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Overview _ Scrutiny by yaoyufang

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									Overview & Scrutiny
Annual Report on 2009/10




www.haringey.gov.uk
                      Contact Haringey Scrutiny Services

To find out more about Overview and Scrutiny in Haringey or the work we are
currently undertaking, please contact the Scrutiny Service:

℡    0208 489 6922
      Trevor.Cripps@Haringey.gov.uk
     0208 489 2662
      Overview and Scrutiny, 7th Floor, River Park House, Wood Green,
      London, N22 8HQ




                                  Page 2 of 37
                                 Table of Contents
Chair’s foreword

Committee Membership 2009/10

Introduction
    What is Overview & Scrutiny?
    What is effective scrutiny?
    How does scrutiny work in Haringey?
    How can the public be involved in scrutiny?

National and local developments in 2009/10
   Statutory Scrutiny Officer
   Scrutiny of Crime & Disorder Reduction Partnerships
   Comprehensive Area Assessment process
   Scrutiny lead roles for partnership theme boards

Holding the executive to account
   The work of the Overview & Scrutiny Committee
   Cabinet Q & A
   Call-in
   Budget scrutiny
   Strategy reviews
   Scrutiny of Child Protection
   Health Scrutiny

Policy & Service Improvement Reviews 2009/10
    Breast Screening                       Sustainable Transport
    Engaging hard to reach communities     Support to victims of crime
    Support to carers                      Sexual health in young people
    Support to small businesses            Transition from child to adult services

Scrutiny review feedback 2009/10
   Summary of member and participant feedback from reviews

Review follow up and outcomes
    Allotments                       High intensity service users
    Children’s Centres               Access to services for older people
    Extended services

The year ahead
   Local petitions
   Legislative changes in the year ahead
   Work plan for 2010/2011

Appendices




                                     Page 3 of 37
Chair’s Foreword

Over the past year Overview and Scrutiny Committee has continued to play an
active role in shaping and improving services run by the Council and its partners.

The Committee has successfully completed a number of in-depth reviews in a
wide range of areas including the support provided for carers, sexual health of
young people and sustainable transport. These and other reviews completed by
the Committee this year have made many valuable recommendations which will
hopefully bring about improvements for local services and the people that use
them.

During the past year, the Committee has also been working closely with the
council and its partners through the area partnership boards. Lead members
appointed by the Committee have supported scrutiny at these local theme boards
and have been particularly successful in identifying possible reviews to be
undertaken. I expect that this work will be developed further in 2010/2011.

Given the constraint of national finances, this is likely to be very challenging time
for public services. It is now clear that local decision makers will have to face
many difficult choices about local services in the year ahead. I believe that
Overview & Scrutiny however can play a role in helping to public services adapt,
and to work together more effectively and efficiently to ensure that local people
continue to get the services which they may need.

Once again, I would like to thank all those who have taken part in scrutiny over the
past year. The participation and support committee members, ward councillors,
officers, members of the public and representatives from the voluntary and
community organisations has continued to be a key feature of effective scrutiny in
Haringey and which have a positive impact on the local services.

I hope that you find this report informative and I look forward to working with you
in the year ahead.




                                      Page 4 of 37
                             Committee Membership 2009/10




                                   Cllr Gideon Bull
                                         Chair




        Cllr Gina Adamou           Cllr Charles Adje        Cllr Ron Aitken




         Cllr Toni Mallett        Cllr Martin Newton    Cllr David Winskill




Co-opted members
Ms Y. Denny (church representative)
Ms M Jemide (Parent Governor),
Mr J Ejiofor (Parent Governor),
Ms S Marsh (Parent Governor),
Ms H Kania (LINk Representative)
1 Vacancy (church representative)



                                      Page 5 of 37
Introduction

Welcome to the Overview & Scrutiny                    What is effective scrutiny?
Annual Report for 2009/10. Overview &
Scrutiny is legally obliged to produce an             Effective scrutiny is important to ensure
annual report of its activities. It is hoped          that local services are held to account, are
that the following offers an insight in to            run efficiently and in the interests of local
the role of the Overview & Scrutiny                   people.      The Centre for Public Scrutiny
Committee and the work that it has                    has suggested that there are four principles
carried out in the past year.                         for effective scrutiny, that it:
                                                          • provides a ‘critical friend’ challenge
What is Overview and Scrutiny?                                to policy and decision makers
                                                          • reflects the voice and concerns of a
Under the Local Government Act 2000                           community
local authorities were required to set up                 • is carried out by ’independent
an Overview and Scrutiny Committee.                           minded governors’ who lead and
This committee is able to scrutinise the                      own the scrutiny process
decisions or actions taken by the Council                 • makes an impact on local service
or partner organisations or indeed, assess                    delivery in order to improve
any matter that affects people living in                      outcomes.
Haringey.
                                                      Haringey Overview & Scrutiny Committee
In this context, the primary role of                  aims to operate within these principles in
Overview and Scrutiny is to hold local                order to deliver an effective public service
decision makers to account and to help                scrutiny function for the local community.
improve local service provision. As such,
Overview and Scrutiny has a number of
distinct functions:                                   The role of scrutiny in Haringey
    • reviewing and challenging the
       decisions taken by the Council and             Haringey has one over-arching Overview
       its partners                                   and Scrutiny Committee which is made up
    • undertaking investigations into                 of seven councillors and six co-opted
       services or policy areas which are             members (3 parent governors, 2 church
       of interest or concern to people in            representatives and 1 representative from
       Haringey                                       Haringey     LINk).        Councillors   are
    • making          evidence      based             proportional to the political balance of the
       recommendations       to   improve             Council and are confirmed at the Annual
       services provided by the Council               Meeting of Full Council.
       and partner organisations
                                                      The work of the committee is supported by
Given these roles, it is clear that Overview          ‘task and finish’ review panels, which are
and Scrutiny plays an important role in               commissioned to investigate service or
local democracy by:                                   policy areas. Such panels involve other
   • enhancing local accountability                   non-executive Councillors and are chaired
   • improving transparency of decision               by members of the Overview & Scrutiny
       making                                         Committee.
   • enabling councillors to represent
       the views of constituents.


                                               Page 6 of 37
The Committee undertakes a number of                    •   Commission in-depth reviews of
key roles which support the support the                     local services or policy areas taking
scrutiny process in Haringey. These roles                   into account the evidence base and
and component actions are summarised                        the views of the public and making
below:                                                      recommendations for improvement.

                                                  Consulting and involving local people
Holding the Executive to account:                   • Examining and responding to
   • Questioning the Leader and                        referrals from Local Involvement
      Cabinet Members in a positive and                Network
      productive manner on issues                   • Operation of Councillor Call for
      within their portfolio area                      Action where members can refer any
   • Call-in of decisions taken by                     matter that affects their ward (within
      Cabinet                                          defined limits)
   • Reviewing council performance,
      including     the      Local    Area
      Agreement targets, and making
      suggestions for improvement                 How does this role fit in with the Council
   • Scrutinising the activities of partner       structure?
      agencies which support the Local
      Area Agreements.                            The role of Overview and Scrutiny,
                                                  although separate from other functions
Policy review and development                     within the Councils structure, is embedded
   • Reviewing or assessing policies              within local decision making processes.
       and strategies developed by the            This is illustrated below:
       Council or the wider strategic
       partnership.




                                         Page 7 of 37
How is the public involved in scrutiny?

Scrutiny has a particular responsibility to       Local       education      and       church
members of the public, whether through            representatives are co-opted on to the
challenging decisions on behalf of service        Overview & Scrutiny Committee, and
users or through detailed investigation of        similar cooption arrangements to include
community concerns.        Overview and           specialist advice and input also operate for
Scrutiny therefore aims to ensure that its        task and finish reviews. Councillors also
processes     and     outcomes      reflect       engage and consult with local community
community needs.                                  groups, service users or local residents
                                                  when gathering evidence for in-depth
All scrutiny meetings of both the over-           reviews.
arching Committee and panels are held in
public. Members of the public are able to         Scrutiny in Haringey aims to be as inclusive
attend these meetings and listen to what          as possible and members of the public are
is being discussed and ask questions.             able to submit their views on a particular
                                                  topic for consideration and inclusion.
Information about scrutiny meetings               Members of the public may also suggest
taking place can be found on the                  topics for scrutiny review through the
Haringey website, or by contacting a              website.
member of Scrutiny team or the Scrutiny
Committee. In accordance with statutory           For more information about how to get
requirements, agendas and background              involved in overview and scrutiny please
papers are published in advance of all            look at the scrutiny web page on the
meeting.                                          Council website (www.haringey.gov.uk).
                                                  Or if you prefer, please call the scrutiny
                                                  manager: 0208 489 6922.




