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North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS RAF EASTCOTE LIME GROVE RUISLIP Provision of glazed conservatories to Plots 338, 344, 345 and 349 (Application to vary parts of the approved layout under Reserved Matters approval ref:10189/APP/2007/3046 dated 13/03/2008) (Details of siting, design external appearance and landscaping in compliance with Condition 2 of Planning Permission ref:10189/APP/2007/3383 dated 21/02/2008: Residential Development.) 06/04/2010 Report of the Head of Planning & Enforcement Address Development: LBH Ref Nos: 10189/APP/2010/736 Drawing Nos: 5585-WIM.WL-702 5585-WIM.WL-703 5585/WIM.WL/1402C+/P1 5585/WIM.W.L/1402 C+/E1 5585/WIM.W.L./1402C/E1 Rev. A 5585/WIM.W.L/1402 C+/E2 Design and Access Statement Date Plans Received: Date(s) of Amendment(s): 1. SUMMARY This report relates to an application seeking variations to the layout and design of the alternative access reserved matters scheme ref: 10189/APP/2007/3046, which was approved on 31 March 2008. The amendments would allow rear conservatories to 4 plots located at the centre of the RAF Eastcote site. It is considered that in terms of design and layout, the inclusion of the conservator ies would respect the character of the local area and not detract from the internal character of the development. It is also considered that the inclusion of conservatories to these plots would not hav e an adverse impact on the amenities of surrounding residents in terms of loss of privac y, outlook, daylight or sunlight. Although the remaining external amenity areas of these plots would be below the HDAS Minimum Amenity Space requirements, they are considered sufficient to meet the needs of future occupiers. APPROVAL subject to the following: NONSC Non Standard Condition The materials to be used in the construction of the external surfaces of the development hereby permitted shall shall be in accordance with the details which have previously been approved for the main site under reference 10189/APP/2008/2872 dated 12/11/2008, unless otherwise agreed in writing by the Local Planning Authority. The external materials of the conservatories hereby approved shall match those used in the main 1 2. RECOMMENDATION 06/04/2010 Date Application Valid: North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS NONSC NONSC NONSC NONSC Non Standard Condition Non Standard Condition Non Standard Condition Non Standard Condition building. REASON To safeguard the visual amenities of the area and to ensure that the proposed development does not have an adverse effect upon the appearance of the existing building in accordance with Policies BE13 and BE19 of the Hillingdon Unitary Development Plan Saved Policies (September 2007). The development hereby approved shall incorporate measures to minimize the risk of crime and to meet the specific security needs of the application site and the development. Details of security measures shall be submitted and approved in writing by the Local Planning Authority before development commences. Any security measures to be implemented in compliance with this condition shall aim to achieve the 'Secured by Design' accreditation awarded by the Hillingdon Metropolitan Police Crime Prevention Design Adviser (CPDA) on behalf of the Association of Chief Police Officer s (ACPO). REASON In pursuance of the Council's duty under section 17 of the Crime and Disorder Act 1998 to consider crime and disorder implications in excising its planning functions; to promote the well being of the area in pursuance of the Council's powers under section 2 of the Local Government Act 2000, and to reflect the guidance contained in Circular 5/94 'Planning Out Crime' and the Council s SPG on Community Safety By Design. Notwithstanding the provisions of the Town and Country Planning (General Permitted Development) Order 1995 (or any order revoking and re-enacting that Order with or without modification), no extension to any dwellinghouse(s) including enlargement of roofs, nor any garage(s), shed(s) or other out-building(s) shall be erected without the grant of further specific permission from the Local Planning Authority. REASON So that the Local Planning Authority can ensure that any such development would not result in a significant loss of residential amenity in accordance with policy BE21 of the Hillingdon Unitary Development Plan Saved Policies September 2007. The chimney or extraction vent or flue to be provided in connection with the Bio Mass boilers shall be constructed in accordance with the details approved under reference 10189/APP/2009/1845 dated 19/3/2010. The biomass boilers shall not be commissioned until the vent/flue or chimney has been installed in accordance with the approved details. Thereafter it shall be permanently retained and maintained in good working order for so long as the use continues. REASON In order to safeguard the amenities of adjoining properties in accordance with Policy O E1 of the Hillingdon Unitary Development Plan Saved Policies September 2007. Notwithstanding the provisions of the Town and Country Planning (General Permitted Development) Order 1995 (or any order revoking and re-enacting that Order with or without modification), no additional windows or doors shall be constructed in the walls or roof slopes of any of the residential units hereby approved. 2 3 4 5 North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS NONSC NONSC NONSC NONSC Non Standard Condition Non Standard Condition Non Standard Condition Non Standard Condition REASON To prevent overlooking to adjoining properties in accordance with policy BE24 of the Hillingdon Unitary Development Plan Saved Policies September 2007. The first and/or second floor side windows of all dwelling houses shall be glazed wi th obscured glass and non-opening except at top vent level for so long as the development remains in existence. REASON To prevent overlooking to adjoining properties in accordance with policy BE24 of the Hillingdon Unitary Development Plan Saved Policies September 2007. The wheelchair units and lifetime homes shall be constructed in accordance with the details approved under planning reference 10189/APP/2008/1941 dated 14/10/2008, unless otherwise agreed in writing by the Local Planning Authority. REASON To ensure that sufficient housing stock is provided to meet the needs of people with disabilities and the elderly in accordance with London Plan Policy 3A.10 and the Hillingdon Design and Accessibility Statement (HDAS) Access for All. Development shall not be commenced until the fencing to protect the entire root areas/crown spread of trees, hedges and other vegetation to be retained has been erected in accordance with the details in the approved Aboricultural Impact Appraisal, approved Method Statement and Tree Protection Plan. The fencing shall be retained in position until development is completed. The area within the approved protective fencing shall remain undisturbed during the course of the works and in particular in these areas. REASON To ensure that trees and other vegetation to be retained are not damaged during construction work and to ensure that the development conforms with policy BE38 of the Hillingdon Unitary Development Plan Saved Policies (September 2007). The supervision of the tree protection referred to in the approved Method Statement received on 4/12/2007, in relation to the approved development, together with a programme of arboricultural input/works shall be implemented in accordance with the details approved on 16/10/2008, under planning reference no. 100189/APP/2008/2380, unless otherwise agreed in writing by the Local Planning Authority. REASON To ensure that trees and other vegetation to be retained are not damaged during construction work and to ensure that the development conforms with policy BE38 of the Hillingdon Unitary Development Plan Saved Policies (September 2007). 6 7 8 9 I1 Building to Approved Drawing 1 INFORMATIVES You are advised this permission is based on the dimensions provided on the approved drawings as numbered above. The development hereby approved must be constructed North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS I52 I53 I6 Compulsory Informative (1) Compulsory Informative (2) Property Rights/Rights of Light 2 3 4 3.1 Site and Locality The application relates to 4 plots, located centrally within the northern portion of the RAF Eastcote site. The plots form part of a crescent shaped terrace of 12 town houses, l ocated to the north of the main public open space serving the RAF Eastecote scheme, details of which have been approved at reserved matters stage. The larger site is 7.7 hectares in area and is dissected into northern and southern areas by an existing public footpath. An internal private road links the northern and southern areas. The northern portion is 4.2 hectares and was last used as a US Navy facility. The land in this area is undulat ing, and becomes lower towards the north western boundaries.The southern portion of the site is 3.5 hectares, is generally flat, and formally comprised a number of vacant buildings , previously used by the Ministry of Defence, which have now been demolished. The site historically had three vehicular access points, two from Eastcote Road and one precisely in accordance with the approved drawings. Any deviation from these drawings requires the written consent of the Local Planning Authority. The decision to GRANT reserved matters approval has been taken having regard to all relevant planning legislation, regulations, guidance, circulars and Council policies, including The Human Rights Act (1998) (HRA 1998) which makes it unlawful for t he Council to act incompatibly with Convention rights, specifically Article 6 (right to a fair hearing); Article 8 (right to respect for private and family life); Art icle 1 of the First Protocol (protection of property) and Article 14 (prohibition of discrimination). The decision to GRANT reserved matters approval has been taken having regard to the policies and proposals in the Hillingdon Unitary Development Plan Saved Policies (September 2007) set out below, including Supplementary Planning Guidance, and to all relevant material considerations, including the London Plan (February 2008) and national guidance. Your attention is drawn to the fact that the planning permission does not override property rights and any ancient rights of light that may exist. This permis sion does not empower you to enter onto land not in your ownership without the specific consent of the owner. If you require further information or advice, you should consult a solicitor . 3. CONSIDERATIONS BE13 BE19 BE20 BE21 BE23 BE24 BE38 HDAS New development must harmonise with the existing street scene. New development must improve or complement the character of the area. Daylight and sunlight considerations. Siting, bulk and proximity of new buildings/extensions. Requires the provision of adequate amenity space. Requires new development to ensure adequate levels of privacy to neighbours. Retention of topographical and landscape features and provision of new planting and landscaping in development proposals. Residential Layouts North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS leading from Lime Grove. The MoD closed the two accesses from Eastcote Road some years ago due to safety concerns. A new access has recently been constructed off Eastcote Road, to serve the northern portion of the RAF Eastcote Site. The site has an average PTAL score of 1b, which is a low score within a possible range of 1 to 6. A number of trees and hedges of varying size and value surround the site boundary and the edge of the public footpath. The wider site is bounded to the west by Eastcote Road and on all remaining sides by residential properties. To the north, the residential character is predominantly 1960/70s in style, with a large number of three storey town houses and flats, many of which have communal garage courts. To the southeast, the area has a larger number of semi-detached two storey dwellings dating from the 1930s. Highgrove Nature Reserve, which is of Borough Grade II importance, is situated to the south of the wider site, adjacent to which is Highgrove House which is at present vacant, but previously provided hostel accommodation in two and three storey buildings set withi n enclosed grounds. The northwest corner of the site lies adjacent to Eastcote Village Conservation Area, which includes a number of listed buildings. Outline planning permission Ref: 10189/APP/2004/1781 for the 'redevelopment for residential purposes at a density of up to 50 dwellings per hectare including affordable housing, live-work units, a community facility and open space' was granted permis sion on 9 March 2006, following considerationat the north Planning Committee. The planning permission was granted with all matters, other than access, reserved f or consideration at a later date. Floor plans and elevations, including a masterplan, were indicative only, the purpose of which were to indicate how the level of development proposed could be accommodated on site and to provide a framework for future reserved matters schemes. The indicative site layout is summarised below: Northern Area: · Community Facility - 170sqm · 78 Apartments - 50-100sqm floor space, 3 storey, 1.5 parking spaces per unit · 108 houses - 80-180sqm floor space , 2 storey, 2 parking spaces per house · 0.42 ha open space Southern Area: 3.2 Proposed Scheme Planning permission is sought for the inclusion of conservatories to houses on 4 plots at the RAF Eastcote development. The detailed design and layout of these plots have already been approved under reserved matters consent ref: 10189/APP/2007/3046 dated 31/3/2008 for the alternative access scheme. The applications currently under consideration form part of 2 contemporaneous applications, which seek to allow the inclusion of optional conservatories to a total of 11 plots on the northern section of the RAF Eastcote site. Each of the proposed conservatories would extend the full width of the properties (approximately 5 metres) and would project 3 metres to the rear. The side walls woul d be masonry party walls supporting a mono-pitch glazed roof. 3.3 Relevant Planning History Comment on Relevant Planning History North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS · 108 Apartments - 50-100sqm floor space, 3 storey, 1.5 parking spaces per unit · 81 houses - 80-180sqm floor space, 2 storey, 2 parking spaces per house · 0.31 ha open space In addition a Legal Agreement was signed to secure the following: A financial contribution towards nursery; primary and secondary school places in Ruis lip and Eastcote; primary health care facilities; improvements in leisure, youth and c ultural services; one equipped children s play space on-site; improving pitch sport facil ities off- site; off site highway works; improvements to the public right of way; i mprovements to the London Cycle network; installation of a pedestrian crossing over Elm Avenue; protecti on of trees; improvements to the habitat of Highgrove Nature Reserve, including upgradi ng the path network; public consultation; construction management and affordable housing. The North Planning Committee resolved on 31 March 2005 to grant planning permission for the residential development, subject to the application being referred to the Secretary of State, the signing of a S299 legal Agreement and appropriate conditions (ref 10189/APP/2004/1781). The planning permission was issued on 9/3/2006, subject to the conditions imposed by the Planning Committee. On 21/2/2008 four separate applications pertaining to the former RAF Eastcote site were considered by the North Planning Committee. The location and specific details of an alternative access from Eastcote Road were t he subject of a full planning approval for the necessary works to provide a priority j unction and an access link road to the development site utilising the access currently serv ing the Highgrove House site (Ref: 10189/APP/2007/2954). This was approved on 3/3/2008. The works to this road have been completed. Application ref: 10189/APP/2007/3383 was a section 73 application which varied condition 40 of the outline planning permission, to allow flexibility to use either traffic signals on Eastcote Road and on the intersection of Eastcote Road and Fore Street, or an alternative access (Highgrove) The varied condition allows the developers to commence construction on the southern part of the site whilst they resolve the technical iss ues concerning the alternative access. This new outline application was approved on 21/2/2007. The developers also signed a separate legal agreement, to the effect that they would have to elect whether to proceed with the traffic light controlled access or the al ternative access by a specific time frame. Two reserved matters schemes for the siting, design, external appearance and landscaping of alternative schemes for residential purposes, at a density of 50 dwelling s per hectare, pursuant to discharge of condition 3 of outline planning permission ref: 10189/APP/2004/1781 dated 09/03/2006 (later amended to refer to the new outline planning permission ref:10189/APP/2007/3383 dated 21/02/2008) were also considered. Whereas application 10189/APP/2007/2463 incorporates the access points approved at outline stage from Eastcote Road and Lime Grove, application 10189/APP/2007/3046 will utilise an alternative access from Eastcote Road which will also service Hi ghgrove House. Both reserved matters schemes, in addition to details pursuant to the discharge of var ious outline planning conditions; namely residential density, community facility, sust ainability and energy assessment, refuse and recycling storage, site survey plan, landscaping, and access statements, were approved on 31 March 2008. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS The developers have elected to implement the alternative access scheme ref:10189/APP/2007/3046, which will utilise an alternative access from Eastcote Road. 4. Planning Policies and Standards UDP / LDF Designation and London Plan The following UDP Policies are considered relevant to the application:- Part 1 Policies: BE13 BE19 BE20 BE21 BE23 BE24 BE38 HDAS New development must harmonise with the existing street scene. New development must improve or complement the character of the area. Daylight and sunlight considerations. Siting, bulk and proximity of new buildings/extensions. Requires the provision of adequate amenity space. Requires new development to ensure adequate levels of privacy to neighbours. Retention of topographical and landscape features and provision of new planting and landscaping in development proposals. Residential Layouts Part 2 Policies: Not applicable 17th May 2010 Advertisement and Site Notice 5. 5.1 Advertisement Expiry Date:- Not applicable 5.2 Site Notice Expiry Date:- 6. Consultations Internal Consultees TREE AND LANDSCAPE OFFICER There are no tree or landscape effects/issues associated with the proposed development, which is therefore acceptable in terms of Saved Policy BE38 of the UDP. URBAN DESIGN OFFICER There are no objections from an urban design point of view to the principle of erecting conservatories to the approved building scheme at the RAF Eastcote site in principle. The different proposals have been assessed in terms of suitability with regards to the position and di stribution within the application site and the visual impact that the additional structures would have on the External Consultees The application have been advertised under Article 8 of the Town and Country Planning General Development Procedure Order 1995 as a Major Development and site notices were erected at the site. Eastcote Residents'Association - No response. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS 7.01 7.02 7.03 7.04 7.05 7.06 7.07 The principle of the development Density of the proposed development Impact on archaeology/CAs/LBs or Areas of Special Character Airport safeguarding Impact on the green belt Environmental Impact Impact on the character & appearance of the area The principle of residential development on this site has already been established by virtue of the outline planning permission. The general layout, design and landscaping of the development has been established by virtue of the reserved matters approval. The proposed conservatories would have constituted permitted development, by virtue of the Town and Country Planning (General Permitted Development) Order 1995 (as amended), had the permitted development rights not been removed under the existing reserved matters approval. These rights were removed so that the Local Planning Authority coul d ensure that any such development would not result in a significant loss of residential amenity to adjoining and future occupiers. It is considered that the application to vary the reserved matters approval, to allow for the introduction of conservatories to individual plots, would have only limited local im pact on the immediate environment and would not raise fundamental issues in relation to density, housing mix, highway matters, parking, flooding and contamination, ecology, energy efficiency and waste disposal, archaeology, affordable housing or planning obligations. No objections are therefore raised to the principle of the development. Not applicable to this application. There are no archaeological or historic issues associated with this application. there are no airport safeguarding issues related to this development There are no Green Belt issues associated with this site. Not applicable to this development. Polices contained within the Hillingdon Unitary Development Plan Saved Policies (September 2007) seek to ensure that new development is compatible with surrounding developments in terms of appearance and layout. Of particular relevance are Policies BE13, BE19 and BE38, which cover the impact of development on the visual amenities of the street scene and character of the area. The approved reserved matters scheme includes a mixture of 2 and 3 storey houses and 3.5 storey apartment blocks. The houses subject to this application comprise of 4 bedroom terraced dwellings arranged over 3 floors (house types 1396C+). Each of the dwellings have front and rear gardens and are located primarily in the northern portion of the site. Generally, the dwellings will be as originally approved, apart from the inclusion of the character and appearance of the surroundings. Part of the conservatories would be constructed as a direct continuation of the consented bui lding structure, which would increase the usability of the interior of the dwellings and contribute positively to the amenity value of the site. Although the additional structures would create some additional bulk and volume to the buildings, on balance it is considered that the proposed design is acceptable in terms of bulk, massing and street scene character in certain locations throughout the site. MAIN PLANNING ISSUES 7. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS 7.08 7.09 Impact on neighbours Living conditions for future occupiers optional conservatories. The proposed conservatories would extend the full width of the properties and would project 3 metres to the rear. The side walls would be masonry party walls supporting a mono-pitch glazed roof. It is considered that the conservatories will integrate appropriately with the existing design of the house and not appear over dominant or out of character. The Urban Design Officer raises no objections to the general design principles. It is considered that external materials can be controlled by condition, in order to achieve a high quality, functional and attractive design. It is not considered that the inclusion of conservatories to these plots would comprom ise the internal character of the development or the character of the local area, in compliance with Policies BE13 and BE19 of the Hillingdon Unitary Development Plan Saved Polic ies (September 2007). Policy BE24 states that the development should be designed to protect the privacy of future occupiers and their neighbours. The Council's Supplementary Planning Document HDAS: Residential Layouts also provides further guidance in respect of privacy, s tating in particular that the distance between habitable room windows should not be less than 21 metres. In relation to outlook, Policy BE21 requires new residential developments t o be designed so as to ensure adequate outlook for occupants of the site and surrounding properties. In relation to sunlight, Policy BE20 of the Hillingdon Unitary Dev elopment Plan Saved Policies (September 2007) seeks to ensure that buildings are laid out to provide adequate sunlight and preserve the amenity of existing houses. Plots 338,344, 345 and 349 are centrally located within the development over 40 metres from the nearest surrounding properties in Kew Gardens. Given this distance, it is considered that the inclusion of conservatories to these plots would not have an adverse impact on the amenities of surrounding residents in terms of loss of privacy, out look, daylight or sunlight. In addition to the above considerations, all of the proposed conservatories would have solid flank walls, while the proposed fencing to the individual plots would prevent overlooking and loss of privacy to future adjoining residents of these plots. In terms of outlook, it is not considered that the depth of the conservatories at 3 m etres would not result in an unacceptable impact on the future occupiers of adjoining plots or adjoining residents. It is also considered that given the single storey nature of t he conservatories, they would not have an unacceptable impact on level of daylight and sunlight to future residents of adjoining plots. Overall, it is considered that the inclusion of the proposed conservatories would respec t the sensitivities of the surrounding area and any adverse impact to the amenity of neighbours, would be limited, in accordance with the provisions of Policies BE20, B E21 and BE24 of the Hillingdon Unitary Development Plan Saved Policies (September 2007) and relevant design guidance. Policy BE23 of the Unitary Development Plan requires the provision of external ameni ty space which is sufficient to protect the amenity of the occupants of the proposed and surrounding buildings, and which is usable in terms of its shape and siting. HDAS Minimum Amenity Space Requirements for a four bedroom house is 100sq. metres. By adding the proposed conservatories, the remaining garden areas of 2 of the plots will be 40sq.m, whilst the other 2 plots would have approximately 65sq.m of amenity space. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS 7.10 7.11 7.12 7.13 7.14 7.15 7.16 7.17 7.18 Traffic impact, car/cycle parking, pedestrian safety Urban design, access and security Disabled access Provision of affordable & special needs housing Trees, Landscaping and Ecology Sustainable waste management Renewable energy / Sustainability Flooding or Drainage Issues Noise or Air Quality Issues Whilst the remaining amenity space will fall short of the HDAS minimum am enity space requirements, the remaining garden areas would still be approximately 9 metres deep, which is considered to be a reasonable space for outdoor family activities. It is also noted that the internal layouts of the ground floor of the town houses have been modified to create an open plan, flexible living space which will link indoor and outdoor living space. In addition to the private amenity space referred to above, the plots directly abut a lar ge area of open space and a wild life habitat. These areas of public open space form part of the wider provision of informal areas of green public open space spread around the RAF site, which cumulatively equate to approximately 0.7ha. This space is provided as follows: § Land along the public right of way adjacent to the boundary with Highgrove House. This space is rising ground and incorporates a number of existing good quality trees. § Land along the northern boundary with Flag Walk. This space comprises a small copse of existing trees which are retained. They provide a setting for and act to protect the amenity of these properties which lies within close proximity of the Conservation Area. § Land within the southern part of the site. This parcel incorporates the LEAP, inform al space and a meeting space for the Community Building. Overall it is considered that the amenity space provision would be sufficient to m eet the needs of future occupiers, and will generally provide good environmental conditions, in compliance with relevant policy and design guidance. There are no highway, access or parking issues associated with this application. These issues have been dealt with elsewhere in the report. The dwellins have been designed to meet the requirements of Paert M of the Building Regulations and Lietime Homes. The conservatory extension to the ground floor accomodation will be on the same level as the main house. Access to the rear garden wil l be via the french doors and the gardens will incorporate level patio arealinked to the doors with a maximum 150mm step threshold for ease of access. There will be no impact on the approved scheme with regard to mobility through the site. The links between the proposed conservatories and the houses have been designed to ensure easy passage by those with limited mobility, with access to the garden from the conservatories, in compl iance with the Supplementary Planning Document HDAS: Accessible Hillingdon. Not applicable to this application. In terms of the impact of the proposed conservatories on the approved landscaping scheme, the Tree and Landscape Officer has commented that there are no existing trees on this part of site where the conservatories are proposed and thus does not raise any objection to the proposal. Not applicable to this application. Not applicable to this application. Not applicable to this application. Not applicable to this application. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS 7.19 7.20 7.21 7.22 Comments on Public Consultations Planning Obligations Expediency of enforcement action Other Issues There are no immediate surrounding properties directly adjoining the plots subject to thi s application, as the application sites are centrally located and completly surrounded by the wider RAF Eastcote site. No responses have been received to the public consultation. It is considered that the application to vary the reserved matters approval, to allow for the introduction of conservatories to individual plots, would have only limited local im pact on the immediate environment and would not raise fundamental issues in relation to planning obligations. There are no enforcement issues associated with this site. There are no other issues associated with this development. 8. Observations of the Borough Solicitor When making their decision, Members must have regard to all relevant planning legislation, regulations, guidance, circulars and Council policies. This will enable them to make an informed decision in respect of an application. In addition Members should note that the Human Rights Act 1998 (HRA 1998) makes it unlawful for the Council to act incompatibly with Convention rights. Decisions by the Committee must take account of the HRA 1998. Therefore, Members need to be aware of the fact that the HRA 1998 makes the European Convention on Human Rights (the Convention) directly applicable to the actions of public bodies in England and Wales. The specific parts of the Convention relevant to planning matters are Article 6 (rig ht to a fair hearing); Article 8 (right to respect for private and family life); Art icle 1 of the First Protocol (protection of property) and Article 14 (prohibition of discrimination). Article 6 deals with procedural fairness. If normal committee procedures are foll owed, it is unlikely that this article will be breached. Article 1 of the First Protocol and Article 8 are not absolute rights and infri ngements of these rights protected under these are allowed in certain defined circumstances, for example where required by law. However any infringement must be proportionate, which means it must achieve a fair balance between the public interest and the private interest infringed and must not go beyond what is needed to achieve its objective. Article 14 states that the rights under the Convention shall be secured without discrimination on grounds of 'sex, race, colour, language, religion, political or other opinion, national or social origin, association with a national minority, property, birth or other status'. 9. Observations of the Director of Finance This is not applicable to this application. 10. CONCLUSION It is considered that the application to vary the reserved matters approval, to allow for the introduction of conservatories to individual plots, would have only limited local im pact on the immediate environment. The proposed scheme would be sympathetic to the character of the surrounding area, while creating good environmental conditions , creating flexibl e North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS living space for future occupiers. The development would not result in unacceptable impacts on the amenities of neighbouring properties. Subject to the conditions originall y imposed on reserved matters approval ref.10189/APP/ 2007/3046, in so far as the same are still subsisting and capable of taking effect, the applications are recommended for approval. 11. Reference Documents London Plan Planning Policy Statement 3 Housing Hillingdon Unitary Development Plan Saved Policies (September 2007) Supplementary Planning Document Accessible Hillingdon Supplementary Planning Document Residential Layouts Supplementary Planning Guidance Community Safety by Design Council's Supplementary Planning Guidance Community Safety by Design Karl Dafe 01895 250230 Contact Officer: Telephone No: LONDON BOROUGH OF HILLINGDON Planning & Community Services Civic Centre, Uxbridge, Middx. UB8 1UW Telephone No.: Uxbridge 250111 L E R E ³ E C L C E ³ E L L L L E R E R E R E E L L G A _ A A _ G 281 53 TUDOR CLOSE 45 79 1 to 13 29 22 Dean's Co tt age 22 LB Allotment Blac k Horse Parade 28 Old Ba rn Sho p s 4 Garage 65 7 Stanmore House 112a 112 110 AZA LEA 10 4 Hawk law H ous e House 7 14 14 58 1 7 GARD ENS Methodist CRESCENT 1 2 12 PAM ELA GA RDEN S 2 52.7m Sus sex House 77 1 72 49 45 43 2 33 42 30 40 50 43 MOU NT PAR K R OAD 43.3m SPR ING DR IVE EASTC OTE 81 House 1 House 25 15 45.6m (PH ) KENT GA RDEN S 36 3b 3a 97 1 to 5 WALK AZALE A WALK 12 1 16 70 79 56 DEANE WA Y Hall FARTHINGS CLOSE 28 1 of 79 75 3 38 1 36 41 94 111 Post 16 FLAG WAL K 14 FB (PH) 16 KENT G AR DENS The Black Horse to 66a El Sub Sta Court The old Ba rn House Shelter 1 54 94 COLERIDGE DRIVE 2 12 85 1 40 8 92 50.0m 1 27 ALISON CLOSE 23 15 14 Presbytery 27 26 13a Pond 1 269 42 39 54 45.1m Lake LIDGOULD GR OVE Cottage 41 Yew Tree Lo dge 27 Willo w Tree SUT TON CLOSE 19 33 3 1 Alexander 11 1 82 1 to 6 111 10 MAP LE C L OSE 48 Church CL OSE 25 13 b Highgrove Bath 74 77 b Sta 37 47 202 206 76 Cottages Car Park 1 1 92 32 Highgrove 1 27 14 to 32 1a 9 The Ros ery Old Forge The Black H orse 12 66 Drain 43.6m 1 to 4 40 KENT GARDE NS 1 FLOW ERS AV ENUE 77 2 83 1 to 9 19 43 48.2m 31 37 Green Pastures 9 13 77 13 10 47 AR K R OAD 106 to 40 CA MPBELL CLOSE 51 123 35 46 39 HIGH ROA D River Pinn 27 14 Allotment Gardens CO LER IDG E DR IVE 1 to 6 17 49 14 1 to 8 Enigma Hall 1 to 12Georgian Lodge HA W THORN E AVENUE 62 Peace Vale 2 25 8 33 Eastcote 16 55 32 27 2 44 16 ROBA R TS 14 CL OSE Allot Gdns 73 48 to 52 121 48 to 29 200 92a 90 39 12 TCBHIGH ROAD EAST COTE Gardens 5 3c 74 80 44 19 Dollis Hill 99 20 26 3 53 PARK FA RM 25 15 30 MEAD OW WAY Catholic Church St Thom as Mor 79 46 1920 43.3m 204 49 New 3 109 44 67 Flag 3 83 43.9m 3 4 Pond 11 20 1 34 5 2 LIME GR OVE 59 1 84 44a 11 Eastcote Place 47 Still Wate rs 25 37 54 104 4 Fair Haven FIELD E ND ROAD 40 84 LB 24 51.8m 10 34 32 THE SI GERS 28 28 ´ June 2010 Site AddressNotes For identification purposes only. © Crown Copyright. All rights reserved. London Borough of Hillingdon 100019283 2009 Site boundary This copy has been made by or with the authority of the Head of Committee Services pursuant to section 47 of the Copyright, Designs and Patents Act 1988 (the Act). Unless the Act provides a relevant exception to copyright. RAF Eastcote Lime Grove Ruislip 10189/APP/2010/736 North Planning Application Ref: Planning Committee Date Scale 1:3,000

