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Agenda and minutes

Venue: Kennet Room - County Hall, Bythesea Road, Trowbridge, BA14 8JN. View directions

Contact: Roger Bishton  (Senior Democratic Services Officer)

Media

Items
No. Item

64.

Apologies

To receive details of any apologies or substitutions for the meeting.

Additional documents:

Minutes:

There were no apologies.

65.

Minutes of the Previous Meeting

To approve and sign the minutes of the meeting held on 11 July 2018.

Supporting documents:

Minutes:

The minutes for the meeting held on the 11 July 2018 were presented.

 

 Resolved:

 

 To approve and sign the minutes of the previous meeting of the Select Committee held on 11 July 2018.

66.

Declarations of Interest

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

Additional documents:

Minutes:

There were no declarations of interest.

67.

Chairman's Announcements

To note any announcements through the Chairman, including:

Additional documents:

Minutes:

The Chairman to the opportunity to welcomeStacey Plumb, Interim Manager and temporary representative on the committee for Health Watch

 

 

Changes to Ailesbury Ward at Savernake Community Hospital

 

There is a proposal to change the way inpatient treatment and support are delivered on Ailesbury Ward at Savernake Community Hospital. 

All members of the committee will receive further information on this by email and there are 2 opportunities to get involved:

 

Monday 10 to Wednesday 19 September 2018 - the proposed changes will be on a display in the foyer of Savernake Community Hospital

 

Wednesday 12 September at 6pm - an open invitation for anyone with an interest in Ailesbury Ward to attend an open forum meeting at Savernake Community Hospital to talk to senior members of staff and ask any questions.

67a

Carers strategy implementation

Councillors may recall this information from Briefing Note 363.

 

The Carers in Wiltshire Joint Strategy 2017/22 builds on the substantial progress made since the publication of the Joint Wiltshire Carers’ Strategy in 2012.

 

The strategy was launched by the Wiltshire Carers’ Action Group in March 2018 following approval by councillors at a full meeting of Wiltshire Council in February 2018.

 

The first annual carers’ strategy implementation report has now been published and can be accessed here.

Additional documents:

Minutes:

Carers Strategy Implementation

 

The Carers in Wiltshire Joint Strategy 2017/22 built on the progress made since the publication of the Joint Wiltshire Carers’ Strategy in 2012.

 

The strategy was launched by the Wiltshire Carers’ Action Group in March 2018 following approval by councillors at a full meeting of Wiltshire Council in February 2018.

 

The first annual carers’ strategy implementation report had been published and could be accessed using the link provided in the agenda.

67b

Health improvements briefing - 27 September 2018 (2-4pm)

Additional documents:

Minutes:

Health Improvements Briefing – 27 September 2018

 

As part of the Rapid Scrutiny exercise on the NHS Health Checks it was resolved at the meeting on the 11 July 2018 to organise an information session on the work undertaken by Health Trainers, for members and substitutes of the Health Select Committee (with an open invitation to all Wiltshire Councillors).

 

The session had been organised for Thursday 27 September 2018 in the Council Chamber from 2pm to 4pm where the Public Health team will take the opportunity to inform members of the work they do beyond the Health Trainers.

67c

Councillor workshop - Making scrutiny meetings effective – 10 October 2018

Additional documents:

Minutes:

Councillor workshop - Making scrutiny meetings effective – 10 October 2018

 

An event for all councillors who have any role in the scrutiny arena which will look at how to ensure scrutiny meetings of any kind have maximum impact. This includes effective agenda setting, preparation, witnesses, chairmanship, debate, resolutions and tracking actions.

 

This was identified by scrutiny councillors as the most important topic to address in the council’s four-year Overview and Scrutiny (OS) Learning & Development Programme.

 

Through a combination of exercises and group discussion, attendees will be asked to discuss and examine

  • what an effective OS meeting is
  • what are the ingredients of an effective OS meeting
  • what are everyone’s responsibilities in terms of delivering those ingredients
  • in Wiltshire, what is and isn’t working well, and how can we continue to improve?

 

The results of the day’s discussions will then be presented to the OS Management Committee to consider.

 

67d

Maternity Transformation Programme - rapid scrutiny

Additional documents:

Minutes:

Maternity Transformation Programme - rapid scrutiny

 

At the meeting on 11 July 2018 it was agreed to set up a Rapid Scrutiny joint with Swindon and BANES to look at the proposals following consultation on the Maternity Transformation Programme.

