Agenda and minutes

To receive any apologies or substitutions for the meeting.

Apologies were received from Cllrs Christine Crisp and Graham Wright.

To approve and sign the minutes of the meeting held on 5 March 2019.

Resolution

The minutes of the previous meeting held on 5 March were approved.

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

There were no declarations of interest.

To note any announcements through the Chairman, including:

Wiltshire strategy for sexual health and blood borne virus (BBV)

In 2018, the committee considered the Wiltshire strategy for sexual health and blood borne virus.   The Health and Wellbeing Board received an update report in January 2019.   This report was to be appended to the minutes of this meeting for ease of reference.

The Public Health Team was to provide an update on delivery to Committee and Board in June 2019.

Places of safety

An evaluation report was being produced on four options that was to be assessed by a clinical panel against criteria of; quality, environment, workforce, travel and cost effectiveness.   The evaluation report was to be presented to Health and Overview Scrutiny Committees and Governing Bodies when finalised.

The temporary Health Based Places of Safety changes, was to remain in place until a final decision had been made by NHS England, following recommendations by Swindon CCG and Wiltshire CCG.

An Outstanding rating for Turning Point IMPACT

Turning Point IMPACT had been rated ‘Outstanding’ by the Care Quality Commission.   It was rated ‘Good’ for being safe and effective following an inspection in February 2018.

Following the Government’s announcement in June 2018 that its care and support green paper would be further delayed until the autumn, the LGA published “The lives we want to lead” in July 2018, its own green paper for adult social care and wellbeing.

The LGA report will be considered by the Health Select Committee alongside the government’s green paper when it is published but it is brought to members’ attention now, for information.

Information on the work undertaken by the LGA to write the report, as well as the report itself can be accessed on the LGA website at: https://futureofadultsocialcare.co.uk/

Following the Government announcement that the care and support green paper was to be delayed, the Local Government Association published “The lives we want to lead” in July 2018, setting out its preferred approach to adult social care and wellbeing services.

The Local Government Association report was brought to the attention of the committee and was to be considered by the committee alongside the Government’s green paper, when the green paper is published.

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 23 April 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 26 April. 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 members of the public present.

As agreed at the meeting on 5 March 2019 the forward work programme for the committee has been brought forward on the agenda.

The Committee is invited to consider the work programme and to take into consideration the items already listed on it when making recommendations throughout this meeting.

The Chair was reminded the committee that it was agreed at the meeting on 5 March 2019 that the forward work programme would be considered at the start of the meeting and returned to at the close of the meeting.

The committee was invited to consider the work programme and to take it into consideration when making recommendations on the future work of the committee.

The impact of the delay in the Government’s Green Paper was noted as pushing this, item scheduled for June 2019, further back in the year.

Alzheimer’s and Dementia

The Chair outlined last year’s national public information campaign on Dementia, “Fix Dementia Care”, and stated that the Alzheimer’s Society welcomed a review of best-practice across Wiltshire.

The Chair proposed that the Cabinet Member and representatives of the Alzheimer’s Society and Alzheimer Support be invited to committee on 3 September 2019.   These presentations would inform the committee’s decision as to establishing a task group on this topic.

The debate that followed covered terminology, other campaigns, the scale of the issue and the sense that services are not as integrated as they ought to be.   A clear remit to the committee’s work on this topic was urged and articulated as being; a review of current strategy, gathering evidence on change and a formulation of response to that change.

Resolution

The committee agreed to invite the Cabinet Member and representatives of the Alzheimer’s Society and Alzheimer Support be invited to committee on 3 September 2019 to present on their respective current and recent work and activities, related to Dementia, taking place in Wiltshire.

The Health and Wellbeing Board considered the attached report at its meeting on 21 March 2019 (minutes can be accessed here).

