Councillor Robby Misir, the Chair for the meeting welcomed all Members of the committee to the meeting and reminded everyone of the meeting protocol and the fire evacuation measures if required.

Apologies for absence were received from Councillors Donna Lumsden (London Borough of Barking & Dagenham), Councillor Christine Smith (London Borough of Havering), Councillor Julie Wilkes (London Borough of Havering) (substitute – Robby Misir),Councillor Bert Jones (London Borough of Redbridge), Councillor Catherine Deakin (London Borough of Waltham Forest) Manisha Modhvadia Healthwatch Barking & Dagenham, Ian Buckmaster Healthwatch Havering and Emma Friddin Healthwatch Redbridge.

There were no disclosures of interest received.

To agree as a correct record the minutes of the previous meeting held on 25th July 2024 and authorise the Chairman to sign them.

The minutes of the previous meeting held on 25 July 2024 were approved as a true and accurate record.

Zina Etheridge, Chief Executive of North East London ICB would provide an update on the various matters contained in the papers attached.

The following reports and subsequent updates were provided:

NHS North East London: Update

Zena Etheridge, NHS NEL spoke to the following:

·         Next steps in strengthening our collaboration across north east London.

·         NHS England annual assessment of NEL ICB Performance.

·         Improving access for local people.

·         Improving outcomes for people with long term conditions.

Health Update: Surgery Review

Zena Etheridge, NHS NEL spoke to the following:

·         Elective surgery contract specification review.

·         Our approach.

·         Developing our principles.

·         Principles.

·         Involving the public and stakeholders.

Health Update: NEL Winter Planning 2024/25

Zena Etheridge, NHS NEL spoke to the following:

·         Looking back over winter 2023/24 – continuing to meet the needs of our population.

·         Looking forward to winter 2024/25 – National Guidance.

·         Place and system interventions to keep people well.

·         Next steps.

Finance Overview

Henry Black, Chief Finance Officer spoke to the following:

·         NEL ICS was reporting year-to date deficit of £87.2m (ICB £9.1m, providers £78.1m), which is a variance to plan of £53.2m.

·         The year-end forecast was in line with the plan (£35.6m deficit for providers and a £0.6m surplus for the ICB).

·         The key drivers for overspends at a provider level.

Provider Update: London Ambulance Service Performance Report

Alex Ewings. Associate Director of Ambulance Operations (NEL) spoke to the following:

·         North East London performance report.

·         Category 2 response times across London.

·         Our performance across NEL in numbers.

·         Other updates from London Ambulance Service.

·         Support us to place defibrillators in your local communities.

·         The communities in North East London in need of at least one Defibrillator.

Provider Update: Barking, Havering and Redbridge University Hospital NHS Trust

Fiona Wheeler, Chief Operating Officer and Deputy Chief Executive, BHRUT spoke to the following:

·         Urgent and emergency care.

·         Patients with mental health needs.

·         Reducing our waiting lists.

·         Finance.

·         Cancer targets in July.

·         St George’s Health and Wellbeing Hub.

·         Other news.

Provider Update: North East London Collaborative updates

Paul Calaminus, CEO (NELFT) spoke to the following:

·         Mental Health, Learning Disability and Autism Collaborative.

·         Community Healthcare Collaborative.

·         Collaborative Priorities.

·         Service user and carer priorities.

·         Latest updates - Mental Health Crisis Support, Special review of mental health services at Nottinghamshire Healthcare, Additional areas of note.

·         Improvement networks, updates and key updates.

Focus on Specialised Services

Archna Mathur, Director of Specialised Services and Cancer, NEL ICB spoke to the following:

·         What are specialist services.

·         How are specialised services currently commissioned, how this is changing and why.

·         Why NHSE is delegating commissioning to ICBs – the benefits & opportunities.

·         Specialised Service Transformation: Clinical Networks and examples of end to end pathway transformation.

·         What happens next.

Best start in life: shaping future maternity and neonatal services

Diane Jones, Chief Nursing Officer, NHS NEL spoke to the following:

·         Introduction.

·         The programme so far.

·         Case for change summary.

·         How we engaged the public.

·         Public feedback on the case change.

·         Next steps.

·         Engagement and decision making stages.

·         Projecting Maternity Demand from NEL population growth.

The following answers were provided to Members based on their questions:

·         Regarding tests in emergency departments for HIV, there were not issues with  ...  view the full minutes text for item 47.