Councillors and committees

Agenda and minutes

You can view the individual reports for this meeting by selecting the headings from the numbered list of items at the bottom of this page. Alternatively you can view the entire agenda by selecting 'Agenda Reports Pack' below.

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Venue: Guildhall, Kingston upon Thames

Contact: Marian Morrison 020 8547 4623  email:  marian.morrison@kingston.gov.uk

Items
No. Item

1.

Questions

To consider questions from the gallery on items which are not on the agenda

Minutes:

There were no questions.

2.

Apologies for absence and attendance of substitute members

Minutes:

Apologies were received from Councillors Kevin Davis and Sushila Abraham and Dr Jane D’Souza, GP advisory member.

3.

Declarations of Interest

Minutes:

There were no declarations of interest.

4.

Minutes

To approve the minutes of the meeting held on 30 April 2019

Minutes:

Agreed that:  the minutes of the meeting held on 30 April 2019 were confirmed as an accurate record.

 

Voting:  unanimously in favour

5.

Appointment of Advisory Members for 2019/20

To agree the appointment of the following advisory members to the Panel:

 

Dr Jane D’Souza, General Practitioner representative

Dr Liz Meerabeau, Chair, Healthwatch Kingston

Kate Dudley, Chief Executive, Kingston Carers’ Network

 

Minutes:

Agreed that:  The following advisory members were appointed for the 2019/20 Municipal Year:

 

Dr Liz Meerabeau, Chair, Healthwatch Kingston

Kate Dudley, Chief Executive Kingston Carers Network

Dr Jane D’Souza, GP Advisory Member.

 

Voting:  unanimously in favour

6.

Cancer Screening Programmes in Kingston pdf icon PDF 96 KB

To discuss and scrutinise the report and make any recommendations

Minutes:

The report provided information about the arrangements regarding the national cancer screening programmes for bowel, breast and cervical cancers, highlighting local implementation, current engagement and upcoming work.  These programmes are commissioned by NHS England and are delivered in a range of clinical settings including GP practices. 

 

Medical screening is the systematic application of a test to identify the presence of an as-yet-undiagnosed disease in people who appear healthy but who may have early or pre-cancerous symptoms which would benefit from further investigation or direct preventative action.  Treatment is more likely to be successful and chances of survival are higher when pre-cancerous or early conditions are treated quickly.  However, screening tests are unable to discriminate between fast and slow growing cancers which can mean that some people receive unnecessary treatment plus the emotional worry of potential serious illness.

 

Only people who are registered with a GP are offered screening:

 

·         Bowel screening is offered every 2 years to people aged 60-74 in the UK.  In England only Bowel Scope is being offered to people at age 55 and will be available in Kingston from next year. 

 

·         Breast Screening is offered every three years to women age 50-70 in the UK and in England only there is a trial to extend this to 47-73. It identifies cancer in about 8 in every 1000 patients.

 

·         Cervical Screening is offered to women and trans men aged 25-64 in the UK, for women aged 25-49 it is every 3 years and every 5 years thereafter.

 

People who are older than the age range for breast and bowel screening may still access these programmes but will not be automatically invited.  Cervical screening invitations are sent by GP practices and bowel and breast invitations are dispatched by the regional programme hub.

 

In terms of the local uptake of the cancer screening programmes, Kingston CCG performs above the London average but below the national average. Participation in the programmes is measured by uptake and coverage.  “Uptake” captures the percentage of people who have been invited and undergo screening whereas “coverage” is the proportion of people invited who have been screened within a specific time period.

 

Details were given on local approaches both current and up-coming to improve cancer screening figures and in particular on the work to improve engagement from our more vulnerable residents. 

 

A detailed presentation was given by Antoine Al Hosri, Public Health Development Officer and further contributions were made by Dr John Burchill Senior Project Manager, RM Partners, Dr Atin Goel, GP Lead for Cancer, and Iona Lidington, Director of Public Health.

 

The Panel heard that whilst screening aims to pick up pre-cancerous conditions or early stage cancers in people who appear healthy, it cannot distinguish the cancer type i.e. whether it is slow or fast growing. Furthermore, screening is not perfect and it is possible to both miss conditions and over-diagnose.

 

Screening programmes are decided and modified centrally by the UK National Screening Committee (UKNSC) and patients need to be registered with  ...  view the full minutes text for item 6.

7.

Annual Report 2018/19 pdf icon PDF 185 KB

To note the Annual Report

Minutes:

Councillor Munir Ravalia, Deputy Manor and last year’s Chair of the Panel introduced the Annual Report for 2018/19.  The report set out details and discussions on the items covered:

 

·         Update on the South West London Sustainability and Transformation Partnership

·         Kingston Hospital’s review of parking for blue badge holders

·         Care Quality Commission Inspection of Kingston Hospital

·         Improving the Mental Health of Kingston Children and Young People

·         Progress on services for emotionally unstable personality disorder

·         Dental Services and Oral Health in Kingston

 

Agreed that:  the report is noted.

 

Voting – unanimously in favour

 

 

 

8.

The Work Programme and Working Arrangements pdf icon PDF 75 KB

To agree the proposed working arrangements and work programme for 2019/20 and beyond

Minutes:

The Director of Public Health introduction the report and stressed the importance of planning ahead.  The approach is to identify topics for information and for deeper dives. 

The following topics were proposed as main items/deeper dives:

2 October 2019 – Child and Adolescent Mental Health Services – particularly young people’s transition to Adult Mental Health Services

12 December 2019 – Adult Mental Health Services – particularly mental health services for people with Learning /disabilities and how Kingston compares with other London Boroughs and nationally in terms of the key elements of the services provided

26 February 2020 – Dementia Care Strategy focussing on dementia diagnosis and early intervention including the reasons why Kingston has a lower rate of diagnosis and what steps can be taken to improve this

23 April 2020 – Diabetes Service provision, particularly prevention and early diagnosis and availability of insulin pumps

June 2020 – Cancer Screening Programmes in Kingston (12 months on)

Date TBC – Infant mortality statistics deep dive

The list of information items:

·         Kingston Hospital and Kingston CCG’s Estate Planning/Modernisation as part of a system wide long term strategy

·         Kingston Hospital’s delivery of the Dementia Care Strategy and improvements

·         The role of carers and how services support carers

·         New mental health assessment unit at Kingston Hospital

·         South West London and St George’s Mental Health Trust estate developments at Tolworth and Springfield Hospitals including service locations

·         Approved Mental Health Professional (AMPH) service and multiagency crisis management

·         Alcohol and drug rehabilitation services

·         Substance misuse services

·         South West London Trailblazer mental health project

·         Adult mental health provision in primary care including debt advice and additions (drugs, alcohol gambling etc)

Agreed that:  the work programme detailed above is approved and the Chair would hold further discussions with the Chair of Healthwatch.

Voting – unanimously in favour

9.

Minutes of the Health and Wellbeing Board pdf icon PDF 297 KB

To consider the minutes of the Health and Wellbeing Board held on 28 March 2019

Minutes:

Agreed that:  the minutes of the Health and Wellbeing Board held on 28 March 2019 were noted.

 

Voting -  Unanimously in favour

10.

Urgent Items authorised by the Chair

Minutes:

There were no urgent items.

 

The Chair and Members of the Panel thanked Marian Morrison, Democratic Services Officer, who would be leaving shortly, for her support of the Panel over the past years.