The committee will receive a further verbal update from Jo Cullen, Director of Primary and Urgent Care, Group Director West Wiltshire, Wiltshire CCG, on the first year of Integrated Urgent Care and Emma Legg, Director Access ? Reablement, Adult Care Operations - Access and Reablement, Wiltshire Council.

Jo Cullen, Wiltshire Care Commissioning Group, talked through a presentation on Winter Pressures.

The debate that followed addressed; the integration of pharmacy services, the additional central government funding of £4.5m made in 2019-20, and the likelihood of it being repeated in 2020-21, ambulance services and representation on South West Ambulance Service board and the relationship of Emergency Department’s to the system as a whole. 

Resolved

The committee noted the presentation on Winter Pressures.

It was resolved that the committee would request a report from SWAST on their performance for the past year for June 20^th meeting.

To receive a verbal update from Jo Cullen Director of Primary and Urgent Care, Group Director West Wiltshire, Wiltshire CCG, on the Primary Care Networks / Integrated Neighbourhood Teams which are being developed across Wiltshire.

Formed around natural communities or neighbourhoods, based on GP registered lists (30,000 to 50,000 population) and involving primary care/community providers including general practice, community pharmacy and community health, mental health, social care services and voluntary sector, these are part of GP Contract changes in 2019/20.

Sarah MacLennan, Associate Director, Communications and Engagement, Care Commissioning Group talked to a set of slides and a video on this topic.

The debate that followed explored the motivations and benefits for each stakeholder to engage a networked approach, the inclusion of smaller service providers and how smaller providers can be included in a networked approach.

Resolution

The committee noted the presentation on Primary Care Networks and requested an update to the committee upon completion, including engagement with voluntary sector to be involved with the network to ensure a holistic approach.

To receive a verbal update from Jo Cullen Director of Primary and Urgent Care, Group Director West Wiltshire, Wiltshire CCG, on the first year of Integrated Urgent Care.

Liz Rugg, Managing Director Medvivo, talked through the Integration of Urgent Care as managed by Medvivo.

The presentation prompted questions on referral systems and record management systems.

Resolution

The committee noted the presentation on the Integration of Urgent Care and would welcome a further performance update either on a yearly basis or when significant changes occurred (i.e. additional duties, etc.).

In late December 2018 NHS Wiltshire CCG successfully bid for some monies from NHS England to support the establishment of a Citizen’s Panel across the BANES, Sindon and Wiltshire health and care system. 

A Citizens' Panel aims to be a representative, consultative body of local residents. They are typically used by statutory agencies, particularly local authorities and their partners, to identify local priorities and to consult service users and non-users on specific issues.

To receive a verbal update from Sarah MacLennan, Associate Director of Communications & Engagement, CCG, on the aims of the Citizen’s Panel, how it will support the health and care work across BANES, Swindon and Wiltshire and on progress and process in getting the panel established.

Sarah MacLennan, Associate Director, Communications and Engagement, Care Commissioning Group talked through a short paper on Citizen’s Panels.

The panel was to be established to gain insight into how people access services and it was hoped it would be established by the Autumn.

The debate that followed explored questions of representation and whether the panel would be representative of the population or of service users.

Resolved

The committee noted the establishment of a Citizen’s Panel and requested that clarification be sent of the criteria that would be used to select members of the panel.

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.

Cllr Gordon King updated the committee on the creation of a new, Executive Senior Team that will link the work of the three Care Commissioning Groups (Bath and North East Somerset, Swindon and Wiltshire) and was to be led by Tracy Cox, Chief Executive, Bath and North East Somerset, Swindon and Wiltshire Care Commissioning Groups.

Resolved

The committee noted the update.

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

There were no urgent items.

Taking into accounts the recommendations and decisions made during this meeting the committee is invited to review the items on its forward work programme for its next meeting (25 June 2019).

Resolved

The committee noted the updated forward plan.

To confirm the date of the next meeting as Tuesday 25 June 2019 (10.30am).

The date of the next meeting is 25 June 2019.