Meeting documents

Venue: Mezzanine Room 2, County Hall, Aylesbury. View directions

Note: Please note that this meeting will be webcast - please use the "Webcasts" menu link 

Media

Webcast: View the webcast

Items
Note No. Item

1.

Apologies for Absence / Changes in Membership

Additional documents:

Minutes:

Apologies were received from Mr N Brown, Mr B Roberts, Ms R Vigor-Hedderly, Mr C Etholen, Mr A Green and Mr N Shepherd (Mrs Jules Cook substituted)

 

 

2.

Declarations of Interest

To disclose any Personal or Disclosable Pecuniary Interests

Additional documents:

Minutes:

There were no declarations of interest.

10:00am

3.

Minutes pdf icon PDF 251 KB

Minutes of the meeting held on 10th May 2016 to be confirmed as a correct record

 

Copies of the letters sent to the Department of Health and Local MPs regarding the proposed community pharmacy cuts are attached.

 

A copy of the Buckinghamshire Health and Adult Social Care Committee Briefing Note: Vascular Services for Thames Valley is attached.

Additional documents:

Minutes:

The minutes and confidential minutes of the meeting on 10th May were confirmed as an accurate record.  

4.

Public Questions

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.  Members of the 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/

Additional documents:

Minutes:

No public questions were received within the notice period for the meeting.

10:10am

5.

Committee Update

An opportunity to update the Committee on relevant information and report on any meetings of external organisations attended since the last meeting of the Committee.  This is particularly pertinent to members who act in a liaison capacity with NHS Boards and for District Representatives.

Additional documents:

Minutes:

Promoting HASC attendance and public questions

 

The Committee discussed how HASC could be better promoted to the public, to encourage attendance and promote public questions.

 

ACTION: Committee and Governance Adviser to investigate how information on public questions could be more prominent on the Bucks County Council web pages.

 

Lynton House Surgery

 

The Chairman updated the Committee on the decision making timeline for Lynton House, as this had been raised as an action point from the 10th May meeting.

 

The Chairman read out the following response from Ginny Hope, Primary Care Commissioner, NHS England (South Central Region)

 

‘NHS England has received an application from Cressex Health Centre to close its Lynton House branch surgery. The application includes details of how the Centre has engaged with patients and the public on their proposal to close the Lynton House branch surgery and move some services to a satellite clinic within the Minor Illness and Injury Unit at Wycombe Hospital.

 

We are reviewing the application with Chiltern CCG, taking into account feedback from patients and other stakeholders, to make sure the practice’s plans will provide the best possible care as well as continued and sustainable access to services.

 

We expect to make a final decision at the end of June and once this has been made, it will be widely publicised.’

 

The Chief Officer from Chiltern CCG added that since the consultation the CCG were working with the NHS England and Cressex to look at all possible options including how much it would cost to refurbish the surgery. She added that it was recognised that a surgery was needed in that area. However  Cressex had difficulties in running two surgeries on opposite ends of Wycombe. The Chief Officer explained that both factors need to be taken into consideration and that NHS England would make a final decision by the end of June.

 

In response to questions regarding the viability of the refurbishment option, the Chief Officer stated that all options were now being considered as the re-location to the Minor Injuries Unit at Wycombe Hospital was only envisaged as a short term solution.

 

ACTION: Committee and Governance Adviser to invite the Primary Care Commissioner to the 26th July HASC to discuss the Lynton House Surgery decision. 

 

 

 

Public questions raised by Julia Wassell at 10th May meeting regarding the x-ray machine at Wycombe Hospital.

 

The Chairman read out the following response from Buckinghamshire Healthcare Trust.

 

‘The machine has not been regularly breaking down. The Trust did need to replace the battery, which closed it for a couple of hours on one day whilst it was replaced, but at other times it did not cause any downtime. The issue is now resolved. If the MIU x-ray is closed, the arrangements are in place for patients to be seen within the main x-ray department at Wycombe Hospital.’

 

Seeking views from HASC Members on holding HASC meeting at other venues across the county.

 

The Chairman updated the Committee on the results of responses from Committee  ...  view the full minutes text for item 5.

10:15am

6.

Buckinghamshire and Milton Keynes Fire Authority - Developing the co-responder partnership with the ambulance service pdf icon PDF 518 KB

The Committee will receive a presentation on a pilot scheme to extend the established co-responding scheme to include the deployment of Buckinghamshire Fire and Rescue Service (BFRS) complete with an Automatic External Defibrillator (AED) and Oxygen Therapy to confirmed Cardiac Arrest incidents.

 

Contributors:

 

Simon Tuffley - Station Commander Buckingham and Co-responding

Additional documents:

Minutes:

The Chairman welcomed Mr Simon Tuffley, Station Commander, Buckingham, Buckinghamshire Fire & Rescue Service.

 

Mr Tuffley updated the Committee on the cardiac arrest response pilot. During his presentation the following points were covered:

 

·         The Resuscitation Council guidelines include statistics which showed that if a person was a victim of a cardiac arrest outside of hospital and there was a response within 3-5 minutes the person had a 50-70% chance of survival. 

·         Currently fewer than 2% of people who had a cardiac arrest were defibrillated before the ambulance service arrived.

·         The pilot had yet to be implemented and the Fire Authority was consulting internally with positive responses so far. Positive feedback particularly from a staff survey had provided the Fire Authority Transformation Board with the reassurance to go ahead with the project.