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North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS RAF EASTCOTE LIME GROVE RUISLIP Provision of glazed conservatories to Plots 338, 344, 345 and 349 (Application to vary parts of the approved layout under Reserved Matters approval ref:10189/APP/2007/3046 dated 13/03/2008) (Details of siting, design external appearance and landscaping in compliance with Condition 2 of Planning Permission ref:10189/APP/2007/3383 dated 21/02/2008: Residential Development.) 06/04/2010 Report of the Head of Planning & Enforcement Address Development: LBH Ref Nos: 10189/APP/2010/736 Drawing Nos: 5585-WIM.WL-702 5585-WIM.WL-703 5585/WIM.WL/1402C+/P1 5585/WIM.W.L/1402 C+/E1 5585/WIM.W.L./1402C/E1 Rev. A 5585/WIM.W.L/1402 C+/E2 Design and Access Statement Date Plans Received: Date(s) of Amendment(s): 1. SUMMARY This report relates to an application seeking variations to the layout and design of the alternative access reserved matters scheme ref: 10189/APP/2007/3046, which was approved on 31 March 2008. The amendments would allow rear conservatories to 4 plots located at the centre of the RAF Eastcote site. It is considered that in terms of design and layout, the inclusion of the conservator ies would respect the character of the local area and not detract from the internal character of the development. It is also considered that the inclusion of conservatories to these plots would not hav e an adverse impact on the amenities of surrounding residents in terms of loss of privac y, outlook, daylight or sunlight. Although the remaining external amenity areas of these plots would be below the HDAS Minimum Amenity Space requirements, they are considered sufficient to meet the needs of future occupiers. APPROVAL subject to the following: NONSC Non Standard Condition The materials to be used in the construction of the external surfaces of the development hereby permitted shall shall be in accordance with the details which have previously been approved for the main site under reference 10189/APP/2008/2872 dated 12/11/2008, unless otherwise agreed in writing by the Local Planning Authority. The external materials of the conservatories hereby approved shall match those used in the main 1 2. RECOMMENDATION 06/04/2010 Date Application Valid: North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS NONSC NONSC NONSC NONSC Non Standard Condition Non Standard Condition Non Standard Condition Non Standard Condition building. REASON To safeguard the visual amenities of the area and to ensure that the proposed development does not have an adverse effect upon the appearance of the existing building in accordance with Policies BE13 and BE19 of the Hillingdon Unitary Development Plan Saved Policies (September 2007). The development hereby approved shall incorporate measures to minimize the risk of crime and to meet the specific security needs of the application site and the development. Details of security measures shall be submitted and approved in writing by the Local Planning Authority before development commences. Any security measures to be implemented in compliance with this condition shall aim to achieve the 'Secured by Design' accreditation awarded by the Hillingdon Metropolitan Police Crime Prevention Design Adviser (CPDA) on behalf of the Association of Chief Police Officer s (ACPO). REASON In pursuance of the Council's duty under section 17 of the Crime and Disorder Act 1998 to consider crime and disorder implications in excising its planning functions; to promote the well being of the area in pursuance of the Council's powers under section 2 of the Local Government Act 2000, and to reflect the guidance contained in Circular 5/94 'Planning Out Crime' and the Council s SPG on Community Safety By Design. Notwithstanding the provisions of the Town and Country Planning (General Permitted Development) Order 1995 (or any order revoking and re-enacting that Order with or without modification), no extension to any dwellinghouse(s) including enlargement of roofs, nor any garage(s), shed(s) or other out-building(s) shall be erected without the grant of further specific permission from the Local Planning Authority. REASON So that the Local Planning Authority can ensure that any such development would not result in a significant loss of residential amenity in accordance with policy BE21 of the Hillingdon Unitary Development Plan Saved Policies September 2007. The chimney or extraction vent or flue to be provided in connection with the Bio Mass boilers shall be constructed in accordance with the details approved under reference 10189/APP/2009/1845 dated 19/3/2010. The biomass boilers shall not be commissioned until the vent/flue or chimney has been installed in accordance with the approved details. Thereafter it shall be permanently retained and maintained in good working order for so long as the use continues. REASON In order to safeguard the amenities of adjoining properties in accordance with Policy O E1 of the Hillingdon Unitary Development Plan Saved Policies September 2007. Notwithstanding the provisions of the Town and Country Planning (General Permitted Development) Order 1995 (or any order revoking and re-enacting that Order with or without modification), no additional windows or doors shall be constructed in the walls or roof slopes of any of the residential units hereby approved. 2 3 4 5 North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS NONSC NONSC NONSC NONSC Non Standard Condition Non Standard Condition Non Standard Condition Non Standard Condition REASON To prevent overlooking to adjoining properties in accordance with policy BE24 of the Hillingdon Unitary Development Plan Saved Policies September 2007. The first and/or second floor side windows of all dwelling houses shall be glazed wi th obscured glass and non-opening except at top vent level for so long as the development remains in existence. REASON To prevent overlooking to adjoining properties in accordance with policy BE24 of the Hillingdon Unitary Development Plan Saved Policies September 2007. The wheelchair units and lifetime homes shall be constructed in accordance with the details approved under planning reference 10189/APP/2008/1941 dated 14/10/2008, unless otherwise agreed in writing by the Local Planning Authority. REASON To ensure that sufficient housing stock is provided to meet the needs of people with disabilities and the elderly in accordance with London Plan Policy 3A.10 and the Hillingdon Design and Accessibility Statement (HDAS) Access for All. Development shall not be commenced until the fencing to protect the entire root areas/crown spread of trees, hedges and other vegetation to be retained has been erected in accordance with the details in the approved Aboricultural Impact Appraisal, approved Method Statement and Tree Protection Plan. The fencing shall be retained in position until development is completed. The area within the approved protective fencing shall remain undisturbed during the course of the works and in particular in these areas. REASON To ensure that trees and other vegetation to be retained are not damaged during construction work and to ensure that the development conforms with policy BE38 of the Hillingdon Unitary Development Plan Saved Policies (September 2007). The supervision of the tree protection referred to in the approved Method Statement received on 4/12/2007, in relation to the approved development, together with a programme of arboricultural input/works shall be implemented in accordance with the details approved on 16/10/2008, under planning reference no. 100189/APP/2008/2380, unless otherwise agreed in writing by the Local Planning Authority. REASON To ensure that trees and other vegetation to be retained are not damaged during construction work and to ensure that the development conforms with policy BE38 of the Hillingdon Unitary Development Plan Saved Policies (September 2007). 6 7 8 9 I1 Building to Approved Drawing 1 INFORMATIVES You are advised this permission is based on the dimensions provided on the approved drawings as numbered above. The development hereby approved must be constructed North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS I52 I53 I6 Compulsory Informative (1) Compulsory Informative (2) Property Rights/Rights of Light 2 3 4 3.1 Site and Locality The application relates to 4 plots, located centrally within the northern portion of the RAF Eastcote site. The plots form part of a crescent shaped terrace of 12 town houses, l ocated to the north of the main public open space serving the RAF Eastecote scheme, details of which have been approved at reserved matters stage. The larger site is 7.7 hectares in area and is dissected into northern and southern areas by an existing public footpath. An internal private road links the northern and southern areas. The northern portion is 4.2 hectares and was last used as a US Navy facility. The land in this area is undulat ing, and becomes lower towards the north western boundaries.The southern portion of the site is 3.5 hectares, is generally flat, and formally comprised a number of vacant buildings , previously used by the Ministry of Defence, which have now been demolished. The site historically had three vehicular access points, two from Eastcote Road and one precisely in accordance with the approved drawings. Any deviation from these drawings requires the written consent of the Local Planning Authority. The decision to GRANT reserved matters approval has been taken having regard to all relevant planning legislation, regulations, guidance, circulars and Council policies, including The Human Rights Act (1998) (HRA 1998) which makes it unlawful for t he Council to act incompatibly with Convention rights, specifically Article 6 (right to a fair hearing); Article 8 (right to respect for private and family life); Art icle 1 of the First Protocol (protection of property) and Article 14 (prohibition of discrimination). The decision to GRANT reserved matters approval has been taken having regard to the policies and proposals in the Hillingdon Unitary Development Plan Saved Policies (September 2007) set out below, including Supplementary Planning Guidance, and to all relevant material considerations, including the London Plan (February 2008) and national guidance. Your attention is drawn to the fact that the planning permission does not override property rights and any ancient rights of light that may exist. This permis sion does not empower you to enter onto land not in your ownership without the specific consent of the owner. If you require further information or advice, you should consult a solicitor . 3. CONSIDERATIONS BE13 BE19 BE20 BE21 BE23 BE24 BE38 HDAS New development must harmonise with the existing street scene. New development must improve or complement the character of the area. Daylight and sunlight considerations. Siting, bulk and proximity of new buildings/extensions. Requires the provision of adequate amenity space. Requires new development to ensure adequate levels of privacy to neighbours. Retention of topographical and landscape features and provision of new planting and landscaping in development proposals. Residential Layouts North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS leading from Lime Grove. The MoD closed the two accesses from Eastcote Road some years ago due to safety concerns. A new access has recently been constructed off Eastcote Road, to serve the northern portion of the RAF Eastcote Site. The site has an average PTAL score of 1b, which is a low score within a possible range of 1 to 6. A number of trees and hedges of varying size and value surround the site boundary and the edge of the public footpath. The wider site is bounded to the west by Eastcote Road and on all remaining sides by residential properties. To the north, the residential character is predominantly 1960/70s in style, with a large number of three storey town houses and flats, many of which have communal garage courts. To the southeast, the area has a larger number of semi-detached two storey dwellings dating from the 1930s. Highgrove Nature Reserve, which is of Borough Grade II importance, is situated to the south of the wider site, adjacent to which is Highgrove House which is at present vacant, but previously provided hostel accommodation in two and three storey buildings set withi n enclosed grounds. The northwest corner of the site lies adjacent to Eastcote Village Conservation Area, which includes a number of listed buildings. Outline planning permission Ref: 10189/APP/2004/1781 for the 'redevelopment for residential purposes at a density of up to 50 dwellings per hectare including affordable housing, live-work units, a community facility and open space' was granted permis sion on 9 March 2006, following considerationat the north Planning Committee. The planning permission was granted with all matters, other than access, reserved f or consideration at a later date. Floor plans and elevations, including a masterplan, were indicative only, the purpose of which were to indicate how the level of development proposed could be accommodated on site and to provide a framework for future reserved matters schemes. The indicative site layout is summarised below: Northern Area: · Community Facility - 170sqm · 78 Apartments - 50-100sqm floor space, 3 storey, 1.5 parking spaces per unit · 108 houses - 80-180sqm floor space , 2 storey, 2 parking spaces per house · 0.42 ha open space Southern Area: 3.2 Proposed Scheme Planning permission is sought for the inclusion of conservatories to houses on 4 plots at the RAF Eastcote development. The detailed design and layout of these plots have already been approved under reserved matters consent ref: 10189/APP/2007/3046 dated 31/3/2008 for the alternative access scheme. The applications currently under consideration form part of 2 contemporaneous applications, which seek to allow the inclusion of optional conservatories to a total of 11 plots on the northern section of the RAF Eastcote site. Each of the proposed conservatories would extend the full width of the properties (approximately 5 metres) and would project 3 metres to the rear. The side walls woul d be masonry party walls supporting a mono-pitch glazed roof. 3.3 Relevant Planning History Comment on Relevant Planning History North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS · 108 Apartments - 50-100sqm floor space, 3 storey, 1.5 parking spaces per unit · 81 houses - 80-180sqm floor space, 2 storey, 2 parking spaces per house · 0.31 ha open space In addition a Legal Agreement was signed to secure the following: A financial contribution towards nursery; primary and secondary school places in Ruis lip and Eastcote; primary health care facilities; improvements in leisure, youth and c ultural services; one equipped children s play space on-site; improving pitch sport facil ities off- site; off site highway works; improvements to the public right of way; i mprovements to the London Cycle network; installation of a pedestrian crossing over Elm Avenue; protecti on of trees; improvements to the habitat of Highgrove Nature Reserve, including upgradi ng the path network; public consultation; construction management and affordable housing. The North Planning Committee resolved on 31 March 2005 to grant planning permission for the residential development, subject to the application being referred to the Secretary of State, the signing of a S299 legal Agreement and appropriate conditions (ref 10189/APP/2004/1781). The planning permission was issued on 9/3/2006, subject to the conditions imposed by the Planning Committee. On 21/2/2008 four separate applications pertaining to the former RAF Eastcote site were considered by the North Planning Committee. The location and specific details of an alternative access from Eastcote Road were t he subject of a full planning approval for the necessary works to provide a priority j unction and an access link road to the development site utilising the access currently serv ing the Highgrove House site (Ref: 10189/APP/2007/2954). This was approved on 3/3/2008. The works to this road have been completed. Application ref: 10189/APP/2007/3383 was a section 73 application which varied condition 40 of the outline planning permission, to allow flexibility to use either traffic signals on Eastcote Road and on the intersection of Eastcote Road and Fore Street, or an alternative access (Highgrove) The varied condition allows the developers to commence construction on the southern part of the site whilst they resolve the technical iss ues concerning the alternative access. This new outline application was approved on 21/2/2007. The developers also signed a separate legal agreement, to the effect that they would have to elect whether to proceed with the traffic light controlled access or the al ternative access by a specific time frame. Two reserved matters schemes for the siting, design, external appearance and landscaping of alternative schemes for residential purposes, at a density of 50 dwelling s per hectare, pursuant to discharge of condition 3 of outline planning permission ref: 10189/APP/2004/1781 dated 09/03/2006 (later amended to refer to the new outline planning permission ref:10189/APP/2007/3383 dated 21/02/2008) were also considered. Whereas application 10189/APP/2007/2463 incorporates the access points approved at outline stage from Eastcote Road and Lime Grove, application 10189/APP/2007/3046 will utilise an alternative access from Eastcote Road which will also service Hi ghgrove House. Both reserved matters schemes, in addition to details pursuant to the discharge of var ious outline planning conditions; namely residential density, community facility, sust ainability and energy assessment, refuse and recycling storage, site survey plan, landscaping, and access statements, were approved on 31 March 2008. