Good News and Bad News on Under 5s Public Health in Brent

Tomorrow's Cabinet meeting will be discussing the 2015 Public Health Report on Under 5s and their mothers. Brent has been responsible for the public health of under 5s since October 2015 and the report gives a mixed picture.  Tooth decay and obesity are high but fewer mothers smoke in pregnancy.  The number of Unders 5s in the borough that has been rising in recent years and produced a crisis in school places, is flattening out and perhaps declining.

However the general fertility rate remains higher than the Inner London, Outer London and England average. In ethnic terms the number of white births is the highest but it is not broken down into different groups as other births are. Teenage conceptions are lower than the London and England rates and in long-term decline. Worryingly, Brent infant mortality is on the increase against the London and England trend.

Obesity rates in Reception classes are rising and well above the England rate. Tooth decay in under 5s is the second highest in London and the most common reason for non-emergency hospital admission for 5-9 year olds.

A note of caution, although the charts give a summary it is also important to read the commentary. The full report is HERE.

Pertussis better known as Whooping Cough

A further item on the Cabinet agenda is the commissioning of Health Visitor and Family Nurse Partnership and a promise to review current arrangemtns and consider future models. Clearly the School Nurse service should also be included in any review.

Health and Childcare on Agenda for Brent Scrutiny Committee next week

The revamped Scrutiny Committee meets on Tuesday June 16th at the Brent Civic Centre.  As it takes quite a bit of navigation to find the agenda on the Brent Council website here are the main items:

Paediatric Services in Brent PDF 200 KB This joint report produced on behalf of Brent Clinical Commissioning Group (CCG) and London North West Healthcare NHS Trust (LNWHT) provides an overview and summary of Paediatric Services provided to Brent residents.  The report summarises current paediatric provision in Brent and sets out the potential impact on Northwick Park Hospital of the changes to paediatric services at Ealing Hospital taking place on 30 June 2016.

Access to Extended GP Services and Primary Care in Brent - Interim Report PDF 400 KB

This report provides interim feedback on the work of the Scrutiny Task Group focused on Access to Extended GP Services and Primary Care in Brent.  The report outlines the task group scope and methodology and provides an overview of emerging findings and recommendations. 

Public Health - priorities and progress PDF 171 KB

As a result of the Health and Social Care Act 2012, local authorities have new responsibilities for public health. This report outlines these responsibilities and how the Council is discharging these.

Access to affordable childcare PDF 1 MB This report looks at the challenge of providing access to affordable, quality childcare.

In a report LINK  to the June 22nd Cabinet Scrutiny Chair Dan Filson writes:

In May 2015 the Council selected five new members to serve on the Scrutiny Committee. Scrutiny training was arranged for committee members and this took place on 9 June, with two substitute members taking part. The first scheduled Scrutiny Committee was scheduled for 16 June. The Chair of the Committee can add an oral report on any issues arising. 

The Chair of the Committee has held initial meetings with officers to discuss the process for developing a 2015-16 programme of work and will meet with the full Scrutiny Committee over the coming days to develop further the forward plan. It is unlikely the Committee will map out fully how the forthcoming year will be used as the Committee will want to retain some flexibility as to its programme, not least so it can respond to issues as they may arise and to ensure room for issues that members of the wider public may suggest.

The Chair has invited all members of the Council, not just members of theCommittee, to make proposals for items for inclusion in the work programmeand these will be reviewed by the Committee, as will ideas submitted by the public. Scrutiny Committee will also review the Cabinet Forward Plan andconsider reports from such task groups as are created. The Committee will make greater use of time-limited task groups involving a small group of councillors and others, usually led by a member of Scrutiny Committee.

Cuts may have greatest impact on the most vulnerable says Brent Council budget report

Brent Council spending

There was a short Twitter exchange during last night's Council Meeting on the possibility of raising Council Tax with some arguing that by freezing Council Tax for five years the Council had undermined its own revenue base.  Others said that the amount raised beneath the 2% limit was so small as to hardly compensate for the loss of government grant made to Councils who freeze the tax. In terms of the amount raised as a proportion of the £54m cuts required it was piffling.