 

It was originally planned for the end of October but alternative dates were being looked at including the 7, 9 or 12 November to hold the exercise.

 

Members of this committee can still express an interest if they would like to take part.

68.

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 4 September 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 6 September. 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.

Additional documents:

Minutes:

There were no members of the public present.

69.

Relocation of Head and Neck Cancer Rehabilitation Services from Oxford to Swindon - update

To receive an update on the Relocation of Head and Neck Cancer Rehabilitation Services from Oxford to Swindon.

Additional documents:

Minutes:

Anya Sitaram, Senior Communications and Engagement Manager, NHS England South West North, and Nick Crowson-Towers, a survivor of head and neck cancer and Patient Lead for “Care closer to Home project”, gave an update on the relocation services.

 

It was noted that by relocating the services patients would benefit in a variety of ways.

 

In response to a question, it was confirmed that Wiltshire patients who were currently referred to  GWH for head and neck cancer diagnosis would attend GWH for rehabilitation post treatment at Oxford University Hospitals.

 

Patients residing in Salisbury were usually referred to Southampton for diagnosis and treatment and would continue to receive follow up care in Southampton. Similarly, patients living in Wiltshire who were referred to RUH in Bath for diagnosis and treatment would receive follow up at RUH.

 

The new pilot covered patients living in Swindon and parts of Wiltshire.

 

 

 

Head_Neck_Cancer_rehabilitation

Supporting documents:

70.

Adult Social Care - update on the implementation of the transformation programme

To receive an update on the implementation of the Adult Social Care transformation programme. Report to follow.

Supporting documents:

Minutes:

Cllr Jerry Wickham, Cabinet Member for Adult Social Care, Public Health and Public Protection, and Carlton Brand, Corporate Director of Communication, Transport and Resources, gavean update on the implementation of the Adult Social Care transformation programme.

 

It has been identified that there was a need to deliver more savings across the social care service and that more work would need be done to recruit and retain staff.

 

It was noted that Carlton Brand had taken over the responsibilities for adult social care and was keen to carry on driving the transformation programme forward. Since the transformation programme went live, just under £1 million had been saved. Other recent successes included: the first three Local Area Coordinators starting in September and the Help to Live at Home programme recently going live.

 

In response to a question, it was agreed that performance data could be brought to the committee on a quarterly basis, following work with partners to produce metrics to measure the data.

 

In response to a question regarding recruitment and retention challenges, it was explained that the management within the service area was being looked at in terms of selection, management, growth and retention. Nationally there was a skills shortage in the adult social care sector and the transformation programme had a dedicated section for recruitment and tackling the issue in Wiltshire.

 

A fundamental part of the programme and service area was to build and nurture relationship with partners and communities. Health and Wellbeing Boards linked to Area Boards played an important role in helping to understand local communities and their needs.

 

It was noted that it was a complex programme working with many partners whose objectives did not always align, which could impact on the success of the delivery of the programme. The partnerships would need to be nurtured, monitored and frequent communication maintained, to ensure the programme was successful.

 

The committee considered the issue of recognition and sustainable support for carers and the need to ensure carers had a clear picture of the support that is available to them.

 

At the end it was;

 

Resolved

 

To note the report and to receive (quarterly) performance score card at committee meetings to monitor the delivery of the Adult Social Care Transformation Programme.

To receive an update at the next meeting on creating a list (or clear picture) of help and support available for carers.

71.

Maternity Transformation – Communications and Engagement plan

To receive an update from the CCG on the communications and engagement plan with regards to the Maternity Transformation Programme.

 

The committee is asked to approve (1) the approach to consultation and (2) the communications strategy.

Supporting documents:

Minutes:

Sarah MacLennan, CCG, gave an update on the Maternity Transformation programme noting that there had been a high amount of feedback received on the consultation, including consultation with military families. The communication plan was available in the report included in the agenda as well as the commitments outlined.

 

At the end it was;

 

Resolved

 

To approve the approach to consultation and the communications strategy.

72.

Local area coordinators - update

To receive an overview of Local Area Coordination in Wiltshire, including current and future developments.

Supporting documents:

Minutes:

Cllr Jerry Wickham and Victoria Lofts, Public Health Specialist Nurse,

Public Health Wiltshire, gave an update on the Local Area Coordinators.

 

It was noted that the first three community coordinators had started in the Westbury, Trowbridge and Melksham area. Having gained partner approval, the role would be expanded into 6 more areas and it was hoped that the coordinators would be in post early next year.