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS The developers have elected to implement the alternative access scheme ref:10189/APP/2007/3046, which will utilise an alternative access from Eastcote Road. 4. Planning Policies and Standards UDP / LDF Designation and London Plan The following UDP Policies are considered relevant to the application:- Part 1 Policies: BE13 BE19 BE20 BE21 BE23 BE24 BE38 HDAS New development must harmonise with the existing street scene. New development must improve or complement the character of the area. Daylight and sunlight considerations. Siting, bulk and proximity of new buildings/extensions. Requires the provision of adequate amenity space. Requires new development to ensure adequate levels of privacy to neighbours. Retention of topographical and landscape features and provision of new planting and landscaping in development proposals. Residential Layouts Part 2 Policies: Not applicable 17th May 2010 Advertisement and Site Notice 5. 5.1 Advertisement Expiry Date:- Not applicable 5.2 Site Notice Expiry Date:- 6. Consultations Internal Consultees TREE AND LANDSCAPE OFFICER There are no tree or landscape effects/issues associated with the proposed development, which is therefore acceptable in terms of Saved Policy BE38 of the UDP. URBAN DESIGN OFFICER There are no objections from an urban design point of view to the principle of erecting conservatories to the approved building scheme at the RAF Eastcote site in principle. The different proposals have been assessed in terms of suitability with regards to the position and di stribution within the application site and the visual impact that the additional structures would have on the External Consultees The application have been advertised under Article 8 of the Town and Country Planning General Development Procedure Order 1995 as a Major Development and site notices were erected at the site. Eastcote Residents'Association - No response. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS 7.01 7.02 7.03 7.04 7.05 7.06 7.07 The principle of the development Density of the proposed development Impact on archaeology/CAs/LBs or Areas of Special Character Airport safeguarding Impact on the green belt Environmental Impact Impact on the character & appearance of the area The principle of residential development on this site has already been established by virtue of the outline planning permission. The general layout, design and landscaping of the development has been established by virtue of the reserved matters approval. The proposed conservatories would have constituted permitted development, by virtue of the Town and Country Planning (General Permitted Development) Order 1995 (as amended), had the permitted development rights not been removed under the existing reserved matters approval. These rights were removed so that the Local Planning Authority coul d ensure that any such development would not result in a significant loss of residential amenity to adjoining and future occupiers. It is considered that the application to vary the reserved matters approval, to allow for the introduction of conservatories to individual plots, would have only limited local im pact on the immediate environment and would not raise fundamental issues in relation to density, housing mix, highway matters, parking, flooding and contamination, ecology, energy efficiency and waste disposal, archaeology, affordable housing or planning obligations. No objections are therefore raised to the principle of the development. Not applicable to this application. There are no archaeological or historic issues associated with this application. there are no airport safeguarding issues related to this development There are no Green Belt issues associated with this site. Not applicable to this development. Polices contained within the Hillingdon Unitary Development Plan Saved Policies (September 2007) seek to ensure that new development is compatible with surrounding developments in terms of appearance and layout. Of particular relevance are Policies BE13, BE19 and BE38, which cover the impact of development on the visual amenities of the street scene and character of the area. The approved reserved matters scheme includes a mixture of 2 and 3 storey houses and 3.5 storey apartment blocks. The houses subject to this application comprise of 4 bedroom terraced dwellings arranged over 3 floors (house types 1396C+). Each of the dwellings have front and rear gardens and are located primarily in the northern portion of the site. Generally, the dwellings will be as originally approved, apart from the inclusion of the character and appearance of the surroundings. Part of the conservatories would be constructed as a direct continuation of the consented bui lding structure, which would increase the usability of the interior of the dwellings and contribute positively to the amenity value of the site. Although the additional structures would create some additional bulk and volume to the buildings, on balance it is considered that the proposed design is acceptable in terms of bulk, massing and street scene character in certain locations throughout the site. MAIN PLANNING ISSUES 7. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS 7.08 7.09 Impact on neighbours Living conditions for future occupiers optional conservatories. The proposed conservatories would extend the full width of the properties and would project 3 metres to the rear. The side walls would be masonry party walls supporting a mono-pitch glazed roof. It is considered that the conservatories will integrate appropriately with the existing design of the house and not appear over dominant or out of character. The Urban Design Officer raises no objections to the general design principles. It is considered that external materials can be controlled by condition, in order to achieve a high quality, functional and attractive design. It is not considered that the inclusion of conservatories to these plots would comprom ise the internal character of the development or the character of the local area, in compliance with Policies BE13 and BE19 of the Hillingdon Unitary Development Plan Saved Polic ies (September 2007). Policy BE24 states that the development should be designed to protect the privacy of future occupiers and their neighbours. The Council's Supplementary Planning Document HDAS: Residential Layouts also provides further guidance in respect of privacy, s tating in particular that the distance between habitable room windows should not be less than 21 metres. In relation to outlook, Policy BE21 requires new residential developments t o be designed so as to ensure adequate outlook for occupants of the site and surrounding properties. In relation to sunlight, Policy BE20 of the Hillingdon Unitary Dev elopment Plan Saved Policies (September 2007) seeks to ensure that buildings are laid out to provide adequate sunlight and preserve the amenity of existing houses. Plots 338,344, 345 and 349 are centrally located within the development over 40 metres from the nearest surrounding properties in Kew Gardens. Given this distance, it is considered that the inclusion of conservatories to these plots would not have an adverse impact on the amenities of surrounding residents in terms of loss of privacy, out look, daylight or sunlight. In addition to the above considerations, all of the proposed conservatories would have solid flank walls, while the proposed fencing to the individual plots would prevent overlooking and loss of privacy to future adjoining residents of these plots. In terms of outlook, it is not considered that the depth of the conservatories at 3 m etres would not result in an unacceptable impact on the future occupiers of adjoining plots or adjoining residents. It is also considered that given the single storey nature of t he conservatories, they would not have an unacceptable impact on level of daylight and sunlight to future residents of adjoining plots. Overall, it is considered that the inclusion of the proposed conservatories would respec t the sensitivities of the surrounding area and any adverse impact to the amenity of neighbours, would be limited, in accordance with the provisions of Policies BE20, B E21 and BE24 of the Hillingdon Unitary Development Plan Saved Policies (September 2007) and relevant design guidance. Policy BE23 of the Unitary Development Plan requires the provision of external ameni ty space which is sufficient to protect the amenity of the occupants of the proposed and surrounding buildings, and which is usable in terms of its shape and siting. HDAS Minimum Amenity Space Requirements for a four bedroom house is 100sq. metres. By adding the proposed conservatories, the remaining garden areas of 2 of the plots will be 40sq.m, whilst the other 2 plots would have approximately 65sq.m of amenity space. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS 7.10 7.11 7.12 7.13 7.14 7.15 7.16 7.17 7.18 Traffic impact, car/cycle parking, pedestrian safety Urban design, access and security Disabled access Provision of affordable & special needs housing Trees, Landscaping and Ecology Sustainable waste management Renewable energy / Sustainability Flooding or Drainage Issues Noise or Air Quality Issues Whilst the remaining amenity space will fall short of the HDAS minimum am enity space requirements, the remaining garden areas would still be approximately 9 metres deep, which is considered to be a reasonable space for outdoor family activities. It is also noted that the internal layouts of the ground floor of the town houses have been modified to create an open plan, flexible living space which will link indoor and outdoor living space. In addition to the private amenity space referred to above, the plots directly abut a lar ge area of open space and a wild life habitat. These areas of public open space form part of the wider provision of informal areas of green public open space spread around the RAF site, which cumulatively equate to approximately 0.7ha. This space is provided as follows: § Land along the public right of way adjacent to the boundary with Highgrove House. This space is rising ground and incorporates a number of existing good quality trees. § Land along the northern boundary with Flag Walk. This space comprises a small copse of existing trees which are retained. They provide a setting for and act to protect the amenity of these properties which lies within close proximity of the Conservation Area. § Land within the southern part of the site. This parcel incorporates the LEAP, inform al space and a meeting space for the Community Building. Overall it is considered that the amenity space provision would be sufficient to m eet the needs of future occupiers, and will generally provide good environmental conditions, in compliance with relevant policy and design guidance. There are no highway, access or parking issues associated with this application. These issues have been dealt with elsewhere in the report. The dwellins have been designed to meet the requirements of Paert M of the Building Regulations and Lietime Homes. The conservatory extension to the ground floor accomodation will be on the same level as the main house. Access to the rear garden wil l be via the french doors and the gardens will incorporate level patio arealinked to the doors with a maximum 150mm step threshold for ease of access. There will be no impact on the approved scheme with regard to mobility through the site. The links between the proposed conservatories and the houses have been designed to ensure easy passage by those with limited mobility, with access to the garden from the conservatories, in compl iance with the Supplementary Planning Document HDAS: Accessible Hillingdon. Not applicable to this application. In terms of the impact of the proposed conservatories on the approved landscaping scheme, the Tree and Landscape Officer has commented that there are no existing trees on this part of site where the conservatories are proposed and thus does not raise any objection to the proposal. Not applicable to this application. Not applicable to this application. Not applicable to this application. Not applicable to this application. North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS 7.19 7.20 7.21 7.22 Comments on Public Consultations Planning Obligations Expediency of enforcement action Other Issues There are no immediate surrounding properties directly adjoining the plots subject to thi s application, as the application sites are centrally located and completly surrounded by the wider RAF Eastcote site. No responses have been received to the public consultation. It is considered that the application to vary the reserved matters approval, to allow for the introduction of conservatories to individual plots, would have only limited local im pact on the immediate environment and would not raise fundamental issues in relation to planning obligations. There are no enforcement issues associated with this site. There are no other issues associated with this development. 8. Observations of the Borough Solicitor When making their decision, Members must have regard to all relevant planning legislation, regulations, guidance, circulars and Council policies. This will enable them to make an informed decision in respect of an application. In addition Members should note that the Human Rights Act 1998 (HRA 1998) makes it unlawful for the Council to act incompatibly with Convention rights. Decisions by the Committee must take account of the HRA 1998. Therefore, Members need to be aware of the fact that the HRA 1998 makes the European Convention on Human Rights (the Convention) directly applicable to the actions of public bodies in England and Wales. The specific parts of the Convention relevant to planning matters are Article 6 (rig ht to a fair hearing); Article 8 (right to respect for private and family life); Art icle 1 of the First Protocol (protection of property) and Article 14 (prohibition of discrimination). Article 6 deals with procedural fairness. If normal committee procedures are foll owed, it is unlikely that this article will be breached. Article 1 of the First Protocol and Article 8 are not absolute rights and infri ngements of these rights protected under these are allowed in certain defined circumstances, for example where required by law. However any infringement must be proportionate, which means it must achieve a fair balance between the public interest and the private interest infringed and must not go beyond what is needed to achieve its objective. Article 14 states that the rights under the Convention shall be secured without discrimination on grounds of 'sex, race, colour, language, religion, political or other opinion, national or social origin, association with a national minority, property, birth or other status'. 9. Observations of the Director of Finance This is not applicable to this application. 10. CONCLUSION It is considered that the application to vary the reserved matters approval, to allow for the introduction of conservatories to individual plots, would have only limited local im pact on the immediate environment. The proposed scheme would be sympathetic to the character of the surrounding area, while creating good environmental conditions , creating flexibl e North Planning Committee - 22nd June 2010 PART 1 - MEMBERS, PUBLIC & PRESS living space for future occupiers. The development would not result in unacceptable impacts on the amenities of neighbouring properties. Subject to the conditions originall y imposed on reserved matters approval ref.10189/APP/ 2007/3046, in so far as the same are still subsisting and capable of taking effect, the applications are recommended for approval. 11. Reference Documents London Plan Planning Policy Statement 3 Housing Hillingdon Unitary Development Plan Saved Policies (September 2007) Supplementary Planning Document Accessible Hillingdon Supplementary Planning Document Residential Layouts Supplementary Planning Guidance Community Safety by Design Council's Supplementary Planning Guidance Community Safety by Design Karl Dafe 01895 250230 Contact Officer: Telephone No: LONDON BOROUGH OF HILLINGDON Planning & Community Services Civic Centre, Uxbridge, Middx. UB8 1UW Telephone No.: Uxbridge 250111 L E R E ³ E C L C E ³ E L L L L E R E R E R E E L L G A _ A A _ G 281 53 TUDOR CLOSE 45 79 1 to 13 29 22 Dean's Co tt age 22 LB Allotment Blac k Horse Parade 28 Old Ba rn Sho p s 4 Garage 65 7 Stanmore House 112a 112 110 AZA LEA 10 4 Hawk law H ous e House 7 14 14 58 1 7 GARD ENS Methodist CRESCENT 1 2 12 PAM ELA GA RDEN S 2 52.7m Sus sex House 77 1 72 49 45 43 2 33 42 30 40 50 43 MOU NT PAR K R OAD 43.3m SPR ING DR IVE EASTC OTE 81 House 1 House 25 15 45.6m (PH ) KENT GA RDEN S 36 3b 3a 97 1 to 5 WALK AZALE A WALK 12 1 16 70 79 56 DEANE WA Y Hall FARTHINGS CLOSE 28 1 of 79 75 3 38 1 36 41 94 111 Post 16 FLAG WAL K 14 FB (PH) 16 KENT G AR DENS The Black Horse to 66a El Sub Sta Court The old Ba rn House Shelter 1 54 94 COLERIDGE DRIVE 2 12 85 1 40 8 92 50.0m 1 27 ALISON CLOSE 23 15 14 Presbytery 27 26 13a Pond 1 269 42 39 54 45.1m Lake LIDGOULD GR OVE Cottage 41 Yew Tree Lo dge 27 Willo w Tree SUT TON CLOSE 19 33 3 1 Alexander 11 1 82 1 to 6 111 10 MAP LE C L OSE 48 Church CL OSE 25 13 b Highgrove Bath 74 77 b Sta 37 47 202 206 76 Cottages Car Park 1 1 92 32 Highgrove 1 27 14 to 32 1a 9 The Ros ery Old Forge The Black H orse 12 66 Drain 43.6m 1 to 4 40 KENT GARDE NS 1 FLOW ERS AV ENUE 77 2 83 1 to 9 19 43 48.2m 31 37 Green Pastures 9 13 77 13 10 47 AR K R OAD 106 to 40 CA MPBELL CLOSE 51 123 35 46 39 HIGH ROA D River Pinn 27 14 Allotment Gardens CO LER IDG E DR IVE 1 to 6 17 49 14 1 to 8 Enigma Hall 1 to 12Georgian Lodge HA W THORN E AVENUE 62 Peace Vale 2 25 8 33 Eastcote 16 55 32 27 2 44 16 ROBA R TS 14 CL OSE Allot Gdns 73 48 to 52 121 48 to 29 200 92a 90 39 12 TCBHIGH ROAD EAST COTE Gardens 5 3c 74 80 44 19 Dollis Hill 99 20 26 3 53 PARK FA RM 25 15 30 MEAD OW WAY Catholic Church St Thom as Mor 79 46 1920 43.3m 204 49 New 3 109 44 67 Flag 3 83 43.9m 3 4 Pond 11 20 1 34 5 2 LIME GR OVE 59 1 84 44a 11 Eastcote Place 47 Still Wate rs 25 37 54 104 4 Fair Haven FIELD E ND ROAD 40 84 LB 24 51.8m 10 34 32 THE SI GERS 28 28 ´ June 2010 Site AddressNotes For identification purposes only. © Crown Copyright. All rights reserved. London Borough of Hillingdon 100019283 2009 Site boundary This copy has been made by or with the authority of the Head of Committee Services pursuant to section 47 of the Copyright, Designs and Patents Act 1988 (the Act). Unless the Act provides a relevant exception to copyright. RAF Eastcote Lime Grove Ruislip 10189/APP/2010/736 North Planning Application Ref: Planning Committee Date Scale 1:3,000