                                         Page 8 of 37
National and local developments for scrutiny in 2009/10

The following provides an overview of the          Scrutiny of Crime and            Disorder
main developments Overview & Scrutiny in           Reduction Partnerships
2009/10.
                                                   New powers came into force during the
Statutory Scrutiny Officer                         year that gave local authority overview and
                                                   scrutiny committees specific powers to
The     Local     Democracy,       Economic        scrutinise crime and disorder reduction
Development and Construction Act 2009              partnerships (CDRPs). These provided a
require all local authorities in England to        framework for the development of a closer
designate a specific individual as its             relationship between CDRPs and scrutiny.
statutory scrutiny officer. This part of the
Act came into operation on 1 April 2010.           The new provisions meant that scrutiny of
The functions of this role are to:                 crime and disorder was now no longer a
                                                   matter of choice but a requirement for
•   promote the role of the Overview and           local authorities. It required every local
    Scrutiny Committee                             authority to have a committee with the
                                                   power to review or scrutinise crime and
•   provide support to the Overview and            disorder matters.
    Scrutiny Committee and its Members
                                                   There was already a long history of
•   provide support and guidance on the            scrutiny of crime and community safety
    functions of the Overview and Scrutiny         issues in Haringey which has enabled the
    Committee to other Members of the              development of good practice and
    Council, including the Executive and           working relationships.       In particular,
    officers.                                      significant    contributions   to    policy
                                                   development had been made through
The Council appointed Stuart Young,                reviews on anti social behaviour, CCTV
Assistant Chief Executive for People,              and street prostitution. In recognition of
Organisation and Development to fulfil this        this, the statutory guidance on scrutiny of
role.                                              CDRPs that was issued by the Home
                                                   Office used Haringey as an example of
Part of the driver for the establishment of a      good practice.
statutory scrutiny officer role was to
ensure that local authorities develop              Comprehensive Area Assessment
dedicated resources for scrutiny or where
the government felt that there was                 2009/10 saw the first results from the new
evidence that scrutiny recommendations             public sector performance framework, the
were not being taken seriously.                    Comprehensive Area Assessment (CAA).
                                                   This    framework       incorporates    an
That has not been the case at Haringey             assessment of both the Council and
where there has always been a dedicated            partner organisations performance in
team tasked with supporting the scrutiny           meeting shared local priorities for
function and a strong track record of              Haringey.
scrutiny recommendations being agreed
by the Council’s Cabinet.                          There has been a developing relationship
                                                   between CAA and overview and scrutiny,



                                          Page 9 of 37
where the local self assessment process              it may be           beneficial   for   scrutiny
has been useful in guiding and informing             involvement.
the selection of in-depth scrutiny reviews.
Similarly, the in-depth scrutiny reviews             Each councillor of the Overview & Scrutiny
have provided useful evidence to include             Committee is aligned to a theme board
within the CAA self assessment process.              and has a role to:

Although the CAA self assessment                           •   Chair “task and finish” reviews on
process has been abolished, it is unlikely                     topics which fall under the board
to be replaced by another centrally                        •   Build a strong working relationship
administered inspection process.                               with board members
                                                           •   Promote the role of Overview and
Although the new coalition government is                       Scrutiny among board members
still finalising plans for the relationship                •   Attend     the     quarterly   board
between central and local government, it                       meetings
looks likely that local accountability will be             •   Develop an overview of the LAA
extended through requirements for greater                      targets within the theme board:
transparency and openness, such as, for                        performance and actions taken in
example, the publication of local authority                    respect of exception reporting.
spending on-line.
                                                     Councillors are required to feed back to
                                                     Overview and Scrutiny Committee on
Scrutiny Lead      roles   for   partnership
                                                     areas within the theme board:
theme boards
                                                         • where         possible      scrutiny
                                                            involvement could add value
To help the Council and its partners
achieve objectives set out in the Local                  • other key issues within the remit of
Area Agreement, councillors from the                        the board which the committee
Overview & Scrutiny are aligned to theme                    should be made aware.
boards     within   Haringey     Strategic
Partnership. Improved liaison has been               It is expected that liaison between
achieved through this alignment where it             Overview & Scrutiny Committee and local
has been possible to identify areas where            strategic theme boards will develop further
                                                     in 2010/11.




                                           Page 10 of 37
Holding the executive to account

Overview & Scrutiny Committee                  session, as well as the manner in which
                                               they will be answered.
The Overview and Scrutiny Committee
met 19 times during 2009/10. Of these 19       Written questions in relation to the Leader
meetings:                                      / Cabinet Member briefings must be
• 11 were to consider general business         submitted as soon as possible but by no
   of the committee                            later than 10am, at least 5 complete
• 4 were special meetings to scrutinise        working days before the meeting. Late
   the Action Plans of the Joint Area          questions will not be accepted.
   Review of Child Protection
• 3 were dedicated to scrutinising the         Written replies, for questions meeting the
   Cabinets budget proposals                   deadline, will be circulated on the previous
• 2 were to consider a Call-in of a            working day to the meeting. The replies
   cabinet decision.                           will be available at the meeting of the
                                               committee and will be placed on the
During the past year the Committee             Overview and Scrutiny Committee pages
undertook a range of activities to help        of the Council’s website after the meeting.
monitor the performance of the council
and its partners. The Committee:               Persons who have submitted written
• Questioned the Leader and Cabinet            questions will be able to ask one
   Members on their portfolio area             supplementary      question for   further
• Considered Council performance               explanation, this must be related to the
   reports                                     original question.
• Provided input into new policies and
   strategies                                  When     all    written   questions    and
• Commissioned “task and finish”               supplementary questions are exhausted
   reviews                                     the Chair will invite questions from those
• Monitored the implementation of              people attending the committee meeting.
   recommendations in previous reviews         Priority will be given to Committee
                                               Members and Non-Cabinet Members
• Considered feasibility reports for in-
                                               attending. The public may then be invited
   depth review
                                               to ask questions.
• Scrutinised other issues of importance
   to the community.
                                               There will be no limit to the volume of
                                               questions other than time, which will be up
Details of each meeting and associated
                                               to 30 minutes for each member session in
reports and minutes can be found on the
                                               total. A question and answer sequence in
Haringey website (www.Haringey.gov.uk).
                                               process at the time limit shall be
                                               completed, but no further questions
Cabinet Q&A
                                               allowed after that time.
There is an agreed process by which
                                               Questions must be of a general policy
Members of the Committee, other Non
                                               nature and not cover issues that would be
Cabinet Members and the public may
                                               better dealt with as a Member’s enquiry or
submit questions for the Leader or
                                               through another of the council’s existing
Cabinet Members attending the question
                                               procedures.



                                     Page 11 of 37
A written question will be rejected if it:                   decision taker has 5 working days to
                                                             do so before taking a final decision
•   Concerns an individual’s complaint                       after which it is implemented
•   Is or could be an issue which is the                     immediately
    subject of legal or quasi legal                    •     To refer the decision to Full Council.
    proceeding or investigations, including
    Ombudsman cases                                    The Call–in procedure should only be used
•   Is defamatory, frivolous or offensive              in where there is real and genuine concern
•   Is substantially the same as a question            over the impact of a decision being taken
    which has been put at a meeting of the             and must not be abused or cause
    Council or Council Committee, in the               unreasonable delay to the functioning of
    past six months                                    the Cabinet.
•   Requires the disclosure of confidential
    or exempt information.                             There was 2 Call-in’s over 2009/10. These
                                                       were on the Cabinets decision regarding
The decision to reject a written question              the closure of Supported Housing units
will be taken by the Chair, after advice is            and the installation of digital aerial
received from the Monitoring Officer. If a             systems within the decent homes
question is refused on any of these                    programme. After lengthy discussion, the
grounds, the questioner will be notified in            decision of the Committee was to take no
writing.   Questions will be managed by                further action.    The Cabinet decisions
the Chair at the meeting.                              were     therefore     implemented.   The
                                                       Committee did however make a number of
During 2009/10 approximately 340 written               additional recommendations to Cabinet in
questions were submitted.                              respect of these call-ins.

