Agenda and minutes

To elect a Chairman for the ensuing year.

Cllr Peter Hutton was elected Chairman for the ensuing year.

To elect a Vice-Chairman for the ensuing year.

Cllr Jane Burton was elected Vice-Chairman for the ensuing year.

i)             To report the membership appointed by the Council (as printed on the front page).

ii)            To request that the Health Select Committee confirm the following as non-voting co-opted members:

Phil Matthews (Wiltshire Involvement Network (WIN)

Linda Griffiths/Dorothy Roberts (Wiltshire & Swindon Users Network (SWUN))

Brian Warwick (Advisor on Social Inclusion for Older People).

Membership of the Committee as appointed by Full Council on 15 May 2012 was noted.  Cllr John Knight, as a new member to the health scrutiny arena, was welcomed.

The following were confirmed as non-voting co-opted members:

Phil Matthews – Wiltshire Involvement Network (WIN)

Linda Griffiths/Dorothy Roberts – Wiltshire and Swindon Users Network (WSUN)

Brian Warwick – Advisor on Social Inclusion for Older People

Apologies were received from Cllr Jane Burton, Cllr Christine Crisp, Cllr Peter Davis and Cllr Pip Ridout.

Cllr Richard Britton substituted for Cllr Pip Ridout.

Apologies were also given by Maggie Rae, Director of Public Health and Cllr John Thomson, Cabinet member for Adult Social Care.

To receive any declarations of pecuniary and non-pecuniary interests or dispensations granted by the Standards Committee.

No declarations of interest were received.

The Chairman thanked the Committee for voting him in as Chairman and gave thanks to Cllr Mike Hewitt for his good work as Chairman of the previous Health and Adult Social Care Select Committee.  This view was endorsed by several members of the Committee, Phil Matthews from WIN and the Joint Chief Executive of NHS Wiltshire and BANES.  A letter would be sent to Cllr Mike Hewitt thanking him accordingly.

Appointments had now been made to the positions of Senior Scrutiny Officer (Maggie McDonald) and Scrutiny Officer (Teresa Goddard) within the Democratic Services team.  The Chairman welcomed both officers who were in attendance.

Representations from Avon and Wiltshire Mental Health Partnership (AWP), Great Western Hospitals Foundation Trust and the PCT were in attendance.  The Chairman requested that representatives from each briefly introduce themselves for the benefit of the Committee members.  The following information was provided:

AWP

Mike Relph, Interim Chief Executive, confirmed that AWP was one of the largest mental health Trusts in the country covering a population of approximately 1.6m with an annual budget of approximately £160m.

Following the recent resignation of the Chairman it was expected that the successor would be announced later this week.  Once the new Chairman was in place the position of Chief Executive would be recruited.

Clarification was provided that the Board had fallen short of high standards in a number of areas and that active engagement would now take place to ensure the Trust moved forward in the right direction. 

A Primary Care Liaison Service to improve access had been launched in April.  This consisted of two community services available 24 hours a day, seven days a week.  The service had been rolled out in the north and was expected to be available for the rest of the County shortly.

An invitation was extended to members of the Committee wishing to visit one of the AWP sites should a more detailed briefing be required.

GWH Foundation Trust

Simon Cook, who had recently been appointed to the position of Director of Strategy, and Kevin McNamara Head of Marketing and Communication were in attendance.  Both looked forward to attending future meetings of the Committee. 

PCT

Ed McAllister Smith, Chief Executive of NHS Wiltshire and NHS Banes confirmed that the task of the PCT was to finalise its work by close of the financial year and to ensure a smooth transition of roles and responsibilities of service to the successor organisations. 

Prior to April 2013 the PCT would continue to commission and lead services across Wiltshire in addition to assisting the RUH Bath in seeking Foundation Trust status.

Key areas for the PCT at present include delayed transfer of care and safeguarding for children and adults.