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Attendance
Present: Councillor Nick Denys, Councillor Reeta Chamdal, Councillor Labina Basit, Councillor Tony Burles, Councillor Becky Haggar OBE, Councillor Kelly Martin, Councillor Sital Punja, Sean Bidewell, Amanda Carey-McDermott, Matt Davis, Dr Richard Grocott Mason, Sue Jeffers, Samreen Nawshin, Vanessa Odlin, Keith Spencer, Martyn Storey, Sandra Taylor, Lesley Watts, Nikki O'Halloran

Agenda

64. Apologies for absence
There were no apologies for absence.
65. Declarations of Interest in matters coming before this meeting
There were no declarations of interest in any matters coming before this meeting.
66. Minutes of the meeting held on 17 February 2026 PDF 332 KB
RESOLVED: That the minutes of the meeting held on 17 February 2026 be agreed as a correct record.
📄 Minutes of the meeting held on 17 February 2026 PDF 332 KB
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Minutes HEALTH AND SOCIAL CARE SELECT COMMITTEE 17 February 2026 Meeting held at Committee Room 5 - Civic Centre Committee Members Present: Councillors Nick Denys (Chair), Reeta Chamdal (Vice-Chair), Labina Basit, Tony Burles, Becky Haggar, Kelly Martin and Sital Punja (Opposition Lead) Also Present: Sean Bidewell, Assistant Director – Integration & Delivery / Acting Joint Borough Director, North West London Integrated Care Board (NWL ICB) Kim Rice, Associate Director for Transformation, The Confederation, Hillingdon CIC Andrea Shand, Service Director for CAMHS & Eating Disorders - Goodall Division, Central and North West London NHS Foundation Trust (CNWL) Keith Spencer, Managing Director, Hillingdon Health and Care Partners (HHCP) LBH Officers Present: Nikki O'Halloran (Democratic, Civic and Ceremonial Manager) 55. APOLOGIES FOR ABSENCE (Agenda Item 1) There were no apologies for absence. 56. DECLARATIONS OF INTEREST IN MATTERS COMING BEFORE THIS MEETING (Agenda Item 2) There were no declarations of interest in any matters coming before this meeting. 57. MINUTES OF THE MEETING HELD ON 20 JANUARY 2026 (Agenda Item 3) RESOLVED: That the minutes of the meeting held on 20 January 2026 be agreed as a correct record. 58. EXCLUSION OF PRESS AND PUBLIC (Agenda Item 4) RESOLVED: That all items of business be considered in public. 59. COMMISSIONING MODEL FOR THE DELIVERY OF HEALTH AND SOCIAL CARE SERVICES (Agenda Item 5) The Chair advised that this item had been withdrawn from the agenda. The commissioning plan relied on the formation of a revised commissioning team which required a departmental restructure that had not yet been completed. Once the necessary organisational changes had been implemented later in the year, a fully developed commissioning plan would be brought to the Committee. The Democratic, Civic and Ceremonial Manaher would contact the Council’s Assistant Director Direct Care and Business Delivery to establish which meeting this would be scheduled for. 60. HHCP TRANSFORMATION UPDATE (Agenda Item 6) The Chair welcomed those present to the meeting. Mr Keith Spencer, Managing Director at Hillingdon Health and Care Partners (HHCP), advised that the report provided an update on the progress against the HHCP transformation programme. The update focussed on two core areas of place-based delivery (Integrated Neighbourhood Teams (INTs) and Reactive Care) and set out the risks and priorities for the next six months. It was noted that the place-based model had been demonstrating early signs of measurable system-wide improvements. Hillingdon had been the only London borough to see a reduction in emergency demand between June and December 2025 (4.9% compared to the same period in the previous year), despite demographic growth and sustained winter pressures. Insofar as the Emergency Department (ED) waiting times were concerned, Hillingdon Hospital had been either the best or second best performing borough in North West London (NWL) in the last quarter. Those patients that had not gone to the ED had attended alternative community settings which meant that they had waited less time than they would have if they had been in the ED and the 12 hour breaches had been reduced. There had been a 34% reduction in the No Criteria to Reside (NC2R) delays (down to 33 per day from 55 per day which was below the new hospital development target of 34). By December 2025, fewer than 4% of Hillingdon Hospital beds were occupied by patients without a clinical need to remain, significantly outperforming the averages in NWL (14%) and London (12%). Mr Spencer noted that emergency admissions amongst the 5,000 Borough residents with severe frailty had reduced by 36%, reflecting the impact of proactive neighbourhood case management and integrated community primary care and social care support. The three INTs were now fully established and had helped to reduce the number of emergency admissions for people with frailty and frailty case management would be expanded towards full population cohort coverage (10,000) by April 2026, using the new frailty dashboard to monitor admissions, falls and Multi Disciplinary Team follow up. Urgent same day primary care had been expanded and the mobile diagnostics service had been initiated in November 2025 and had been working well in places like care homes, reducing the need for residents to go to the ED. The mobile diagnostics service would be reviewed and it was anticipated that it would be rolled out across the Borough in the next few months. The Lighthouse service capacity had been increased from six to ten patients each day following a review in December 2025, diverting people experiencing mental health crisis away from ED into more appropriate, therapeutic environments. Mr Sean Bidewell, Joint Borough Director for the Integrated Care Board (ICB), advised that, as the Lighthouse had been running for about two years, the review and redesign of the services had been undertaken to improve the treatment for patients and make the environment more comfortable. Subsequent improvements had included an increase in the number of patients going home sooner and the referrals from the ED were being initiated much faster. As a result, patients were being treated quicker and more effectively. Although the service had been using bank staff, permanent staff recruitment was underway. Members were advised that the reductions in the NC2R had been driven by improvements in the discharge processes and practice and strengthened by senior cross-partner leadership oversight. However, this level of oversight was not sustainable and an alternative would need to be established. Hillingdon had been outperforming other NWL boroughs on everything except P2 (P0 were patients that could go home without any support; P1 were patients that could go home with some support from a nurse or the local authority; P2 were patients that were waiting for an NHS rehabilitation / non-acute bed until they could return home; P3 were patients who were transferred to a new long term bed or usual residence and received complex support for their needs). Mr Spencer advised that, to some extent, Hillingdon had been the victim of its own success. Twelve months ago, 80% of the P2 patients had been from Hillingdon and 20% from other boroughs. Now, this was a 50/50 split and other boroughs would not necessarily prioritise their residents at Hillingdon Hospital over their residents that were in hospitals in their own boroughs. Hillingdon had little control over the discharge of patients from other boroughs. However, partners had been looking at data driven proposals and the time it took from being medically optimised to being discharged and reducing this from ten to seven days for Hillingdon residents. It took more than three months to turn performance around but things had been improving during this period. That said, winter pressures had created a fragile situation. Mr Spencer advised that the Hospital avoided adding contingency beds as this would mean adding additional beds to existing wards, which did not result in ideal care. It was also not preferred practice to keep wards free as a contingency as these beds would very easily fill up. Members had seen the journey that partners had been on and were encouraged by the service improvements but noted that one of the risks missing from the report was in relation to embedding these improvements, given that some of the drivers were territorial. Mr Spencer advised that the partners had worked well together to achieve most of the metrics needed on discharge ready for the new hospital in 2030 but that work needed to continue to deflect people from the front door. A lot had been learnt in the last 3-6 months and work was still needed to embed diagnostics and neighbourhoods. Mr Spencer advised that, with regard to the sustainability of improvements, partners had been working on five-year trajectories to new hospital viability and that they were on track against this. It was thought that around one third of the Hillingdon population had hypertension at any one time. If more of these people could be identified, it would help to reduce the number of associated strokes and heart attacks. Mr Spencer advised that it would be important to hold the current levels for ED attendances, length of hospital stays and NC2R so as not to peak too soon. Members were pleased to see that targeted outreach for Heathrow Villages had been included in the transformation programme and asked what would be done to ensure that it worked well. Mr Spencer advised that previous efforts had included the use of a portacabin and a bus but partners had recently been working closely with residents and those who managed community assets such as Harmondsworth Church to deliver services that would start in March 2026. Health Inequity Funding had also been secured to recruit a community champion to work with residents in the Heathrow Villages, particularly on mental health issues. Work on the three Integrated Neighbourhood Hubs continued and it was anticipated that the business cases would be completed by April 2026 to satisfy the Treasury if required. Mr Spencer advised that these three superhubs had been planned for the Nestle site, Civic Centre and Pembroke Centre. It would provide about 2,500m2 of development and would need around £30m in capital as well as consideration of the revenue consequences. HHCP had been working with the ICB to make this a reality in the next three years, with each superhub providing services such as musculoskeletal, pharmaceutical and occupational therapy from smaller sub-hubs. RESOLVED: That the discussion be noted. 61. UPDATE ON THE IMPLEMENTATION OF RESOLUTIONS FROM PAST REVIEWS - CAMHS REFERRAL PATHWAY (Agenda Item 7) Mr Keith Spencer, Managing Director at Hillingdon Health and Care Partners, advised that, unfortunately, Ms Vanessa Odlin and Mr John Beckles, the subject matter experts had been unable to attend this meeting. Mr Sean Bidewell, Joint Borough Director for the Integrated Care Board (ICB), advised that a new website had been developed for Thrive (which was an integrated, person- centred approach to delivering mental health services for children, young people and their families and provided support for their wellbeing). The website provided links to Council services as part of the Stronger Families programme and a digital directory of services that would go live in March 2026. It included information about referral routes and crisis contacts and provided support for children, young people and their families whilst they waited for specialist input. The Thrive framework and website had been developed following engagement with families and professionals (more than 200 partners had been involved in one engagement event) and had been co-produced with children, young people and their families. The concept had been based on a ‘no wrong front door’ approach so that, even if the service that had been contacted was not an appropriate pathway, the child or young person was not redirected elsewhere without support. An ongoing feedback loop had also been put in place. The sections on the website included: 1. Self Care: providing practical tips for children and young people for a range of issues; 2. Parent and Carer Support: providing around 35 links to different organisations or bodies that might be able to provide help; and 3. I Need Urgent Help: providing a range of telephone numbers for different organisations. The website provided information about how Thrive could help with different conditions such as anxiety, explaining what caused it, what the symptoms were, etc. It also included the contact details for more than 100 ‘Helpful Organisations’ and could be filtered by age group (under 13, 13-18 and parent/carer). It was queried whether contacts and information were available on the website to help deescalate when a child or young person was thinking about suicide or self-harm, especially out of hours. Ms Andrea Shand, Service Director for CAMHS & Eating Disorders at Goodall Division, Central and North West London NHS Foundation Trust (CNWL), advised that one of the Thrive quadrants related to risk support and provided links to things like NHS111 and telephone numbers to 24 hour urgent care services (no chat services were provided as these were potentially risky). The web content was considered by a working group and went through a process and the material was nationally accredited or signed off by a professional. Service user stories had been included on the site and, as the Thrive contract would be in place for three years, the information therein would be kept up to date as part of that agreement. Ms Shand advised that GPs had been very supportive of the new approach to children and young people’s mental health. A two-hour online CAMHS masterclass had been set up for GPs and had resulted in streamlined changes to the GP CAMHS referral form which was now being used as a blueprint for other boroughs. Members congratulated partners for the development of what appeared to be a really good website but queried how it would be advertised to children and young people. Mr Bidewell advised that he would find out how the website would be publicised once live and pass this on to the Democratic, Civic and Ceremonial Manager to share with the Committee. Members suggested that schools would be a good place to advertise the website. Ms Shand noted that CNWL worked across five different London boroughs and that, of these, Hillingdon’s Thrive work was at the most advanced stage. Thrive was a national model to support children and young people’s health and wellbeing which required services to work collaboratively in everyone’s best interest. Ms Kim Rice, Associate Director of Transformation at The Confederation Hillingdon CIC, advised that a Mental Health Coordinator had been appointed for the south west of the Borough. Data had been considered alongside local intelligence and reports to Healthwatch Hillingdon and an increase in the cohort of children and young people with mental health challenges had been identified in the area. A scoping exercise had been undertaken with organisations that wanted to join up and work together to improve services for these residents. A workshop had been held to look at how services could be aligned to Thrive and how help could be provided to those children, young people and families that struggled to navigate the system. One output from the workshop had been the need to create a role that could increase GP capacity and support people to get to the right services at first contact. A one-year pilot proof of concept for a Children and Young People’s Coordinator role was subsequently created with the appointee starting in June/July 2025 (they saw their first patients in August 2025). This person had been able to contribute towards the design of their role and to identifying and addressing any gaps or needs (with 26 services to support young people in Hillingdon, there should not have been any gaps for them to fall through). It had been recognised that children and young people did not want to be seen as being different so did not want to be pulled out of classes at school to have an appointment. They did not want clinical spaces and often wanted to be able to find out information on their own. It was noted that the Mental Health Support Team had been provided in some schools but had not covered all schools in Hillingdon, despite demand being greater than supply. Ms Shand advised that this initiative had been rolled out in waves. CNWL had been awarded two additional services in wave 14. Wave 11 had been completely rolled out across Hillingdon and, with the introduction of wave 14, gave 61% coverage of the Borough’s schools, which was one of the highest coverages in London (working towards the national 100% target by 2029). Monthly multi-disciplinary meetings were held in Hillingdon to discuss complex cases and signposting. In a four-month period, 136 young people had been supported and had reported a 30% average improvement in how they were feeling (this equated to a wellbeing value of around £600k over a twelve-month period). Most of these referrals had come from the south west part of the Borough with the GP practices in the two Primary Care Networks involved taking different approaches to triage (both of which had worked well and had posed no risk). This new post had released over 22 hours of GP practice administration time and around 80 hours of GP time during the four-month period. Consideration was now being given to working with CAMHS in relation to those children and young people that did not meet the criteria to receive services (this was about one third of those who presented at CAMHS) so that they were immediately referred to the Children and Young People Coordinator. Given its impact, the post would be funded by the south west Neighbourhood going forward and the learning would be used to develop the Heathrow Villages Coordinator role. Work was underway to expand this initiative out to other areas in the Borough with a final report on the proposal being drafted ready for August 2026. Concern had previously been expressed that children, young people and their families had been having to repeat their stories over and over again to various service providers as they were passed around the system. Ms Rice advised that each service provider had their own statutory information systems that they had to use which didn’t interact with each other and which made information sharing more difficult. However, a children and young people’s passport was being developed which would have the young person’s details and which they would be able to physically take to their appointments. Mr Bidewell advised that a new system had been introduced which would enable many computer systems to talk to each other with regard to different organisations being able to gain access to clinical notes. During the review, Members had heard some distressing stories and learnt about the frustrations of families trying to navigate the system, including the poor communication from service providers. Ms Shand advised that the majority of complaints still tended to be in relation to communication and mistakes were still being made. That said, the language and format of letters had been looked at and clinical language was still needed but further improvements could be made. In CNWL’s two-year business plan, communication had been identified as one of the five key priorities and young people were being included in the work on this priority as it was important to ensure that the correct language was used (including on the CAMHS website). RECOMMENDATION: That: 1. Mr Bidewell pass information about how the Thrive website would be publicised to the Democratic, Civic and Ceremonial Manager to share with the Committee; and 2. the discussion be noted. 62. CABINET FORWARD PLAN MONTHLY MONITORING (Agenda Item 8) Consideration was given to the Cabinet Forward Plan. RESOLVED: That the Cabinet Forward Plan be noted. 63. WORK PROGRAMME (Agenda Item 9) Consideration was given to the Committee’s Work Programme. It was noted that there had been some movement with regard to the Mount Vernon Cancer Centre proposals so Councillors Denys, Chamdal and Punja would be attending a meeting of the associated Joint Health Overview and Scrutiny Committee (JHOSC) in the near future. They would be able to provide Members with an update following that JHOSC meeting. It was noted that, once the recommendations had been agreed, the Democratic, Civic and Ceremonial Manager would draft the final report of the Adult Social Care Early Intervention and Prevention (ASC EIP) review for consideration by the Committee at its next meeting on 26 March 2026. RESOLVED: That: 1. Councillors Denys, Chamdal and Punja provide the Committee with an update following the Mount Vernon Cancer Centre JHOSC meeting; 2. the draft final report for the ASC EIP be considered at the Committee’s next meeting on 26 March 2026; and 3. the Work Programme be agreed. The meeting, which commenced at 6.30 pm, closed at 7.53 pm. These are the minutes of the above meeting. For more information on any of the resolutions please contact Nikki O'Halloran on nohalloran@hillingdon.gov.uk. Circulation of these minutes is to Councillors, officers, the press and members of the public.