Call-ins
                                                       Budget Scrutiny
A Call–in is a challenge to a decision made
by the Cabinet, an individual member of                The context within which finances are
the Cabinet, or a key decision made by an              managed and budgets constructed is
officer with delegated authority from                  complex and rapidly changing.       The
Cabinet. It must be made by at least five              growth of partnership working, pooled
members of the Council and within laid                 resources, devolved budgets, pressures
down deadlines.                                        from inspection regimes, the changes to
                                                       grant distribution and the efficiency
Once challenged, the Cabinet decision is               agenda, all have direct implications for
in effect suspended until the Overview and             budget proposals.
Scrutiny Committee meets and the
reasons and rationale behind the decision              The role of scrutiny in the financial process
are explained by the decision taker. The               is to hold the Cabinet to account and to
Committee then has three options, it may               ensure that decision making is efficient,
decide:                                                transparent and accountable. Financial
                                                       scrutiny is not easy as it is inherently
•   Not to take any further action, in which           political, but it has to fulfil a role that is
    case the decision is implemented                   distinct from the role played by the
    immediately                                        political groups.
•   To refer the decision back to the
    decision taker, in which case the


                                             Page 12 of 37
It is not the role of the committee to            Strategy review
develop an alternative budget, but that it        The Committee also received a number of
aims to focus on outcomes rather than             local strategies, policies and action plans
inputs, measure the effectiveness or              for scrutiny comment. These included:
impact of resource allocation decisions           • Community Engagement Framework
and spending, receive quarterly exception         • Housing Strategy 2009/2019
reports monitoring of performance against         • 3 year Financial Strategy
financial targets and indicators and to           • Move-on strategy (housing under
consider how well integrated service and              occupancy)
corporate planning is with financial              • Primary Care Strategy
planning.                                         • Sports and Physical Activity Strategy
                                                  • Safer and stronger communities action
In Haringey the role of scrutiny has been             plan.
built into the annual business planning and
budget setting cycle. In July the
committee received a report outlining the         Scrutiny of Child Protection and the
Council’s 3 year financial strategy and the       Safeguarding Plan
key financial issues and risks for each
service. In November Pre Business plan            The Council faced serious criticism for the
Reports 2010/11 were released by the              failings in the child protection service over
Cabinet. The reports were considered              the Baby P case. The Council and also the
over 3 special meetings of the committee          health services, the police and others
in November/December. The reports                 accepted that things went badly wrong.
contain proposals for investments and             They were truly sorry for the cruelty and
efficiencies in relation to Capital and           suffering that Baby P experienced.
Revenue budgets for the 3 year planning
period 2010/11 to 2012/13.                        However, under the new Director of
                                                  Children’s Services the Council co-
The Committee made 95 requests for                ordinated and prepared a detailed and
further information about the proposals in        extensive Joint Area Review (JAR) action
the reports, where information was                plan, setting out fundamental changes in
deemed unclear or lacking sufficient              the way that the council and the other
detail.                                           agencies responsible for the safeguarding
                                                  of our children, work together. This
As a result of the investigations by the          safeguarding Plan was agreed by the
Overview and Scrutiny Committee, 11               Government in February 2009.
recommendations were made in a report
to the Cabinet in January 2010, eight of          The Overview and Scrutiny Committee
which were agreed. The Cabinet would              decided it would build into its work
not reconsider efficiency proposals in            programme for 2009/10, a number of
relation to the Leaving Care, Asylum              special meetings dedicated to child
services and Town Centre Management,              protection and the response to the JAR. At
nor to bring forward pre-agreed savings in        each meeting the Committee received the
the Housing Department.                           following reports from the Director of
                                                  Children’s Services:

                                                        •   An update on the development of
                                                            the Safeguarding Plan and a report
                                                            on the progress of implementation


                                        Page 13 of 37
                                                    beneficial to local health services to the
   •   A report on child protection                 Secretary of Sate for Health.
       performance and key issues arising
                                                    Officers from local NHS trusts are
   •   A report outlining the work and              regularly invited to attend at Committee to
       progress made by the Cabinet’s               report on local health developments, seek
       Childrens Safeguarding Policy and            comment on local health strategies or to
       Practice Advisory Committee.                 discuss     health    issues    which    are
                                                    importance to local people. Indeed, in the
As a result of receiving the reports, the           past year, a number of committee
Committee was able to question and                  meetings have been dedicated solely to
discuss in public, the issues surrounding           assessing health issues In this context.
the case. It was able to put forward
suggestions for improvement to the                  In the past year, the committee has
proposed plan and it was able to obtain             received reports or discussed local health
re-assurances from partner organisations,           issues in relation to:
the Cabinet Member and the Director of                 • updates on the primary care
Children’s Services. Finally, it was able                  strategy
satisfy itself that the plan was supported             • health visiting
by all the agencies in child protection, that          • oral health
the plan was robust, properly resourced                • high impact users
and was being implemented effectively.                 • out of hours primary care.

There were 4 special Overview and
Scrutiny Committee meetings. At the last            The Committee continues to play a role in
meeting the Committee decided that it               helping     to    minimise   local   health
would continue with the process and                 inequalities.   The Department of Health
requested that 3 more special meetings be           National Support Team (HINST) for Health
built into the work programme for                   Inequalities visited Haringey in late 2009
2010/11.                                            and noted that the work of a “strong and
                                                    active” Overview and Scrutiny Committee
Health Scrutiny                                     had successfully provided challenge on a
                                                    range of health inequalities issues which
Overview and scrutiny committee has                 had subsequently raised the profile of the
specific powers to scrutinise NHS                   health inequalities agenda as well as
services. There is a general duty on NHS            supported service delivery.
organisations to engage with them on the
planning of services, developing and                The HINST included the previous review
considering proposals for changes in the            on stroke prevention as an example of
way services are provided and decisions             best practice in their feedback to Haringey
to be made that affect how those services           and stated that the recommendations
operate.                                            made by the review had “led to significant
                                                    service improvement”.
In addition, there is also a specific duty to
consult on any significant changes that are         The HINST has since used Haringey
proposed to local services. In such cases,          Overview and Scrutiny Committee work in
committees have the power to refer                  tackling health inequalities as an example
changes that they do not believe are                of best practice in a number of settings
                                                    including health inequality seminars.


                                          Page 14 of 37
Policy and Service Improvement Reviews

In-depth scrutiny reviews                         As a result of the temporary suspension of
The work of the Committee is supported            the North London Breast Screening
by a number of “task and finish” panels.          Service, fewer women in Haringey are
These are commissioned on an ad-hoc               screened every three years than in many
basis to conduct in-depth investigations          other boroughs. Furthermore, just over
into local policy and performance issues.         half (55%) of women actually take up
Topics chosen for in-depth investigation          invites to breast screen in Haringey. There
are developed from consultation with              is a concern that poor uptake may
Councillors,    officers,  partners    and        exacerbate local health inequalities.
members of the public with a view to
making recommendations to improve a               This scrutiny review aimed to assess how
particular service area. Panels are chaired       local uptake rates could be improved. To
by a member of the Overview and                   help form recommendations, the panel:
Scrutiny Committee with other non-                   • talked to local commissioners and
Cabinet members sitting on the panel.                    service providers
                                                     • heard evidence from specialist
Completed in-depth reviews with their                    screening agencies
recommendations          for       service           • consulted local women who had
improvement, are required to be                          used the breast screening service
approved by the Overview and Scrutiny                • visited the local breast screening
Committee. These are subsequently sent                   service.
to Cabinet and/or to the relevant external
body for decision and implementation.             Key conclusions:
Overview and Scrutiny Committee then              The panel found that there are a number of
monitors the implementation of these              issues which affected screening uptake:
recommendations.                                      • operational issues: location of
                                                         clinics,      appointment         times,
Breast Screening Services                                availability of out of hours services
                                                      • structural issues: how screening lists
Cllrs Alexander, Beynon, Bull and Winskill               are developed, operation of call and
(Chair)                                                  recall system
                                                      • socio-demographic issues: age,
Breast cancer is one of the biggest                      ethnicity, social deprivation
causes of cancer among women in the                   • personal attitudes: personal anxiety,
UK and a major cause of adult female                     perceptions of personal risk
mortality.
                                                  Key recommendations:
The      National     Breast   Screening          The panel identified some preliminary work
Programme (NBSP) screens nearly 2                 (i.e. Health Trainers project & the Breast
million women each year and helps to              Screening Action Plan) but noted that this
detect breast cancer earlier, which has           had yet to be fully implemented. The panel
helped to improve treatment options and           felt that concerted action would be
survival rate for those women diagnosed.          necessary at a number of levels to help
The NBSP saves about 1,400 lives each             improve screening uptake.
year.




