was to be made available, it was almost inevitable
that it would be at a much reduced level. Clarity w as needed on the
situation - and soon.
Concerns were expressed at the possibility that the Gover nment might
merge the LINk into Healthwatch which was practitioner-b ased and
was more focussed on health than care. Should the Gove rnment
decide to make any significant changes, it was likely that changes in
primary legislation would be required.
Mr Graham Hawkes, Interim Manager of the Hillingdon L INk, thanked
the Council, the support team and GTV for their suppo rt over the last
few months. Since GTV had taken over the contract, mu ch work had
b
een undertaken which included a new website with lots o f features.
This website had been developed at less than a third of the cost of the
previous website. The support provided to the LINk had also increased
from 15 hours per week to 74 hours per week with the po ssibility of this
increasing to 96 hours per week. The Mall Pavilions sho pping centre
had also provided free office accommodation to the LIN k and had
offered the use of a vacant shop at the centre for a minimal cost.
Work had been undertaken by the LINk to engage with th e community
in a variety of ways which included events and liaising with groups
such as Brunel University –
particularly with hard to reach groups.
Further work had been done with Residents’ groups and the LINk had
been involved in a number of specific issues (e.g., Hay es Town
Medical Centre and the HESA medical extension, integra tion of
Hillingdon Community Health (HCH) with Central & No rth West London
NHS Foundation Trust). In total, it was believed th at the LINk had
engaged with more than 10,000 people, soliciting the ir views on a
variety of issues.
Mr Hawkes advised that Hillingdon LINk had been working with Somali
community leaders. This group had been involved in a survey that was
Page 10
underway which looked at the impact of KHAT. Mr Hawkes would pass
the results of this survey on to the Committee once they were
available.
Members queried how efforts were being made to make th e blood
pressure and blood test service accessible to Residents if the y were
still made to mak
e an appointment or go to the hospital for this servi ce.
Ms Maria O’Brien, Managing Director of HCH, advised th at the
community phlebotomy service was commissioned through the PC T
and was currently available to housebound Residents. Mr Keith Bullen,
Chief Operating Officer at the PCT, advised that he would find out
when these services would be generally available to Re sidents and
pass this information on to the Committee.
Members questioned whether the chiropody services had been
reinstated at the HESA Centre following the swine flu outbreak. Ms
O’Brien believed that the chiropody service at the HESA Centre was
now running again but that she would seek clarificatio n and then get
back to the Committee with a definitive answer.
Ms O’Brien confirmed that district nurses and carers who v isited
patients in the community continued to experience probl ems parking in
areas where there were Residents’ parking schemes. Furthe r parking
problems were also still being experienced at Hillingdon Hospital.
RESOLVED: That:
1. Mr Graham Hawkes pass the results of the KHAT su rvey to
the Committee once they were available;
2. Mr Keith Bullen find out when the blood pressure and blood
test services would be generally available to Resid ents and
pass this information on to the Committee;
3. Ms Maria O’Brien advise the Committee whether th e
chiropody service had been reinstated at the HESA C entre;
and
4. The report be noted.
Graham
Hawkes
Keith Bullen
Maria O’Brien
11. PROVIDER SERVICES (Agenda Item 5)
Action by
Ms Maria O’Brien, the Managing Director of Hillingdo n Community
Health (HCH), advised that there were 32 different co mmunity services
delivered by HCH which were split between adult service s and
children’s services. For 2010/2011, an additional £600k had been
secured from the PCT commissioning arm to develop services.
Service developments that had already been established included the
expansion of the community physiotherapy services, provisi on of
‘home’ phlebotomy service for housebound patients and t he
introduction of a new wound care service for ambulant p atients.
Further work was being undertaken regarding the expansi on of
community rehabilitation services for Parkinson’s, dementia and stroke.
Other work included:
• The commencement of a new walk-in TB clinic in Hayes
• Expansion of the paediatric community nursing service
• Appointment of an additional 4 school nurses
Page 11
• Appointment of a breast feeding co-ordinator
Ms O’Brien acknowledged that there was still room for im provement
but that HCH’s performance was tracked monthly. It was noted that
the performance was now in the top quartile of commun ity arms across
London. HCH had not performed well with regard to capturing ethnicity
data and district nurse response times. It was believed that, in reality,
the district nurse response times were not a problem as it was actually
a recording issue.
In 2006, the policy direction was to separate the commissi oning and
provider arms of the PCT. This strategy did not appear to have
changed with the new coalition Government. Monthly st aff side
meetings had been held with the unions and Ms O’Brien had four-
weekly talks with the teams. From this consultation with the staff, it
was clear that an NHS solution was the preferred option . It was noted
that the GPs had also been involved in the process at al l stages and
concerns that they had raised had been resolved.
It was noted that the internal separation of the commi ssioning and
provider functions had taken place 18 months ago and was working
well. The external separation would need to be mana ged carefully to
ensure that Residents were aware that there would not be a reduction
in services or a change in access points (unless the commissione rs
decommissioned the service).
There had been a number of options considered with regard to how the
PCT would externally separate the commissioning and pr ovider
functions which included:
• Joining with one or more existing provider arms to fo rm a
Community Foundation Trust – this was not a viable option
• Integrate with an Acute Trust
• Integrate with a Mental Health Trust
• Integrate with a local authority – this was explored in detail
• Form a social enterprise
A high level options appraisal was conducted in January 2010 including
an appraisal of potential partners against the following criteria:
• Strategic fit
• Quality and innovation
• Leadership
• Financial viability
Hillingdon PCT reviewed all of the options in line with the above criteria
and concluded that only two options were viable for shor t listing to the
next stage of the process: Community Services Assessment Pan el or
Central & North West London NHS Foundation Trust (C NWL). The
perceived benefits of selecting CNWL centred around imp roving
outcomes and quality, the ease of service integration, cl inical
sustainability, financial stability and whole system fit.
The Joint Integration Commission (JIC) was in place to ov ersee the
integration and ensure that patients received the best quality and
Page 12
outcomes and that tax payers received the best value for money.
Membership of the JIC included NHS Hillingdon, HCH, CN WL, HCH
Staff Side, LINks, GPs (Practice-based Commissioning (PbC) ) and the
Council.
The proposals would now be the subject of a communicatio ns and
engagement plan which would be considered by the staff and would be
the subject of weekly written briefings, face-to-face me etings and
posted on the Intranet. In addition, engagement was being undertaken
with PbC/GPs, the LINk (and other patient/public groups) as well as the
Council.
The next steps of the process would be to produce a due diligence
report and an integrated business plan. These would th en need to be
approved by the Cooperation and Competition Panel ( CCP), Monitor,
Hillingdon PCT and CNWL’s Board. Full approval would then be given
by the NHS London Board. It was anticipated that the transfer would
taken place on 1 April 2011 at the latest (although January 2011 was
preferred). Following the completion of the transfe r, Hillingdon PCT
would take on a contract management role with regard t o the provider
services in Hillingdon.
Mr John Vaughan, Director of Strategic Planning and Pa rtnership at
CNWL, advised that CNWL had been talking to staff and consulted
widely before the process had gone too far. CNWL wou ld ensure that
it made improvements around access to services and would make sure
that any staff efficiencies implemented would not have a negative
impact on front line staff. Ms Sandra Brookes, CNWL’s Se rvice
Director for Hillingdon, added that there were many areas where
synergies could be realised.
Members were advised that, if the proposal was successful, CNWL
would be looking to establish financial efficiencies. It was noted that
the majority of savings were likely to come from the PC T as it would no
longer be supporting HCH. Mr Vaughan advised that on e of the
advantages of CNWL being a Foundation Trust was that i t could use
any surplus funding generated for the provision of serv ices such as the
Wellbeing Centre at Boots the Chemist. Any savings made by the PCT
could be reinvested into commissioning more services.
Hillingdon PCTs Director of Communications was in the pro cess of
developing a communications plan which would be an imp ortant tool to
update staff and service users. A press release had been issued but it
was recognised that this was not enough. More work would need to be
undertaken to ensure that Residents were aware that th ere would not
be a significant change to the services that they received . The timing
and wording of this communication would be essential.
The due diligence process required that key criteria be met, such as
improved pathways to the community. These criteria h ad been borne
in mind throughout the whole process to date. The due diligence
process would culminate in the production of one report which would
include background information (reports on accounts, estat es, clinical
service, etc) and would illustrate that the proposal to appoint CNWL
Page 13
was appropriate. This information would be checked by Monitor.