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67. Exclusion of press and public
RESOLVED: That all items of business be considered in public.
68. Health Updates PDF 218 KB
The Chair welcomed those present to the meeting. Central and North West London NHS Foundation Trust (CNWL) Ms Vanessa Odlin, Managing Director - Goodall Division at CNWL, advised that, in 2025, additional recurrent funding had been provided across all eight North West London boroughs to expand the Urgent Community Response (UCR) teams and establish a Hospital at Home function in each borough. It was anticipated that the UCR expansion would support patients in physical health crisis in under two hours to avoid Emergency Department (ED) attendance or admission and keep them at home for longer (this could be in relation to any physical health issue such as heart failure, palliative care pathway, etc). Hospital at Home would provide additional support for patients after UCR care (between days 3 and 17). Although there was no target, CNWL had been working to get as close to 100% of patients seen within two hours as possible (performance was currently at 70%-80%) and to reducing the number of non-elective ED admissions to support the new hospital targets. The Lighthouse was located in a space close to the ED at Hillingdon hospital and provided a therapeutic environment to support patients experiencing a mental health crisis. Lighthouse staff were spending time in the ED with a pull across model and capacity had been expanded to be able to support between four and six patients at any time (an increase from 1-2 patients per day). Mr Sean Bidewell, Joint Lead Borough Director at North West London (NWL) Integrated Care Board (ICB), advised that the new model had come into effect around November 2025. The increase in the capacity had been driven by a 52% reduction in the average length of stay, reducing from 27 hours to around 13 hours (the performance target had been was to keep the average length of stay to below 24 hours). Most of the referrals had been picked up really quickly from the Urgent Treatment Centre, with 67% then returning home (some returning home with support) and 15% being admitted to a mental health hospital, with others being supported through initiatives such as the Crisis House. With regard to Child and Adolescent Mental Health Services (CAMHS), Members were advised that non-recurrent funding had been provided by NWL ICB to the end of March 2026 and had reduced the waiting lists from 2,000 waiting for an assessment to around 400, with an average wait of around 6-9 months. As this was not sustainable, CNWL had transformed its assessment pathways to ensure that they were as efficient and safe as possible and developed a central triage point which would have a soft launch on 1 June 2026. It was anticipated that these changes would increase the number of children seen by around 50%. The Mental Health Support Teams (MHSTs) worked with schools to support children with mental health concerns. This national model had been rolled out in waves, with additional Hillingdon teams being included in Wave 14. Around 64% of schools in Hillingdon were ... view the full minutes text for item 68.
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Health and Social Care Select Committee – 26 March 2026 Classification: Public HEALTH UPDATES Committee name Health and Social Care Select Committee Officer reporting Nikki O’Halloran, Democratic Services Papers with report Appendix A – Healthwatch Hillingdon Appendix B – Central and North West London NHS Foundation Trust Appendix C – Royal Brompton and Harefield Hospitals, Guy's and St Thomas’s NHS Foundation Trust Appendix D – North West London Integrated Care Board Ward n/a HEADLINES To enable the Committee to receive updates and review the work being undertaken with regard to the provision of health services within the Borough. RECOMMENDATION: That the Health and Social Care Select Committee notes the presentations. SUPPORTING INFORMATION Hillingdon Health and Care Partners (HHCP) Hillingdon Health and Care Partners (HHCP) is the ‘Place Based’ alliance of health and care organisations that seeks, through collaboration and co-design, to make significant improvements to the quality and cost of care in Hillingdon. HHCP is made up of Hillingdon Hospitals NHS Foundation Trust, Central and North West London NHS Foundation Trust (CNWL), H4All (a partnership of voluntary sector health care providers) and Hillingdon’s Confederation (which brings together all of Hillingdon’s GPs). HHCP works together closely with the London Borough of Hillingdon and North West London Integrated Care Board (NWL ICB) to deliver 3 key strategic aims:  Improving the outcomes for our population - delivering Hillingdon’s Joint Health and Wellbeing Strategy  Delivery of sustainable, person-centred, joined up models of care aligned to the new hospital plans and activity assumptions  Delivering the NWL Integrated Care System (ICS) priorities through local care models building from a population health management approach Shared delivery models are through 6 integrated Neighbourhood Teams and a range of joined up Borough wide teams across health and care. The Hillingdon Hospitals NHS Foundation Trust (THH) The Hillingdon Hospitals supplies services from two sites; Hillingdon Hospital and Mount Vernon Hospital and has an annual turnover of around £320 million, employing approximately 3,700 staff. We are proud to deliver services for our local borough of Hillingdon, and to those living in the surrounding areas of Ealing, Harrow, Buckinghamshire and Hertfordshire, giving us a total catchment population of over 350,000. Hillingdon Hospital is the only acute hospital in the London Borough of Hillingdon and offers a wide range of services, including accident and Health and Social Care Select Committee – 26 March 2026 Classification: Public emergency (A&E), inpatient care, day surgery, outpatient clinics and maternity services. The Trust’s services at Mount Vernon Hospital include routine day surgery, an Urgent Care Nurse Practitioner service and outpatient clinics. The Trust hosts several other organisations that supply health services at the Mount Vernon site including East & North Hertfordshire NHS Trust’s Cancer Centre. Royal Brompton and Harefield Hospitals (RBH) The Royal Brompton & Harefield Hospitals merged with Guy's and St Thomas’s NHS Foundation Trust (GSTT) in February 2021 and, from April 2022, joined with the cardiorespiratory services at GSTT to form a new Heart & Lung & Critical Care Group across the three sites. At the same time, the Evelina Children’s Hospital took over the running of the paediatric services at Royal Brompton. The merger of the two NHS foundation trusts was approved by the Boards and Councils of Governors of both organisations in December 2020 and came into effect on 1 February 2021. This merger saw the creation of a newly expanded Guy’s and St Thomas’ NHS Foundation Trust, with Royal Brompton and Harefield forming a new Clinical Group within the Trust. Since 2017, Guy’s and St Thomas’ and Royal Brompton & Harefield NHS Foundation Trusts have been working together, and with colleagues across King’s Health Partners, to develop plans to transform care for adults and children with heart and lung disease. This merger is a key step towards achieving these ambitions. To begin with, the merger will mean clinicians and teams working more closely together, building on the partnership work over the last three years, but generally providing services to the same patients and in the same places as they do now. Subject to the necessary public consultation, children’s services will move from the Royal Brompton Hospital site to an expanded Evelina London Children’s Hospital at St Thomas’ in around four to five years’ time. Subsequently, and again subject to consultation, the Trust hopes to build a new centre for heart and lung services at St Thomas’, which will be the home to adult heart and lung services from across the new Trust and potentially other partners as well. There are no plans to move services from Harefield Hospital, but these services will be an integral part of the integration across the new Trust. Central and North West London NHS Foundation Trust (CNWL) CNWL is a large and diverse organisation, providing health care services for people with a wide range of physical and mental health needs. The Trust employs approximately 7,000 staff who provide integrated healthcare (more than 300 different health services) across 150 sites and in many other community settings. Types of services include:  Physical health: Community treatment for physical conditions that do not require general hospital treatment or conditions that require long-term care. This includes district nursing, health visitors, stroke care and support for people in recovery.  Mental health: Community and hospital treatment for children, adults and older people with mental health problems. Services range from counselling support for mild conditions to rehabilitation treatment for long and enduring mental health problems.  Learning disabilities: Assessment and treatment for people with learning disabilities who also have complex mental health needs and/or challenging behaviour. Services are provided in the community or hospital.  Eating disorders: Admission to hospital or appointment sessions are provided to support men and women with an eating disorder. Health and Social Care Select Committee – 26 March 2026 Classification: Public  Addictions: Community drug and alcohol treatment services are provided, as well as hospital admission when it is needed. Specialist services to address problem gambling, compulsive behaviour and club drug problems are also available.  Sexual health: Appointment and walk-in services are available for anyone who needs them. This includes contraceptive choices, treatment of sexually transmitted infections and HIV testing and treatment.  Prison and offender care: Full healthcare services, including primary healthcare, addictions and mental health support, are provided in a number of prisons. Mental health support is also provided in the community for people who have offended in the past or people at risk of offending. North West London Integrated Care System (NWL ICS) In response to the NH S long term plan, which suggested that the number of CCGs will be significantly reduced to align with the number of emerging Integrated C are Systems (ICSs), North West London (NWL) CCGs launched a case for change for commissioning reform on 29 May 2019. The case for change recognised that there were questions on how the CCGs respond to the configuration issues raised by the long term plan which required exploration and resolution. Following the engagement period , the recommendation to governing bodies was to proceed to a formal merger of CCGs from 1 April 2021 , using 2020/21 as a transition year to focus on the following:  System financial recovery  Development of integrated care at PCN, borough and ICS level  Building closer working relationships with the local authorities  The development of a single operating structure across the commissioning system, and meet the expectations of NHSE that the CCG would operate in 2020/21 under a single operating framework, with the associated reduction in management costs and streamlined governance  To work with providers to develop alternative reimbursement structures from 2020/21 to support delivery of ICP/ICS On 1 April 2021, the eight Clinical Commissioning Groups in North West London (NWL) became one organisation, and the ICS then came into being in 2022. Healthwatch Hillingdon Healthwatch Hillingdon is a health watchdog run by and for local people. It is independent of the NHS and the local Council. Healthwatch Hillingdon aims to help residents get the best out of their health and social care services such as doctors, dentists, hospitals and mental health services and gives them a voice so that they can influence and challenge how health and care services are provided throughout Hillingdon. Healthwatch Hillingdon can also provide residents with information about local health and care services, and support individuals if they need help to resolve a complaint about their NHS treatment or social care. Healthwatch Hillingdon is one of 152 community focused local Healthwatch. Together, they form the Healthwatch network, working closely to ensure consumers’ views are represented locally and nationally led by Healthwatch England. Healthwatch Hillingdon is all about local voices being able to influence the delivery and design of local services. Not just people who use them, but anyone who might need to in the future. By making sure the views and experiences of all people who use services are gathered, analysed and acted upon, Healthwatch can help make services better now and in the future. Health and Social Care Select Committee – 26 March 2026 Classification: Public To make sure that the voices of children and young people are heard, Healthwatch Hillingdon created Young Healthwatch Hillingdon (YHwH). YHwH is made up of volunteers who represent the views of children and young people living, working or studying in Hillingdon. They do this by: o Sharing and promoting information about health issues and services that affect children and young people through events, social media updates and reports. o Speaking to children and young people and gathering their views about what health issues and services are important to them. o Working with health and social care services representatives to try to shape and improve services for children and young people. Witnesses Representatives from the following organisations have been invited to attend the meeting: 1. The Hillingdon Hospitals NHS Foundation Trust (THH) 2. Central and North West London NHS Foundation Trust (CNWL) 3. Royal Brompton & Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust (RBH) 4. Hillingdon Health and Care Partners (HHCP) 5. Integrated Care Board (ICB) 6. Healthwatch Hillingdon (HH) 7. The Confederation Hillingdon CIC

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📄 Appendix A - Healthwatch , item 68. PDF 147 KB
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Health & Care SELECT Committee – Healthwatch Hillingdon Update Report 1. Overview This report provides an update on Healthwatch Hillingdon’s recent activity, focusing on three core areas of work: • The Patient Experience Programme • The Enter & View (E&V) cycle for 2025/26 • The Hospital Discharge project - soon to commence The report summarises what has worked well, the challenges that continue to affect delivery, and areas where suggestions/support is requested from the Committee. 2. What has worked well 2.1 Strong resident engagement Across GP practices, hospital settings, and care environments, residents have shown high willingness to participate. 2.2 Clear themes from the Patient Experience Programme Feedback to date highlights consistent themes in both primary and acute care: GP Access: • Persistent telephone waits • Difficulties using online consultation systems • Limited clarity around appointment pathways • Low awareness of the wider clinical team Hospital Experience: • Strongly positive feedback on staff attitude, communication, and quality of treatment • Areas of pressure in A&E, particularly long waits and limited real time updates • Need for realistic timelines for follow‑up appointments Participants have also described uncertainty about processes, expectations, and pathways, reinforcing the need for clearer communication end‑to‑end. 2.3 Enter & View Programme well received by Providers The 2025/26 cycle in nursing homes and assisted living settings has been positively received. It has also enabled constructive conversations with staff and practical recommendations on • Accessibility and signage Appendix A • Environment and cleanliness • Activities, engagement, and communication • Staff wellbeing This has led to practical, provider‑led recommendations that settings recognise as implementable. 2.4 Hospital Discharge Project – Ready to commence Fieldwork design is complete and ready to commence once operational access is confirmed. Focus areas include the quality and clarity of discharge information, continuity of care and how prepared people feel at home post-discharge. 3) Where challenges are still being faced 3.1 Operational access barriers While strategic partners are supportive, achieving consistent operational‑level access has been uneven. This is particularly evident in practice level participation in the Patient Experience Programme and site access for hospital-based work. This delays engagement, reduces coverage, and slows the pace at which borough‑wide insights can be produced. 3.2 Misalignment with local priorities and limited awareness of the Healthwatch remit In some areas, the independent Healthwatch remit is not fully understood, and elements of our work (especially practice engagement) is perceived as duplicative rather than complementary. Where organisational priorities are tightly scoped, our requests being treated as optional affects response rates, even though residents show strong willingness to engage. 4) Closing reflection Over recent months, our Patient Experience Programme and Enter & View visits have generated valuable insight from residents with consistent themes around communication, access, pathway clarity and real‑time updates, alongside highly positive feedback on staff care. At the same time, operational access barriers are limiting the breadth and pace of data collection. Ensuring clarity of remit and facilitating smoother pathways for access will enable Healthwatch to deliver borough‑wide insight more consistently and responsively. We welcome the Committee’s guidance on priority areas and support in strengthening operational access so that resident voice continues to inform quality improvement.