                                         Page 15 of 37
The Panel made a number of                       The panel also went along to a Youth
recommendations in three key areas to            reparation session and had an extremely
help improve screening uptake:                   interesting conversation with young people
   • improved accessibility of breast            to get their views.
       screening clinics
   • greater involvement of primary              Key recommendations:
       care in the breast screening              • The development of a multi-agency
       process                                      consultation network and some areas of
   • the need to develop more localised             work for the network to undertake
       public health information and             • Consultation training to include cultural
       awareness for breast cancer.                 awareness and hard to reach groups
                                                 • The undertaking of a customer journey
                                                    mapping exercise to include dual needs
Engaging   with      Hard    to    Reach            for example, a sex worker who has
Communities                                         housing needs as well as needing
                                                    support on drug addiction. The aim of
Cllrs Bull (Chair), Aitken and Adamou               this is to ensure that no one slips
                                                    through the net due to their complex
For the purpose of this review the term             needs
‘hard to reach’ was defined as:                  • Exploration of IT based options for
                                                    sharing accessibility data across the
 “Those groups which are difficult to               council, for example if one service
 engage with from an organisational                 knows      that   a    person     needs
 perspective because they do not feel               communication in large print then this
 empowered to do so, or due to                      information should be shared with other
 barriers which may be overcome.”                   services.

Haringey is one of the most diverse              Review participant on the final report:
boroughs in London with nearly half of its
population from ethnic minorities. Within          “I really enjoyed reading it and there are
this there are a number of communities             so many useful contacts and
and groups which do not engage with                possibilities for neighbourhoods to
organisations whether this is because              work. I am going to forward this onto
they do not feel empowered to do so or             the other community development
because they do not know how to access             officers”    Community   Development
the organisations.                                 Officer

A wide range of organisations and
individuals contributed to the review            Support to carers
including: Bringing Unity Back Into the
Community (BUBIC), Sexual Health On              Cllrs Adamou (Chair), Wilson & Alexander
Call (SHOC), BME Carers, Caris Haringey,
Afrikcare, Crucial Steps, North Middlesex        Carers are estimated to save Haringey
University Hospital Trust, Whittington           £236million per annum.
NHS Trust, Haringey Borough Police,
LGBT      Network,    Haringey    Council        The aim of the review was agreed:
departments, HAVCO members of the                  ‘To assess the support provided to
public.                                            adult carers of adults in Haringey
                                                   specifically to provide an objective view


                                        Page 16 of 37
 of these services and whether they                     •   Exploration of sharing information
 provide value for money.’                                  on carers held across statutory
                                                            organisations.
The review:                                             •   A mapping exercise of carers
A number of panel meetings were held                        services including equity of access.
throughout the review to hear evidence
from a variety of sources, including NHS         From a Haringey Carer:
Haringey, Adult Services, Barnet Enfield &         “I appreciate all you are doing for the
Haringey Mental Health Trust, Leisure              carers in Haringey.”
Services and Adult Learning. Meetings
were very well attended, including by a            “Thank you for what you are doing for
number of carers.                                  the carers.”

The panel hosted a coffee morning for
carers to give them a chance to share            Support to small businesses
their experiences, views and thoughts
and feed into the review in an informal          Cllrs Adje (Chair), Allison, Thompson and
setting away from service providers.             Winskill

The panel also attended a lively BME             This review looked at how Haringey and its
Carers Support Group to gain their input         partner    agencies     supported   small
and answer any questions about the               businesses. Comparisons were made with
review.                                          other boroughs and the role of the
                                                 Enterprise    Partnership   Board    was
The review was also discussed at a               examined.
HAVCO      (Haringey Association    of
Voluntary and Community Organisations)           The Panel were pleased to find evidence
Well-being meeting and the Carers                of:
Partnership Board.                                   • a comprehensive range of support
                                                       to small businesses, which included
A number of carers also wrote to the                   financial support
panel with input.                                    • support on availability of business
                                                       premises
Key recommendations:                                 • signposting to business information,
   • NHS Haringey and Haringey                       • staff and training
      Council jointly addressing the need            • procurement opportunities.
      for      greater     provision    of
      respite/carers breaks.                     Key recommendations
   • A review of the Carers Assessment           The review offered recommendations that
      processes across the partnership           could make the borough more attractive to
      to ensure continuity.                      start up companies, help keep our existing
   • Emergency plans being in place for          businesses     and    allow    expanding
      all carers receiving a care package.       businesses to stay in the borough. In
   • A review of the way information is          particular there were recommendations
      provided to carers on changes due          such as:
      to       take       place      under
      personalisation.                                  •   That a further report be made to the
                                                            Enterprise Board on the services
                                                            available


                                        Page 17 of 37
   •   That a Cabinet Member assume                sustainable forms of transport (i.e. walking,
       responsibility for small businesses.        cycling and public transport) can help to
                                                   reduce local carbon emissions.
In response to concerns by small
business representatives’ for more                 The review assessed the ways in which car
information of accessing funds and grants          use could be reduced and other
the Panel recommended that:                        sustainable forms could be promoted, in
                                                   particular:
   •   From within existing resources a               • removing barriers to cycling and
       small sum of money be set aside                    walking:
       to enable the Council to engage                • the use of smarter travel initiatives
       the services of an external provider               (i.e. car clubs)
       to provide a business turnaround               • the use of demand management
       service.                                           techniques (i.e. traffic calming).
   •   That consideration be given to
       commissioning a best value                  To help develop its recommendations the
       partner offering loan schemes to            review panel undertook a detailed
       work with officers to introduce a           investigation which involved:
       scheme in Haringey.                             • taking      evidence       from     20
                                                          organisations (e.g. Transport for
At the end of the review the officers from                London, Sustrans and other London
the Business and Enterprise Team have                     boroughs)
commented:                                             • Visits to two sustainable transport
                                                          demonstration towns in Sutton and
 “…that the scrutiny review was a                         Peterborough
 useful exercise, it raised both the                   • local community group engagement
 profile and impact of the work carried                   (Haringey     Cycling       Campaign,
 out by the Team. The review also                         Haringey    Living     Streets   and
 highlighted the dynamic and varied                       Sustainable Haringey).
 support needs of the borough’s
 business community and how the                    Key conclusions
 team responds to these needs. This                Promoting sustainable transport is known
 scrutiny review has also been about               can have a number of positive benefits, it
 learning and highlighted where there              can help to:
 is need for improvement.”                            • reduce emissions and improve local
                                                         air quality
                                                      • keep people healthy by using more
Sustainable Transport                                    active forms of transport (walking
                                                         and cycling)
Cllrs Beacham, Mallett (Chair), Santry and            • make local communities more
Weber                                                    attractive and enjoyable places to
                                                         live by reducing traffic congestion.
The Council has very ambitious targets to
reduce carbon emissions: it has signed             Key recommendations:
up to reduce carbon emissions by 40%               The panel identified a number of key
by 2020.                                           recommendations to support the uptake of
                                                   sustainable transport:
Transport is a significant cause of carbon
emissions, therefore promoting more