CNWL advised that it had been rated mid-table in London in the patient
survey. Significant improvements had been implemente d and CNWL
had performed markedly better in the Community Survey this year than
it had two years ago. Members agreed that this was a p ositive step
forward.
In response to a Member’s question, it was noted that an y complaints
received about the service provided would either go to CNWL or the
PCT in the first instance.
Members requested that representatives from CNWL and Hil lingdon
PCT attend the External Services Scrutiny Committee me eting being
held on 24 November 2010 to update them on progress.
RESOLVED: That:
1. representatives from Hillingdon PCT and CNWL be invited
to attend the External Services Scrutiny Committee meeting
on 24 November 2010; and
2. the report be noted.
Nikki Stubbs
The meeting, which commenced at 6.00 pm, closed at 7.50 pm.
These are the minutes of the above meeting. For more information on any of the
resolutions please contact Nikki Stubbs on 01895 250472. Circulation of these minutes
is to Councillors, Officers, the Press and Members of the Public.
Page 14
PART 1 – MEMBERS, PUBLIC & PRESS
External Services Scrutiny Committee – 14 July 2010
SAFER TRANSPORT
Officer Contact Nikki Stubbs, Deputy Chief Executive’s Office
Papers with report None
REASON FOR ITEM
To enable the Committee to review the work being undertaken with regard to safer transport in
the Borough.
OPTIONS AVAILABLE TO THE COMMITTEE
1. Question the witnesses using the suggested questions/key l ines of enquiry
2. Ask additional questions as required
3. Make recommendations to address issues arising from discussi ons at the meeting
INFORMATION
Background
1. The Committee have asked to examine this issue on an annual basis following concerns
raised by local residents about anti-social behaviour on buses and trains and on the way
too and from public transport stops and inter-changes.
2. The main points noted in previous years are:
• The vast majority of young people using buses are wel l-behaved and there is no
clear empirical evidence to suggest an increase in ASB as a direct result of the
free travel initiative;
• Hillingdon does not have a large anti-social behaviou r problem on the local
transport network in comparison to other boroughs. Most crime that did take place
on public transport was fairly low level, e.g., rowdy children on their journeys to
and from school. Large numbers of well behaved young people in high spirits can
make a lot of noise - this is not necessarily the same as ASB;
• TfL work with schools to promote safe and respectful beha viour on buses;
• The Behaviour Code sets out certain levels of behavio ur that are expected of
young people when travelling on buses; young people can have their free travel
concession removed if they break this;
• Over 16,000 under 16 Oyster photocards have been wit hdrawn by TfL;
• TfL’s investment in CCTV and additional policing is en suring that the transport
system is safer and more controlled than ever before; and
• The free travel initiative is seeking to foster positiv e attitudes towards public
transport that will last into adulthood, therefore it would not be appropriate to
restrict the offer to daytimes.
Agenda Item 6
Page 15
PART 1 – MEMBERS, PUBLIC & PRESS
External Services Scrutiny Committee – 14 July 2010
3. TfL and the MPS are working together to tackle conce rns about increasing ASB on public
transport. Safer Transport Teams (STTs) and Transport Hub Teams are extra police
services being provided for the Borough.
4. The STT had, for some time, been visiting primary schools to talk to the pupils. This had
now been extended to early years and secondary schools.
5. The STT received data from TfL on a daily basis to enable officer to track where
problems were occurring. Trends could then be highlighted and addressed. It was
through this work that the U4 and 140 buses had been identified as problem routes and
then targeted through joint working between the STT and British Transport Police (BTP).
Further work was also undertaken through joint working, particularly with Harrow and
Ealing.
6. Operation Safe Bus involved significant police prese nce on buses. Further measures
were put in place during the half term period and for Halloween.
7. Following the robbery attack on a woman at the subw ay in Carlyon Road under the A312
Hayes By-pass, Mr Dulling had undertaken a crime prevention audit at the scene. From
this, a report was produced with recommendations for safety improvements at the
subway site.
8. Similar crime prevention audits had been undertaken by Mr Dulling with regard to the
Minet Country Park and the Avondale Estate. Remedial action was also being
considered at Beck Theatre to restore the use of areas for passengers and the wider
community.
9. There are 11 stations in the area and BTP work with the SNT, STT and residents to
address any issues that had arisen and to build of the existing partnerships and
relationships. The BTP spent time reassuring the public that the fear of crime was much
higher than the actual levels of crime and that there were few instances of anti social
behaviour in the Borough.
10. The BTP held monthly meetings with users of the public transport system. Issues that
were identified at these meetings were added to the BTP action plan. Any action taken
and issues resolved were reported back to these meetings.
11. BTP was pre-empting an increase in anti-social behaviour on the trains around certain
times such as Halloween. This proactive approach enabled the BTP to deal with issues
before they arose. It was noted that these actions, along with the work of the SNT, had
helped reduce crime rates across the board and had contributed to the increase in the
number of detections.
12. Members were generally very satisfied with the improvements that had been made and
the resultant low levels of crime on the transport network in the Borough. It was
acknowledged that the majority of young people using the transport system did not cause
trouble. As such, the STT role was more to ensure that passengers could travel safely
rather than a hard enforcement role.
Page 16
PART 1 – MEMBERS, PUBLIC & PRESS
External Services Scrutiny Committee – 14 July 2010
13. With regard to the removal of a young person’s Oyster Card, only TfL Revenue Control
Inspectors have the authority to remove cards. This could be done on a temporary basis
(once the young person had reached their destination) or on a permanent basis whereby
the young person would have the right of appeal. Other actions that could be taken
included the addition of a clause in an Anti Social Behaviour Order (ASBO) to prevent an
individual who had been caught for graffiti from sitting on the top deck of a double decker
bus. TfL were planning to implement a scheme called “Earn Your Travel Back”, whereby
young people who had their Oyster Cards permanently removed could earn them back.
14. Hillingdon Early Intervention Panel comprises representatives from organisations
including the Police, the Council and Hillingdon Homes. This Panel deals with all age
groups but finds that there are a significant number of referrals for young people. If a
referral had originated from the Safer Transport Team, consideration could be given to
putting an Acceptable Behaviour Contract or an ASBO in place. It was noted that the
BTP had applied a large number of Acceptable Behaviour Contracts, which could then be
used to support a request for an ASBO if the need arose.
The aim of this meeting:
• Receive an annual up-date about the role and impact of the Hillingdon Safer
Transport Team, the Transport Hub Team and British Transport Police
• Examine any issues that may undermine or affect their effectiveness
Witnesses
15. The representatives from the following organisations have been invited to attend the
meeting:
• British Transport Police
• Metropolitan Police Service
• Community Safety, LBH
• Safer Transport Team
• Transport Hub Team
• Transport for London
SUGGESTED SCRUTINY ACTIVITY
Members to question representatives from the Metropolitan Police Service, British Transport
Police and Transport for London on the developments regarding safety and decide whether to
take any further action.
BACKGROUND REPORTS
None.
Page 17
PART 1 – MEMBERS, PUBLIC & PRESS
External Services Scrutiny Committee – 14 July 2010
SUGGESTED KEY QUESTIONS/LINES OF ENQUIRY
1. What are the major ASB problems on public transport in Hillingdon?
2. What activities has the Hillingdon Safer Transport Team (STT) undertaken to address
these problems?
3. What difference has the STT made to ASB on public transport?
4. How does the STT relate to and work with the Briti sh Transport Police? Is there any
overlap?
5. How are the priorities for the STT decided (i.e. h ow and where the STT will be deployed)?
6. For how long is the STT funded? Can the officers be abstracted to other duties?
7. Where does the remit of STTs end – e.g. are officer s able to deal with the issues around
graffiti and vandalism of bus shelters?
8. What is the pattern in terms of ASB on buses: has the situation improved or got worse in
the last year?
9. What has been the impact of the free travel initia tive? Has this caused increased ASB?
10. Is the process for identifying perpetrators of ASB and then removing free travel entitlement
effective? Could this be improved?
11. What role does the Council have in tackling ASB on public transport? Could this role be
enhanced or developed?
12. What issues undermine or affect the effectiveness of the STT? How could the STT
become more effective?
13. Have Hillingdon schools worked with TfL to promote responsible behaviour by young
people on public transport? Could these links be improved?
