Meeting documents

Apologies were received from Mr Roger Reed, Mrs Wendy Mathews,

Mrs Patricia Birchley, Mrs Janet Blake, Mr Tom Hunter Watts, Mrs Jean Teesdale,Mr Brian Roberts and Mr Brian Adams.

Mr Andy Huxley substituted for Mr Brian Adams.

The following changes were confirmed:

·         Mr Darren Hayday has resigned from the Committee

There were no interests declared

Minutes of the meetings held on 30^th June 2015 and 11^th August to be confirmed as a correct record

The minutes of the meetings on the 30^th June and 11^th August were agreed as a correct and accurate record. Timings will be added to the last meeting minutes.

Actions arising from 30^th June Meeting

Julia Wassell’s question during Chairman’s update regarding delays to Occupational Therapist assessments of disabilities assessments will be chased for a response.  

Item 8 on the Communities, Health and Adult Social Care Budget, had an action for Trevor Boyd to update the Committee with the outcome of this planning work. Mike Appleyard stated he will update the Chair with the outcome around the base budget work in the next week and added that there might be changes before the budget is agreed in early January.

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/

Julia Wassell asked a question on behalf of a member of the public. ‘

Why is there inequality in screening for bowel cancer? In England it is at 60 years of age, whilst in Scotland it is at 50 years of age.’

Action: The Committee Adviser will seek a response by the date of the next meeting on 20^th October

This will include an update on the presentation to Cabinet of the 15 Minute Care Visits inquiry report. Please follow the link below to access the decision report:

http://moderngov/documents/b18900/Cabinet%20Response%20to%20HASC%20Select%20Committee%20Inquiry%20into%2015-Minute%20Care%20Visits%2007th-Sep-2015%2010.30%20C.pdf?T=9

The Chairman updated the Committee on:

·         The Cabinet response to the 15 Minute Care Visits Domiciliary Care Visits Inquiry. The Cabinet agreed all 5 recommendations with 1 caveat on recommendation 4, regarding the payment of carers travel time. Mike Appleyard stated that companies will be encouraged to consider the payment of travel time for their staff, from April next year and added the County Council can’t demand this. The Chairman stated the need to be mindful of the new NICE guidance which states that 15 minute visits were only acceptable as part of a wider package and should only be used to deliver one or two simple tasks such as medication and providing a drink. All personal care should be part of a longer visit. This was reflected in chairman's report. All Members agreed that fair remuneration was an essential component of retaining Care Workers and reducing staff turnover. The Chair concluded that the progress of the Inquiry recommendations will be submitted to the Committee in 6 months and then 12 months’ time.

·         Early Cancer diagnosis rates at Chiltern and Aylesbury Vale CCG’s. The Chairman updated the Committee on the 2013 figures from the national intelligence cancer network which show that 29% of people within Chiltern CCG receive early stage 1+2 diagnosis) (371 out of 1280 people.) Aylesbury Vale is 33.2% ( 247 out of 745 people ) This compares to an England average of 46%. By comparison Oxfordshire CCG is 47.5% (1199 out of 2526 people). The Committee decided it will look at this in more detail at a future meeting.

·         CQC Care Home Inspection Reports. Three homes in Buckinghamshire since June 2015 are rated as Inadequate: Alpha Community Care, Reach Sistine Manor and Russell House. Russell House was also placed in special measures. The Chair confirmed that Buckinghamshire County do not currently place clients in Russell House. The Committee endorsed receiving an update on improvement planning currently being undertaken at these homes. The Chair agreed to raise concerns with the Adult Safeguarding Board.

There were no updates from the committee.

For Members to receive an overview of the Learning Disability Service, in order to inform the focus of the Committee’s future Inquiry of Learning Disabilities.

Contributors: Zita Calkin, Lead Commissioner for Learning Disability & Autism, BCC.

Adam Payne, Service Manager – Adult and Families Wellbeing Service, BCC

Reports:

Learning Disabilities briefing paper from Zita Calkin

Adam Payne and Zita Calkin provided the Committee with an overview of the Learning Disability Service to inform the focus of a future inquiry. SEE PAPERS AND WEBCAST FOR FULL DETAIL.

