Agenda and minutes

The Chair drew the meeting’s attention to the allocation of £15,978,000 from central government to Wiltshire CCG for the Trowbridge Integrated Care Centre. The money would support dedicated staff through the redevelopment and modernisation of buildings and allow for the launch of additional services.

To receive any apologies or substitutions for the meeting.

Apologies were received from Cllr Jerry Wickham, Dr Andrew Girdher, Dr Carlton Brand, Dr Catrinel Wright, Dr Gareth Bryant, James Scott, Christine Blanshard, Andy Hyett and Terence Herbert.

Nerissa Vaughan was substituted by Leighton Day and CC Kier Pritchard was substituted by ACC Craig Holden.

To confirm the minutes of the meeting held on 17^th October 2018.

The minutes of the previous meeting held on 17^th October 2018, previously circulated, were considered.

Resolved

To approve the meeting as correct.

To declare any personal or prejudicial interests or dispensations granted by the Standards Committee.

There were no declarations of interest.

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 Friday 7^th December 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 onTuesday 11^th December 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 questions from the public.

To receive a presentation on the progress being made in tackling winter pressures.

Presenter: Jo Cullen

Jo Cullen gave a presentation on the progress being made in tackling winter pressures across the health services in Wiltshire.

Matters raised during the presentation and discussion included: whole system engagement in the process; the timescale and success of the 1^st, 2^nd and 3^rd submissions; risk assessments of the winter plans of system providers; the use of weekly South System Senior Decision Makers meeting/calls; an overview of current Salisbury Foundation Trust (SFT), Bath Royal United Hospital (RUH) and Swindon Great Western Hospital (GWH) performance; the Bath and North East Somerset, Swindon and Wiltshire (BSW) 111 Festive Activity Forecast; the South Western Ambulance Service (SWAST) predictions in regards to Wiltshire activity; ambulance activity and conveyance; ensuring paramedics have direct access to Clinical Assessment Service (CAS); primary care plans and in particular working with GPs; Wiltshire Council ASC Winter Funding; the South Wiltshire Community Review and emergency care intensive support team (ECIST) support and flu preparations and in particular vaccination uptake, the Communications Plan and workforce availability and sickness.

In answer to a question from the Chair, it was noted that GWH was more prepared than previous years and extensive work had been done to mitigate the risks associated with the festive period. It was agreed that more work needs to be done across the Board to engage the public in what it can do to help reduce demand in the winter months.

It was noted that work was being done at GWH to dedicate pharmacists to certain wards. In communities, the challenge lies in making sure pharmacies are open in the evenings during the holidays and work was being done to mitigate this.

In response to a question from the Board, it was noted that demand in mental health services typically reduces over the holiday period and increases in the early weeks of January. It was also noted that work was being done in regards to bed configuration and out of areas, and that Medvivo are to look at how the mental health pathway operates and how services can be better integrated.

Resolved

To note the progress to date.

To note that the next meeting is due to be held on Thursday 24^th January 2018 at 10am.

The next meeting is due to be held on Thursday 7^th February 2019 at 9.30am.

Any other items of business which, in the opinion of the Chairman, should be

taken as a matter of urgency.

There were no urgent items.