Page 18
PART 1 – MEMBERS, PUBLIC AND PRESS
External Services Scrutiny Committee – 14 July 2010
WORK PROGRAMME
Officer Contact Nikki Stubbs, Deputy Chief Executive’s Office
Papers with report Appendix A: Work Programme 2010/2011
REASON FOR REPORT
To enable the Committee to track the progress of its work in accordance with good project
management practice.
OPTIONS OPEN TO THE COMMITTEE
1. Note the proposed Work Programme.
2. To make suggestions for/amendments to future working practices and/or reviews.
INFORMATION
1. At its last meeting, the Committee agreed the atta ched Work Programme. Pale shading
indicates completed meetings.
2. The meeting scheduled for 11 January 2011 has been l eft unallocated in order to allow
time for either:
• additional topics to be considered; or
• further consideration to be given when undertaking e xisting topics identified on the
Work Programme.
3. It should be noted that the meeting scheduled for 2 2 September 2010 has been
cancelled.
4. With regard to the Health Inequalities Working Gro up, consideration needs to be given to
the scheduling of its meetings and the witnesses that the Members would like to invite.
SUGGESTED SCRUTINY ACTIVITY
1. Members note the Work Programme and make any amend ments as appropriate.
2. Ensure Members are clear on the work coming before t he Committee
BACKGROUND DOCUMENTS
None.
Agenda Item 7
Page 19
PART 1 – MEMBERS, PUBLIC AND PRESS
External Services Scrutiny Committee – 14 July 2010
APPENDIX A
EXTERNAL SERVICES SCRUTINY COMMITTEE
2010/11 WORK PROGRAMME
NB – all meetings start at 6pm in the Civic Centre unless otherwise indicated.
Shading indicates completed meetings
Meeting Date Agenda Item
9 June 2010
Community Cohesion Review
The review the achievements of the following
organisations since April 2009 with regards to
Community Cohesion:
• Metropolitan Police
• London Fire Brigade
• University of Brunel
• Union of Brunel Students
• Hillingdon Primary Care Trust
• Strong & Active Communities
• Hillingdon Inter Faith Network
• Hillingdon Association of Voluntary Services
LINk
To receive a report on the progress of LINk in the
Borough since the last update received by the
Committee in June 2009.
16 June 2010
Provider Services
Detailed scrutiny of provider services, with particular
reference to vertical integration and the proposed
appointment of Central & North West London NHS
Foundation Trust.
14 July 2010
Safer Transport
To scrutinise the issue of safety with regards to
transport in the Borough (Safer Neighbourhoods
Team, Metropolitan Police Service and British
Transport).
22 September 2010
CANCELLED
28 October 2010
NHS & GPs
Performance updates and update on significant
issues:
• NHS
• GPs
Page 20
PART 1 – MEMBERS, PUBLIC AND PRESS
External Services Scrutiny Committee – 14 July 2010
Meeting Date Agenda Item
24 November 2010
Provider Services
Review of effectiveness of provider services (with
particular reference to end of life care, TB, children’s
speech and language therapy, physiotherapy and
specialist community dentistry) and of the progress
of the vertical integration:
• CNWL
• PCT
11 January 2011
23 February 2011
Crime & Disorder
30 March 2011 – 5pm
Community Cohesion Review
The review the achievements of the following
organisations since June 2010 with regards to
Community Cohesion:
• Metropolitan Police
• London Fire Brigade
• University of Brunel
• Union of Brunel Students
• Hillingdon Primary Care Trust
• Strong & Active Communities
• Hillingdon Inter Faith Network
• Hillingdon Association of Voluntary Services
26 April 2011
Quality Accounts & CQC Evidence Gathering
• Hillingdon Primary Care Trust (PCT)
• The Hillingdon Hospital NHS Trust
• Royal Brompton & Harefield NHS Foundation
Trust
• Central & North West London NHS Foundation
Trust
• London Ambulance Service
• Care Quality Commission (CQC)
Page 21
PART 1 – MEMBERS, PUBLIC AND PRESS
External Services Scrutiny Committee – 14 July 2010
Themes Future Work to be Undertaken
Health Inequalities
Working Group
Comprising Councillors:
• Judy Kelly
• Mary O’Connor
• Michael White
• Phoday Jarjussey
• John Major
Detailed review of the impact of housing
overcrowding on educational attainment and
children’s development.
Working Group Meeting dates:
• To be arranged
Witnesses
• To be agreed
Children’s Suicide
and Self Harm
Working Group
Detailed review of children’s suicide and self harm.
Page 22
Text extracted automatically from the PDF, so layout, tables and images are not shown. Open the original PDF on LB Hillingdon’s website.
Read the text of: Printed draft minutes PDF 184 KB (26 pages)
Lloyd White
Head of Democratic Services
London Borough of Hillingdon,
3E/05, Civic Centre, High Street, Uxbridge, UB8 1UW
www.hillingdon.gov.uk
External
Services
Scrutiny
Committee
Date: WEDNESDAY, 14 JULY
2010
Time: 6.00 PM
Venue: COMMITTEE ROOM 6 -
CIVIC CENTRE, HIGH
STREET, UXBRIDGE UB8
1UW
Meeting
Details:
Members of the Public and
Press are welcome to attend
this meeting
Councillors on the Committee
Mary O'Connor (Chairman)
Michael White (Vice-Chairman)
Phoday Jarjussey (Labour Lead)
Judy Kelly
Peter Kemp
Published: Tuesday, 6 July 2010
This agenda and associated
reports can be made available
in other languages, in braille,
large print or on audio tape on
request. Please contact us for
further information.
Contact: Nikki Stubbs
Tel: 01895 250472
Fax: 01895 277373
Email:
nstubbs@hillingdon.gov.uk
This Agenda is available online at:
http://modgov.hillingdon.gov.uk/ieListMeetings.aspx?CId=118&Year=2010
Public Document Pack
Useful information
Bus routes 427, U1, U3, U4 and U7 all stop at
the Civic Centre. Uxbridge underground station,
with the Piccadilly and Metropolitan lines, is a
short walk away. Limited parking is available at
the Civic Centre. For details on availability and
how to book a parking space, please contact
Democratic Services
Please enter from the Council’s main reception
where you will be directed to the Committee
Room. An Induction Loop System is available for
use in the various meeting rooms. Please contact
us for further information.
Please switch off any mobile telephones and
BlackBerries™ before the meeting. Any
recording of the meeting is not allowed, either
using electronic, mobile or visual devices.
If there is a FIRE in the building the alarm will
sound continuously. If there is a BOMB ALERT
the alarm sounds intermittently. Please make your way to the nearest FIRE EXIT.
Terms of Reference
1. To scrutinise local NHS organisations in line with th e health powers conferred by the
Health and Social Care Act 2001, including:
(a) scrutiny of local NHS organisations by calling the relevant Chief Executive(s) to
account for the work of their organisation(s) and undertaking a review into issues
of concern;
(b) consider NHS service reconfigurations which the Committee agree to be
substantial, establishing a joint committee if the proposals affect more than one
Overview and Scrutiny Committee area; and to refer contested major service
configurations to the Independent Reconfiguration Panel (in accordance with the
Health and Social Care Act); and
(c) respond to any relevant NHS consultations.
2. To act as a Crime and Disorder Committee as defined in the Crime and Disorder
(Overview and Scrutiny) Regulations 2009 and carry out the bi-annual scrutiny of
decisions made, or other action taken, in connection with the discharge by the
responsible authorities of their crime and disorder functions.
3. To scrutinise the work of non-Hillingdon Council agen cies whose actions affect
residents of the London Borough of Hillingdon.
4. To identify areas of concern to the community within their remit and instigate an
appropriate review process.