During the discussion the following areas were covered:

·         The definition of a learning disability

·         The Buckinghamshire picture for Learning Disabilities and future demand

·         The current work streams and activities for the service.

For members to receive a presentation of options to inform the focus of a future inquiry of Adult Learning Disabilities Services.

Contributor: Julia Woodman, Committee Advisor, BCC

Reports:

Options Paper for HASC to consider the scope of an Adult Learning Disability Inquiry from Julia Woodman

Adam Payne and Zita Calkin provided members with an overview of the 4 options for a potential Committee inquiry SEE PAPERS AND WEBCAST FOR FULL DETAIL.

During the discussion members raised questions on

•              Transition Services what ages this service covered and the development of a new team.

•              The issues of people with mild to moderate learning disabilities accessing social housing and leisure activities.

•              How to stimulate the voluntary and community sector to provide more accessible services.

•              How integration of health and social care services was progressing. The Committee agreed the need to monitor this at future meetings.

•              The Committee agreed to choose social inclusion as the focus of the inquiry. It was agreed this could also look at aspects of advocacy and accessibility covered within options 1 and 3.

Actions:

·         The Committee will conduct an inquiry into Learning disabilities. The focus will be: 

Improving the social inclusion of people with learning disabilities in Buckinghamshire communities.

·         The Inquiry will be chaired by Margaret Aston.

To provide members of the committee with an update on the partnership approach to tackling Female Genital Mutilation in Buckinghamshire following the joint hosting of a challenge event with key partners by the Buckinghamshire Safeguarding Children Board and Health and Wellbeing Board on 18 September

Contributors:

Katie MacDonald, Health and Wellbeing Lead, BCC

Reports: Update on the partnership approach to tackling Female Genital Mutilation in Buckinghamshire.

Katie McDonald provided members with an overview of the discussions that took place at challenge event with key partners hosted by the Buckinghamshire Safeguarding Children Board and Health and Wellbeing Board on 18 September. SEE PAPERS AND WEBCAST FOR FULL DETAIL.

During discussions the following areas were covered:

·         The projected prevalence of FGM locally and the need to ensure the validity of data.

·         There was a broad consensus at the partnership meeting that cases are under reported

·         FGM is a broad issue and not solely isolated within African Countries / communities

·         The need to bridge partnership working with neighbouring counties and District Councils with Buckinghamshire.

·         There had been no arrests or convictions for FGM in Buckinghamshire

·         Concerns raised by schools to effectively tackle specialist and complex issues such as FGM. The challenge event highlighted the need to identify and train –in-school specialist.

·         The importance of partners working with GPs in areas of Buckinghamshire highlighted as having higher predicted figures.

·         How to improve communication mechanisms through working with women’s and faith groups.

Julia Wassell drew the Committee’s attention to an International Girls Day at Buckinghamshire New University on 10^th October, (11am – 5pm)  hosted by Thames Valley Police. The free event will highlight the importance of rights for women across the world.

For Members to consider the key lines of inquiry for the future Committee item on Day Opportunities Centres

Contributors:

Julia Woodman, Committee Adviser, HQ Member Services

Reports: Discussion paper on key lines of inquiry for Day Opportunities Centres agenda item at 20th October HASC meeting from Julia Woodman

Members noted the key Lines of inquiry for the forthcoming meeting item on the development of day opportunity centres. SEE PAPERS AND WEBCAST FOR FULL DETAIL.

Action: For Members to receive an update on the progress of the Wycombe Day Centre at the next meeting on 20^th October.

For Members to note the Work Programme.

Member discussed and noted the work programme. Members requested an item looking at Health Statistics. The current statistics reported by Clinical Commissioning Boards were not felt to be user friendly. Members would like to see a synthesis of data which shows how the health of the county is progressing.

Action: A future meeting item to look at key health indicators and trend data tracking the health and wellbeing of residents.  

The next meeting will take place on Tuesday 20^th October at 10am in Mezzanine Room 2, County Hall, Aylesbury. There will be a pre-meeting for Committee Members at 9.30am

The next full webcast meeting will be on 20^th October at 10.00am.