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Agenda and minutes

Venue: Kennet Room - County Hall, Trowbridge BA14 8JN

Contact: Will Oulton  (Senior Democratic Services Officer)

Items
No. Item

1.

Apologies

Minutes:

Apologies were received from Irene Kohler.

2.

Minutes of the Previous Meeting

To approve and sign the minutes of the meeting held on 15 November 2016.

Supporting documents:

Minutes:

Resolved

 

To approve as a correct record for signing the minutes of the meeting of the Health Select Committee held on the 10 January 2017.

3.

Declarations of Interest

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

Minutes:

There were no declarations of interest.

4.

Chairman's Announcements

Minutes:

The Chairman made the following announcements:

 

a)            Pre-meeting information briefing

 

That a briefing giving an overview of health system finances had been organised for the Committee’s next meeting on 7 March.

 

b)            Overview & Scrutiny Legacy Workshop 2013-2017

 

The Chairman drew the meetings attention to the Overview & Scrutiny Legacy Workshop 2013-2017”  arranged for the 17th Jan , 2-4pm Council Chamber, County Hall Trowbridge

 

c)            Joint Scrutiny of Avon & Wiltshire Mental Health Partnership Trust

 

In September the Chairman announced that CQC had published a follow-up report following its full inspection AWP’s services in May 2016 and rated the Trust overall as 'requires improvement'.

 

Members were reminded that AWP attended a meeting in April to present their Quality Account and gave a verbal update on the CQC inspection, which was ongoing at the time.

 

Wiltshire was previously a member of a Joint Scrutiny Working Group looking at AWP’s improvement programme (chaired by Cllr John Noeken). When endorsing the working group’s final report the committee resolved that any decision regarding further joint scrutiny of AWP should await their CQC inspection results.

 

Having reviewed this in September the Committee agreed to assess other councils’ interest in taking part before making a decision. Officers had done this and the following was reported:

 

·                     North Somerset District Council support the idea of continuing the joint working group in principle, but would need to confirm whether a member or members will put themselves forward to take part.

 

·                     BANES have declined to take part due to a lack of resources.

 

·                     Bristol have not given a firm answer, but AWP only now provide a small proportion of their mental health provision so may be unlikely to take part.

 

The meeting was asked to consider how they would wish to proceed. Following a short debate, the meeting;

 

Resolved

 

That scrutiny of Avon & Wiltshire Mental Health Partnership Trust’s improvement programme be referred as a legacy issue to Overview and Scrutiny to consider under the 2017-21 Council.

 

d)            Update on the Obesity and Child Poverty Task Group

 

In March the Committee endorsed the final report of this task group, which was formed jointly with Children’s Select Committee, and referred the report to Cabinet for response. In December, Children’s Select Committee received a further response from the Cabinet Member for Waste and Planning to Recommendation 12.

 

The recommendation reads;

 

“The Cabinet Member for Health and Adult Social Care, and the Cabinet Member for Planning, Property, Waste and Strategic Housing, to advise if the council currently seeks to influence the proliferation of fast food outlets (particularly near schools) through the planning process and, if not, whether there are plans to consider doing so.”

 

The full minutes of Children’s Select Committee’s discussion would be available at a later date but in summary:

 

·                     Cllr Sturgis advised that the Council considered each application on its own merits, taking into account of all the material considerations. Matters such as highway safety and residential amenity  are normally the more critical issues. Proximity to a school might be considered  ...  view the full minutes text for item 4.

5.

Public Participation

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 3 January 2017 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 5 January 2017. 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.

Minutes:

There were no questions or statements from the public.

6.

Urgent Item - Emerging Sustainability and Transformation Plan

Minutes:

The meeting’s attention was drawn to the Agenda Supplement, under Urgent Items, a link to the Emergent Sustainability and Transformation Plan (STP) which had been provided and the link to the latest version of the STP was published with the Health and Wellbeing Board agenda on 14th December.