Agenda
PART I - MEMBERS, PUBLIC AND PRESS
Page
1 Apologies for absence and to report the presence of any substitute
Members
2 Declarations of Interest in matters coming before this meeting
3 Minutes of the meeting - 9 June 2010 1 - 8
4 Minutes of the meeting - 16 June 2010 9 - 14
5 Exclusion of Press and Public
To confirm that all items marked Part 1 will be considered in public and that any items
marked Part 2 will be considered in private
6 Safer Transport 15 - 18
7 Work Programme 19 - 22
PART II - PRIVATE, MEMBERS ONLY
8 Any Business transferred from Part 1
Minutes
EXTERNAL SERVICES SCRUTINY COMMITTEE
9 June 2010
Meeting held at Committee Room 4 - Civic Centre,
High Street, Uxbridge UB8 1UW
Committee Members Present:
Councillors Mary O’Connor (Chairman), Michael White (Vice-Chairman), Phoday
Jarjussey (Labour Lead), Judy Kelly and Peter Kemp
Witnesses Present:
Superintendent Des Rock – Metropolitan Police Service
Chief Inspector Maurice Hartnett – Metropolitan Police Service
Carole Jones – Strong & Active Communities Partnership
Dr Ellis Friedman, Joint Director of Public Health – PCT
Professor Ian Campbell – Brunel University
Yewande Akindele, Equality and Diversity Manager – Brunel University
Ted Hill – Hillingdon Association of Voluntary Services (HAVS)
Colin Gribble – London Fire Brigade
Duncan Struthers – Hillingdon Inter Faith Network
Others Present:
Councillors Dominic Gilham and John Major
Malcolm Ellis, Standards Committee Vice-Chairman
LBH Officers Present:
Ed Shaylor, Fiona Gibbs and Nikki Stubbs
3. EXCLUSION OF PRESS AND PUBLIC (Agenda Item 5)
Action by
RESOLVED: That all items be considered in public.
4. COMMUNITY COHESION: RESPONDING TO AND
UNDERSTANDING LOCAL CHALLENGES (Agenda Item 6)
Action by
The Chairman welcomed those present to the meeting. This meeting
had previously been scheduled for 26 April 2010 but ha d been
cancelled following a power cut in the Civic Centre.
Strong & Active Communities Partnership
The purpose of the Strong & Active Communities Partner ship theme
group, established in April 2009, was to provide the o pportunity for
agencies delivering services across the Borough to come toget her to
build strong and cohesive communities for residents in Hi llingdon and
deliver priorities under the Hillingdon Sustainable Community Strategy.
Strong & Active Communities Partnership was one of six thematic
groups within Hillingdon's Local Strategic Partnership (LSP). As part of
its work, the Strong & Active Communities Partnership t heme group
was responsible for overseeing the impact of the Local Ar ea
Agreement indicators, including monitoring their progre ss against
Agenda Item 3
Page 1
agreed targets, and evaluating the impact of outcomes o n community
cohesion across the Borough.
Ms Fiona Gibbs, the Council’s Stronger Communities Manag er,
advised that the Strong & Active Communities Partnershi p theme
group was chaired by Ms Carole Jones. The core focus of t his group
was around developing partnership working and developi ng models of
good practice that could be shared and which were sustain able. One
of the core areas of focus had been upon delivering pro grammes that
engaged young people, schools and families
Ms Jones stated that community cohesion and partnership wor king
underpinned everything that was done by the Strong & Active
Communities Partnership theme group. It was noted th at work had
been undertaken with young people and their parents in nine schools in
the Yeading area. In addition, the national Heartst one project Festival
of Flight had been delivered in Hillingdon in 2009 and was now re-
branded as Reach for the Sky - this project focussed on hel ping young
people to understand discrimination and build aspiratio n. The project
had been a joint partnership with Brunel University, Yeading Junior
school, Healthy Hillingdon and Stronger Communities an d was now
being cascaded to other schools with the young people who had
already participated in the project acting as mentor s. The Strong &
Active Communities Partnership theme group had been in volved in a
number of other projects such as One World Week 2010 and Streets
Ahead 2010 and plans were afoot for Hayes Carnival. Ms Jones
circulated a booklet entitled Joining the Pieces which summ arised
some of the best practice models of working that had been developed
with Yeading Junior school and other partners as part of the Strong &
Active Communities Partnership theme group action plan.
It was noted that a range of sub groups had been estab lished by the
Strong & Active Communities Partnership theme group which looked at
issues such as the prevention of extremism and community tensions,
ESOL provision and the practitioners group for schools.
Hillingdon Inter Faith Network, the Travellers Forum and a range of
other voluntary organisations were also supported thro ugh the group’s
action plan with regards capacity building and improvin g community
engagement.
Ms Jones advised that she had been chosen to work on a Nat ional
project, which had now ended, as a community cohesion adv ocate,
leading the way on improving community cohesion outcom es through
schools. This role had given her the opportunity to sho wcase the work
that had been undertaken by the Strong & Active Commu nities
Partnership theme group on a national level and high light some of the
unique approaches being developed and delivered in Hillingdon.
The Department of Education had been particularly inte rested in the
work that had been undertaken at Yeading Community House which
had opened in February 2008. It was noted that a cele bratory event
involving approximately 150 women would be held at the House on 19
June 2010.
Page 2
With regard to understanding the risks and benefits asso ciated with
community cohesion, Ms Gibbs advised that data had been p ulled
together to help us understand what community cohesion looked like in
Hillingdon – what were the positive factors and what m ight the
challenges be, alongside mapping and understanding the diversity of
the Borough and where those communities were, such as ra cist
incidents and anti social behaviour. This has been cited as a unique
approach by CLG to understanding community cohesion as, u nlike
other boroughs, Hillingdon mapped both positive and n egative data
across the area. It was anticipated that this would be b uilt upon over
the next year and would then enable the Council to i dentify an even
stronger understanding of what a strong and active commu nity looked
like and would highlight where resources should be focussed.
In December 2009, Ms Gibbs had been invited to attend a European
conference in Sweden to talk about her experience in Hi llingdon with
regard to community cohesion. Following this trip, a S wedish
ministerial delegation visited Hillingdon to learn f rom the Council’s
experience and use some of its ideas.
It was noted that the Strong & Active Communities Part nership theme
group was facing a number of challenges posed by the ra pidly
changing communities, the diversity of their needs and a ccess to
services which had a real impact on residents’ sense of bel onging.
Alongside this was the continued threat of terrorism and far right
extremism. The group would be focussing on the areas w here there
were challenges and how these could be addressed in part nership as
well as continuing to promote the positives. Further w ork would also
need to be undertaken on how communities could be empo wered,
tensions monitoring and partnership working across boundaries. It was
suggested that Councillors feed back any information th at they were
aware of in relation to local tensions in their Wards.
Brunel University
Professor Ian Campbell advised that the University had held a number
of events over the last year around community cohesion which
included One World Week 2010 and the Active for Life sch eme. In
addition, work had been undertaken in relation to di sability and
dyslexia.
Members were advised that approximately 1,400 Brunel University
students were now involved in volunteering following t he launch of an
initiative to get more students working in the communit y. Professor
Campbell stated that the students work in making allotme nts
wheelchair accessible had gained them recognition at the recent
Volunteer Awards evening. Members asked that their tha nks be
passed on to the students that had been involved in the se volunteering
activities as they had brought the community together.
The University had also been involved in the Festival of Flight project.
As part of One World Week Parents and children from the local schools
involved were invited to the University campus and the e vent
culminated in some of the parents applying for courses. A further
Page 3
event was planned for 16 July 2010 to raise aspirations, develop
children’s skills and engage with their parents.
With regard to extremism, support was provided for stud ents to enable
them to speak to their peers.
The key aim of the education week held at Brunel Unive rsity this year
was to engage with as many cultures as possible. Childr en from nine
local schools visited the University and had been given th e task of
pretending to be from a different country. This invo lved things like
dressing in national costume, eating national food and gave them a
better understanding of other cultures.
Union of Brunel Students
It was noted that the Union of Brunel Students had coo rdinated RAG
week (which raised approximately £20k for the local commu nity) and
put on events including FRESH (a festival of creative e xpression that
reached out into the community) and a fashion show whi ch raised
approximately £1k for cancer community care in West Dray ton. It was
anticipated that more events would be organised in the future.
Hillingdon Association of Voluntary Services (HAVS)
Mr Ted Hill advised that there were now more than 40 0 groups
affiliated to HAVS with approximately 40,000 volunt eers. It was noted
that the economic situation was a worry for the organ isation in that the
demand for voluntary services had increased whilst the ca pacity had
decreased. Members were advised that the Council had gi ven
additional funding to Citizens Advice Bureau and to R elate which had
eased their financial situation.
HAVS had fared well in the recent Audit Commission Place Survey with
regard to local people feeling that they could make a difference and
contribute to changes.