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📄 Appendix B - CNWL , item 68. PDF 239 KB
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Appendix B Central and North West London NHS FT March 2026 Integrated Neighbourhood Teams Our work on integrated neighbourhood teams in Hillingdon is receiving national recognition with visits from the Minister of State for Care, Stephen Kinnock MP and local MP Danny Beales in November, The Right Honourable Baron Lord Victor Adebowale, CBE, NHS Confederation Chair in September and Dr Minal Bakhai the Director for Primary Care, Community Transformation and Improvement (PCTI) SRO for the National Neighbourhood Implementation Programme in February. A key component of neighbourhood working is the ability to share clinical information and jointly care plan between teams. An innovative software called Blinx is being trailed in Hillingdon which enables District Nurses to write directly into the GP clinical systems without duplication. If successful, the benefits would be wide reaching and would be a significant enabler for further joint working between teams. Our current focus within neighbourhoods is expanding our frailty and proactive care approaches. Community Services Expansion In late 2025, additional recurrent funding was provided across all eight North West London boroughs to expand our Urgent Community Response (UCR) teams, and establish a Hospital at Home function in each borough. The UCR expansion will support patients in a physical health crisis in under two hours to avoid A&E attendance or admission whilst the Hospital at Home will provide additional support for patients after UCR care between days 3 and 17. We have been working through mobilisation of this funding and recruitment is completing. Additionally, we have secured additional for Palliative Care and Neurology Navigators which we are also recruiting into. Lighthouse The Lighthouse is collocated behind THH A&E and aims to provide a therapeutic environment to support patients experiencing a mental health crisis. Capacity has now expanded so that it can support six patients at any one time. We are currently in the process of expanding the staffing model to support this, but initial data is positive with 70% more patients being seen than before this change. Appendix B Children’s Neurodevelopmental Assessments We continue to focus on reducing on waiting lists for children requiring a neurodevelopmental assessment. Due to increasing demand we did have nearly 2,000 children in Hillingdon waiting for an assessment, with some waiting one to two years. In late 2025 we received non-recurrent investment from NWL ICB to reduce the waiting lists which needed to be actioned before the end of March. We therefore have invested in additional capacity including with independent sector providers and are on track to reduce the number waiting to 400 by the end of March. To ensure longer term stability of the pathway, we are also transformed our own assessment pathways to ensure they are as efficient, and safe, as possible whilst utilising new digital technologies such as ambient voice technology. Whilst there will still be a gap in capacity, these changes will enable us to double our productivity and the number of children we see. MHST (Mental Health Support Teams) – Wave 14 Rollout Our MHST teams work with schools to support children with mental health concerns. It is a national model that is being rolled out in waves, and Hillingdon already has approximately 60% coverage. Wave 14 includes additional teams in Hillingdon and we have now recruited staff who are rolling out the model to additional schools. Musculoskeletal (MSK) Physiotherapy The MSK Physiotherapy Transformation Programme has achieved improved DNA rates, delivered successful Community Access Days in January and February, and formalised support via a contract with Shaw Trust. Appendix B Youth Justice Hillingdon’s Youth Justice Service (HYJS) has been awarded the National Autistic Society (NAS) Inclusion Award. Making them the first service within the Clinical Justice System and first ever Youth Justice Service in the UK to be presented with this award. HYJS works closely with CNWL to provide extra support to young people who are brought to the youth court. CNWL provides speech and language therapy and psychology to the young people and their families, and extra support to those who have additional needs, like autism

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📄 Appendix C - RBH , item 68. PDF 217 KB
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Appendix C 1 Update Paper for Hillingdon Health and Social Care Select Committee Royal Brompton and Harefield Hospitals March 2026 1.0 Performance 1.1 Referral to Treatment (RTT) and Long Waiting Patients Significant progress has been made to reduce the number of patients waiting 65-weeks for treatment, with recovery plans indicating that the Trust remains on track to achieve zero 65 - week waits by the end of March 2026. The Trust is also meeting its end of year trajectory for 52 week waits with the cardiology and respiratory services being the most challenged. The Trust is embarking on a significant programme focussing on transforming outpatient care and making improvements to the non -admitted p hase of the patient ’s pathway. This will incorporate the nat ional requirement to implement ‘Advice and Refer ’ for key identified specialities by October 2026. ‘Advice and Refer’ will be the receiving point for all GP referrals into hospital, with the outcome being either advice being provided back to the GP as to how they should manage the patient’s condition in primary care, or the referral being directed into the hospital. This is one of the national initiatives to manage future demand for hospital care and to ensure patients receive appropriate care in an appropriate setting, delivered by the most appropriate healthcare professional. Clinically urgent elective cardiac surgery continues to represent a significant operational and safety risk. The Trust currently has approximately 868 patients waiting for ele ctive cardiac surgery, representing 50% of the pan London waiting list. This includes a large cohort of P2 category patients that require surgery within four weeks. As outlined at previous meetings , these patients are closely monitored through the Ortus platform to ensure early identification of deteriorating symptoms which triggers a prompt clinical review. 1.2 Diagnostics (DMO1) Diagnostic performance continues to represent an operational pressure for the Trust, with the DM01 position remaining above the national six -week standard. Echocardiography performance is improving with the current Trust position being 18.82% against a target of 17.6%, equating to 219 patients waiting longer than six weeks. The other area of particular concern is sleep studies, which has seen a dramatic increase in referrals associated with the new weight loss injections and the fact that Obstructive Sleep Apnoea (OSA) is a key criterion for accessing these medications. 2.0 Cardiothoracic Transplant Harefield Hospital is delighted to report that to date in 2025/26 they have undertaken 39 lung transplants with a 100% survival rate. This is an approximate 50% increase on the number of lung transplant performed the previous year. There has also been 29 heart transplants undertaken year to date. 3.0 Robotic Programme Appendix C 2 The utilisation of robotic assisted thoracic surgery as an alternative to conventional video - assisted robotic surgery (‘VATS’) and open surgery for lung cancer resections has been steadily expanding worldwide. The Royal Brompton currently has a da Vinci robot, and we are awaiting delivery of a new da Vinci robot for use in Harefield Hospital. The Royal Brompton currently offers navigational bronchoscopy with the Ion robot / cone beam CT for the diagnosis and treatment of lung cancers at an early stage of disease. Funding has recently been awarded to extend this service to Harefield Hospital along with a purpose-built facility. This will significantly improve access to early diagnostics and treatment care for lung cancer patients in NW London. 4.0 Cardiogenic Shock The Royal Brompton, Harefield and St. Thomas’ hospital have all recently been visited by the Pan-London Cardiogenic Shock Board and these visits went very well. Cardiogenic shock is a sudden, life -threatening medical emergency where the heart is so severely damaged it cannot pump enough oxygen -rich blood to meet the body ’s demands . This leads to rapid organs failure and is fatal in approximately 30 – 50% of cases, even with modern treatment. Despite t his service not yet being fully commissioned, our hospitals deliver this highly specialised care which includes the use of mechanical devices to take over the heart ’s pumping action . It is hoped that a Pan -London Cardiogenic Shock Network will be soon established. 5.0 Harefield Clinical Strategy and site development The vision for Harefield Hospital is: To be international leaders in the management of advanced heart and lung disease, whether acute or non -acute, delivered at scale through the most complete repertoire of treatment modalities, supported and aligned with cutting edge science. The ambition is utilise the space, clinical expertise and academic links to create a fully integrated life sciences campus on the Harefield hospital site in partnership with pharma and MedTech. This development will provide modern facilities for the delivery of highly specialised health care with particular focus on Harefield being a leading centre for heart and lung transplantation, advanced cardiac and respiratory fail ure support and an acute Heart Attack Centre, with a national and international referral footprint. The clinical strategy was endorsed by the Board in November 2025, and the programme has now moved into the planning / implementation phase.

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📄 Appendix D - NWL Annual Plan - Hillingdon Annual Report , item 68. PDF 391 KB
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Hillingdon – Health & Wellbeing Narrative (For NWL Annual Report, and Hillingdon Health Select Committee) 1. Overall Health & Wellbeing focus for the borough Hillingdon’s draft Joint Health and Wellbeing Strategy sets out a clear, life-course approach to improving outcomes and reducing inequalities, structured around Best Start in Life, Live Well, Age Well and Healthy Places. The focus is on prevention, early intervention and integrated neighbourhood delivery, recognising rising long-term conditions, frailty, mental health need and the wider determinants of health impacting local communities, including environmental and access challenges. This aligns closely with the North West London Integrated Care Strategy and the shift towards proactive, place-based care, aligning with NWL ICB priorities and 2025/26 delivery. The system is stabilising and showing measurable improvement against The Hillingdon Hospital redevelopment baseline, particularly in discharge performance, frailty management and mental health crisis flow. However, performance remains above operational targets for ED attendances and bed days, and the scale of change required to lock in sustainable improvement has not yet been fully delivered. What has improved:  Flow and discharge: No Criteria to Reside (NC2R) has reduced materially from pre-intervention levels (~50/day) to an average of ~37/day in January, achieving the ≤34 target in December.  Frailty and preventative care: Frailty case management now covers approximately 50% of the severe frailty cohort, with early evidence of reduced emergency admissions. This is a critical foundation for reducing future bed-day demand.  Mental health crisis response: The redesigned Lighthouse model has reduced length of stay by 52%, increasing throughput and relieving pressure on ED, with most service users now returning home with support rather than being admitted.  Community alternatives to hospital: The Reactive Care Coordination Hub is live and simplifying access to urgent community response, while mobile diagnostics are demonstrating strong early uptake and evidence of avoided hospital attendances. 2. Integrated Neighbourhood Teams (INTs) The development of INTs directly supports NWL ICB priorities, including the establishment of neighbourhood teams, reducing inequalities through population health management, proactive care and prevention and improving access to high-quality community services. Appendix D By embedding proactive care within neighbourhood and primary care-led models, Hillingdon has supported earlier engagement, personalised care planning and better coordination between services. This contributes to wider system goals to reduce non-elective activity, improve quality of life for residents and make best use of finite health and care resources. All three INTs fully operational embedding the care connection teams into the wider INT. Multidisciplinary teams are now active across all three neighbourhoods, providing a consistent neighbourhood model for prevention, proactive and coordinated care. (Combining the W&NL ICB model of Local Care Network and Integrated Neighbourhood team together into the neighbourhood) • Frailty case management progressing well. Early work has commenced to develop a consistent borough-wide frailty operating model starting with a single- neighbourhood pilot and scaling up across all neighbourhoods by April 2026. • NNHIP – Hillingdon is currently participating in the National Neighbourhood Implementation Programme, with delivery progressing well. As part of the pilot, a frailty cohort has been identified within the North Neighbourhood, focusing on patients classified as moderately and severely frail. Interventions are scheduled to commence from the end of February 2026, with outcome measures to be reported from March 2026 onwards • Hypertension and long-term conditions. Prevalence has increased to 14%, the highest in NWL with optimisation levels remaining stable at 78–80% also the highest in NWL. Targeted recalls, community engagement events, and outreach activities — including mosque-based sessions — are underway to widen reach and drive further uptake. • Hospital to Community (left shift) – The hospital redevelopment Community Pathway Programme is progressing well, with Phase One pathways (heart failure, cardiac rehab and community headache) advancing through business case development, quality impact assessments and planning for enhanced primary care diagnostics. The programme is also identifying pathways that could be more effectively delivered in community or primary care settings, supporting improved access, earlier intervention and care closer to home. • Enablers: Integrated Neighbourhood Hub; the Estates workstream is progressing development of the three Neighbourhood Hubs, work streams and governance are being integrated to support business case development, including the procurement of legal, finance and design advisors. Digital; Hillingdon NNIP has been shortlisted to lead the digital and data workstream in the national programme. Workforce; The Hillingdon workforce Passport has been presented to the national NNIP programme and the DHSC, and may be a case study in the forthcoming NHSE 10 year workforce plan. 3. Borough-wide Integrated Reactive Care and Urgent Response The integrated model enables rapid assessment, intervention and short-term support in people’s own homes or community settings, helping to prevent unnecessary attendance at urgent treatment centres or emergency departments. Reactive and urgent response services also play a critical role in supporting timely discharge from hospital, working alongside acute, community and social care partners to reduce delays and improve transitions of care. This delivery supports NWL ICB priorities to optimise system flow, reduce non-elective admissions and improve discharge outcomes. Components of Reactive Care  Reactive Care Coordination Hub (Phase 1 – Dec 2025) Phase 1 of the Reactive Care Coordination Hub went live in December, providing single-call access for urgent community referrals (8am–8pm, 7 days). The Hub now acts as the single point of access for urgent referrals, crisis response and discharge support, and simplifying pathways for GPs, LAS and hospital teams. Senior Clinical Decision Makers (SCDMs) were embedded in Phase 1, strengthening real-time decision-making and supporting safe management at home. Improved pathways now operate with the Care Connection Teams in neighbourhoods, mobile X-ray Diagnostics and Same Day Access Hubs. Adult Social Care is now embedded into daily handovers/MDTs and strengthen links between the ICC Hub, SCDMs and wellbeing support. Phase 2 will expand to include frailty, mental health and end-of-life coordination.  Community IV Antibiotics The service continues to deliver 6–8 daily doses (with 25% utilisation) of IV antibiotics in homes and community settings for conditions requiring intravenous treatment but not hospitalisation. This prevents unnecessary bed days and enables earlier discharge when clinically appropriate.  GP-to-SDEC Pathways GPs can now refer suitable patients directly to Same Day Emergency Care (SDEC), bypassing the Emergency Department. This pathway ensures faster specialist review and avoids standard ED attendance for conditions that can be managed on the same day. For reactive care, this offers a reliable diversion route for patients who do not require full admission. GP referrals to SDEC units has risen from 123 in April 2025 to 211 in November 2025 over 90% increase in year.  Mobile Diagnostics (X-ray) A mobile X-ray pilot is providing diagnostics for housebound and frail residents, preventing the need for hospital radiology attendance. Early activity shows good uptake, with 115 referrals received (30.4% care homes, 63.5% GP, 4.3% Senior Clinical Decision Maker in the Reactive Care Coordination Hub, 0.9% hospice, 0.9% other). For the four residents and their families in the hospice the quality improvement and positive impact of mobile diagnostics in the hospice has been significant and the CQC has identified it as a quality innovation.  Lighthouse Mental Health Crisis Service The Lighthouse service provides an alternative to ED for residents experiencing mental health crisis. A new operating model went live in November 2025, increasing capacity from 4 to 6 patients at a time, with a further expansion to 10 patients planned (following a review due to take place in February). The Lighthouse reduces psychiatric demand in ED and provides a calmer therapeutic setting with rapid access to follow-on support. Phase 2 is being planned to add GP to Lighthouse pathway. 4. Children and Young People’s Mental Health and Wellbeing Improving outcomes for children and young people is a core priority within Hillingdon’s Health and Wellbeing Strategy under Best Start in Life. During 2025/26, delivery has aligned closely with NWL ICB priorities to improve access to community-based mental health support and early intervention for children and young people. System-wide focus has been placed on strengthening pathways between education, primary care, community services and specialist mental health provision, supporting earlier identification of need and reducing reliance on crisis-based responses. Hillingdon Thrive Together! is a new website which has been launched in Hillingdon which brings together all early intervention services in one place. It includes: • Service directories with clear descriptions of what each service offers. • Referral processes for each service, making it easier to guide families. • Self-care tools, videos, and resources for children, young people, parents/carers, and professionals. Our aim is that the Thrive Framework will help: • Signpost families confidently to appropriate services and resources. • Reduce unnecessary CAMHS referrals by offering alternative support options. • Empower families with tools to manage wellbeing while waiting for specialist help. In the SW Neighbourhood we have implemented a Childrens Champion/CYP Co-ordinator who works directly with children, young people and their families/carers to discuss and agree the choice of service they may wish to access. Referrals are from GPs who have referred the CYP to CAMHS and the family is waiting for an appointment. The champion has been in post since September and has made significant progress in reducing CAMHS referrals and GP appointments for CYPMH. Since September 136 children and young people supported. • Average 30% improvement in CYP ONS4 wellbeing scores • Average +2.41-point improvement in ONS Life Satisfaction, equating to an indicative £0.69m wellbeing value over 12 months (HM Treasury Green Book WELLBY methodology) • 77 successful referrals from SW neighbourhood GP Practices • Positive qualitative feedback from families, with parents reporting increased confidence, clarity and feeling listened to. • Release of over 22 hours of GP practice