Former Labour councillor, and Brent Executive member, James Powney discusses this on his blog today. LINK

In Green Party circles the idea of a 'progressive' Council Tax has engaged people in debate LINK

Meanwhile here in Brent full reports have been published for each  potential area for cuts or revenue raising possibilities. In some cases there are soft and hard options given. The latter being ceasing service delivery.  The report to the cabinet makes clear that no decisions are required of the Cabinet at this stage except to go out for consultation on the proposals.

These are the links to the various reports:

• Chief Finance Officer's report budget-report, item 4. PDF 214 KB
• Appendix 1 Savings budget-app1, item 4. HTM 1 KB
• Adult Social Care 1-asc, item 4. PDF 299 KB
• Children and  Young People 2-cyp, item 4. PDF 266 KB
• Environment 3-env, item 4. PDF 399 KB
• Regeneration and Growth 4-rg, item 4. PDF 462 KB
• Assistant Chief Executive 5-ace, item 4. PDF 238 KB
• Public Health 6-ph, item 4. PDF 118 KB
• Finance and IT 7-fin-it, item 4. PDF 124 KB
• Human Resources 8-hr, item 4. PDF 120 KB
• Budget Savings by theme budget-app1-pdf-format, item 4. PDF 214 KB

The main report states:

There is a risk that the collective savings will have a significant impact on those vulnerable people who are the greatest users of council services.

Overall, the groups most at risk of being impacted are older people, disabled people, children and people from black ethnic backgrounds.

There would also be a low impact on women, people who do not speak English and lesbian, gay, bisexual and transgender people. There is a risk that disabled people could be severely affected by experiencing a raft of changes from different service areas, even if each proposal may appear to have a limited impact in isolation.

Many proposals will have an impact on staff, especially in corporate services where the majority of the budgets are made up of staffing costs.

Given the scale of staffing reductions, there is potential for these proposals to have a significant impact on all levels of the workforce. The majority of the workforce is BAME and it is important that changes are not disproportionate in terms of their impact. Brent’s Managing Change Policy and Procedure provides a framework to be followed during times of organisational change to minimise the risk of a negative impact on any equality groups. The Managing Change Policy requires that staffing changes undergo equality analysis to ensure that the restructure process is conducted in a fair, transparent and non-discriminatory manner. The Equality Team will review the cumulative impact of restructures on the workforce diversity profile.

 Cllr Sam Stopp's commentary on the Full Council meeting should perhaps be read with the above comments in mind LINK

Call for action on air pollution at local, national and European level

A Green member of the European Parliament has called for increased urgency in the fight for clean air after the World Health Organization (WHO) labelled polluted air as carcinogenic.

The International Agency for Research on Cancer (IARC), part of the WHO, pointed to data confirming that 223,000 deaths from lung cancer worldwide in 2010 resulted from air pollution. [1]

Air pollution, which is primarily caused by emissions from vehicles, has already been linked to other lung problems as well as heart failure and premature death. In the UK alone 29,000 people every year die because of air pollution. [2]

Despite air pollution’s impact on people’s health the UK Government has been accused of trying to water down European laws which could reduce the levels of the noxious fumes in the air. [3]

Keith Taylor, the Green Party’s MEP for the South East of England and a leading campaigner for clean air, said:

The evidence from the WHO suggests that the risk from air pollution is similar to that from second hand tobacco smoke. Surely then we should expect controls on air pollution from transport similar in strength to those brought in to protect the public from passive smoking. With this new evidence being published it's clear that failing to act on the air pollution problem would be utterly unforgivable. 

Try as it might the UK Government can no longer pretend that the air pollution problem can be ignored, not when the World Health Organisation classify it as a group 1 carcinogen.

It’s time for the EU to adopt stronger air pollution laws that fall in line with World Health Organization guidelines and it’s time the UK Government works on behalf of the health of its citizens and stops trying to undermine this vital legislative programme.

I'll continue to campaign for clean air across and fight against any moves to weaken vital air pollution laws.