Other work being undertaken by HAVS included:
• an Equalities Conference held in March 2010 which inclu ded
organisations from across the Borough – HAVS was now
analysing the feedback from this Conference
• a Child Services Showcase held in April 2010
• the development of the HAVS website
• engagement with groups that didn’t usually engage wi th HAVS
such as encouraging those people who didn’t have English as
their first language to attend IT courses
Hillingdon Inter Faith Network
It was noted that there were more than 80 different faith groups
providing over 900 community activities in the Borough . Mr Struthers
advised that there had been much work undertaken since t he last
External Services Scrutiny Committee meeting which included:
• the Brunel University Youth on Religion (YOR) resear ch project
– it was anticipated that the results of the phase 1 of this project
would assist individual high schools as well as the Standin g
Advisory Council for Religious Education (SACRE)
• a number of schools running inter faith events through the year
Page 4
with the help of Network members
• appendices in relation to guidance relevant to faith s being
included in the Healthy Hillingdon publication Managi ng Loss,
Trauma and Crisis
• the Hillingdon Walk of Peace which attracted over 30 0 people
with schools, faith groups and other agencies involved
• the first National Week of Faith which logged over 15 different
activities
Mr Struthers advised that there were great opportunit ies for strategic
planning and a need to recognise that some of the vol untary
organisations were not as good as they could be about m eeting the
faith needs of their volunteers. Further work would b e undertaken to
address this.
Metropolitan Police Service (MPS)
Chief Inspector (CI) Hartnett advised that policing re volved around the
prevention and detection of crime but that community co hesion was an
integral part of this. In the last year, the MPS ha d engaged with more
than 10,000 people who had attended Panel meetings.
More than 3,000 children were now involved in the Jun ior Citizen
scheme which involved Year 6pupils. This scheme was seen as one of
the best in London.
It was noted that there were now more than 60 volunt ary Police Cadets
which included children from disadvantaged backgrounds. I t was
hoped that there would be three Corps running by the end of the year.
In addition, the MPS had 85 volunteers who had contri buted
approximately 10,000 volunteer hours and 60 Special Constables.
The MPS had been involved in the One World Week even t organised
by Brunel University. It was noted that there had be en a positive
reaction to the police uniform (as well as the Mayoral robes) from the
children that had attended the event.
CI Hartnett advised that, with regard to hate crime a nd community
tensions, the MPS was working closely with Ms Gibbs. Howev er, it
was noted that Hillingdon had one of the lowest level s of hate crime in
London. CI Hartnett stated that the area with the highest levels in the
Borough changed each year.
Members were advised that the MPS could provide fundi ng for the
promotion of community groups. As an example of the applications
that were being received from community groups, CI Ha rtnett stated
that one group had applied and received funding for a new sewing
machine.
London Fire Brigade (LFB)
Mr Gribble advised Members that the fire cadets had no t yet been
established in Hillingdon. Two other London boroughs had set up
cadets and their progress would be monitored before thi s was taken
forward in Hillingdon.
Page 5
It was noted that, 20+ years ago, there was no communit y aspect to
the work of the LFB. However, there were now a numb er of smaller
projects being undertaken by each station. In Hillingdo n, these
included work on Domestic Violence, drug and alcohol abu se. Mr
Gribble believed that the most vulnerable people in our society were
the ones most susceptible to fire and it was important t o ensure that
the LFB targeted them.
The LFB had hosted the Junior Citizen event which had been attended
by app
roximately 3,000 children from a huge number of schoo ls.
Consideration would be given to widening out the VIP day to enable
more Councillors to attend the event.
In addition, the LFB was running the Junior Firesetter s Intervention
Scheme which involved firefighters volunteering to meet with young
people who had shown an interest in fire (and their parents), to reduce
this interest. Dealing with this issue at an early age would help prevent
these individuals from committing arson at a later age.
The LIFE project identified young people aged 13-18 who had been in
trouble or who had experienced problems communicating. The project
held courses at Wembley headquarters costing £1,000 per p erson (for
a maximum of 20 young people) and lasted for a week. The courses
encouraged the participants to work as a team.
Mr Gribble had been visiting secondary schools for more t han five
years and had talked to more than 7,000 students. Th e purpose of his
visits was to ensure make young people more aware of th e non-
obvious consequences of fires. He had also been involved in giving
talks to Year 6 students on road safety.
Hillingdon Primary Care Trust (PCT)
Dr Friedman observed that community cohesion resulted in positive
effects such as an increased sense of wellbeing, a better e conomy and
the prevention of hate crimes. It was suggested that th e provision of
positive role models would help individuals to have a pride in their
community.
Dr Friedman advised that those communities that fared best were
where there was an equality of opportunity and fairn ess. There were
clear links between inequality and community cohesion.
Mr Shaylor noted that much good work was continuing acr oss the
Borough. He advised that Ms Gibbs had been leading fo r the Council
on a project which was looking at the needs of Somali fa milies. A
report was being compiled from the findings (which inclu ded positive
feedback) and was expected to be available by the end of July 2010.
It was clear that the economy was continuing to be a pre ssure on
employment which could cause tensions between communities. There
were a small number of incidents of gang crime in the B orough despite
there being a large ethnic mix. It was also noted tha t there was a
relatively low level of racial harassment in the Borou gh with
approximately 100 cases being reported to the Council and 350 cases
Page 6
reported to the police each year.
It was anticipated that further work would be undertaken by the Council
in relation to licensing.
Members advised that the Council’s Residents’ and Environ mental
Services Policy Overview Committee would be undertaking a review on
KHAT. It was noted that Mr David Brough, Chairman o f Hayes Town
Partnership, had written to the Home Office to ask tha t consideration
be given to making the drug illegal. Members were kee n to raise
awareness of the impact that KHAT could have on health , e.g., it could
cause throat cancer.
In order to address inequalities, there would need to be continued
partnership working and a commitment to ensuring that all services
were available to everyone. It was also thought impo rtant to be aware
of the new communities within the Borough and issues th at were
relevant to them, e.g., economic, education, health, etc.
Voting for groups such as the BNP and National Front w as quite high
during the recent elections. Rather than lobby again st them,
organisations had worked to mitigate the problems caused. It was
thought important to challenge perpetrators of abuse a nd use any
powers available to deal with the issues, e.g., ASBOs, tenancy
injunctions, etc.
RESOLVED: That the reports be noted.
5. MINUTES OF THE PREVIOUS MEETING - 31 MARCH 2010 (Agenda
Item 3)
Action by
RESOLVED: That the minutes of the meeting held on 31 March
2010 be agreed as a correct record.
6. MINUTES OF THE PREVIOUS MEETING - 13 MAY 2010 (Agenda
Item 4)
Action by
RESOLVED: That the minutes of the meeting held on 13 May 2010
be agreed as a correct record.
7. WORK PROGRAMME (Agenda Item 7)
Action by
16 June 2010
It was noted that Councillor Philip Corthorne, as the Cabinet Member
for Social Services, Health and Housing, be invited to attend the
meeting which would focus on the vertical integration of provider
services and the Hillingdon LINk.
14 July 2010
Safer Transport would be considered at this meeting (ra ther than 22
September 2010 which had been suggested on the draft W ork
Programme attached to the agenda).
Page 7
22 September 2010
It was agreed that this meeting be cancelled. Should a n urgent matter
arise around this time, a replacement meeting could be scheduled.
28 October 2010
As suggested on the draft Work Programme attached to the agenda.
24 November 2010
It was agreed that the progress and effectiveness of prov ider services
be considered at this meeting. Members suggested that spe ech and
language therapy be included at this meeting as well a s end of life
care: focussing residents’ expectations, provision of clear guidance,
options available and where help could be obtained.
11 January 2011
To be decided.
23 February 2011 / 30 March 2011 / 26 April 2011
As suggested on the draft Work Programme attached to the agenda.
Health Inequalities Working Group
It was agreed that a Working Group be set up to conside r the effect of
overcrowding on educational attainment and children’s d evelopment.
Councillors O’Connor, Kelly and White would participat e in this
Working Group. The Democratic Services Manager would con tact the
Labour Group Chief Whip to request two Labour Member s for the
Working Group and to advise that Councillor O’Connor h ad specifically
requested that Councillor Jarjussey be one of these. On ce these
names had been confirmed, consideration would be given to ensuring
that there was a representative from the Education and Children’s
Services POC and the Social Services, Health and Housing POC on
the Working Group.