 

Their role was key to the prevention of issues and aimed at protecting the most vulnerable in deprived areas. Currently the quality of life was unequal and varied between those in affluent areas and those in deprived areas. The programme had been very successful in other parts of the country.

 

Due to the nature of the role, the recruitment process included both professionals and community members which was a recruitment model now considered by the Council’s HR department for other community oriented roles.

 

Universities had been contacted and invited help to analyse and evident the outcomes of the roles.

 

A number of questions were asked on issues including: integration with other services; the need to monitor the wellbeing of the officers and delimitations of the designated areas.

 

In response it was noted that the coordinators would not be taking referrals, their role was about building relationships with professionals and communities. Discussions were underway to stop any duplication in services. The welfare of the officers would be monitored and that it was not the role of the coordinators to manage care plans and that software would be developed to show local area coordinators designated areas.

 

At the end it was;

 

Resolved

 

To note the report and endorse the proposed actions for implementation.

To support the local area coordinators once in post, the programme and the new way of working.

 

 

 

 

73.

Rapid Scrutiny - NHS Health Checks - executive response

To receive the response from the Cabinet Member for Adult Social Care, Public Health and Public Protection to the Final Report of the NHS Health Checks Rapid Scrutiny which was endorsed by the Health Select Committee at its meeting on 11 July 2018.

Supporting documents:

Minutes:

The committee welcomed the Cabinet Member’s response to the report of the Rapid Scrutiny on NHS Health Checks and noted that 9 out of the 13 recommendations within the report had been accepted , with 2 being amended and only 2 being refused and reasons provided for this.

 

At the end it was;

 

Resolved

 

To note the Executive Response and to receive an update on the implementation of the accepted and amended resolutions after May 2019.

74.

Food Standard Agency

The Food Standards Agency (FSA) is a non-ministerial government department responsible for protecting public health and consumers in relation to food in England, Wales and Northern Ireland.

 

This report seeks to inform the committee of the FSA’s scrutiny of Wiltshire Council and highlights the associated risks.

 

The committee is asked to note this report and support the approach outlined to address the concerns raised by the FSA.

In addition, the Cabinet Member for Adult Social Care, Public Health and Public Protection, gives an undertaking that a progress report will be made available to the committee in 6 months’ time.

 

Supporting documents:

Minutes:

Cllr Jerry Wickham and John Carter, Head of Public Protection, presented the report which was included in the agenda pack.

 

It was noted that the report gave an outline of the rating of the food premises in Wiltshire and highlighted capacity issues for inspections of category E premises and that to address those issues the service would need an extra 5 full time equivalent employees, which would need to be assessed in terms of best use of council’s resources.

 

At the end it was;

 

Resolved

To note this report and support the approach outlined to address the concerns raised by the FSA.

To receive a progress report in 6 months (5 March 2019) to include comparative data measuring performance against comparative local authorites.

 

75.

CQC - action plan update

To receive an update on the Health and Social Care action plan following the CQC review process.  The report provides an overview of activity undertaken to date, and includes the updated action plan. Report to follow.

Supporting documents:

Minutes:

Cllr Jerry Wickham and Carlton Brand gave an update on the Health and Social Care action plan following the CQC review process. The report provided an overview of activity undertaken to date, and included an updated action plan.

 

The committee were informed that the inspection was looking at the whole health and social system and not just Wiltshire Council. The inspection had been well lead and structured. The action plan for improvement would be implemented over the next 6 months, bearing in mind that there were likely to be changes to the CCG’s which could have an impact on the action plan.

 

At the end it was;

 

Resolved

 

To request updates to the Health Select Committee at future meetings, focusing on actions that have been or should have been completed in the time period between committee meetings.

76.

Task Group Update

Written updates on Health Select Committee Task Group activity are attached.

Supporting documents:

Minutes:

The task group updates had been included with the agenda pack and no further verbal update was given.

77.

Forward Work Programme

The Committee is asked to consider the work programme.

Supporting documents:

Minutes:

The forward work programme for the committee was noted.

78.

Urgent Items

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

Additional documents:

Minutes:

There were no urgent items.

79.

Date of Next Meeting

To confirm the date of the next meeting as 18 December 2018 at 10.30am.

Additional documents:

Minutes:

The date of the next meeting was the 18 December 2018 at 10.30am.

 

 

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