                                          Page 18 of 37
   •   Greater      involvement        and        duplication and develop a joint plan for
       coordination within the HSP to             improvements.
       help reach sustainable travel goals
   •   Work to promote sustainable                The Panel was concerned that information
       transport needs to be coordinated          on witnesses, including ones who were
       through a balanced programme of            vulnerable and intimidated, does not
       initiatives                                appear to always be being passed onto
   •   Travel planning for schools,               Witness      Service      volunteers    and
       workplaces and for individuals             professionals. This could mean witnesses
       represent an effective method of           sometimes      arriving   without    support
       encouraging modal shift                    agencies and the Court having prior notice
   •   A 20mph speed limit may                    of their needs. It felt that such instances
       encourage more people to walk              should be brought quickly to the attention
       and cycle.                                 of the Witness Care Unit so that the reason
                                                  can be identified.
The panel also hoped that the
conclusions     and   recommendations             The Panel was concerned that the Witness
reached in the review would guide and             Service     was     currently   based       in
inform the development of the Local               accommodation at the Magistrates Court
Implementation Plan (Haringey Transport           that appeared not to meet their needs and
Strategy) in 2011/12.                             felt that partners should explore alternative
                                                  options.
Support to victims of crime
                                                  Some Victim Support volunteers can be
Councillors Aitken (Chair), Davies, Egan          traumatised by the work that they
and Patel.                                        undertake and there is currently no
                                                  provision for therapeutic support for them.
The review looked at how easy it is for           The Panel felt that partners should explore
victims of crime to access support, its           fully the possibility of providing such
effectiveness and where improvements to           support when required.
services could be made. The Panel found
that there were a wide range of such              The Panel noted that there is now a victim
services available within Haringey. Whilst        support worker in the ASBAT but funding
it was clear that support had improved,           for this is time limited. It felt that long term
the number of different bodies now                decisions needed to be taken about the
potentially    involved     could   cause         future development of the ASBAT as the
confusion.     In addition, a significant         service is currently almost totally reliant on
amount of support was either reliant on           time limited grants.
sources of funding that were vulnerable or
the goodwill of volunteers.                       Only a minority of crimes are reported to
                                                  the Police and this is particularly true of
The Panel received evidence that there            younger people.       The Panel therefore
was a need for better co-ordination of            welcomed the proposal to develop a
services and felt that the establishment of       project to work with young people to
clearer governance arrangements would             increase their awareness of support
assist. Once established, this would              services for victims and encourage more of
provide the opportunity to review the full        them to report crime.
range of provision, address any areas of




                                         Page 19 of 37
Sexual health of young people                      the view that GP services offered much
                                                   potential for delivering sexual health
Cllrs Bull (Chair), Newton, Santry and             services due to the hours that they are
Scott                                              open, their accessibility and their links to
Co-opted Members were Yvonne Denny,                other services.
Marcelle Jemide, Joseph Ejiofor, Sarah
Marsh and Helena Kania                             Finally, the Panel welcomed the fact that
                                                   recent changes appear to respond
The review looked at what the Council              positively to what young people have been
and its partners do to promote and                 saying for a long time, such as the need for
improve the sexual health of teenagers             better sex and relationship education that
with the Borough, including action to              does not focus solely on the biological
reduce sexually transmitted infections             issues. It also welcomed the significant
and conceptions.                                   reductions that have taken place in
                                                   teenage conception rates within the
The Panel commended the work of the                Borough.
Children and Young Peoples Service
(C&YPS), NHS Haringey and their
partners to address these issues.                  Transition from Children’s to Adult’s
Initiatives to reduce teenage conceptions          Services
involving schools had been particularly
successful but not all schools were                Councillors:   Newton (Chair), Adje and
participating. The Panel was of the view           Allison
that the LEA should work with its partners
to persuade all schools of the merits of           The review looked at what happens when
participation.                                     young people receiving health and social
                                                   care reach adulthood and transfer to being
Young people feel embarrassed in                   the responsibility of adult services. Strong
seeking advice on sexual health and this           collaboration between services and well
is the main influence on how they use              planned transition can improve outcomes
services. It was felt that services needed         for young people.
to recognise this in their configuration.
                                                   Haringey has an established multi-agency
 Many      young     people      travel   to       approach to transition planning. This is
neighbouring     boroughs       to   receive       initiated at the young persons 14+
services and it was felt that this should be       transition review and specifies the steps
recognised through greater collaboration           needed to meet the person’s needs on
with other boroughs. In order to better            leaving school. It is updated at each
attract and encourage young people to              subsequent review meeting until the young
use local services, venues which they find         person leaves school.
comfortable to visit needed to be
identified. They also needed to be open            Both the Children and Young People and
when they were most likely to be able to           Adults’ Services have recognised the need
attend.                                            to improve arrangements and ensure all
                                                   planning better reflects national standards
The Panel noted that young people were             and best practice, as well as the
not inclined to visit their GP for sexual          personalisation agenda. Greater emphasis
health services. It was nevertheless of            also needs to be placed on the key roles
                                                   that young people and their families have.



                                          Page 20 of 37
The government intends that 16-18                  There is a lack of employment
funding for sixth forms and colleges will in       opportunities for young people with special
future be delivered through local                  educational needs. The Panel felt that the
authorities. Until then, the Learning and          Council should be proactive in creating
Skills Council will remain responsible.            employment           opportunities        and
The Panel felt that the Council should             recommended that it consider setting an
take the lead on the way in which the              employment quota for young people with
money is spent, especially if not ring-            learning difficulties, mental health issues
fenced. It felt that the government should         and with physical disabilities. In addition, it
also be lobbied to ensure that funds were          felt that the Council should also consider
ring fenced of funds as the lack of this           training those leaving care to work within
could have an adverse impact on adult              the care profession.
social care.
                                                   Finally, housing can be an issue and the
Difficulties had been experienced by               panel therefore recommend that Strategic
some families in understanding the                 Community       Housing    Services    put
transition process and it was felt that a          measures in place so that access and
dedicated officer to assist would help to          referrals can be improved and streamlined.
mitigate such difficulties. An information
pack and specific web pages outlining
services available would also be of help.




                                          Page 21 of 37
Review feedback from members and participants

Effective scrutiny reviews are dependent,          Members also acknowledged the role of
in part, on the participation and support          the scrutiny officer in collating evidence
of two key groups: non Cabinet                     to be put before the panel:
councillors who sit on review panels and
those who attend to give evidence (e.g.            ‘… the officer was well organised and
officers, specialist advisers, community           pulled a lot of material and evidence
organisations). It is therefore important to       together.’
assess the experience and perceptions of
the scrutiny review process of these two           Of services under review, members noted
groups.                                            that these had been supportive of the
                                                   scrutiny process in that relevant officers
Panel members and participants are                 had attended panel meetings, responded
routinely invited to comment on the                to member questions and produced
scrutiny review process via a survey               concise and useful reports.
administered after the completion of each
review. 14 responses were received from            Panel visits can play an important role in
panel members and 40 from review                   enabling panel members to see services
participants to reviews completed in               first hand and enable them talk to front
2009/10 (Appendix A).                              line staff and service users. Visits can
                                                   also be made to services in other
Full tables of quantitative responses from         boroughs, where they can assess
members and participants are contained             alternative service models of and to
in Appendix C and Appendix D                       identify good practice.
respectively. Key findings from these
groups are presented below.                        Members were in broad agreement that
                                                   scrutiny visits were:
Member Survey                                         • relevant to the review (83%)
                                                      • interesting (83%)
Panel members were broadly satisfied all              • contributed to the review process
aspects of the review process. Members                    (83%).
agreed that the terms of reference for
reviews were clear, practicable and fully          Qualitatively, members commented on
agreed and that panel meetings were well           the usefulness of panel visits to the
organised.                                         review process:

Of critical importance to the review               ‘Visits were very informative, particularly
process is that members have access to             those outside Haringey [the panel] learnt
appropriate evidence to help meet the              a lot.’
objectives of the review. In this context,
panel members were in broad agreement              Independent advisers are sometimes
that sufficient information had been               called upon within the scrutiny review
received, was interesting and clearly              process to provide expert information or
presented.                                         guidance to the panel. Whilst members
                                                   were clear that where independent
                                                   advisers had provided impartial guidance
                                                   (67% agreed), they were less certain that


                                         Page 22 of 37
this information could not have been
provided by an officer (50%) and had             In terms of possible improvements,
actually contributed to the review (33%).        participants remarked that the timing and
                                                 focus of review panel meetings might be
In terms of outcomes from the scrutiny           improved:
review, members were in broad
agreement that final reports were concise        ‘Everything was fine, though the timing of
and contained key recommendations.               the meeting went badly awry….speakers
Critically, the overwhelming majority of         had to compress their contributions into a
members were in agreement that the               few minutes [and] one had no time to
scrutiny review report:                          take questions.’ Sustainable Transport
    • will add value to the service (93%)        Review
    • justified the work involved (100%)
                                                 ‘…. It [was] a challenge to focus entirely
                                                 on the topic in hand and was distracted
Participant Survey                               at times on to different tangents.’