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69. Budget and Spending Report - Select Committee Monitoring PDF 404 KB
Mr Martyn Storey, the Council’s Head of Strategy Finance – Adult Social Care, advised that this Committee was receiving the Month 10 report, whereas the timing of the Cabinet meeting had meant that the other Select Committees had received reports on Month 9. Concern was expressed that a £6.5m overspend had been discovered early in the financial year and Member questioned whether the next financial year would start with more accurate figures. Mr Storey advised that officers were confident that the growth figures for the new year included demand and inflation and that 2025/26 had been rebased into 2026/27 to avoid these issues recurring. After 31 March 2026, officers would undertake a refresh in the commitments for adult social care placements which would then provide a clearer picture and a profile for the year. Mr Matt Davis, the Council’s Director of Strategic and Operational Finance, noted that £18m of growth had been included for adult social care and that the cost pressures in this area were known. There would be pressures in 2026/27 in relation to fuel costs and Special Educational Needs transport but these should be covered by the provisions that had been put in place. It was noted that the budget position was showing as £0.8m worse that it had been at Month 7 (which had been the last budget monitoring report received by the Committee). There were two reasons for this increase in spend: care home costs; and home to school transport. Ms Sandra Taylor, the Council’s Corporate Director of Adult Social Care and Health, advised that when individuals approached the Council to ask for support, an assessment was undertaken of their eligible needs which was then followed by a financial assessment (capacity assessments might also have to go to court). If the individual had savings of more than £23½k, they needed to pay for their own care. Most people had assets of more than this amount and would often go into a care home sooner than the Council would choose (when responsible for making the decision, the Council would usually put support in place to help residents to stay at home) and would pay for this care themselves. It was noted that the cost of a care home could range from £1,300 to £1,500 per week. The Council provided residents leaving hospital with a “Paying for Social Care” booklet that covered issues that would need to be considered – Ms Taylor would forward a copy of this booklet to the Democratic, Civic and Ceremonial Manager for circulation to the Committee. There had been a small number of residents (4-6) identified that had been funding their own care home costs in homes that cost a lot more that the Council would pay. These residents had previously been unknown to the Council and had reduced their savings to a level that meant they now met the threshold for support from the Council. Sometimes it could take these residents a little while to work out what they needed to ... view the full minutes text for item 69.
📄 Budget and Spending Report - Select Committee Monitoring PDF 404 KB
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Health and Social Care Select Committee – 26 March 2026 Classification: Public BUDGET & SPENDING REPORT – SELECT COMMITTEE MONITORING Committee name Health and Social Care Select Committee Corporate Director(s) responsible Sandra Taylor Corporate Director Adult Social Care & Health Papers with report Appendix A Ward All RECOMMENDATION That the 2025/26 Month 10 budget monitoring position be noted. HEADLINES This report provides an update on the 2025/26 Month 10 budget monitoring position relevant to the Select Committee. The Corporate Director, supported by their Finance Business Partners, will attend the meeting to provide further details and clarifications. 2025/26 MONTH 10 BUDGET MONITORING POSITION At Month 10 service operating budgets within the Committee’s remit are forecasting a net overspend of £ 6.5m against budget. This is a n adverse movement of £0. 8m from the Month 7 position. Demand for Adult Social Care remains consistently high following the pandemic, with funding from the Department of Health and Social Care failing to keep pace with increasing client demand volume and complexity and market pressures. Adult Social Care & Health is forecasting an overspend of £6.5m for the year, with overall pressures of £8 .0m offset by a £1.5m underspend against SEND transport and mitigations of £2.0m achieved through effective vacancy management. The overspend is driven by ongoing growth in demand for all service areas. Client numbers continue to rise above the budgeted assumption, particularly in Learning Disabilities and Mental Health services. The underspend in SEND transport is due to more economical procurement of personal assistants and maximising efficiencies through the mix of delivery options. The £0.9m adverse movement in month is due to £0.5m of placement growth as a result of client capital depletions and backdated support plans, £0.3m being the impact of DfE guidance that disallows the use of DSG for Personal Transport costs, and £0.1m contingent labour and one to one support in Direct Care Services. Table 1 provides an overview of the Committee’s Month 10 budget monitoring position. It includes adjustments for Earmarked Reserves, Provisions and Transformation Capitalisation. Table 2 provides a detailed breakdown of the Committee’s outturn by service area. 2025/26 SAVINGS For the services within the remit of this Committee, the savings requirement for 2025/26 is £8.3m. Health and Social Care Select Committee – 26 March 2026 Classification: Public At Month 10, £3.7m (44%) of the savings and interventions are recorded as banked or on track for delivery, with a further £0. 2m ( 2%) being at initial stages of delivery. £4.4m (54%) of the savings are reported at risk in 2025/26, including £1.7m expected to slip into 2026/27. Table 3 provides a detailed breakdown of the 2025/26 Month 10 savings position. PERFORMANCE DATA Adult Social Work & care provision: Demand at the Adult Social Care front door remains consistently high and is a contributing factor of downstream financial and operational pressure. Front‑door performance data shows that Adult Social Care managed 61,154 contacts over the reporting period. This equates to an average of over 5,000 contacts per month demonstrating sustained system pressure rather than isolated spikes in activity. Contacts data covering calendar year 2025 to March 2026. This profile illustrates both the scale and intensity of demand being managed through the front door, with a significant proportion of contacts requiring timely triage, assessment or onward action to manage risk and prevent escalation. Analysis of contacts by latest support reason shows that demand is dominated by higher ‑need, statutory support requests rather than low‑level advice or signposting alone. Approximately 63% of contacts relate to physical support needs, making this the single largest driver of demand. This is followed by:  Support with memory and cognition, reflecting increased dementia prevalence  Mental health support  Learning disability support  Social support needs This demand profile reinforces that front‑door activity is closely aligned with statutory Adult Social Care responsibilities, with limited scope to divert demand away from funded services once eligibility thresholds are met. Front‑door activity functions as a critical demand ‑management mechanism rather than a simple gateway into services. Contact outcome data shows that:  A large proportion of contacts are linked to existing referrals, supporting continuity and avoiding duplication  Many contacts are resolved through information, advice, signposting or preventative responses  A smaller but significant proportion result in new referrals, safeguarding activity or formal assessment This demonstrates that front ‑door processes are actively controlling escalation into higher ‑cost Health and Social Care Select Committee – 26 March 2026 Classification: Public services, ensuring that statutory interventions are targeted at individuals with eligible needs and unmanaged risk. Safeguarding activity remains a significant component of overall demand and is closely linked to front‑door contact volumes. During the most recent reporting presented to the Safeguarding Adults Board in Month 10 was performance data covering 2025 into January 2026:  Adult Social Care received 13,868 safeguarding contacts  These progressed to 3,783 safeguarding concerns  Resulting in 305 Section 42 enquiries Performance data demonstrates a strong focus on outcomes and risk management:  Over 80% of completed Section 42 enquiries had a clearly identified desired outcome  Over 96% of those outcomes were fully or partially achieved  Nearly 90% evidenced a reduction in risk for the adult concerned Safeguarding performance is overseen through the Adult Social Care Power BI safeguarding dashboard and subject to regular multi ‑agency sc rutiny via the Safeguarding Adults Board, providing assurance on volumes, timeliness and case progression despite rising demand. Adult Social Care operates robust financial controls to manage demand ‑led expenditure and ensure resources are targeted appropriately in line with statutory duties under the Care Act 2014. A spending control process commenced in June 2025 and this has seen an improvement in the provisioning of care and an improvement in the strengths-based approach to supporting residents in the community. Adult Social Care operates a structured, rolling case audit programme to assure practice quality and support continuous improvement. Audits are undertaken monthly across all Operational Adult services, drawing from both open cases and those closed within the previous six months. A thematic approach is applied on a regular cycle, including focused audits on safeguarding and mental capacity. Audit findings are translated into clear actions and tracked through management oversight, providing Members with assurance that quality, safeguarding and value for money are being actively managed together. Improving operational efficiency: Hillingdon’s Technology Enabled Care (TEC) programme has already delivered significant improvements by expand ing a diverse range of digital tools —from AskSARA and lifestyle monitoring apps like Intelligent Lilli to night -time sensors, smart devices, and wearables —that have strengthened early intervention, improved safety, and helped residents remain independent at home for longer. These technologies have enhanced assessment accuracy, reduced reliance on intensive or residential care, supported carers through remote monitoring and training, and generated staff efficiencies while maintaining high-quality, person-centred care. Building on strong CQC feedback and a collaborative, digitally confident workforce, the focus now is on embedding TEC as a routine part of all care planning, fully transitioning to digital systems by 2027, and expanding early help Health and Social Care Select Committee – 26 March 2026 Classification: Public tools, smart home solutions, carer support, and proactive risk management so residents, carers, and professionals are equipped to deliver and experience outstanding, modern adult social care. RESIDENT BENEFIT Regular monitoring of financial performance ensures that spending and savings targets are met, which supports the efficient delivery of services to residents. By closely tracking expenditure and identifying variances, the council can take timely corrective actions to address overspending and mitigate risks. This also enhances public transparency and accountability, providing residents with confidence that their Council is managing finances prudently and prioritising their needs. Overall, regular monitoring supports safeguarding the Council's finances and the del ivery of quality services to residents. FINANCIAL IMPLICATIONS This is primarily a finance report, and the implications are set out in the main body of the report above. LEGAL IMPLICATIONS There are no direct legal implications arising from regular monitoring of the council’s finances by select committees. Democratic Services advise that effective overview and scrutiny arrangements require access to the information under the committee’s purview and, in accordance with the 2024 S tatutory Scrutiny Guidance, such information includes finance and risk information from the Council, and its partners where relevant. BACKGROUND PAPERS NIL APPENDICES Appendix A – Tables 1-3 Health and Social Care Select Committee – 26 March 2026 Classification: Public Appendix A – Tables 1-3 Table 1: 2025/26 Month 10 Budget Monitoring Approved Budget Underlying Forecast Earmarked Reserves Provisions Transformation Capitalisation Forecast Outturn Forecast Variance M10 Forecast Variance M9 Change in Variance A1: Staffing Costs 24,665 22,392 - - -101 22,292 -2,373 -1,799 -574 A2: NonStaffing Costs 160,516 171,896 - - - 171,896 11,381 10,420 961 A3: Grants Fees & Other Income -84,287 -86,255 -538 - - -86,794 -2,506 -2,699 193 Sub-Total 100,893 108,033 -538 - -101 107,394 6,501 5,923 578 Month 9 100,893 107,458 -541 - -101 106,816 5,923 Movement Month 9 to Month 10 - 576 3 - - 578 578 R3: Executive Director Adult Services and Health R3: Executive Director Adult Services and Health Health and Social Care Select Committee – 26 March 2026 Classification: Public Table 2: 2025/26 Month 10 Budget Monitoring by Service Area Approved Budget Underlying Forecast Earmarked Reserves Provisions Transformation Capitalisation Forecast Outturn Forecast Variance M10 Forecast Variance M9 Change in Variance A1: Staffing Costs - -4 - - - -4 -4 224 -228 A2: NonStaffing Costs 474 415 - - - 415 -59 -23 -36 A3: Grants Fees & Other Income -332 -328 - - - -328 4 45 -42 Sub-Total 142 83 - - - 83 -59 247 -306 A1: Staffing Costs 7,972 7,648 - - - 7,648 -323 -467 143 A2: NonStaffing Costs 1,517 2,071 - - - 2,071 553 444 110 A3: Grants Fees & Other Income -625 -730 - - - -730 -105 -109 4 Sub-Total 8,864 8,988 - - - 8,989 125 -132 258 A1: Staffing Costs 116 605 - - - 605 489 490 -1 A2: NonStaffing Costs 2 313 - - - 313 311 311 - A3: Grants Fees & Other Income -93 -430 - - - -430 -337 -337 - Sub-Total 25 488 - - - 488 463 464 -1 A1: Staffing Costs - 25 - - - 25 25 21 5 A2: NonStaffing Costs 313 511 - - - 511 198 179 19 A3: Grants Fees & Other Income - -44 - - - -44 -44 -393 349 Sub-Total 313 492 - - - 492 179 -194 373 A1: Staffing Costs 316 7 - - - 7 -309 -309 - A2: NonStaffing Costs 831 1,129 - - - 1,129 298 109 189 A3: Grants Fees & Other Income - - - - - - - -47 47 Sub-Total 1,147 1,136 - - - 1,136 -11 -247 236 A1: Staffing Costs 745 906 - - - 906 161 150 11 A2: NonStaffing Costs 15,269 15,635 - - - 15,635 367 340 27 A3: Grants Fees & Other Income -22,437 -22,426 -538 - - -22,964 -527 -489 -38 Sub-Total -6,423 -5,884 -538 - - -6,423 - - - A1: Staffing Costs 49 593 - - -101 492 442 444 -2 A2: NonStaffing Costs 1,151 1,508 - - - 1,509 357 378 -21 A3: Grants Fees & Other Income -22,518 -23,089 - - - -23,089 -571 -571 - Sub-Total -21,317 -20,988 - - -101 -21,088 228 251 -23 A1: Staffing Costs - - - - - - - - - A2: NonStaffing Costs 686 1,104 - - - 1,104 418 416 3 A3: Grants Fees & Other Income - - - - - - - - - Sub-Total 686 1,104 - - - 1,104 418 416 3 A1: Staffing Costs 45 44 - - - 44 -1 -1 - A2: NonStaffing Costs 126,224 134,903 - - - 134,903 8,678 8,082 596 A3: Grants Fees & Other Income -35,315 -35,660 - - - -35,660 -345 -225 -120 Sub-Total 90,954 99,787 - - - 99,287 8,332 7,856 477 A1: Staffing Costs 4,948 3,958 - - - 3,957 -990 -910 -81 A2: NonStaffing Costs 10,806 10,060 - - - 10,060 -746 -755 9 A3: Grants Fees & Other Income -320 -56 - - - -56 264 -61 325 Sub-Total 15,433 13,961 - - - 13,960 -1,473 -1,726 254 A1: Staffing Costs 4,543 4,020 - - - 4,020 -523 -500 -23 A2: NonStaffing Costs 2,448 3,394 - - - 3,394 946 890 55 A3: Grants Fees & Other Income -2,400 -3,190 - - - -3,190 -790 -728 -62 Sub-Total 4,592 4,224 - - - 4,224 -367 -338 -30 A1: Staffing Costs 5,931 4,591 - - - 4,591 -1,340 -941 -399 A2: NonStaffing Costs 794 853 - - - 853 59 50 9 A3: Grants Fees & Other Income -247 -301 - - - -301 -54 218 -272 Sub-Total 6,477 5,143 - - - 5,143 -1,335 -673 -661 A1: Staffing Costs - - - - - - - - - A2: NonStaffing Costs - - - - - - - - - A3: Grants Fees & Other Income - - - - - - 0 - Sub-Total - - - - - - - - - A1: Staffing Costs 24,665 22,392 - - -101 22,292 -2,373 -1,799 -574 A2: NonStaffing Costs 160,516 171,896 - - - 171,896 11,381 10,420 961 A3: Grants Fees & Other Income -84,287 -86,255 -538 - - -86,794 -2,506 -2,699 193 Sub-Total 100,893 108,033 -538 - -101 107,394 6,501 5,923 578 Month 9 100,893 107,458 -541 - -101 106,816 5,923 Movement Month 9 to Month 10 - 576 3 - - 578 578 R3B: Immediate Response Service R3C: Sustained Support Service R3: Executive Director Adult Services and Health R3: Executive Director Adult Services and Health R35: Head of Hospital and Localities Services R36: Director of Health and Public Health R37: Director Adult Services and Health R38: Head of Safeguarding Adults R39: ASC Placements R3A: Head of Direct Care Provision CFE R30: Closed Codes Corporate Director Social Care R31: OT Minor Adaptations and Community Equipment R32: Head of Direct Care Provision HSC R33: Head of Child & Family Development CFE R34: Head of Learning Disability and Mental Health Services Health and Social Care Select Committee – 26 March 2026 Classification: Public Table 3: 2025/26 Month 10 Savings RAG Rating 2025/26 & B/fwd savings Total B G A1 A2 R W/O £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 Mortuary - Provision of E xternal T raining (10) (10) (10) R eview of E arly Y ears Operating Model (130) (130) (130) Acquisition of Care home (550) (388) (162) (550) AI Digitisation of Operational S ocial Work Practices (548) (548) (548) Care Diagnostic E quipment (150) (150) (150) Child and Family S upport S ervice S taffing R eview (182) (182) (182) Creation of a care company for temporary staff via an S PV (277) (277) (277) Implementation of Ask S AR A (150) (150) (150) Increase MVF by 1% (146) (146) (146) Lease Income for S exual Health Clinics (250) (250) (250) Post 16 T ransport (624) (624) (624) Proposal to decant Lowdell Close R egistered Care home due to safety concerns (200) (200) (200) R e-negotiation of S ocial Care contracts (1,739) (1,739) (1,739) R eview and change in the catering services offer for E xtra Care, Day R esources & E arly Y ears services (217) (118) (99) (217) R eview of E arly Y ears Operating Model (Additional) - Lease Income (93) (93) (93) R eview of E arly Y ears Operating Model (Additional) - R esidual E Y Budget (94) (94) (94) R eview of third sector Carers contract value in S ocial Care (172) (172) (172) R eview of third sector Information, Advice and G uidance contract value in S ocial Care (170) (170) (170) S ection 117 Funding split with ICB (2,031) (2,031) (2,031) Use of Disabled Facilities G rant (300) (300) (300) Vacant Post R eview (283) (283) (283) (8,316) (3,665) 0 (99) (93) (2,720) (1,739) (8,316) Description Total 2025/26

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70. Cabinet Forward Plan Monthly Monitoring PDF 236 KB
Consideration was given to the Cabinet Forward Plan. RESOLVED: That the Cabinet Forward Plan be noted.
📄 Cabinet Forward Plan Monthly Monitoring PDF 236 KB
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Health and Social Care Select Committee – 26 March 2026 Classification: Public CABINET FORWARD PLAN Committee name Health and Social Care Select Committee Officer reporting Nikki O’Halloran, Democratic Services Papers with report Appendix A – Latest Forward Plan Ward As shown on the Forward Plan HEADLINES To monitor the Cabinet’s latest Forward Plan which sets out key decisions and other decisions to be taken by the Cabinet collectively and Cabinet Members individually over the coming year. The report sets out the actions available to the Committee. RECOMMENDATION That the Health and Social Care Select Committee notes the Cabinet Forward Plan. SUPPORTING INFORMATION The Cabinet Forward Plan is published monthly, usually around the first or second week of each month. It is a rolling document giving the requir ed public notice of future key decisions to be taken. Should a later edition of the Forward Plan be published after this agenda has been circulated, Democratic Services will update the Committee on any new items or changes at the meeting. As part of its T erms of Reference, each Select Committee should c onsider the Forward Plan and, if it deems necessary, comment as appropriate to the decision -maker on the items listed which relate to services within its remit. For reference, the Forward Plan helpfully det ails which Select Committee’s remit covers the relevant future decision item listed. The Select Committee’s monitoring role of the Forward Plan can be undertaken in a variety of ways, including both pre-decision and post-decision scrutiny of the items listed. The provision of advance information on future items listed (potentially also draft reports) to the Committee in advance will often depend upon a variety of factors including timing or feasibility, and ultimately any such request would rest with the r elevant Cabinet Member to decide. However, the 2019 Protocol on Overview & Scrutiny and Cabinet Relations (part of the Hillingdon Constitution) does provide guidance to Cabinet Members to:  Actively support the provision of relevant Council information and other requests from the Committee as part of their work programme; and  Where feasible, provide opportunities for committees to provide their input on forthcoming executive reports as set out in the Forward Plan to enable wider pre -decision scrutiny (in addition to those statutorily required to come before committees , i.e. policy framework documents – see paragraph below). As mentioned above, there is both a constitutional and statutory requirement for Select Committees to provide comments on the Cabinet’s draft budget and policy framework proposals after pub lication. These are automatically scheduled in advance to multi -year work programmes. Health and Social Care Select Committee – 26 March 2026 Classification: Public Therefore, in general, the Committee may consider the following actions on specific items listed on the Forward Plan: Committee action When How 1 To provide specific comments to be included in a future Cabinet or Cabinet Member report on matters within its remit. As part of its pre-decision scrutiny role, this would be where the Committee wishes to provide its influence and views on a particular matter within the formal report to the Cabinet or Cabinet Member before the decision is made. This would usually be where the Committee has previously considered a draft report or the topic in detail, or where it considers it has sufficient information already to provide relevant comments to the decision-maker. These would go within the standard section in every Cabinet or Cabinet Member report called “Select Committee comments”. The Cabinet or Cabinet Member would then consider these as part of any decision they make. 2 To request further information on future reports listed under its remit. As part of its pre-decision scrutiny role, this would be where the Committee wishes to discover more about a matter within its remit that is listed on the Forward Plan. Whilst such advance information can be requested from officers, the Committee should note that information may or may not be available in advance due to various factors, including timescales or the status of the drafting of the report itself and the formulation of final recommendation(s). Ultimately, the provision of any information in advance would be a matter for the Cabinet Member to decide. This would be considered at a subsequent Select Committee meeting. Alternatively, information could be circulated outside the meeting if reporting timescales require this. Upon the provision of any information, the Select Committee may then decide to provide specific comments (as per 1 above). 3 To request the Cabinet Member considers providing a draft of the report, if feasible, for the Select Committee to consider prior to it being considered formally for decision. As part of its pre-decision scrutiny role, this would be where the Committee wishes to provide an early steer or help shape a future report to Cabinet, e.g., on a policy matter. Whilst not the default position, Select Committees do occasionally receive draft versions of Cabinet reports prior to their formal consideration. The provision of such draft reports in advance may depend upon different factors, e.g., the timings required for that decision. Ultimately any request to see a draft report early would need the approval of the relevant Cabinet Member. Democratic Services would contact the relevant Cabinet Member and Officer upon any such request. If agreed, the draft report would be considered at a subsequent Select Committee meeting to provide views and feedback to officers before they finalise it for the Cabinet or Cabinet Member. An opportunity to provide specific comments (as per 1 above) is also possible. 4 To identify a forthcoming report that may merit a post- decision review at a later Select Committee meeting As part of its post-decision scrutiny and broader reviewing role, this would be where the Select Committee may wish to monitor the implementation of a certain Cabinet or Cabinet Member decision listed/taken at a later stage, i.e., to review its effectiveness after a period of 6 months. The Committee should note that this is different to the use of the post-decision scrutiny ‘call-in’ power which seeks to ask the Cabinet or Cabinet Member to formally re-consider a decision up to 5 working days after the decision notice has been issued. This is undertaken via the new Scrutiny Call-in App members of the relevant Select Committee. The Committee would add the matter to its multi- year work programme after a suitable time has elapsed upon the decision expected to be made by the Cabinet or Cabinet Member. Relevant service areas may be best to advise on the most appropriate time to review the matter once the decision is made. Health and Social Care Select Committee – 29 April 2025 Classification: Public BACKGROUND PAPERS  Protocol on Overview & Scrutiny and Cabinet relations adopted by Council 12 September 2019  Scrutiny Call-in App