 

Following a request from Councillor Chris Caswill, the Chairman agreed that there should be an opportunity for the members of the committee to see the latest STP, this is an opportunity to raise any questions or suggest areas for focus that we can address at the next meeting in March, to which the lead officers for the STP have been invited.

 

Councillor Chris Caswill presented the following questions, received in advance of the meeting, which received the following response from the officers:

 

1.      For the record, is it correct that the Sustainability Transformation Plan (STP) covering Wiltshire was published on 14 December, and also highlighted on the Council web site on that day?

 

Yes, the ‘Emergent STP’ document was published as an agenda supplement to the Health and Wellbeing Board agenda on the council website on 14 December and considered at its meeting on 15 December (which Chuck attended).

 

2.      Was the existence of the STP drawn to the attention of the officers of this Committee before the Christmas break?

 

Officers in the Corporate Officer monitor relevant health and care items going to Cabinet, Health and Wellbeing Board etc in order to support the Chairman with the oversight of the Committee’s forward work programme.

 

On this occasion the Emergent STP on the Health and Wellbeing Board agenda was not spotted until after this meeting’s agenda was published.  However, officers were aware that the STP would remain a developing document for some time and that the approach agreed by the Committee was to receive periodic updates rather than as a standing item.

 

3.      Given that the STP plans are far more extensive than the summary provided for the Committee's last meeting( eg more use of PFI, weight management for employees, and  a ceiling of clinical and care priorities, as only a few examples) and the Minute of that meeting calls for 'updates at appropriate milestones', why is the full plan not now on the agenda for the Health Select meeting on 10 January, 15 working days after its publication?

 

Ultimately the item hasn’t appeared on the agenda because it was not requested by a member of the committee (as is provided for under the Constitution). However, there will now be an opportunity to discuss the Emergent STP under Urgent Items.

 

Subsequent question asked at the meeting included:

 

  • What will happen to the surpluses?
  • How had the £50M gap in SC funding come about and how will it be distributed?
  • How will the projected savings be distributed across the five priorities?
  • What does “capitalising on the collective estate” mean?
  • Please explain the “clusterisation” of GP surgeries further.
  • Please provide further detail on how 7-day working will be achieved within the  ...  view the full minutes text for item 6.

7.

Wiltshire Health & Care (Adult Community Health Care Service)

Officers will attend the meeting to provide an overview on delivery of the service since its commencement in July 2016.

 

Minutes:

At the time of the agenda publication  it had expected a written update on the delivery of the Wiltshire Health and Care community services since it commenced in July to follow. Unfortunately it was subsequently confirmed that a full update could not be provided for thw meeting, but would instead be brought to the Committee’s next meeting on 7th March. This will also allow officers to provide some information on the plans for the Adult Community Services for 2017 to 2018.

 

8.

NHS Health Check Evaluation

To update the Health Select Committee on the NHS Health Checks Programme Evaluation currently underway in Wiltshire.

Supporting documents:

Minutes:

The meeting received the report which provided an update on the NHS Health Checks Programme Evaluation currently underway in Wiltshire.

 

Issues discussed included: that the committee had received a report on the matter in January 2016; that further evaluation of the data was required; and that further reports would presented.

 

Resolved

 

To receive the final evaluation report on the NHS Health Checks project at the next meeting on 7th March 2017.

 

 

9.

Wiltshire Domestic Abuse Support Services Procurement

To consider an update paper, to be circulated, on domestic abuse for, including the recent OFSTED inspection, and the process for the procurement of support services.

Supporting documents:

Minutes:

The meeting received the report which provided an overview of the domestic abuse reduction agenda in Wiltshire and current developments.

 

Issues discussed included: the procurement exercise being undertaken; the prevalence of the problem in different parts of the community; and that further information could be provided to the Committee.