Neasden, North Circular Road and Park Royal are areas of Brent which already suffer from air pollution problems and this will be exacerbated by proposals such as the Harlesden Incinerator. Brent Green Party wants to see action at national, London and borough level to tackle the issue.  We believe that within the council a joint approach through the environment and public health departments, supported by transportation and planning, could result in an effective medium and long term solution to the problem.

Ends

1)     “Air pollution is a leading cause of cancer”- http://www.reuters.com/article/2013/10/17/us-cancer-pollution-idUSBRE99G0BB20131017

2)     Government report on deaths in UK linked to air pollution: http://www.hpa.org.uk/ProductsServices/ChemicalsPoisons/Environment/Air/

3)     Blog post by Keith Taylor (with links to government proposals to weaken air pollution laws): http://www.huffingtonpost.co.uk/keith-taylor/air-pollution-kills_b_2457096.html

Krutika Pau to take early retirement following Brent Council's restructuring

Photo: The Globe

 Krutika Pau, Brent's Director Children and Families, has announced that she will be taking early retirement and will leave the Council at the end of this month.

This follows the restructuring of the Council's corporate management whcih will see a new post of Strategic Director (Education, Health and Social Care) who will manage education, adult and children's social care, and public health.

An interim Director of Children and Families will be appointed through an internal process to bridge the gap before the new structure comes into effect. Sara Williams is currently assistant director.

Under Krutika Pau's directorship standards of achievement in Brent schools have risen often to above the national average, but  almost all Brent's non-faith secondary schools have become academies and a crisis at Copland High School is currently hitting the headlines. Pau has faced criticism for not taking a stronger line on forced academies and being too accommodating on free schools.

Dr Pau's resignation also follows the change in councillor leadership leadership on Chiodlren and Families with Michael Pavey replacing Mary Arnold.

Some clues about Krutika's views can be found on this April 2013 post on The Globe LINK

Krutika Pau is the Director of Children and Families at Brent Council. She previously worked for the then Department for Education and Skills, where she led on the development of city academies across London. She was appointed director of children and families at the council in September 2010.

Q: What are your proudest achievements?
A: An outstanding education enables young people to follow their passions and can be an exit strategy out of poverty.  There is an overall trajectory of improving educational standards in Brent and our young people are more likely to continue into higher education and are succeeding in securing places at the very best universities. However, we cannot afford to be complacent and need to ensure that all children in Brent are receiving a top quality education of which we can be proud.
Q: Please tell us about your current position?
A: I am the statutory director of children’s services in the London Borough of Brent.  There are over 70,000 children in Brent and currently the Council is the corporate parent for 344 children.  My department works directly with children, parents and carers, schools and a wide range of partners, including health, police and the voluntary sector. I work closely with elected councillors to ensure we continue to improve outcomes for all our children and families, particularly the
most vulnerable.
Q: What has been the biggest obstacle in your career?
A: Of course you get some lucky breaks, but I have always tried to take responsibility for developing my own career. You need to be self aware and continue to cultivate your strengths whilst working on those skills which require further improvement. You have to be courageous and seek opportunities to step out of your comfort zone.
Q: Who has been the biggest influence on your career to date?
A: I have been very fortunate to have had a handful of key people who have actively supported me along my journey.  However, the strong public service ethos demonstrated by my father throughout my childhood, has been like a golden thread running through my career. This provided me with a firm value base including the key characteristics of perseverance, resilience and reflection which act as a moral compass in turbulent times.
Q: What is the best thing about your current role?
A: The ability to lead across a whole system to build alliances and translate strategic vision into local improvement plans.  My role gives me a vantage point – a helicopter view of needs, resources, solutions and connections.  This is essential in order to navigate through a complex set of challenges as we move forward with an ambitious agenda to deliver sustained improvements for Brent residents.
Q: And the worst?
A: Seeing the impact of neglect and abuse on children by adults who should be keeping them safe and supporting them to grow into happy and confident young people. We need more people to come forward as potential foster carers and adopters – ordinary people have the ability to make an extraordinary difference in the lives of our most vulnerable children.
Q: What are your long term goals?
A: I am passionate about improving the life chances and choices of all children and young people and I want for them, what I want for my own children….the very best opportunities so they can fulfil their potential in life. Sadly many children have the odds stacked against them at a very early stage and some never recover from this poor start. I will continue to improve the system which supports the most vulnerable children and families, wherever they are, to overcome the barriers which prevent them from leading fulfilling lives.
Q: If you were marooned on a desert island, which historical figure would you like to spend your time with and why?
A:Not quite a historical figure, but I think it would be interesting to spend some time with Aung San Suu Kyi, the Burmese opposition leader.  She comes across as a woman of great conviction, dignity and inner strength.

