Agenda and minutes

1.1       RESOLVED: that the minutes of the meeting held on 31 October 2017 be agreed as an accurate record.

2.1       The following declarations of interest were made:

·           Councillor Sorba declared a non-prejudicial interest in relation to item 3, in that he sat on the Council of Governors at the South London and Maudsley NHS Trust.

·           Councillor Hall declared a non-prejudicial interest in relation to item 3, in that he was a member of the Socialist Health Association and was, until very recently, a Governor at the South London and Maudsley NHS Trust.

·           Councillor Jim Mallory declared a non-prejudicial interest in relation to item 5, in that he was a Millwall Football Club season ticket holder.

Appendix 1 – Sustainability and Transformation Plans in London (the King’s Fund and the Nuffield Trust)

Appendix 2 – King’s College Hospital update (To Follow)

Appendix 3 – Healthier Communities Select Committee response to the OSC referral regarding the New Cross Walk-In Centre

Appendix 4 – Letter from the Save Lewisham Hospital Campaign regarding the New Cross Walk-In Centre

3.1       The Committee considered a report from the Our Healthier South East London (OHSEL) Board and heard from the Save Lewisham Hospital Campaign; the Lewisham Clinical Commissioning Group (CCG); and the Executive Director for Community Services. The Committee also considered a report on Sustainability and Transformation Plans in London produced by the King’s Fund and the Nuffield Trust; and noted that King’s College Hospital NHS Foundation Trust had not submitted an update to the Committee as requested, following the resignation of Lord Kerslake and the decision by NHS Improvement to place the trust into special measures.

3.2       Tony O’Sullivan from the Save Lewisham Hospital Campaign spoke to the Committee and made the following key points:

·         The significant organisational change resulting from the local STP should be subject to full public consultation. Campaigners did not accept the contention of the OHSEL Board that only significant service change required full consultation.

·         NHS England and the Department of Health were producing model contracts for Accountable Care Organisations (ACOs) and this could lead the way for private companies, including consortiums, running such organisations, effectively privatising parts of the NHS. OHSEL had previously stated that their programme would not lead to the privatisation of local NHS services so there would appear to be a policy contradiction.

·         A detailed risk analysis of the overall STP project should be carried out.

3.3       The Chair noted that the Parliamentary Health Committee had similar concerns and had written to the Department of Health.

3.4       The CCG commented that the request for a detailed risk analysis would be relayed to the OHSEL Board by the CCG.

3.5       The Executive Director for Community Services stated that ACOs and Accountable Care Systems (ACSs) were different and that whilst model contracts for ACOs might be being developed at a national level, there were currently no proposals for a South East London ACO. Work was, however, being carried out in relation to working in an ACS. It was suggested that a briefing on ACOs and ACSs could be prepared for Members. This was welcomed, however the Committee remained concerned that it was NHS England’s intention that ACSs would evolve into ACOs and that both ACSs and ACOs were forerunners of privatisation.

3.6       RESOLVED: (A) That a referral be made to Mayor and Cabinet in order to:

1.    Refer the King’s Fund / Nuffield Trust report to Mayor and Cabinet.

2.    Ask the Mayor and Cabinet to note that King’s College Hospital NHS Foundation Trust did not submit an update to the Overview and Scrutiny Committee, as had been requested following the resignation of Lord Kerslake and the decision by NHS Improvement to place the trust into special measures.

3.    Ask the Mayor and Cabinet to conduct a risk analysis of the current situation at King’s College Hospital NHS Foundation Trust in terms of the impact on the local health economy.

4.    Ask the Mayor and Cabinet to conduct a risk analysis of Accountable Care Systems and Accountable Care Organisations as the Committee is  ...  view the full minutes text for item 3.

Appendix 1 – Building a Safer Future (Independent Review of Building Regulations and Fire Safety: Interim Report)

4.1       The Committee noted the report and heard verbal updates from the Chairs of the Housing and Sustainable Development Select Committees on the scrutiny those committees had carried out in relation to fire safety. It was also noted that the planning committees were very vigilant on this issue when approving planning applications, but that many relevant matters fell outside of the scope of the planning committees. In response to a question from a member, the Head of Building Control agreed that under the present system there was a dispersal of responsibility for ensuring suitable and safe building materials, in that contractors could ignore the architect’s specifications in approved planning applications by value engineering - using cheaper alternative materials believed to have similar properties but often untested. The building control system was a deregulated market, with contractors sometimes going to different operators until they got the “right” answer, resulting in a “race to the bottom” in order to attract business.

4.2       It was noted that the Dame Judith Hackett report was an interim report and that a further, final report would be published.

4.3       RESOLVED: to refer the interim report arising from Dame Judith Hackett’s Independent Review of Building Regulations and Fire Safety to Mayor and Cabinet and ask that any changes necessary to ensure that Lewisham residents’ concerns about fire safety are addressed in an adequate and clear way, are made to the Council’s current building control systems.

5.1    The Chair welcomed guests from Millwall Community Trust (MCT) to the meeting: Steve Bradshaw, Chief Executive Officer; Peter Walsh, Chair of trustees; and Steve Kavanagh, trustee. A PowerPoint presentation was delivered, which covered the development of MCT; its goals;  successes to date in Lewisham and Southwark; its impact; the Lions Centre history; key Lions Centre programmes; future initiatives with Lewisham, including with Youth First; the relationship between MCT and Millwall Football Club; and the importance of MCT to Millwall Football Club.

5.2    The Chair of Trustees emphasised that MCT was the community face of the football club and wanted to work closely with the community. The MCT had access to high levels of funding that other charities did not have access to which could be of huge benefit to the borough. For example, the funding that MCT was hoping to lever in at the Riverside Club was largely from the premier league, although section 106 funding might also be used.

5.3    An email received from Renewal was tabled at the meeting. Steve Kavanagh and Peter Walsh reiterated to Members that their presentation was about the work of MCT and not the regeneration of the area around the Millwall Football Club Stadium. However, it was their view that the Football Club must be at the heart of any regeneration in the area, the difficult relationship with Lewisham Council was a challenge, but that MCT wanted to do the right thing for the borough and generate a special relationship.

5.4    In response to questions from Members the following was noted:

·         It was hoped that Riverside would be a strategic hub, with other sites also being used for youth provision.

·         The relationship with Youth First was a partnership – Youth First were the operators and MCT could lever in funding.

·         The peppercorn rent levied in relation to the Lions Centre probably saved about £200k a year. Hiring an external venue would cost in the region of £115k with a further £86k saving in terms of service delivery. The Lions Charity reinvested any surpluses.

·         MCT was underwritten by the Football Club and although that was currently making a loss the Chairman had a number of profitable companies and substantial wealth and the club’s future was assured.

5.5    RESOLVED: That the presentation from Millwall Community Trust outlining the current and planned work of the Trust be referred to Mayor and Cabinet.

6.1       RESOLVED: That the report be noted.

7.1       RESOLVED: That the Safer Stronger Communities Select Committee be asked to investigate capacity issues at the counter at Lewisham Police Station.

8.1       RESOLVED: That referrals be made in connections with items 3, 4 and 5.