Participants in the scrutiny process may         At the meetings, a majority of participants
involve a wide range of informants that          indicated that they were treated with
may include officers (from the council or        respect (100%), that meetings were open
its    partners),   other    governmental        and friendly (95%) and were non-political
agencies, local community groups or              (90%).    Participants were also broadly
service users and members of the public.         happy with arrangements to present their
                                                 evidence:
There was broad satisfaction with the                • able to present all evidence (85%)
arrangements that were made by officers              • panel listened to evidence (88%)
in    preparation   for    participant’s             • asked relevant questions (68%).
attendance.:
    • arrangements    well   organised           Overall, participants at scrutiny panels
      (93%)                                      were positive about the scrutiny review
    • clear about review objectives              process. Most felt that their attendance
      (93%) and why they’d been invited          was constructive (83%) and that the
      (90%)                                      review process was fair (92%) and
    • was given enough time to prepare           thorough (78%). These perceptions were
      (93%).                                     verified in qualitative comments provided
                                                 by participants:
In respect of the accessibility and
operation of panel meetings, participants        ‘I enjoyed the process and felt that the
thought that these were generally                panel was supportive and approached
conveniently time and in an accessible           the issue with the main aim to aid service
location.      However, a number of              improvement rather than scrutinise
participants were of the view that some of       service inefficiencies. I found the whole
the locations used for panel meetings            process fair, supportive and an excellent
were not accessible to those with a              learning opportunity.’ (Breast Screening
limited mobility:                                Review)

‘Meetings in the canteen are a pain for          ‘Some useful ideas were generated as the
wheelchair users because of lousy lifts.’        discussion was lively and helpful.’
Sustainable Transport Review)                    (Victims of Crime Review)


                                       Page 23 of 37
                                                to account at the relevant boards…… . ‘
In terms of other possible developments,        (Victims of Crime Review)
it may be necessary to make it clearer to
review participants what happens to the         It is intended that the review feedback will
review recommendations after the panel          be an ongoing feature of the scrutiny
meetings have concluded:                        review process to maintain and the
                                                experience of review participants.
‘I think it needs to be made clearer how
recommendations from scrutiny are held




                                      Page 24 of 37
Updates on Previous Scrutiny Reviews

The Overview and Scrutiny Committee               •     There was a need for more investment
receives updates on previous scrutiny                   in allotments, demonstrated by a
reviews approximately eighteen months                   number of maintenance issues being
after the response and action plan arising              raised. However, it was acknowledged
from them has been received.          The               that funds would need to be raised
purpose of this is to monitor the                       externally.
implementation of the recommendations
and determine with the envisaged                  •     There were no formal consultation
outcomes have been achieved. During                     mechanisms in place and information
the past year, updates were received on                 exchange could be improved.
the following reviews:
                                                  Outcomes:

Allotments                                        Of the 6 recommendations made, the
                                                  Cabinet fully agreed 5 of them. It did not
The review was commissioned to review             agree to establish a dedicated officer
the arrangements made by the Council              post to support the allotment service as it
for management of the Allotments                  felt that there was insufficient justification
Service and, in particular to consider            and no funding to do so. A Parks
issues relating to meeting of local needs,        Customer Services Officer spent 50% of
value for money and funding sources.              their time supporting the allotment
                                                  service and further support was provided
Key findings from the review:                     by Parks Neighbourhood Managers and a
                                                  project officer. From October 2009,
•   There was no dedicated Allotments             arboricultural       officers        became
    Officer at the time of the review. This       responsible for allotment site inspection
    meant that the area officers had to           and the day to day management of sites.
    cover parks as well as allotments,
    resources were stretched and the              An allotment asset survey was conducted
    service delivered to some sites was           in 2007 across all 26 allotment sites. The
    unsatisfactory.                               survey provided a summary of the work
                                                  required to improve the condition of
•   There were not enough plots available         allotment sites.     The total cost of
    across the Borough to meet current            improvements was £250k and this
    and projected demand.                         formed the basis of capital bids that were
                                                  made in 2007, 2008 and 2009. The bids
•   There was concern about the                   were unsuccessful and the Recreation
    management of plots in terms of               Service was only able to allocate £25k in
    adherence to guidance on permitted            2007 and 2008 and £50k in 2009.
    shed size, removal of tenants that did
    not maintain their plots and sub              The establishment of the Allotments
    letting.                                      Forum has enabled clear lines of
                                                  communication and consultation with
                                                  allotment site secretaries. The Allotments
                                                  Forum meets bi-monthly and as a result
                                                  there is now a more positive perception



                                        Page 25 of 37
of the Allotment Service and its
performance. A detailed review of the              •     NHS Haringey should be requested to
tenancy agreement resulted in a new                      ensure that there are enough health
agreement being introduced in January                    visitors to enable them to visit newly
2010.                                                    born children and make holistic family
                                                         health assessments.
A review of rent charges was carried out,
which showed that Haringey charges                 Outcomes:
compared favourably with neighbouring
local authorities. Proposals were made             All of the six recommendations made
to link rent increases to investment               were agreed by the Cabinet. A report was
funding but these have not been taken              presented to Cabinet on the development
forward.                                           of the outreach strategy, a key feature of
                                                   which is that a dedicated outreach
                                                   workforce will be established in
Children’s Centres                                 partnership with NHS Haringey, Job
                                                   Centre Plus, schools, the voluntary sector
The review was commissioned to look at             and other Council services.
work that had already been done and
future plans to establish children’s               An action plan has been produced. This
centres as models of excellence.                   focuses on improving the affordability of
                                                   childcare, improving provision for children
Key Findings:                                      with disabilities and special needs,
                                                   improving the take up of before and after
•   A useful start had been made in                school provision, increasing access to
    developing children’s centres and              and awareness of holiday provision for all
    there were positive plans for further          ages and developing a long term
    development. Further reports should            commissioning strategy for childcare.
    be presented on outreach services
    and how they identified and targeted           Children’s centres are looking at their
    disadvantaged children and the                 governance         and       participation
    development and outcomes of the                mechanisms       to    enable     broader
    support strategy for child care                engagement with local communities so
    providers.                                     that greater use can be made of the
                                                   buildings at evenings and weekends.
•   Resources should be targeted to
    provide more affordable high quality            A local authority accreditation scheme is
    childcare places where a deficiency            being created which will provide an
    has been identified.                           incentive for centres to continually
                                                   improve their provision for children. It will
•   Children’s     Centres should  be              be based on a star system and include
    encouraged to make greater use of              things such as the qualification of staff
    their facilities at weekends and               and the amount of training that staff take
    evenings.                                      up.

•   Consideration should be given to the           Governor Services are reviewing the
    possibility of some kind of incentive to       governance of children’s centres and the
    encourage those involved in childcare          intention is to reinforce models that
    provision to attend relevant courses.


                                         Page 26 of 37
promote     parental   and     community               required in schools. Consideration
representation and participation.                      should also be given to the provision
                                                       of services for the wider community.
An early childhood strategy group, which
brings together key agencies, had been           •     Good communication was essential to
implemented to provide a joint framework               ensure that agencies and Council staff
for improving health outcomes of children              were aware of service developments.
and families. A new integrated model is                There was also the need for continuity
also being developed involving midwives,               as pupils moved from one educational
health visitors, infant psychologists,                 establishment to another.
family support workers and children’s
centre staff. This is being undertaken in        Outcomes:
partnership with NHS Haringey as part of
the early years strategy.                        All the five recommendations by the
                                                 review made were agreed by Cabinet.
                                                 Since the review, a flat fee for activities
Extended Services                                has been introduced. This is regularly
                                                 checked with charges elsewhere in order
The review was commissioned to look              to ensure that it compares well. The
how extended services were being                 Council is working with schools to look at
developed in Haringey.                           the issue of sustainability as it is the
                                                 government’s intention that extended
Key Findings:                                    services will remain an integral part of the
                                                 life of schools beyond 2011.
•   There was considerable potential in
    the extended schools initiative. It          A number of jointly planned activities
    could help in the provision of a range       between the Children’s Services and
    of services for children and families        Highgate School have been initiated,
    and strengthen community ties.               including a summer school and Oxbridge
    Haringey      was     tackling     the       tuition sessions. The Children’s Service
    development in a co-ordinated and            is also continuing to develop joint
    effective manner.                            working and partnership arrangements
                                                 with private and voluntary childcare
•   Long term funding needed to be in            providers.
    place and consideration given to the
    way users pay for services and the           Extended Service Co-ordinators have
    manner in which the benefit structure        been appointed and are working closely
    operates.     There should also be           with schools, voluntary and other
    continual discussion with schools and        agencies within the networks to ensure
    other providers to ensure that the           that all opportunities are maximised.
    charges and concessions levied by
    schools are consistent.                      High Intensity Users of Healthcare