Clinical Commissioning Group (CCG)

Debbie Fielding, Interim Accountable Officer introduced herself and confirmed that she was working closely with Ed McAllister Smith in developing future working arrangements post April 2013.  This was an exciting time for the development of community based services.

Portfolio Holder for Adult Social Care

Jemima Milton  ...  view the full minutes text for item 6.

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 above 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 above no later than 5pm on Thursday 5 June 2012.  Please contact the officer named on the first page 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 was no public participation.

i)             To note the terms of reference for the Health Select Committee as agreed by Full Council on 15 May 2012 as follows:

·         Deliver the health and adult social care elements of the overall work programme (as directed by the Management Committee) in line with the articles and overview and scrutiny procedure rules set out in the Constitution including the statutory powers of Health Scrutiny.

·         Membership to include co-opted non-voting stakeholder representatives as appropriate.

·         Report and make recommendations to the Management Committee through its minutes.

·         Establish ad hoc task groups.

·         Six meetings per year will be fixed in the Council diary.

ii)            To receive details of the new arrangements agreed by Council on 15 May in the form of a revised structure chart and summary of improvements and developments.

The Committee were asked to note the terms of reference as provided within the agenda.

Clarification was provided that the revised arrangements would allow a positive opportunity for the Committee to look at the health and wellbeing services for Wiltshire residents.

A significant change from the previous scrutiny arrangements included the implementation of a single work programme which would be managed by the overarching Overview & Scrutiny Management Committee.

All present acknowledged the important role to be undertaken by the Health Select Committee and welcomed the clarification provided on future working arrangements as provided both within the Terms of Reference and summary of improvements and developments.

Resolved:

To note the information provided.

The Health and Adult Social Care Select Committee resolved to establish a non-executive working group (between Wiltshire Council and NHS Wiltshire) to review NHS Continuing Healthcare (CHC) and the Council’s partnership working arrangements for both CHC and joint packages of care.

A report, detailing the work undertaken by the Group, its findings and ensuing recommendations is now attached, together with a joint response to the recommendations proposed from Wiltshire Council and NHS Wiltshire.

The Committee is asked to endorse the recommendations within the report, the response provided and to agree on any further action that may be required.

The CHC Working Group was established under the previous scrutiny structure to review CHC and the Council’s partnership working arrangements for both CHC and joint packages of care.

The Group’s final report together with proposed Action Plan to the recommendations contained within were circulated with the agenda.

The Chairman of the Group, Cllr Peter Colmer, on introducing the item announced that the working group had broken new ground in that it had been established with both members of NHS Wiltshire and Wiltshire Council working jointly together to review arrangements.

Thanks were provided to those involved in the review and specifically those from NHS Wiltshire in assisting the Group in its understanding of the CHC processes.

The Chairman asked the Committee to note that prior to the Group undertaking its work, a review of working arrangements between Wiltshire Council and NHS Wiltshire had already been undertaken which had demonstrated a positive step for future partnership working.

Upon discussion both representatives from NHS Wiltshire and Wiltshire Council expressed their agreement to the benefits of the working group and confirmed that progress was already being made in relation to the recommendations of the Group.

Members of the Committee welcomed the report and the actions arising and acknowledged the benefits of future similar reviews where partnership working was required.

The Chairman of the Committee thanked the Group for the work it had undertaken and proposed that the recommendations contained within the report and attached Action Plan arising be endorsed accordingly.

Resolved:

1)            To thank the CHC Working Group for the work undertaken; and

2)            To endorse the recommendations and joint response proposed, which included that an update on developments made against the Action Plan (inclusive of transitional plans prior to transfer to Clinical Commissioning Group/Commissioning Support Services) be presented to the Committee in January 2013.

The Committee is asked to appoint councillors and substitute members from the Health Select Committee to serve on the GWAS Health Scrutiny Joint Committee.  A report is attached for consideration which also covers the appointment process for any further joint scrutiny committees.

