This meeting was scheduled to hear reports about the Integrated Care System's Winter Campaign, London Ambulance Service Performance, the Health Equity Programme, the Integrated Care System, and the recommendations from the Joint Health Overview and Scrutiny Committee. The meeting was also scheduled to receive an update from the Chief Executive of the North West London Integrated Care System.

Winter Campaign and LAS Performance

The committee was scheduled to receive a report on the North West London Integrated Care System (NWL ICS)'s winter planning programme, the London Ambulance Service (LAS) performance, and how the NWL ICS were preparing for winter pressures on the NHS.

The report pack says:

Winter planning methodology is embedded in NWL as a year round approach with a cycle of planning, delivery, review and ongoing implementation to meet peak demand irrespective of season.

The report pack goes on to describe the actions being taken to reduce waiting times, support swift discharge to appropriate settings, provide proactive care based on population needs, and provide primary care, dental and pharmacy services.

The report pack identifies a number of key risks posed by winter pressures:

• workforce capacity • critical care bed capacity & reporting • general bed capacity • avoidable admissions to hospital • delays in discharges from hospitals • availability of medicines • A&E waiting times • Ambulance handover and response times • Acute respiratory infection

The report pack also sets out an immunisations strategy which aims to:

ensure that protection is maximised ahead of winter and to reduce hospitalisations

The report pack describes how the NWL ICS has adopted NHS England’s model for respiratory care to reduce:

respiratory exacerbations, hospital admissions, and health inequalities

The report pack explains how the LAS plans to respond to the increased demand for ambulances this winter.

• So far this year at the LAS, we are receiving 9% more 999 calls per day. • If this trend continues, we expect to see a category 2 response time this December of 57 minutes and 10 seconds.

The report pack contains the LAS's plan to mitigate these risks, including a proposed Patient Flow Framework and Escalation Framework.

Health Equity Programme

The committee was scheduled to receive an update on the North West London Health Equity Programme.

The report pack details the programme's vision and its progress against its objectives, in particular:

Our vision for the programme is to reduce the disparities in healthy life expectancy, adding years in good health for our most deprived populations

The report pack explains the programme's three pillars and its achievements to date, including:

• Borough based partnership (60%) - this is funding allocated to each of the borough based partnerships to support borough based work to address health inequalities. The split between boroughs was determined by the UK Shared Prosperity Fund allocations. • Additional schemes (25%) - cross-cutting projects aligned to system programmes that will benefit more than one borough. • Infrastructure (15%) - cross North West London health inequalities and population health management infrastructure to help embed the health equity approach into ways of working

The report pack details some of the key population health statistics for NW London including:

• In NW London, in our more deprived neighbourhoods, people are dying up to 20 years earlier than their peers. Within Kensington and Chelsea you can walk 15 minutes and the life expectancy will have dropped by 15 years. • There are inequalities in the years spent in poor health across gender, ethnicity and deprivation. People in the most deprived areas are likely to suffer from multiple conditions 10- 15 years earlier than in more affluent areas.

ICS Update

The committee was scheduled to receive an update from Rob Hurd, the Chief Executive of the NHS NW London.

The report pack includes updates on Primary Care Access, The Health Equity Summit, Planning for the future, the Compassionate care for all public consultation, the Cancer services potentially being relocated from Mount Vernon, health scrutiny, awards and recognition, the WorkWell programme, hospital discharge, and estates.

JHOSC Recommendations Tracker

The committee was scheduled to receive a report on the North West London Joint Health Overview Scrutiny Committee (NWL JHOSC) Recommendations Tracker.

This included two appendices:

• 2023/24 North West London JHOSC Recommendations and Information Requests Tracker
• 2024/25 North West London JHOSC Recommendations and Information Requests Tracker

The report pack details the terms of reference of the NWL JHOSC, its powers to make recommendations, and how these recommendations are tracked. The tracker itself is a spreadsheet that lists the recommendations made by the committee, the responses received from the relevant NHS bodies, and the status of each recommendation.