Agenda and minutes

Apologies were received from: Councillor Deborah Halik (substituted by Councillor Anna Cuthbert) Councillor Mollie Groom (substituted by Councillor Robert Yuill) and Councillor Mary Champion.

To approve and sign the minutes of the meeting held on 7 November 2017.

The minutes of the meeting held on the 7 November 2017 were considered.

Resolved

That the minutes of the meeting held on the 7 November 2017 were agreed as a correct record.

To receive any declarations of disclosable interests or dispensations granted by the Standards Committee.

David Walker declared an interest in items 4a and 4b, that Health Watch Wiltshire has been involved in engagement work on these issues.

Diane Gooch declared an interest in item 4a.

Cllr Pip Ridout declared an interest in the update from AWP and stated that she would listen to the debate but not participate.

To note any announcements through the Chair, including:

The following announcements were noted as follows:

·       User engagement with Adult Care

·       CCG Strategic Outline Case

The Governing Body of the CCG requested that a Wiltshire-wide strategic outline programme be developed. It was noted that this was underway and linked into the development of the CCG’s primary care strategy, the Joint Strategic Needs strategy from Public Health and the CCG’s Care Operating Model.  There would be a report on the overall programme in the summer of 2018.

·       NHS England South procurement of orthodontic services

Committee members were invited to respond to NHS England on its proposals in relation to orthodontic services by 20 December 2017.

A number of contracts to provide orthodontic services in the south of England would be coming to an end on 31 March 2019. NHS England would be holding a procurement process in the New Year to award new contracts to provide orthodontic services from 01 April 2019.

Further information can be found on:

https://www.england.nhs.uk/south/info-professional/dental/

It was noted that members were sent an email, and that the consultation had now concluded.

·       Consultation on a new model for radiotherapy services in England

NHS England is consulting on a new model for radiotherapy services in England.

The consultation is seeking feedback on a new specification for adult radiotherapy services and has recently been extended to 24 January 2018 and can be accessed on:

https://www.engage.england.nhs.uk/consultation/radiotherapy-service-specification-consultation

It was noted that members were sent an email, and that members could engage with consultation until 24 January.

The Council welcomes contributions from members of the public.

Statements

If you would like to make a statement at this meeting on any item on this agenda, please register to do so at least 10 minutes prior to the meeting. Up to 3 speakers are permitted to speak for up to 3 minutes each on any agenda item. Please contact the officer named on the front of the agenda for any further clarification.

Questions

To receive any questions from members of the public or members of the Council received in accordance with the constitution.

Those wishing to ask questions are required to give notice of any such questions in writing to the officer named on the front of this agenda no later than 5pm on Tuesday 2 January 2018 in order to be guaranteed of a written response. In order to receive a verbal response questions must be submitted no later than 5pm on Thursday 4 January 2018. Please contact the officer named on the front of this agenda for further advice. Questions may be asked without notice if the Chairman decides that the matter is urgent.

Details of any questions received will be circulated to Committee members prior to the meeting and made available at the meeting and on the Council’s website.

There were no public questions or statements.

To receive a further progress report on the Adult Care Charging Policy since it was initially introduced in August 2016, including how lessons have been learnt, as agreed at 5 September 2017 meeting of Health Select Committee.

The Committee will consider the need for further overview or scrutiny.

Following previous considerations of the matter by the Committee, the meeting received a further progress report on the Adult Care Charging Policy since it was initially introduced in August 2016, including how lessons had been learnt, as agreed at 5 September 2017 meeting of Health Select Committee.

Matters highlighted in the course of the discussion included: whether there was a need for further overview or scrutiny; the additional resources required to meeting the additional processing needs; a recognition that staff had worked hard to meet this need; and the recommendations arising from the Healthwatch report.

Resolved

That confirmation be given to the meeting, possibly via an announcement after 31 March 2018, to confirm all re-assessments undertaken.

To receive an update on progress from the NHS Wiltshire Clinical Commissioning Group.

The meeting received a verbal update regarding the progress from the NHS Wiltshire Clinical Commissioning Group.

Matters highlighted in the course of the debate included: that service reconfiguration was a key focus; that the meeting would welcome another opportunity to discuss options, given to mothers, after May 2018; that options for meeting the midwifery team be discussed.

The Chair thanked the officer for the update.

To receive an update on progress from the NHS Wiltshire Clinical Commissioning Group.

The meeting received an update on progress from the NHS Wiltshire Clinical Commissioning Group regarding non-emergency patient transport.

Matter highlighted in the course of the debate included: the results of the recent consultation; the engagement via stakeholder events; theplans to promote the Healthcare Travel Cost Scheme more widely; that the draft contact should be reading in February with a view to go out market over the next 6 months; that the expectation was for the new provider to be in place in June 2019.

At the conclusion of the debate, the meeting;

Resolved

1.    To receive a further update, possibly in July, including further details of the contract;

2.    To receive, in the interim, further information regarding the breakdown of the consultation responses.

At its September 2017 meeting, the Health Select Committee received a presentation on the delivery of the service since its commencement in July 2016, and resolved to consider the CQC report once published following the inspection of the Wiltshire Health & Care.

The Committee will consider the CQC report, published on 09 November 2017, which can be accessed here.