A report containing the process for appointments to joint scrutiny committees was circulated with the agenda.  In considering the report members were asked to confirm appropriate representation to the Great Western Ambulance Service (GWAS) Health Scrutiny Joint Committee.

The Committee noted the process of appointment and representatives were duly appointed to the GWAS Health Scrutiny Joint Committee as follows:

Cllr Chris Caswill

Cllr Peter Colmer

Cllr Christine Chrisp

Substitute members:

Cllr Peter Hutton

Cllr Pip Ridout

A further substitute representative from the Liberal Democratic Group would be confirmed following the meeting.

Resolved:

1)            To note the process for future appointments to joint scrutiny committees and;

2)            To agree the appointments as detailed above to the GWAS Health Scrutiny Joint Committee.

The attached discussion document was presented to the Overview & Scrutiny Management Committee at its first meeting held on 30 May 2012. 

The Committee resolved that each Committee (including the Management Committee) consider key legacy issues and, in consultation with Cabinet and CLT/ELT, develop topics for potential inclusion on the future Overview and Scrutiny Work Programme.

A copy of the outstanding items from the previous Health and Adult Social Care Select Committee is attached for reference.

Since the meeting of the Management Committee, select committee chairs and vice-chairs have been meeting with relevant Cabinet members and senior service officers to start discussion on reviewing/developing potential topics for the new single work programme. In advance of the first meeting of the new Health Select Committee, a preliminary meeting was held on 13 June involving Cllrs Peter Hutton and Jane Burton and Christine Graves – Service Director Strategy and Commissioning to start the process. Unfortunately Cllrs John Thomson and Jemima Milton were unable to attend in the end although they have been subsequently consulted. The outcome of this discussion was to recommend to the Select Committee (and Management Committee):

i)             That legacy should involve the following topics:

                        Dementia Task Group

                        CQC Monitoring Arrangements

                                    Local Safeguarding Adults – Annual Report, Winterbourne Report Update, New arrangements post 1 April 2013

ii)            That the future work programme focuses on the impact of the new Health and Social Care arrangements. The proposal is, rather than hold a formal meeting of the Select Committee in September, this is replaced by a workshop involving Adult Social Care, Health and Public Health to report on latest arrangements and agree where overview and scrutiny should focus its attention in order to add value especially at the commissioning/delivery level.

The Select Committee is asked to agree the above proposals.

The Overview & Scrutiny Management Committee at its meeting held in May, agreed an approach to the development of future work plans.  A copy of the discussion document was circulated with the agenda for consideration.

The approach included that each Select Committee would consider key legacy issues and, in consultation with Cabinet and CLT/ELT, develop topics for potential inclusion on the future Overview & Scrutiny Work Programme.

A preliminary meeting was held on 13 June involving Cllr Peter Hutton, Cllr Jane Burton and Christine Graves (Service Director Strategy and Commissioning).  Apologies were received from Cllr John Thomson and Cllr Jemima Milton.  The outcome of the discussion was highlighted on the agenda.

Members were also asked to note the proposal to hold a workshop in place of the scheduled next meeting on latest arrangements and to agree a focus for the Committee on future priorities.

It was proposed that the workshop include representatives from NHS Wiltshire, Public Health and Adult Social Care to allow members of the Committee a clearer understanding of the changing priorities and resulting impact on the local area and that an invitation be extended to all back-bench members to attend.

Members of the Committee noted the topics identified and acknowledged the benefits of a workshop exercise to assist with future prioritisation.

As part of the Committee’s future deliberations, it was proposed that members may wish to review the recently published ‘Delivering Dignity’ report, a copy of which would be circulated following the meeting.

Resolved:

1)            To note the legacy issues identified; and

2)            To arrange a workshop in September in place of the scheduled next Committee meeting to allow Adult Social Care, Health and Public Health to report on the latest arrangements in relation to Health changes and to agree where overview and scrutiny should focus its attention.

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

None.

See item 11 (ii) above.

See item 11 above.