 

Resolved

 

1.     To note the overview of the domestic abuse reduction agenda in Wiltshire provided and that, following completion of needs assessment, work to procure a new integrated service model to tackle domestic abuse will commence in Spring 2017 with the intention to award the contract by end of May 2017.

 

2.     To receive the findings of the Domestic Abuse needs assessment once completed including any available demographic breakdown of those involved.

 

3.     To receive an update on the procurement of the new integrated service model at a later date.

 

10.

Final Report of the Better Care Plan Task Group

To present the findings and recommendations of the task group for endorsement and referral to the relevant decision makers. Report to be circulated.

 

Supporting documents:

Minutes:

The Chairman invited Councillor John Walsh to present the final report of the Better Care Plan Task Group which detailed the findings and recommendations of the task group for endorsement and referral to the relevant decision makers. In giving his presentation, Cllr Walsh praised the hard work of the members and officers who supported the work of the group.

 

Councillor Gordon King asked that the an assessment of the innovation taking place across Wiltshire’s health and care system be recommended to form part of the work of the new Health Select Committee formed following the next election. This proposal was accepted into the subsequent recommendation.

 

Resolved

 

1.         To endorse the Final Report of the Better Care Plan Task Group, including recommendations 1 to 9, which are referred to the Health Select Committee itself and include suggestions for future scrutiny work under Recommendations 7, 8 and 9.

 

2.         To refer recommendations 10 to 12 to the relevant parties for response.

 

3.         To recommend an assessment of the innovation taking place across Wiltshire’s health and care system as a legacy topic for consideration by Overview and Scrutiny under the 2017-21 Council.

 

11.

Care Home Tender Contract Awards

To consider an update on the following item, due to be considered at Cabinet in February 2017:

 

Care Home Tender - Contract Awards

To agree contract awards for providers of: block contracts nursing home beds, framework contracts nursing home beds, framework contracts residential home beds, intermediate care contracts block beds.

Supporting documents:

Minutes:

The meeting considered the report the informed the Committee that the Council has recently tendered for contracts for care home beds (both residential care and care with nursing) for older people, and that tenders were being evaluated and the decision to award contracts will be made by Cabinet at its meeting on 13th February 2017.

 

Resolved

 

To note that the Council has recently tendered for contracts for care home beds (both residential care and care with nursing) for older people. Tenders are being evaluated and the decision to award contracts will be made by Cabinet at its meeting on 13th February 2017.

 

12.

Dorset and Wiltshire Vascular Network - update

To provide an update following changes in 2013 following recommendations from the Vascular Society of Great Britain and Ireland (VSGBI) POVS12[1] report in which they set out the need for hospitals to collaborate.

Supporting documents:

Minutes:

The Chairman drew the meeting’s attention to the update on the Dorset and Wiltshire Vascular Network. The Chairman had decided, following a telephone briefing on the content in December from officer, that he wanted to see if members had questions or concerns before asking the relevant colleagues to travel up from Bournemouth to present a report.

 

The Committee felt generally that further information regarding the outcomes for those with longer-term sickness, but that it was not necessary for the officers to attend, in person, a future meeting of the Committee.

 

Resolved

 

To note the update.

 

 

 

 

13.

Task Group Update

To receive updates on Health Select Committee Task Group.

Minutes:

The meeting considered the update on the work of the Task Groups noting that there were two active task groups: Better Care Plan, which had presented its final report; and Obesity and Child Poverty, which has concluded its work with the final executive response having been received by Children’s Select Committee in December.

 

Resolved

 

To note the update on task group activity provided

14.

Forward Work Programme

The Committee is asked to consider the work programme.

Supporting documents:

Minutes:

The forward work programme was noted.

15.

Urgent Items

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

Supporting documents:

Minutes:

There were no additional urgent items.

16.

Date of Next Meeting

7 March 2017.

Minutes:

The meeting noted that the next meeting would be held at 10.30am, Tuesday 7th March 2017.