Children’s Suicide & Self-Harm Working Group
Once the Health Inequalities Working Group had complet ed its review,
consideration would be given to setting up a Working Gr oup to look at
children’s suicide and self harm.
RESOLVED: That:
1. the Democratic Services Manager contact the Labo ur Group
Chief Whip to request two Labour Members for the He alth
Inequalities Working Group; and
2. the Work Programme be agreed subject to the abov e
amendments.
The meeting, which commenced at 5.00 pm, closed at 7.50 pm.
These are the minutes of the above meeting. For more information on any of the
resolutions please contact Nikki Stubbs on 01895 250472. Circulation of these minutes
is to Councillors, Officers, the Press and Members of the Public.
Page 8
Minutes
EXTERNAL SERVICES SCRUTINY COMMITTEE
16 June 2010
Meeting held at Committee Room 4 - Civic Centre,
High Street, Uxbridge UB8 1UW
Committee Members Present:
Councillors Mary O’Connor (Chairman), Phoday Jarjussey (Labour Lead), Dominic
Gilham (Substituting for Councillor Michael White), Shirley Harper-O’Neill (Substituting
for Councillor Judy Kelly) and Peter Kemp
Witnesses Present:
Dr Ellis Friedman, Joint Director of Public Health – PCT
Maria O’Brien, Managing Director, Hillingdon Community Health – PCT
Keith Bullen, Chief Operating Officer – PCT
John Vaughan, Director of Strategic Planning and Partnership – Central & North West
London NHS Foundation Trust
Sandra Brookes, Service Director for Hillingdon – Central & North West London NHS
Foundation Trust
Mick May, Group Managing Director – Groundwork Thames Valley
Gary Jacob, Executive Director – Groundwork Thames Valley
Graham Hawkes, Interim Manager – Hillingdon LINk
Ian Diamant, Vice-Chairman – Hillingdon LINk
Others present:
Councillors Philip Corthorne, Cabinet Member for Social Services, Health & Housing
Councillors Beulah East and Robin Sansarpuri
Malcolm Ellis, Standards Committee Vice-Chairman
LBH Officers Present:
Ian Edwards and Nikki Stubbs
Public present: 2
8. APOLOGIES FOR ABSENCE AND TO REPORT THE PRESENCE
OF ANY SUBSTITUTE MEMBERS (Agenda Item 1)
Action by
Councillors Michael White and Judy Kelly had given thei r apologies for
this meeting and Councillors Dominic Gilham and Shirley Harper-
O’Neill had attended as substitutes.
9. EXCLUSION OF PRESS AND PUBLIC (Agenda Item 3)
Action by
RESOLVED: That all items of business be considered in public.
10. PROGRESS OF LINK (Agenda Item 4)
Action by
Members were advised that there had been some unresolv ed issues
with HAP UK and it had been mutually agreed to end the contract
early, at the end of December 2009. Groundwork Thame s Valley
Agenda Item 4
Page 9
(GTV) had agreed to take on the remainder of the con tract as the host
for Hillingdon LINk until 31 March 2011. Very encoura ging feedback
had been received from the LINk and Board members abo ut the
progress Groundwork had made as the host.
GTV was a long standing partner of the Council and had been asked to
provide staff and manage the LINk contract at very short notice in an
area with which it was unfamiliar. HAP UK staff had been transferred
across to GTV under TUPE regulations (Transfer of Under takings
(Protection of Employment)).
Mr Mick May, Group Managing Director at GTV, stated tha t, as GTV
was an environmental regeneration charity, it had stra yed outside of its
usual area of expertise. Whilst GTV was happy to keep t he contract
until 31 March 2011 and was happy to continue working with the
Council on other projects, Mr May advised that GTV woul d not seek to
renew the host contract.
With regard to the future, Members were advised that t he availability of
future funding for the LINk was unclear. Whatever the outcome, if
Government funding was to be made available, it was almost inevitable
that it would be at a much reduced level. Clarity w as needed on the
situation - and soon.
Concerns were expressed at the possibility that the Gover nment might
merge the LINk into Healthwatch which was practitioner-b ased and
was more focussed on health than care. Should the Gove rnment
decide to make any significant changes, it was likely that changes in
primary legislation would be required.
Mr Graham Hawkes, Interim Manager of the Hillingdon L INk, thanked
the Council, the support team and GTV for their suppo rt over the last
few months. Since GTV had taken over the contract, mu ch work had
b
een undertaken which included a new website with lots o f features.
This website had been developed at less than a third of the cost of the
previous website. The support provided to the LINk had also increased
from 15 hours per week to 74 hours per week with the po ssibility of this
increasing to 96 hours per week. The Mall Pavilions sho pping centre
had also provided free office accommodation to the LIN k and had
offered the use of a vacant shop at the centre for a minimal cost.
Work had been undertaken by the LINk to engage with th e community
in a variety of ways which included events and liaising with groups
such as Brunel University –
particularly with hard to reach groups.
Further work had been done with Residents’ groups and the LINk had
been involved in a number of specific issues (e.g., Hay es Town
Medical Centre and the HESA medical extension, integra tion of
Hillingdon Community Health (HCH) with Central & No rth West London
NHS Foundation Trust). In total, it was believed th at the LINk had
engaged with more than 10,000 people, soliciting the ir views on a
variety of issues.
Mr Hawkes advised that Hillingdon LINk had been working with Somali
community leaders. This group had been involved in a survey that was
Page 10
underway which looked at the impact of KHAT. Mr Hawkes would pass
the results of this survey on to the Committee once they were
available.
Members queried how efforts were being made to make th e blood
pressure and blood test service accessible to Residents if the y were
still made to mak
e an appointment or go to the hospital for this servi ce.
Ms Maria O’Brien, Managing Director of HCH, advised th at the
community phlebotomy service was commissioned through the PC T
and was currently available to housebound Residents. Mr Keith Bullen,
Chief Operating Officer at the PCT, advised that he would find out
when these services would be generally available to Re sidents and
pass this information on to the Committee.
Members questioned whether the chiropody services had been
reinstated at the HESA Centre following the swine flu outbreak. Ms
O’Brien believed that the chiropody service at the HESA Centre was
now running again but that she would seek clarificatio n and then get
back to the Committee with a definitive answer.
Ms O’Brien confirmed that district nurses and carers who v isited
patients in the community continued to experience probl ems parking in
areas where there were Residents’ parking schemes. Furthe r parking
problems were also still being experienced at Hillingdon Hospital.
RESOLVED: That:
1. Mr Graham Hawkes pass the results of the KHAT su rvey to
the Committee once they were available;
2. Mr Keith Bullen find out when the blood pressure and blood
test services would be generally available to Resid ents and
pass this information on to the Committee;
3. Ms Maria O’Brien advise the Committee whether th e
chiropody service had been reinstated at the HESA C entre;
and
4. The report be noted.
Graham
Hawkes
Keith Bullen
Maria O’Brien
11. PROVIDER SERVICES (Agenda Item 5)
Action by
Ms Maria O’Brien, the Managing Director of Hillingdo n Community
Health (HCH), advised that there were 32 different co mmunity services
delivered by HCH which were split between adult service s and
children’s services. For 2010/2011, an additional £600k had been
secured from the PCT commissioning arm to develop services.
Service developments that had already been established included the
expansion of the community physiotherapy services, provisi on of
‘home’ phlebotomy service for housebound patients and t he
introduction of a new wound care service for ambulant p atients.
Further work was being undertaken regarding the expansi on of
community rehabilitation services for Parkinson’s, dementia and stroke.
Other work included:
• The commencement of a new walk-in TB clinic in Hayes
• Expansion of the paediatric community nursing service
• Appointment of an additional 4 school nurses
Page 11
• Appointment of a breast feeding co-ordinator
Ms O’Brien acknowledged that there was still room for im provement
but that HCH’s performance was tracked monthly. It was noted that
the performance was now in the top quartile of commun ity arms across
London. HCH had not performed well with regard to capturing ethnicity
data and district nurse response times. It was believed that, in reality,
the district nurse response times were not a problem as it was actually
a recording issue.
In 2006, the policy direction was to separate the commissi oning and
provider arms of the PCT. This strategy did not appear to have
changed with the new coalition Government. Monthly st aff side
meetings had been held with the unions and Ms O’Brien had four-
weekly talks with the teams. From this consultation with the staff, it
was clear that an NHS solution was the preferred option . It was noted
that the GPs had also been involved in the process at al l stages and
concerns that they had raised had been resolved.