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📄 Appendix , item 70. PDF 189 KB
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Status Ref Business Item Further information Ward(s) NEW ITEM CABINET meeting Cabinet Member Shareholder Committee Full COUNCIL Cabinet Member(s) Responsible Relevant Select Committee Report Author Corporate Director Responsible Public or Private (with reason) SI Public Preview of matters to be considered in private A report to Cabinet to provide maximum transparency to residents on the private and confidential matters to be considered later in Part 2 of the Cabinet meeting and agenda. TBC 23 April TBC TBC Democratic Services Public SI Reports from Select Committees Reports, findings and recommendations for consideration by the Cabinet, when referred from the appropriate Committee. All 23 April TBC TBC Democratic Services Public SI Corporate Disposals Programme 2026/27 As part of the Corporate Disposal programme, Cabinet will consider recommendations on property and land disposals for the financial year 2026-2027 and make the necessary decisions on sites to be declared surplus and provide delegated authority to enable the implementation of any decisions made. Various 28 May TBC TBC Andrew Low / Richard Mortimer Dan Kennedy Private (3) SI Minor Property Transactions This monthly standing report to Cabinet covers operational property matters requiring approval. These may include: granting discounted leases to voluntary organisations; approving easements, wayleaves, or utility leases supporting capital projects; authorising academy school property issues; and agreeing leases for temporary housing or other service-related property needs. All 28 May TBC TBC Andrew Low Dan Kennedy Private (3) SI Reports from Select Committees Reports, findings and recommendations for consideration by the Cabinet, when referred from the appropriate Committee. Various 28 May TBC TBC Democratic Services Public SI Public Preview of matters to be considered in private A report to Cabinet to provide maximum transparency to residents on the private and confidential matters to be considered later in Part 2 of the Cabinet meeting and agenda. TBC 28 May TBC TBC Democratic Services Public Decision-Maker Cabinet Member Lead & Officers BOROUGH LOCAL ELECTIONS - 7 MAY 2026 APRIL 2026 MAY 2026 1 Status Ref Business Item Further information Ward(s) NEW ITEM CABINET meeting Cabinet Member Shareholder Committee Full COUNCIL Cabinet Member(s) Responsible Relevant Select Committee Report Author Corporate Director Responsible Public or Private (with reason) Decision-Maker Cabinet Member Lead & Officers SI Review of Council Constitution The Council may reviews it's Constitution on a regular basis and may make changes at any Council meeting. The Annual Council meeting in May also provides an opportuntity for such reviews at the start of the new Municipal Year, if any changes are required. N/A 14 May (AGM) N/A N/A Lloyd White Public SI Annual Report of the Select Committees This annual report sets out the important work undertaken by the Council's Select Committees during the previous Municipal Year. The Select Committee are responsible for monitoring and scrutinising council services and the Cabinet, holding to account external bodies and making recommendations on policy to the decision-making Cabinet. N/A 14 May (AGM) N/A All Mark Braddock Public 120 Age Friendly Plan Following Cabinet's consideration of a draft Age Friendly Delivery Plan for older people in December 2025 and further consultation and engagement on this, Cabinet will consider approval of the Plan and consider annual updates on its progress each May. N/A NEW ITEM 25 June TBC TBC Sarah Durner / Gary Collier Sandra Taylor Public 82b West London Waste Plan (policy framework) Following consultation, Cabinet will consider regulation 19 consultation to commence on the Joint Waste Plan. This Plan forms part of the Council's development plan documents, therefore it is policy framework. N/A NEW ITEM 25 June 26 November TBC TBC Gavin Polkinghorn Dan Kennedy Public 45a Housing Strategy (Policy Framework) The Housing Strategy is a key policy framework document and provides the borough's strategic direction and priorities for housing services. Cabinet will approve commencement of formal consultation process. This is policy framework document under the Council's Constitution so it will be subject to statutory public consultation including by the relevant select committee, before further Cabinet, and ultimately full Council, consideration. All 25 June 26 November TBC TBC Debbie Weller Dan Kennedy Public JUNE 2026 2 Status Ref Business Item Further information Ward(s) NEW ITEM CABINET meeting Cabinet Member Shareholder Committee Full COUNCIL Cabinet Member(s) Responsible Relevant Select Committee Report Author Corporate Director Responsible Public or Private (with reason) Decision-Maker Cabinet Member Lead & Officers 84a Local Plan - Draft for consultation (policy framework) To seek Cabinet agreement to undertake a public consultation on the Local Plan at Draft Plan stage in line with Regulation 18 of the Town and Country Planning (Local Planning) (England) Regulations. This is policy framework document under the Council's Constitution so it will be subject to statutory public consultation including by the relevant select committee, before further Cabinet, and ultimately full Council, consideration. All 25 June Date TBC TBC TBC Gavin Polkinghorn Dan Kennedy Public 26 Biannual Performance Report Cabinet will receive its biannual report performance report for the current year, looking back on how the Council is delivering on key service metrics and the Council Strategy - and looking ahead at planned actions. All 25 June TBC TBC Ian Kavanagh Matthew Wallbridge Public 63 Carers Strategy Update Cabinet will receive a progress report on the Carers Strategy and Delivery Plan and the priorities going forward. N/A 25 June TBC TBC Gary Collier Sandra Taylor Public SI Budget Outturn 2025/26 Cabinet will review the Council's budget outturn position for the previous financial year. All 25 June TBC TBC Andy Goodwin Steve Muldoon Public SI Corporate Disposals Programme 2026/27 As part of the Corporate Disposal programme, Cabinet will consider recommendations on property and land disposals for the financial year and make the necessary decisions on sites to be declared surplus and provide delegated authority to enable the implementation of any decisions made. Various 25 June TBC TBC Andrew Low / Richard Mortimer Dan Kennedy Private (3) SI Minor Property Transactions A regular report to Cabinet on minor property matters that may arise during the course of the year that require a Cabinet decision. These will relate to discounted leases to voluntary sector organisations and/or any easements, wayleaves and leases relating to utilities in order to support the Council's capital programmes and other such similar matters. All 25 June TBC TBC Andrew Low Dan Kennedy Private (3) 66 Reports from Select Committees A report from the Select Committee into Homelessness and the customer journey All 25 June TBC TBC Democratic Services N/A Public 3 Status Ref Business Item Further information Ward(s) NEW ITEM CABINET meeting Cabinet Member Shareholder Committee Full COUNCIL Cabinet Member(s) Responsible Relevant Select Committee Report Author Corporate Director Responsible Public or Private (with reason) Decision-Maker Cabinet Member Lead & Officers SI Public Preview of matters to be considered in private A report to Cabinet to provide maximum transparency to residents on the private matters to be considered later in Part 2 of the Cabinet meeting and agenda. TBC 25 June TBC TBC Democratic Services TBC Public 93 Stronger Families / Family Help Strategy The Cabinet Member will consider a strategy that aligns with emerging national reforms and strengthens the delivery of early help and family support across the borough. The strategy aims to modernise practice, improve operational effectiveness, and ensure services remain responsive to the diverse and evolving needs of children and families. A central element of this transformation is the redesign of the Stronger Families Early Help service in line with the Family Help model. This model emphasises earlier, more effective intervention; seamless multi ‑ agency collaboration; and the empowerment of families to build resilience and reduce the need for statutory involvement. It also seeks to improve access to the right support at the right time, while embedding a child ‑ centred and whole ‑ family approach within all areas of practice. All June TBC TBC Antony Madden / Vali Danciu / Tehseen Kauser Julie Kelly Public 104 Landlord Service Annual Complaint & Service Improvement Report 2025/26 Cabinet will review the Landlord Service Annual Complaints and Service Improvement report before submission to the Housing Ombudsman. N/A NEW ITEM 23 July TBC TBC Sam Strong / Debbie Weller Dan Kennedy Public 94 Hillingdon Parking Strategy The Cabinet will consider a Parking Strategy following public consultation. A parking strategy will seek to establish a framework through which the Council will provide a fair, accessible, and sustainable parking service that supports residents, local businesses, and visitors, while contributing to Hillingdon’s wider transport, economic, environmental, and land use goals. All 23 July TBC TBC Richard Webb Dan Kennedy Public JULY 2026 4 Status Ref Business Item Further information Ward(s) NEW ITEM CABINET meeting Cabinet Member Shareholder Committee Full COUNCIL Cabinet Member(s) Responsible Relevant Select Committee Report Author Corporate Director Responsible Public or Private (with reason) Decision-Maker Cabinet Member Lead & Officers 24 Temporary Accommodation Action Plan Monitoring Cabinet will receive a quarterly update, or at a frequency as determined by the Cabinet Member, on progress on the delivery of the Temporary Accommodation Strategy and Action Plan presented to Cabinet in February 2025. This will be aligned with the Homelessness Prevention and Rough Sleeping Strategy and the Medium-Term Financial Strategy, which is to include details of actions taken to bring empty homes across the Borough back into occupation. All 23 July TBC TBC Debbie Weller Dan Kennedy Public SI Corporate Disposals Programme 2026/27 As part of the Corporate Disposal programme, Cabinet will consider recommendations on property and land disposals for the financial year and make the necessary decisions on sites to be declared surplus and provide delegated authority to enable the implementation of any decisions made. Various 23 July TBC TBC Andrew Low / Richard Mortimer Dan Kennedy Private (3) SI Minor Property Transactions This monthly standing report to Cabinet covers operational property matters requiring approval. These may include: granting discounted leases to voluntary organisations; approving easements, wayleaves, or utility leases supporting capital projects; authorising academy school property issues; and agreeing leases for temporary housing or other service-related property needs. All 23 July TBC TBC Andrew Low Dan Kennedy Private (3) SI Consideration of setting a licensed deficit budget for any schools in the Borough A standard report each year, where Cabinet may consider whether it is required to set any licensed deficit budget for any schools that have applied. TBC 23 July TBC TBC Luisa Hansen Steve Muldoon / Julie Kelly Public SI Monthly Council Budget - monitoring report The Cabinet receives a monthly report setting out in detail the Council’s revenue and capital position. All 23 July TBC TBC Andy Goodwin Steve Muldoon Public SI Reports from Select Committees Reports, findings and recommendations for consideration by the Cabinet, when referred from the appropriate Committee. All 23 July TBC TBC Democratic Services N/A Public 5 Status Ref Business Item Further information Ward(s) NEW ITEM CABINET meeting Cabinet Member Shareholder Committee Full COUNCIL Cabinet Member(s) Responsible Relevant Select Committee Report Author Corporate Director Responsible Public or Private (with reason) Decision-Maker Cabinet Member Lead & Officers SI Public Preview of matters to be considered in private A report to Cabinet to provide maximum transparency to residents on the private matters to be considered later in Part 2 of the Cabinet meeting and agenda. TBC 23 July TBC TBC Democratic Services TBC Public SI Urgent Cabinet- level decisions & interim decision- making (including emergency decisions) The Leader of the Council has the necessary authority to make decisions that would otherwise be reserved to the Cabinet, in the absence of a Cabinet meeting or in urgent circumstances. Any such decisions will be published in the usual way and reported to a subsequent Cabinet meeting for ratification. The Leader may also take emergency decisions without notice, in particular in relation to the COVID-19 pandemic, which will be ratified at a later Cabinet meeting. Various Cabinet Member Decision - date TBC Cllr Ian Edwards - Leader of the Council TBC TBC Public / Private SI Release of Capital Funds The release of all capital monies requires formal Member approval, unless otherwise determined either by the Cabinet or the Leader. Batches of monthly reports (as well as occasional individual reports) to determine the release of capital for any schemes already agreed in the capital budget and previously approved by Cabinet or Cabinet Members TBC Cabinet Member Decision - date TBC Cllr Eddie Lavery - Finance & Transformation (in conjunction with relevant Cabinet Member) All - TBC by decision made various Public but some Private (1,2,3)SI Petitions about matters under the control of the Cabinet Cabinet Members will consider a number of petitions received by local residents and organisations and decide on future action. These will be arranged as Petition Hearings. TBC Cabinet Member Decision - date TBC All TBC Democratic Services Public SI To approve compensation payments To approve compensation payments in relation to any complaint to the Council in excess of £1000. n/a Cabinet Member Decision - date TBC All TBC various Private (1,2,3) SI Acceptance of Tenders To accept quotations, tenders, contract extensions and contract variations valued between £50k and £500k in their Portfolio Area where funding is previously included in Council budgets. n/a Cabinet Member Decision - date TBC Cllr Ian Edwards - Leader of the Council OR Cllr Eddie Lavery - Finance & Transformation / in conjunction with relevant Cabinet Member TBC various Private (3) Schedule of Individual Cabinet Member Decisions that may be taken each month (standard items non key-decisions) 6 Status Ref Business Item Further information Ward(s) NEW ITEM CABINET meeting Cabinet Member Shareholder Committee Full COUNCIL Cabinet Member(s) Responsible Relevant Select Committee Report Author Corporate Director Responsible Public or Private (with reason) Decision-Maker Cabinet Member Lead & Officers SI All Delegated Decisions by Cabinet to Cabinet Members, including tender and property decisions Where previously delegated by Cabinet, to make any necessary decisions, accept tenders, bids and authorise property decisions / transactions in accordance with the Procurement and Contract Standing Orders. TBC Cabinet Member Decision - date TBC All TBC various Public / Private (1,2,3) SI External funding bids To authorise the making of bids for external funding where there is no requirement for a financial commitment from the Council. n/a Cabinet Member Decision - date TBC All TBC various Public SI Response to key consultations that may impact upon the Borough A standard item to capture any emerging consultations from Government, the GLA or other public bodies and institutions that will impact upon the Borough. Where the deadline to respond cannot be met by the date of the Cabinet meeting, the Constitution allows the Cabinet Member to sign-off the response. TBC Cabinet Member Decision - date TBC All TBC various Public SI = Standard Item that may be considered each month/regularly The Cabinet's Forward Plan is an official document by the London Borough of Hillingdon, UK 7

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71. Work Programme PDF 147 KB
Consideration was given to the Committee’s Work Programme. It was agreed that: the Cabinet Member for Health and Social Care be invited to attend the meeting on 18 June 2026; and a single meeting review be held at the meeting on 21 July 2026 to look at tech enabled care. The Democratic, Civic and Ceremonial Manager would finalise the Committee’s report on Adult Social Care Early Intervention and Prevention and circulate this to the Committee for their comments. The Chair thanked Members for their work on the Committee. RESOLVED: That: the Cabinet Member for Health and Social Care be invited to attend the meeting on 18 June 2026; a single meeting review on tech enabled care be held on 21 July 2026; the Democratic, Civic and Ceremonial Manager circulate the Committee’s draft final report on Adult Social Care Early Intervention and Prevention for their comments; and the Work Programme be agreed.
📄 Work Programme PDF 147 KB
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Health and Social Care Select Committee – 26 March 2026 Classification: Public WORK PROGRAMME Committee name Health and Social Care Select Committee Officer reporting Nikki O’Halloran, Democratic Services Papers with report Appendix A – Work Programme Ward All HEADLINES To ena ble the Committee to note future me eting dates and to for ward plan its work for the current municipal year. RECOMMENDATION: That the Health and Social Care Select Committee considers its Work Programme for the year and agrees any amendments. SUPPORTING INFORMATION The meeting dates for t he 202 5/2026 municipal year were agreed by Council on 16 January 2025 and are as follows: Meetings Room Thursday 19 June 2025, 6.30pm CR5 Tuesday 22 July 2025, 6.30pm CR6 Tuesday 16 September 2025, 6.30pm CR5 Tuesday 7 October 2025, 6.30pm - CANCELLED CR6 Tuesday 11 November 2025, 6.30pm CR5 Wednesday 3 December 2025, 6.30pm CR6 Tuesday 20 January 2026, 6.30pm CR5 Tuesday 17 February 2026, 6.30pm CR5 Thursday 26 March 2026, 6.30pm CR5 Tuesday 21 April 2026, 6.30pm CANCELLED CR5 It has been ag reed that a report be brought to each meeting for Members to keep track of progress on the spending / savings targets of the Cabinet Portfolio that the Committee covers (except those meetings in September and January when a budget related report is already scheduled for consideration). As there was no report to Cabinet in January 2026, the next report to the Select Committee will be considered at its meeting on 26 March 2026. The meeting dates for the 202 6/2027 municipal year were agreed by Council on 20 January 2026 and are as follows: Meetings Room Thursday 18 June 2026, 6.30pm TBA Tuesday 21 July 2026, 6.30pm CR6 Wednesday 30 September 2026, 6.30pm CR6 Wednesday 11 November 2026, 6.30pm CR6 Health and Social Care Select Committee – 26 March 2026 Classification: Public Meetings Room Tuesday 12 January 2027, 6.30pm CR6 Tuesday 16 February 2027, 6.30pm CR6 Tuesday 16 March 2027, 6.30pm CR5 Tuesday 20 April 2027, 6.30pm CR6 Implications on related Council policies The role of the Select Committees is to make recommendations on service changes and improvements to the Cabinet, who are responsible for the Council’s policy and direction. How this report benefits Hillingdon residents Select Committees directly engage residents in shaping policy and recommendations and the Committees seek to improve the way the Council provides services to residents. Financial Implications None at this stage. Legal Implications None at this stage. BACKGROUND PAPERS NIL.

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📄 Appendix , item 71. PDF 92 KB
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2026/27 March CANCELLED April May June July August September October November December January February March April 26 21 No meeting 18 21 No meeting 30 No meeting 11 No meeting 12 16 16 20 Review A: ASC Early Intervention & Prevention Topic selection / scoping stage Witness / evidence / consultation stage Findings, conclusions and recommendations Final review report agreement Final report Target Cabinet reporting Cabinet (23rd) Review B: Pharmacies Regular service & performance monitoring Bi-Annual Performance Monitoring X X X Annual Report of Adult and Child Safeguarding Arrangements Older People's Plan Update (prior to Cabinet) Health & Social Care Budget & Spending Report X X X X X X X X X Mid-year budget / budget planning report (July/September) Cabinet's Budget Proposals For Next Financial Year (Jan) X X Cabinet Member for Health and Social Care Cabinet Forward Plan Monthly Monitoring X X X X X X X X X One-off information items Autism Update Commissioning Model for delivery of health and social care services BCF Update Minor Injuries Unit Update Hospice and End of Life Services in the Borough Hillingdon Advice Partnership Update X CAMHS Update HHCP Place Based Service Delivery Health External Scrutiny Mount Vernon Cancer Centre Strategic Review Update Hillingdon Hospital Redevelopment Update Health Updates X X X Public Health Update Quality Accounts (outside of meetings) X X Health & Social Care Select Committee MULTI-YEAR WORK PROGRAMME

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