Meeting documents

Mr Reed took nominations for Chairman. Mrs Aston nominated Mrs Macpherson as Chairman and Mr Roberts seconded the nomination. Mrs Macpherson was duly elected as Chairman. No other nominations were made.

The Chairman appointed Mr Reed as Vice Chairman; no other nominations were made by the committee.

The Committee must agree annually the voting rights of District Members of the Committee.

In line with the Council’s constitution (page 58), the committee formally agreed the annual voting rights of district co-optees.

Apologies were received from Mr Hayday, Mrs Blake, Mrs Matthews.

Changes to membership: Mrs Davies has come off the committee and Julia Wassell has joined the committee.

Mrs Aston declared her interest in future topics as a trustee of Carers Bucks and for Public Health related topics as Deputy Cabinet Member for Communities and Public Health.

Julia Wassell highlighted that her interests are registered.

To confirm the minutes of the meeting held on the 28^th April 2015 as a correct record.

Minutes of the meeting held on 28^th April 2015 were agreed as a correct record subject to minor amendments:

1.    Mrs not Ms Jean Teesdale

2.    Item 6. To add B Adams as a member of his PPG.

3.    Item 9. First action – typo circulate, not circulates.

This is an opportunity for members of the public to put a question or raise an issue of concern, related to health.   Where possible, the relevant organisation to which the question/issue is directed will be present to give a verbal response.  The member of public will be invited to speak for up to four minutes on their issue.  A maximum of 30 minutes is set aside for the Public Questions slot in total (including responses and any Committee discussion). This may be extended with the Chairman’s discretion. 

For full guidance on Public Questions, including how to register a request to speak during this slot, please follow this link:

http://www.buckscc.gov.uk/about-your-council/scrutiny/getting-involved/

The Chairman has received one public question.

The question is as follows:

"What plans does Bucks NHS have for the Marlow Cottage Hospital, in reports that management are looking to either close down the hospital or scale down the facilities"?

The Chairman reminded the committee of the public question guidance. The guidance has recently been updated and can be found at on the website in the agenda pack. Committee members and the public were reminded that public questions should relate to a specific issue of public interest and ideally to a topic being covered on the committee work programme (although not exclusively), they should not be used for general information gathering.

Where information specific to external bodies is required, members of the public should where appropriate, go directly to the external body in the first instance for general information requests.

The Chairman does not want to discourage public questions, but wants to make sure that information requests are dealt with in the most appropriate way.

The Chairman received one public question and requested a written response from the Clinical Commissioning Group and Buckinghamshire Healthcare Trust.

This question however, is an example of further information being gathered that should have been directed to the external bodies concerned and not through the committee in the first instance.

The question received by a member of public was:

"What plans does Bucks NHS have for the Marlow Cottage Hospital, in reports that management are looking to either close down the hospital or scale down the facilities"?

The written response received from Buckinghamshire Healthcare Trust and the Clinical Commissioning Group was as follows:

"We are very proud of the service offered by Marlow Community Hospital and we know that it is an important facility for local people. A range of services are provided from the site including x-ray, a number of clinics, an inpatient ward and it is the base for one of the adult community healthcare teams (providing nursing and therapy care to patients across the community and in patients’ own homes).

We have not made, or announced, any changes to the services provided at Marlow Hospital. Our strategy for the next five years is to support even more patients in a community setting and this is a real priority for us going forward to ensure patients are seen in a place most appropriate for the care or treatment they require. This approach is consistent with NHS England’s own five year forward view. We continue to work across primary, secondary, community, mental health and social care to transform the way we work and to make this a reality. We will continue to work with staff, patients and local communities to discuss and involve them in these developments".

Action: For Committee Advisor to arrange for publicity of the public question guidance to raise awareness about the process and promote the guidance document.

The Chairman updated the committee on:

·         The meeting she and Mr Reed had with the CQC.

·         The Regional Health Scrutiny Chairman’s network event Bucks are hosting on 7^th July.

·         The evidence gathering schedule for the 15 min visits Inquiry. The dates set are the 4^th June (audit of care plans), throughout June for visits, 2^nd July (for the final evidence session) and 4^th August (for a special committee meeting to agree the draft report before going to Cabinet in September).

There were no committee updates.

For Members to receive overview information from the service providers on the range of Adult Mental Health services across the County. This will include services available, data, key priorities and plans for the future. This item will provide members with the information they require to highlight future areas of focus.