It was noted that the internal separation of the commi ssioning and
provider functions had taken place 18 months ago and was working
well. The external separation would need to be mana ged carefully to
ensure that Residents were aware that there would not be a reduction
in services or a change in access points (unless the commissione rs
decommissioned the service).
There had been a number of options considered with regard to how the
PCT would externally separate the commissioning and pr ovider
functions which included:
• Joining with one or more existing provider arms to fo rm a
Community Foundation Trust – this was not a viable option
• Integrate with an Acute Trust
• Integrate with a Mental Health Trust
• Integrate with a local authority – this was explored in detail
• Form a social enterprise
A high level options appraisal was conducted in January 2010 including
an appraisal of potential partners against the following criteria:
• Strategic fit
• Quality and innovation
• Leadership
• Financial viability
Hillingdon PCT reviewed all of the options in line with the above criteria
and concluded that only two options were viable for shor t listing to the
next stage of the process: Community Services Assessment Pan el or
Central & North West London NHS Foundation Trust (C NWL). The
perceived benefits of selecting CNWL centred around imp roving
outcomes and quality, the ease of service integration, cl inical
sustainability, financial stability and whole system fit.
The Joint Integration Commission (JIC) was in place to ov ersee the
integration and ensure that patients received the best quality and
Page 12
outcomes and that tax payers received the best value for money.
Membership of the JIC included NHS Hillingdon, HCH, CN WL, HCH
Staff Side, LINks, GPs (Practice-based Commissioning (PbC) ) and the
Council.
The proposals would now be the subject of a communicatio ns and
engagement plan which would be considered by the staff and would be
the subject of weekly written briefings, face-to-face me etings and
posted on the Intranet. In addition, engagement was being undertaken
with PbC/GPs, the LINk (and other patient/public groups) as well as the
Council.
The next steps of the process would be to produce a due diligence
report and an integrated business plan. These would th en need to be
approved by the Cooperation and Competition Panel ( CCP), Monitor,
Hillingdon PCT and CNWL’s Board. Full approval would then be given
by the NHS London Board. It was anticipated that the transfer would
taken place on 1 April 2011 at the latest (although January 2011 was
preferred). Following the completion of the transfe r, Hillingdon PCT
would take on a contract management role with regard t o the provider
services in Hillingdon.
Mr John Vaughan, Director of Strategic Planning and Pa rtnership at
CNWL, advised that CNWL had been talking to staff and consulted
widely before the process had gone too far. CNWL wou ld ensure that
it made improvements around access to services and would make sure
that any staff efficiencies implemented would not have a negative
impact on front line staff. Ms Sandra Brookes, CNWL’s Se rvice
Director for Hillingdon, added that there were many areas where
synergies could be realised.
Members were advised that, if the proposal was successful, CNWL
would be looking to establish financial efficiencies. It was noted that
the majority of savings were likely to come from the PC T as it would no
longer be supporting HCH. Mr Vaughan advised that on e of the
advantages of CNWL being a Foundation Trust was that i t could use
any surplus funding generated for the provision of serv ices such as the
Wellbeing Centre at Boots the Chemist. Any savings made by the PCT
could be reinvested into commissioning more services.
Hillingdon PCTs Director of Communications was in the pro cess of
developing a communications plan which would be an imp ortant tool to
update staff and service users. A press release had been issued but it
was recognised that this was not enough. More work would need to be
undertaken to ensure that Residents were aware that th ere would not
be a significant change to the services that they received . The timing
and wording of this communication would be essential.
The due diligence process required that key criteria be met, such as
improved pathways to the community. These criteria h ad been borne
in mind throughout the whole process to date. The due diligence
process would culminate in the production of one report which would
include background information (reports on accounts, estat es, clinical
service, etc) and would illustrate that the proposal to appoint CNWL
Page 13
was appropriate. This information would be checked by Monitor.
CNWL advised that it had been rated mid-table in London in the patient
survey. Significant improvements had been implemente d and CNWL
had performed markedly better in the Community Survey this year than
it had two years ago. Members agreed that this was a p ositive step
forward.
In response to a Member’s question, it was noted that an y complaints
received about the service provided would either go to CNWL or the
PCT in the first instance.
Members requested that representatives from CNWL and Hil lingdon
PCT attend the External Services Scrutiny Committee me eting being
held on 24 November 2010 to update them on progress.
RESOLVED: That:
1. representatives from Hillingdon PCT and CNWL be invited
to attend the External Services Scrutiny Committee meeting
on 24 November 2010; and
2. the report be noted.
Nikki Stubbs
The meeting, which commenced at 6.00 pm, closed at 7.50 pm.
These are the minutes of the above meeting. For more information on any of the
resolutions please contact Nikki Stubbs on 01895 250472. Circulation of these minutes
is to Councillors, Officers, the Press and Members of the Public.
Page 14
PART 1 – MEMBERS, PUBLIC & PRESS
External Services Scrutiny Committee – 14 July 2010
SAFER TRANSPORT
Officer Contact Nikki Stubbs, Deputy Chief Executive’s Office
Papers with report None
REASON FOR ITEM
To enable the Committee to review the work being undertaken with regard to safer transport in
the Borough.
OPTIONS AVAILABLE TO THE COMMITTEE
1. Question the witnesses using the suggested questions/key l ines of enquiry
2. Ask additional questions as required
3. Make recommendations to address issues arising from discussi ons at the meeting
INFORMATION
Background
1. The Committee have asked to examine this issue on an annual basis following concerns
raised by local residents about anti-social behaviour on buses and trains and on the way
too and from public transport stops and inter-changes.
2. The main points noted in previous years are:
• The vast majority of young people using buses are wel l-behaved and there is no
clear empirical evidence to suggest an increase in ASB as a direct result of the
free travel initiative;
• Hillingdon does not have a large anti-social behaviou r problem on the local
transport network in comparison to other boroughs. Most crime that did take place
on public transport was fairly low level, e.g., rowdy children on their journeys to
and from school. Large numbers of well behaved young people in high spirits can
make a lot of noise - this is not necessarily the same as ASB;
• TfL work with schools to promote safe and respectful beha viour on buses;
• The Behaviour Code sets out certain levels of behavio ur that are expected of
young people when travelling on buses; young people can have their free travel
concession removed if they break this;
• Over 16,000 under 16 Oyster photocards have been wit hdrawn by TfL;
• TfL’s investment in CCTV and additional policing is en suring that the transport
system is safer and more controlled than ever before; and
• The free travel initiative is seeking to foster positiv e attitudes towards public
transport that will last into adulthood, therefore it would not be appropriate to
restrict the offer to daytimes.
Agenda Item 6
Page 15
PART 1 – MEMBERS, PUBLIC & PRESS
External Services Scrutiny Committee – 14 July 2010
3. TfL and the MPS are working together to tackle conce rns about increasing ASB on public
transport. Safer Transport Teams (STTs) and Transport Hub Teams are extra police
services being provided for the Borough.
4. The STT had, for some time, been visiting primary schools to talk to the pupils. This had
now been extended to early years and secondary schools.
5. The STT received data from TfL on a daily basis to enable officer to track where
problems were occurring. Trends could then be highlighted and addressed. It was
through this work that the U4 and 140 buses had been identified as problem routes and
then targeted through joint working between the STT and British Transport Police (BTP).
Further work was also undertaken through joint working, particularly with Harrow and
Ealing.
6. Operation Safe Bus involved significant police prese nce on buses. Further measures
were put in place during the half term period and for Halloween.
7. Following the robbery attack on a woman at the subw ay in Carlyon Road under the A312
Hayes By-pass, Mr Dulling had undertaken a crime prevention audit at the scene. From
this, a report was produced with recommendations for safety improvements at the
subway site.
8. Similar crime prevention audits had been undertaken by Mr Dulling with regard to the
Minet Country Park and the Avondale Estate. Remedial action was also being
considered at Beck Theatre to restore the use of areas for passengers and the wider
community.
9. There are 11 stations in the area and BTP work with the SNT, STT and residents to
address any issues that had arisen and to build of the existing partnerships and
relationships. The BTP spent time reassuring the public that the fear of crime was much
higher than the actual levels of crime and that there were few instances of anti social
behaviour in the Borough.