•   In order to derive maximum benefit,          The review was commissioned as a
    both the private and voluntary sectors       relatively small percentage of patients
    should be involved.                          were      known     to    generate    a
                                                 disproportionately high percentage of
•   There should be a comprehensive list         hospital admissions. Evidence had been
    of providers for the kinds of services       made available on a national basis that



                                       Page 27 of 37
showed that many of these admissions                      There was a shortfall in psychiatric
could be avoided through better primary                   liaison provision, particularly for older
care.                                                     people, at the North Middlesex
                                                          Hospital and it was important that
Key Findings:                                             NHS Haringey worked with its
                                                          partners to resolve this issue speedily.
•   Keeping more people out of hospital
    not only had the potential to benefit           Outcomes:
    the NHS in the long term by saving it
    money and freeing up resources, it              7 out of the 8 recommendations of the
    could also greatly improve the quality          review were fully agreed by NHS
    of life of patients. Community based            Haringey. It was agreed that the issue of
    services needed up front investment             increasing the level of integration would
    before further progress could be                be addressed as part of the joint Council
    achieved.                                       and NHS Haringey Rehabilitation and
                                                    Integrated Care strategy.         New IT
•   Health and social care services                 systems are now patient centred rather
    needed to be better integrated in               than focussed on episodes of care.
    order to improve services for high
    impact users. Good information was              Although Community Matrons were seen
    key to effective targeting but NHS              by the government as being a crucial part
    information systems were unable to              of their strategy for meeting the needs of
    do this effectively and not compatible          people with long terms conditions
    with social services systems.                   effectively,   the    case    management
                                                    element that they provide need not
•   IT and telecare initiatives designed to         necessarily be provided by them.
    support patients in their own homes             Relevant targets now refer to the number
    had immense potential but costs                 of patients being case managed.
    could deter patients as well as
    providing a disincentive for social care        NHS Haringey has now moved on from
    services to invest. The transfer of             focusing on the number of community
    resources from the NHS to Adult                 matrons to providing the services that
    Services to support this would not              they were responsible for via a range of
    only save it money but also improve             different means. In addition, they have
    the quality of life for patients.               also widened the skills mix within the
                                                    service. As a result, NHS Haringey has
•   Community matrons were already                  now introduced a specialist case
    working well within the Borough but             manager      and     community    matron
    the PCT had not met its target for the          assistants for community matrons. These
    number of posts to be created. There            assistants facilitate better access to
    were enough indications that that they          resources needed to more effectively
    were working effectively to justify their       manage patients in the community.
    numbers being increased to target               Resources include rapid access to
    levels within the Borough.                      physiotherapy, occupational therapy,
                                                    psychology, home care and equipment.
•   A significant number of high impact
    users are suffering from mental
    illnesses and it was important that this
    was identified by local hospitals.


                                          Page 28 of 37
Access to Services for Older People

In 2007 the Overview and Scrutiny
Committee commissioned a review to               Outcomes:
look at access to services for older
people in Haringey.                              The      Transforming       Social    Care
                                                 Programme is developing a range of
Key Findings:                                    service options for older people who fall
                                                 below the eligibility criteria through, for
•   There was a recognition that there           example advice and information services.
    were significant challenges in meeting       In addition, a web based service directory
    the preventative and personalisation         is    being     developed      to   ensure
    agenda whilst continuing to support          comprehensive and quick access to
    those most in need.                          information on services available in the
                                                 borough.
•   Systems should be put in place to
    follow up those older people who do          A joint information and advice strategy is
    not meet Haringey’s Fair Access to           being delivered through the work of the
    Care Services Criteria and are               Integrated Access Team, which has a key
    redirected.                                  role in providing information and advice
                                                 as well as signposting to Council and
•   A mapping exercise and gap analysis          non-Council services, as appropriate.
    should be undertaken on what low             Information packs for older people are
    level services and activities are            being refreshed and due to be completed
    currently      available  throughout         in 2010.
    Haringey and an action plan put in
    place to cover any gaps and optimise         Adult Services is working with the
    take up of all services.                     voluntary sector, funding a capacity
                                                 building role to support the development
•   The Urban Environment Directorate,           of specialist advocacy.           Income
    which led on Income Maximisation,            maximisation assessments have been
    should publicise the strategy and            moved to the beginning of the
    action plan as soon as possible.             assessment process to ensure more
                                                 people benefit.
•   Advocacy and representation needed
    to be built into the assessment and          NHS Haringey has provided additional
    care management processes. There             resources for training around essential
    was also a need for the development          and non-medical foot care across the
    of partnership information and advice        borough.
    strategy and more foot care for older
    people in the borough.




                                       Page 29 of 37
The year ahead

Responding to local petitions                          should the petitioners feel that their
                                                       petition has not been dealt with properly.
The     Local    Democracy,       Economic
Development and Construction Act 2009                  The Committee may then review the steps
required the Council to develop a scheme               that the Council has taken in response to
for the handling of petitions received from            the petition.
local residents.
                                                       Petitions can also be made to directly to
Anyone who lives, works or studies in the              Full Council, where a response will be
borough can now bring a petition to the                provided by the relevant Cabinet member.
Council. Although the aim is to allow local            Petitions with over 2,200 signatures will
residents to raise issues of public concern            trigger a full debate at Full Council.
with the Council, issues raised should be
on matters which the Council has duties or             Petitions may also ask for a senior officer
powers to affect change.                               (Directors) to give evidence at a public
                                                       meeting on service areas for which they
The Council must acknowledge the                       are responsible. If the petition contains
petition and provide information about                 more than 1,100 signatures, the officer will
what it has done or proposes to do in                  be called to give evidence at a public
response to the petition. In response to a             meeting of the Overview & Scrutiny
petition the Council must complete at                  Committee.
least one of the following actions:
   •   Giving effect to the request in the
                                                       Legislative and policy changes
       petition
   •   Consider the petition at a meeting              The new coalition government has
       of the authority                                published a draft legislative agenda for the
   •   Hold an inquiry                                 forthcoming year. The overarching priority
                                                       of the new government is the reduction of
   •   Hold a public meeting                           the national deficit, which will undoubtedly
   •   Commission research                             affect current and future funding levels for
                                                       many public services.
   •   Give a written response setting out
       the authority’s views about the                 It is therefore likely that the year ahead will
       request in the petition                         be challenging for local public services as
   •   Refer the petition to overview and              they may be required to adapt and
       scrutiny committee                              restructure services to respond to these
                                                       budgetary pressures.          In this context,
   •   Refer the petition to a committee of            Overview & Scrutiny may be called upon
       the authority to review or scrutinise           to assess planned service changes or help
       decisions made, or other action                 to consider ways in which services may be
       taken                                           provided more effectively for local people.

The role of Overview & Scrutiny is                     The new government is also set to
primarily to assist in the appeal process              introduce new legislative changes and
                                                       policy   directives within   the  next