Attendees: Yvonne Taylor, Chief Operating Officer, Oxford Health

Rob Bale, Clinical Director, Oxford Health

Jo Breen, Service Manager Older People, Oxford Health

Mr Rob Bale gave a presentation to the committee on Adult Mental Health conditions and services delivered in Buckinghamshire by Oxfordshire Health Trust. Mrs Jo Breen gave a presentation on the conditions and services for Older Adults.

For full details see committee papers and the webcast.

Following the presentations Members asked questions on the following points:

·         The success and impact of mental health awareness week in raising awareness and removing the stigma attached to mental health conditions.

·         The prevalence of mental health conditions locally, and the services available for treating these.

·         How mental health services are working with major employers to address mental health conditions such as stress, depression and anxiety. The extent to which there are services to help people remain in work/support people back to work such as Increasing Access to Psychological Therapy Services, Connexions services etc. but there is still a lot more proactive preventative work that could be done, there are no specific programmes for interventions.

·         Outcomes based commissioning approach and how success against outcomes is measured. Data collection to measure success of services.

·         Integrated working with public health, and other partners.

·         The improved access to mental health services through 7 day service delivery. Move towards large locality teams to cover the hours, and more effective use of electronic communication and health records to ensure a seamless pathway for service users.

·         Staffing, staff morale and the integrations agenda. Members were reassured that staff morale has improved greatly following a low turn after the integrated approach came in and staff now feel that the move to more integrated cluster care packages was the right thing to do moving away from assertive outreach teams.

·         Access to services, the numbers of people who are treated out of area.

·         Waiting times for appointments and benchmarking against national waiting times.

·         Service provision for older adults mental health conditions was also covered, considering the specific needs of older people ( over 65), and the prevalence of dementia and complexity of other factors such as frailty, physical health conditions etc.

Actions arising:

1.    Oxford Health to provide data on the number of community treatment orders in Bucks.

2.    Oxford Health agreed to provide details on the number of people who had been sent out of county for acute mental healthcare.

For full details of the discussions please see the webcast.

For Members to be provided with a status update from the new provider and service changes planned.

Attendees: Pauline Scully, Service Director and Michelle Kukielka, Barnardos.

The committee received an overview presentation from Pauline Skully and Michelle Kukielka on the key service priorities and key changes to the service having successfully been retendered the contract for children’s mental health services.

For full details see the webcast and committee papers.

The following areas were covered through the questions and discussion:

·         Key aspects of the Oxford Health approach to Children’s Mental Health Services.

·         The shape of the new service and how it is distinct from the current one (service improvements). The move towards a partnership model with Barnados, bringing a combination of Barnardos expertise in engagement with young people and the clinical expertise of Oxford Health.

·         Access to services and engagement with young people - Barnados Buddy programme and the improvements this offers to engage young people in intervention programmes and continue accessing services longer term where needed.

·         Improvements to looked after children services and referral process.

Members were informed of the timescales of the new service. The provider is currently in a 6 month implementation phase having recently won the contract. Oxford Health has offered to come back to the committee in 6 -12 months’ time to provide a more detailed update on how the new service is performing and the improvements seen.

Action: Kama Wager to add update to the committee work programme.

***NOTE: At this point a fire alarm went off and the meeting was closed due to the time and the time the building will be vacated***.

ACTION: All Committee Members: Members are asked to send any questions they would like to ask of CAMHs at this stage to Kama Wager who will forward them to Oxford Health who will provide written responses. Any questions and their response will be published in the final minutes of the meeting.

For members to review the Business Unit plan for the Communities, Health and Adult Social Care Business Unit. They will consider the key priorities and challenges for the year ahead and have an opportunity to highlight possible areas of focus for the Committee.

Business Unit Plan can be found online at:

Data/BCC Health and Adult Social Care Select Committee/201505261000/Agenda/httpsdemocracy - buckscc - gov - ukdocumentss56765Agreed%20ACH%20CHASC%20Business%20Unit%20.pdf

Attendees: Trevor Boyd, Managing Director.

This item was deferred due to the meeting being closed early as there was a fire alarm.

The item will be scheduled for a future committee meeting.

For Members to consider the committee work programme and agree future committee items.

This item was deferred due to the fire alarm causing the meeting to close early.

ACTION: ALL Committee Members – To send any comments on the work programme to Kama Wager.

The next committee meeting will be held on 30^th June at 10:00 in the Mezzanine Room 2.

The next meeting will be held on the 30^th June at 10:00 in the Mezzanine Room 2.