10. The BTP held monthly meetings with users of the public transport system. Issues that
were identified at these meetings were added to the BTP action plan. Any action taken
and issues resolved were reported back to these meetings.
11. BTP was pre-empting an increase in anti-social behaviour on the trains around certain
times such as Halloween. This proactive approach enabled the BTP to deal with issues
before they arose. It was noted that these actions, along with the work of the SNT, had
helped reduce crime rates across the board and had contributed to the increase in the
number of detections.
12. Members were generally very satisfied with the improvements that had been made and
the resultant low levels of crime on the transport network in the Borough. It was
acknowledged that the majority of young people using the transport system did not cause
trouble. As such, the STT role was more to ensure that passengers could travel safely
rather than a hard enforcement role.
Page 16
PART 1 – MEMBERS, PUBLIC & PRESS
External Services Scrutiny Committee – 14 July 2010
13. With regard to the removal of a young person’s Oyster Card, only TfL Revenue Control
Inspectors have the authority to remove cards. This could be done on a temporary basis
(once the young person had reached their destination) or on a permanent basis whereby
the young person would have the right of appeal. Other actions that could be taken
included the addition of a clause in an Anti Social Behaviour Order (ASBO) to prevent an
individual who had been caught for graffiti from sitting on the top deck of a double decker
bus. TfL were planning to implement a scheme called “Earn Your Travel Back”, whereby
young people who had their Oyster Cards permanently removed could earn them back.
14. Hillingdon Early Intervention Panel comprises representatives from organisations
including the Police, the Council and Hillingdon Homes. This Panel deals with all age
groups but finds that there are a significant number of referrals for young people. If a
referral had originated from the Safer Transport Team, consideration could be given to
putting an Acceptable Behaviour Contract or an ASBO in place. It was noted that the
BTP had applied a large number of Acceptable Behaviour Contracts, which could then be
used to support a request for an ASBO if the need arose.
The aim of this meeting:
• Receive an annual up-date about the role and impact of the Hillingdon Safer
Transport Team, the Transport Hub Team and British Transport Police
• Examine any issues that may undermine or affect their effectiveness
Witnesses
15. The representatives from the following organisations have been invited to attend the
meeting:
• British Transport Police
• Metropolitan Police Service
• Community Safety, LBH
• Safer Transport Team
• Transport Hub Team
• Transport for London
SUGGESTED SCRUTINY ACTIVITY
Members to question representatives from the Metropolitan Police Service, British Transport
Police and Transport for London on the developments regarding safety and decide whether to
take any further action.
BACKGROUND REPORTS
None.
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PART 1 – MEMBERS, PUBLIC & PRESS
External Services Scrutiny Committee – 14 July 2010
SUGGESTED KEY QUESTIONS/LINES OF ENQUIRY
1. What are the major ASB problems on public transport in Hillingdon?
2. What activities has the Hillingdon Safer Transport Team (STT) undertaken to address
these problems?
3. What difference has the STT made to ASB on public transport?
4. How does the STT relate to and work with the Briti sh Transport Police? Is there any
overlap?
5. How are the priorities for the STT decided (i.e. h ow and where the STT will be deployed)?
6. For how long is the STT funded? Can the officers be abstracted to other duties?
7. Where does the remit of STTs end – e.g. are officer s able to deal with the issues around
graffiti and vandalism of bus shelters?
8. What is the pattern in terms of ASB on buses: has the situation improved or got worse in
the last year?
9. What has been the impact of the free travel initia tive? Has this caused increased ASB?
10. Is the process for identifying perpetrators of ASB and then removing free travel entitlement
effective? Could this be improved?
11. What role does the Council have in tackling ASB on public transport? Could this role be
enhanced or developed?
12. What issues undermine or affect the effectiveness of the STT? How could the STT
become more effective?
13. Have Hillingdon schools worked with TfL to promote responsible behaviour by young
people on public transport? Could these links be improved?
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PART 1 – MEMBERS, PUBLIC AND PRESS
External Services Scrutiny Committee – 14 July 2010
WORK PROGRAMME
Officer Contact Nikki Stubbs, Deputy Chief Executive’s Office
Papers with report Appendix A: Work Programme 2010/2011
REASON FOR REPORT
To enable the Committee to track the progress of its work in accordance with good project
management practice.
OPTIONS OPEN TO THE COMMITTEE
1. Note the proposed Work Programme.
2. To make suggestions for/amendments to future working practices and/or reviews.
INFORMATION
1. At its last meeting, the Committee agreed the atta ched Work Programme. Pale shading
indicates completed meetings.
2. The meeting scheduled for 11 January 2011 has been l eft unallocated in order to allow
time for either:
• additional topics to be considered; or
• further consideration to be given when undertaking e xisting topics identified on the
Work Programme.
3. It should be noted that the meeting scheduled for 2 2 September 2010 has been
cancelled.
4. With regard to the Health Inequalities Working Gro up, consideration needs to be given to
the scheduling of its meetings and the witnesses that the Members would like to invite.
SUGGESTED SCRUTINY ACTIVITY
1. Members note the Work Programme and make any amend ments as appropriate.
2. Ensure Members are clear on the work coming before t he Committee
BACKGROUND DOCUMENTS
None.
Agenda Item 7
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PART 1 – MEMBERS, PUBLIC AND PRESS
External Services Scrutiny Committee – 14 July 2010
APPENDIX A
EXTERNAL SERVICES SCRUTINY COMMITTEE
2010/11 WORK PROGRAMME
NB – all meetings start at 6pm in the Civic Centre unless otherwise indicated.
Shading indicates completed meetings
Meeting Date Agenda Item
9 June 2010
Community Cohesion Review
The review the achievements of the following
organisations since April 2009 with regards to
Community Cohesion:
• Metropolitan Police
• London Fire Brigade
• University of Brunel
• Union of Brunel Students
• Hillingdon Primary Care Trust
• Strong & Active Communities
• Hillingdon Inter Faith Network
• Hillingdon Association of Voluntary Services
LINk
To receive a report on the progress of LINk in the
Borough since the last update received by the
Committee in June 2009.
16 June 2010
Provider Services
Detailed scrutiny of provider services, with particular
reference to vertical integration and the proposed
appointment of Central & North West London NHS
Foundation Trust.
14 July 2010
Safer Transport
To scrutinise the issue of safety with regards to
transport in the Borough (Safer Neighbourhoods
Team, Metropolitan Police Service and British
Transport).
22 September 2010
CANCELLED
28 October 2010
NHS & GPs
Performance updates and update on significant
issues:
• NHS
• GPs
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PART 1 – MEMBERS, PUBLIC AND PRESS
External Services Scrutiny Committee – 14 July 2010
Meeting Date Agenda Item
24 November 2010
Provider Services
Review of effectiveness of provider services (with
particular reference to end of life care, TB, children’s
speech and language therapy, physiotherapy and
specialist community dentistry) and of the progress
of the vertical integration:
• CNWL
• PCT
11 January 2011
23 February 2011
Crime & Disorder
30 March 2011 – 5pm
Community Cohesion Review
The review the achievements of the following
organisations since June 2010 with regards to
Community Cohesion:
• Metropolitan Police
• London Fire Brigade
• University of Brunel
• Union of Brunel Students
• Hillingdon Primary Care Trust
• Strong & Active Communities
• Hillingdon Inter Faith Network
• Hillingdon Association of Voluntary Services
26 April 2011
Quality Accounts & CQC Evidence Gathering
• Hillingdon Primary Care Trust (PCT)
• The Hillingdon Hospital NHS Trust
• Royal Brompton & Harefield NHS Foundation
Trust
• Central & North West London NHS Foundation
Trust
• London Ambulance Service
• Care Quality Commission (CQC)
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PART 1 – MEMBERS, PUBLIC AND PRESS
External Services Scrutiny Committee – 14 July 2010
Themes Future Work to be Undertaken
Health Inequalities
Working Group
Comprising Councillors:
• Judy Kelly
• Mary O’Connor
• Michael White
• Phoday Jarjussey
• John Major
Detailed review of the impact of housing
overcrowding on educational attainment and
children’s development.
Working Group Meeting dates:
• To be arranged
Witnesses
• To be agreed
Children’s Suicide
and Self Harm
Working Group
Detailed review of children’s suicide and self harm.
Page 22
Text extracted automatically from the PDF, so layout, tables and images are not shown. Open the original PDF on LB Hillingdon’s website.