Deadline nears to object to Barratt's vandalism of the Welsh Harp

Things are moving fast as the May 14th deadline nears for the huge West Hendon 'City' planning application by Barratt Homes.

The FORAB residents' organisation in Barnet has come out against the proposal and Patrick Vernon, a candidate for Labour's nomination for the Brent Central nomination,  has written an article on the public health aspects of the proposal, both on the Save Our Welsh Harp blog.  LINK

Meanwhile it is essential that as many individual objections as possible are sent to Barnet Council by the May 14th deadline:

ONLINE
Go to the Barnet Planning site LINK and type H/01054/13 into the Search Box. Make sure you give a name and postal address and email address to get an acknowledgement.

E-MAIL
email the Barnet Planning Officer dealing with this application quoting the above reference number:

tom.wyld@barnet.gov.uk  Make sure you give your name and postal address and email address to get an acknowledgement. 

CLOSING DATE MAY 14TH

London Councils act to improve HIV prevention services

Source: Health Protection Agency

 Press release from London Councils

Leaders of London’s councils yesterday agreed to take decisive action together to improve HIV prevention services in the capital.

As they prepare to take on new public health responsibilities from 1 April, London boroughs have recognised that the HIV prevention activity they are inheriting is not meeting the needs of Londoners.  They have today initiated joint work to improve future commissioning of such services.

In the meantime, Leaders have agreed that some of the contracts from the current Pan London HIV Prevention Programme due to terminate on 31 March should be extended subject to more robust programme management – initially for six months and, subject to performance, potentially a further six months to ensure provision continues.  Final details will be resolved in the next few weeks.

London Councils Executive Member for Health, Councillor Teresa O’Neill, said:

A new approach to HIV prevention is needed to make sure that Londoners are educated about HIV before it is too late.  An estimated 50 per cent of Londoners with HIV are diagnosed at a point where their immune system is damaged and treatment is needed.

Frankly, Londoners have not been well served by the approach to HIV prevention in the capital in recent years.  The transfer of responsibilities around HIV prevention to local authorities gives us an opportunity to look at the way services have been provided in the past and change them so they are more effective, better value for money and targeted in the right way.

Nearly half of people with HIV in the UK live in London and more than a third of new diagnoses take place in the capital.  Terrence Higgins Trust, the charity which campaigns on issues around HIV and AIDS, points to an over-use of specialist clinics and an under-developed approach to community-based testing, care and support. Directors of Public Health will lead joint work, involving stakeholders and experts, to develop a robust needs assessment to inform future commissioning of HIV prevention services.  This will also form the basis for decisions on the whether boroughs want to join together to commissioning some of these services on a pan-London basis in future

Shared Public Health post ditched but Executive goes ahead with Barnet privatisation plans

The plans for a shared Director of Public Health with the London Borough of Hounslow were withdrawn this week by Brent Council.  The plans which were due to go before the Executive on Monday had encountered opposition from Labour councillors on the Brent Health Partnerships Overview and Scrutiny Committee. They had passed a resolution expressing concern over the plans. LINK

However a far reaching plan for a four borough out-sourcing of waste management, recycling, street cleaning and parks maintenance was approved by Brent Executive. The notorious  right-wing, privatising,  Barnet Council will become Labour Brent's partner in a move that will lead to job losses. The Barnet Chief Executive recently left the council apparently unable to stomach their policies any longer.

The Executive's decisions can be found HERE