Douglas Blair, Managing Director, Wiltshire Health and Care and Sarah Jane Peffers, Head of Quality, will inform the committee of the actions planned by Wiltshire Health and Care following the CQC report. The slides to accompany their presentation are attached here for reference.

The Committee will consider the need for further overview or scrutiny.

Following a presentation, at the September meeting, on the delivery of the service since its commencement in July 2016, the Committee had resolved to consider the CQC report once published following the inspection of the Wiltshire Health & Care.

The Committee considered the CQC report, published on 09 November 2017, which can be accessed here.

Douglas Blair, Managing Director, Wiltshire Health and Care and Sarah Jane Peffers, Head of Quality, provide an update which informed the committee of the actions planned by Wiltshire Health and Care following the CQC report. The slides to accompany their presentation are attached here for reference.

The Committee also consider the need for further overview or scrutiny.

Matters highlighted in the course of the debate included the review of delivery structure; the further review of Board governance structure; the review of clinical leadership structure; the impact on funding on the security of the posts; the further integration with urgent care system; and Homefirst and care pathways.

Following the conclusion of the debate, the meeting;

Resolved

To receive a further update, possibly in July 2018, providing further information regarding the implementation of actions, and the development of the trust.

The Committee previously received an update on improvement from the Avon & Wiltshire Mental Health Partnership Trust on 21 June 2016.

The Committee will consider the CQC report, published on 3 November 2017, which can be accessed here.

A representative of the Avon & Wiltshire Mental Health Partnership Trust will inform the Committee of the Trust’s planned actions following the CQC report.

The Committee will consider the appropriateness of further overview or scrutiny, joint with other local authorities, of the Avon & Wiltshire Mental Health Partnership Trust.

Having previously received an update on improvement from the Avon & Wiltshire Mental Health Partnership Trust on 21 June 2016, the meeting considered a further update including the CQC report, published on 3 November 2017, which can be accessed here.

A representative of the Avon & Wiltshire Mental Health Partnership Trust attended the meeting to inform the Committee of the Trust’s planned actions following the CQC report.

The Committee was asked to consider the appropriateness of further overview or scrutiny, jointly with other local authorities, of the Avon & Wiltshire Mental Health Partnership Trust.

During the debate, particular attention was given to issue of provision of ‘places of safety’. Newlands Anning, AWP’s representative at the meeting, informed the meeting of the temporary closure of the places of safety in Salisbury and Swindon. This was identified as an area that would require further involvement by the committee.

It was agreed that the way in which this future work would be undertaken would be confirmed by the Chair and Vice-Chair following information gathering by contacting the Chair of Swindon’s Health Select Committee and liaising with Wiltshire’s Cabinet Member for Adult Social Care, Public Health and Public Protection, as well as relevant partners

Resolved

That a further update be provided.

To receive any updates on recent activity for active task groups and from members of the Health Select Committee who have been appointed as overview and scrutiny representatives on programme boards.

The meeting received the updates on recent activity for active task groups. The meeting was also asked to confirm the creation of the CAMHS (Children and Adolescents Mental Health Services) Task Group.

The meeting noted that both chair and vice-chair had been appointed as representatives on the Adult Social Care Transformation Programme Board; and that would attend the Joint Strategic Needs Assessment meeting prior to the Health and Wellbeing board on 25 January 2018.

Resolved

1.          To note the update; and

2.          To confirm the establishment of the CAMHS (Children and Adolescents Mental Health Services) Task Group as set out in the report.

The Committee is asked to consider the attached work programme.

It should be noted that following the annual meetings between the Chair and Vice-Chair of the Committee and Executive Members:

1.    The feasibility of the following areas of work for overview and scrutiny is being scoped:

·         SEND employment support;

·         Transition from children services to adult care;

·         Sustainability and Transformation Plans;

·         Community Area Health and Wellbeing Groups;

·         Embedding public health across the council’s services.

2.    The following items were added to the committee’s forward work programme:

·         Pre-meeting briefing on the Adult and Social Care transformation programme;

·         Public Health annual report to the Health Secretary;

·         Update on Domestic Abuse Service;

·         Update on Substance Abuse.

The Committee considerrf the work programme included in the agenda pack.

It was noted that following the annual meetings between the Chair and Vice-Chair of the Committee and Executive Members:

1.    That the feasibility of the following areas of work for overview and scrutiny was being scoped:

·         SEND employment support;

·         Transition from children services to adult care;

·         Sustainability and Transformation Plans;

·         Community Area Health and Wellbeing Groups;

·         Embedding public health across the council’s services.

2.    That the following items were added to the committee’s forward work programme:

·         Pre-meeting briefing on the Adult and Social Care transformation programme;

·         Public Health annual report to the Health Secretary;

·         Update on Domestic Abuse Service;

·         Update on Substance Abuse.

It was also decided that officers would discuss with chair the inclusion following additional matters:

·         CCG forward work programme after the end of January.

·         Recruitment and retention of staff at 999.

·         Winter performance 24 April meeting

To confirm the date of the next meeting as 6 March 2018 at 10.30am.

It was noted that the next meeting would be on 6 March 2018 at 10.30am.

To consider any other items of business that the Chairman agrees to consider as a matter of urgency.

There were no urgent items.