                                             Page 30 of 37
parliamentary session, of which the                for topics for review come from a variety
following may be of particular note for            of sources e.g. councillors, officers, the
scrutiny:                                          various Partnership Boards and members
                                                   of the public. An outline of the Overview &
The Decentralisation and Localism Bill             Scrutiny Committee agenda is contained
will aim to give greater powers to the local       in Appendix D.
councils and neighbourhoods through:
    • Giving local residents the power to          Areas for in-depth review will be chosen
        instigate local referendums on any         where        they       compliment       the
        local issue                                Comprehensive Area Assessment process
    • Giving local councils a power of             and provide valuable evidence to the
        competence and decision making             inspectors of the efficacy of local services
        powers on housing and planning.            and the plans for improving them. To do
                                                   this scrutiny topics must also contribute to
The Health White Paper (Equity and                 the achievement of the outcomes and
Excellence) primary objective is to give           priorities set out in the Haringey’s Council
local GP consortia powers to commission            Plan      and    Sustainable     Community
local health services. In addition, this           Strategy.
policy document:
   • Intends to remove overview &                  It is intended that during 2010/11 a
       scrutiny   committee’s     statutory        number of feasibility studies will be carried
       powers in respect of health services        out. These will be one off reports which
       reconfigurations                            will identify whether the selected topic
   • Transfer public health to local               would be worthy of a full scrutiny review,
       councils                                    to make recommendation to Cabinet or to
   • Local LINk services to become                 take no further action.
       HealthWatch, with an enhanced
       role for inspecting local health            The Scrutiny Lead responsibilities which
       services                                    align scrutiny responsibilities with the work
                                                   of a Haringey Strategic Partnership Theme
                                                   Board will continue. This will provide
Work Programme 2010/11                             further challenge to undertake more
                                                   strategic and cross cutting work.
The purpose of the work programme is to
carry out a general scrutiny of the
outcomes and activities of the council and         In-depth scrutiny reviews for 2010/2011
its partners and to identify areas which
could be subjected to more detailed                A number of scrutiny reviews are
scrutiny.                                          commissioned by the Committee each
                                                   year. These are in-depth investigations
This work programme will help to improve           undertaken by task and finish panels.
the link between scrutiny’s work and the
Council’s improvement agenda and to                Each year, one review is undertaken within
ensure scrutiny contributed to achieving           each theme board area of the Haringey
outcomes that benefit the community.               strategic partnership in addition to a small
                                                   number of overarching cross cutting
As in previous years the Overview and              themed reviews,
Scrutiny Committee will select the topics
for detailed scrutiny reviews. Suggestions


                                         Page 31 of 37
An essential aim of each scrutiny review is             •   The Councils role as corporate
to demonstrate that the area being                          parent (Chair: Cllr Ejiofor)
scrutinised is evolving and responsive to
changing circumstances (i.e. it is                      •   Implementation of a 20mph speed
improving?).                                                limit in Haringey (Chair: Cllr Bull)

The following reviews have been agreed                  •   Preventing youth crime (Chair: Cllr
by the Committee for the year ahead:                        Newton)

   •   Common management standards                      •   The clustering of betting shops in
       among       registered       housing                 Haringey (Chair Cllr Winskill).
       providers (Chair: Cllr Alexander)
                                                  A review linked to the Well-Being
   •   The Big Society: what role can             Partnership board is still being discussed.
       community and voluntary sector             This will be agreed once the implications
       play in shaping local communities?         of the recent NHS White Paper have been
       (Chair: Cllr Browne)                       assessed.

   •   The effectiveness of the Haringey
       Guarantee scheme (Chair: Cllr
       Basu)




                                        Page 32 of 37
Appendix A: Responses to annual member/ participant surveys 2009/10.


    Responses to annual member/ participant surveys 2009/10.
    Review                            Member Survey            Participant survey
    Budget                                    1                         0
    Sexual Health                             3                         2
    Breast Screening                          2                         4
    Transition from child to adult            1                         0
    Support to small business                 2                         5
    Sustainable transport                     2                         5
    Engaging hard to reach                    2                        12
    Support to carers                         1                         6
    Victims of crime                          0                         6
                               total         14                        40




                                      Page 33 of 37
Appendix B: Summary of Member responses to participation in scrutiny reviews
            2009/10.

    Summary of Member responses to participation in scrutiny reviews 2009/10.
    (Total responses n=15)
                                                     Strongly agree/   Neither   Disagree/ strongly
                                                        agree %          %          disagree %
    Terms of reference were: (n=14)
                         Discussed and agreed              93             7              -
                              Clear and concise            86            14              -
                       Practicable & achievable           100             -              -

    Panel meetings were: (n=14)
                     Well planned & organised             100             -              -
                      Of an appropriate length             86            14              -
                     Of an appropriate number              86            14              -

    Evidence the panel received was: (n=14)
                Sufficient for review objectives           71            21              7
                         Interesting and varied            93            7               -
              Presented clearly and coherently             71            21              7

    Inspected service provided: (n=14)
      Officers attebnded to support the review             86            14              -
                    Concise and useful reports             79             7             14
            Responded to members questions                 71            14             14

    Panel visits: (n=12)
                    Were relevant to the review            83            17              -
                              Were interesting             83            17              -
                     Contributed to the review             83            17              -

    User participation: (n=13-14)
             Was incorporated in to the review            100             -              -
             Contributed to the review process            100             -              -

    Independent Adviser provided: (n=6)
                              Impartial guidance           67            33              -
           Input that officers could not provide           50            50              -
                 Contributed to review findings            33            67              -

    Final review report: (n=12-14)
                   Was concise and readable                93             7              -
             Contained key recommendations                 75            25              -
                 Will add value to the service             93             7              -
                   Justified the work involved            100             -              -

    The scrutiny process was: (n=14)
                                            Useful         93            7               -
                                       Interesting        100            -               -
           Like to participate in further reviews         100            -               -




                                             Page 34 of 37
Appendix C: Summary of participant responses within scrutiny reviews 2009/10

     Summary of participant responses within scrutiny reviews 2009/10
     (Valid responses n=38-40)
                                                Strongly agree/   Neither   Disagree/ strongly
                                                   agree %          %          disagree %
     Before attendance at the meeting
         Arrangements were well organised             93            5               3
         Was clear about why I was invited            90            8               3
                Was clear about objectives            93            8               -
         Was given enough time to prepare             93            5               3

     Accessibility of panel meetings:
                    Timing was convenient             90            10              -
                  Location was convenient             85            13              3
                 Physical access was good             95             -              5

     At the panel meeting:
       I was treated with courtesy & respect         100             -              -
                      Was open and friendly           95             3              3
                           Was non political          90            10              -

     Evidence I presented:
                   Presented all I intended           85            15              -
                Panel listened to evidence            88            13              -
            Panel asked relevant questions            68            30              3
              Was useful to review process            83            18              -

     Scrutiny review process
           My attendance was constructive             88            13              -
                               Was thorough           78            23              -
                                     Was fair         92             8              -
        Improved understanding of scrutiny            71            24              5
        Like to be involved in future reviews         79            18              3




                                          Page 35 of 37
Appendix D: Overview and Scrutiny Committee Programme 2010/11


Committee       Planned agenda items
Date
5th July        Cabinet Questions:

                Cllr. C. KOBER – Leaders State of the Borough report – Cabinet priorities for
                                  coming year and last years performance.


21st July       Special Meeting Child Protection

                Cabinet Questions:

                Cllr. Reith Deputy Leader and Cabinet Member for Children’s Services


28 July 2010    Special dedicated meeting on Health issues
(provisional)

  29th July     Cabinet Questions:

                Cllr. Dogus Cabinet Member for Adult and Community Services
                Cllr. Vanier Cabinet Member for Community Safety and Cohesion

     6th        Cabinet Questions:
 September
                Cllr. Bevan Cabinet Member for Housing
                Cllr. Goldberg Cabinet Member for Finance and Sustainability

 4th October    Cabinet Questions:

                Cllr. Kober Leaders portfolio areas only
                Cllr. Mallett Cabinet Member for Planning and Regeneration

1st             Special Meeting Child Protection
November
                Cabinet Questions:

                Cllr. Reith Deputy Leader and Cabinet Member for Children’s Services

   29th
 November       BUDGET SCRUTINY SPECIAL MEETING

    2nd         Cabinet Questions:
 December
                Cllr.   Cabinet Member for Adult and Community Services
                Cllr.   Cabinet Member for Neighbourhoods

    6th
 December       BUDGET SCRUTINY SPECIAL MEETING




                                          Page 36 of 37
Committee      Planned agenda items
Date
     15th
 December      BUDGET SCRUTINY SPECIAL MEETING

31st January   Cabinet Questions:

               Cllr. Bevan Cabinet Member for Housing
               Cllr. Goldberg Cabinet Member for Finance and Sustainability

   28th        Cabinet Questions:
 February
               Cllr. Kober Leaders portfolio area only
               Cllr. Mallett Cabinet Member Planning and Regeneration

17th March     Special Meeting Child Protection

               Cabinet Questions:

               Cllr. Reith Deputy Leader and Cabinet Member for Children’s Services

28th March     Cabinet Questions:

               Cllr. Canver Cabinet Member for Neighbourhoods
               Cllr. Bevan Cabinet Member for Housing

  9th May      Cabinet Questions:

               Cllr. Vanier Cabinet Member Community Safety and Cohesion
               Cllr. Goldberg Cabinet Member Finance and Sustainability




                                         Page 37 of 37
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