 

In response to questions from Members the following areas were highlighted:

 

·         SCAC supported Community Responders schemes if there was group interest and they were self-funded to support purchase of the equipment. In addition each area had a community liaison officer details of which were on the SCAS website.

·         SCAS had an ‘app’ which showed the nearest defibrillator station. Members suggested that a directory was also collated.

·         The Chief Officer of Aylesbury Vale CCG stated that the first response a member of the public should make to a cardiac arrest situation was to dial 999. Emergency services would have defibrillator locations.

 

 

10:30am

7.

Systems Resilience pdf icon PDF 2 MB

 

The Committee is looking at systems resilience, with a particular focus on winter pressures and the challenges faced by patients and health and social care services in Buckinghamshire. Early advanced planning across whole systems is an essential component in identifying concerns and overcoming potential difficulties.

 

The Committee will receive:

 

·         An outline of the multi-agency Systems Resilience Group (SRG) in Buckinghamshire, its role, structure and current projects under review for easing pressures on acute services during winter 2016.

·         A presentation of the current challenges faced by following an imaginary patient through from GP, Ambulance, A & E and in-patient services to the discharge team and home

 

Attached is the annual report of the South Central Ambulance Service for Buckinghamshire

 

A briefing paper covering the work of the SRG to follow

 

Contributors:

 

Neil Dardis, Chief Executive, Buckinghamshire Healthcare Trust

 

Lou Patten, Chief Executive, Aylesbury Vale CCG

 

Annet Gamell, Chief Executive, Chiltern CCG

 

Mark Begley, Area Manager - Milton Keynes & Aylesbury Vale, South Central Ambulance Service NHS Foundation Trust

Additional documents:

Minutes:

The Chairman welcomed: Mrs Lou Patten, Chief Officer, Aylesbury Vale CCG, Dr Annet Gamell, Chief Executive, Chiltern CCG, Mr Mark Begley, Area Manager - Milton Keynes &Aylesbury Vale, South Central Ambulance Service NHSFoundation Trust, Mr A Battye, Area Manager Chiltern, SCAS, Mr Neil  MacDonald, Chief Operating Officer, Buckinghamshire Healthcare Trust, Mr Lee Fermandel, Service Manager, Safeguarding, CHASC and Ms Ai Bulman, Service Director, CHASC

 

During presentations the following points were covered:

 

Systems Resilience Overview

·           An overview of the governance and assurance arrangements of Buckinghamshire Systems Resilience Group. (SRG)

 

·         The SRG oversaw the systems performance, delivery of the NHS Constitution Standards and ensured shared learning. It was overseen by the emergency and urgent care networks.

 

·         Systems resilience was essentially concerned with the flexibility of services to meet extremes of variation and day to day variation.

 

·         Last year was the first year Systems Resilience (SR) funds went into CCG baseline budgets. CCG’s were trying to develop the use of funds as a long standing response to SR.

 

·         Focused funding had been given to reducing admissions and enabling discharge.

 

The Ambulance Service

 

·         A member with a life threatening illness would get an emergency ambulance service.

 

·         Any person who did not have a life threatening illness would be assessed and triaged. The call could be referred to 111, a clinical support desk, an alternative care pathway or a 999 resource.

 

·         There was a multi-disciplinary assessment service funded by the SRG for frail and elderly people which prevented automatic admission to hospital. In addition there was a fall support service.

 

·         A large proportion of direct referrals were made to GP services.

 

·         SCAS also had a dedicated mental health practitioner to which referrals could be made.

 

·         Latest statistics showed that for all 999 calls received by SCAS only 46% were sent to hospital.

 

Bucks Healthcare Trust

 

·         The rapid response assessment team was a team of physiotherapists, occupational therapists, social workers and dieticians based in the A & E department and acute assessment unit for 12 hours a day. They were funded from the SRG budget.  The team were there to conduct rapid assessments as soon as the patient arrived. The Team had been successful in enabling community links, putting in short term support either through health or social care. This helped to either avoid admission or reduce length of stay.

 

·         The SRG had also funded Bucks HCT to deliver rehabilitative packages of care in the home setting whilst longer term care packages were being assessed and agreed.

 

Adult Social Care

 

·         The discharge pathway from hospital was now covered in the Care Act 2014.

 

·         Options available to support timely discharge were; reablement, which supports and promotes independence;  live-in support and assessment process for up to 14 days; and retaining care packages for up to 10 whilst someone was in hospital. Long term residential or nursing home care was seen as a last resort.

 

·         The Care and repair scheme was highlighted which looked at care and the timely supply of equipment in the home.

 

·         To  ...  view the full minutes text for item 7.

11:30am

8.

Adult Safeguarding Peer Review pdf icon PDF 142 KB

The Local Government Association (LGA) in partnership with the Association of Directors of Adult Social Services has developed a peer review improvement programme for local authority adult services.

 

A Review of Buckinghamshire Adult Social Care Services took place between 2nd November and 4th November 2015 and was led by a team from Oxfordshire County Council.

 

The Committee is asked to:

 

·         To comment on the strengths and areas of improvement identified through the Peer Review

·         Clarify how HASC would like to be involved in the  progress monitoring of the Peer Review Action Plan

Additional documents:

Minutes:

The Chairman welcomed Mr Lee Fermandel, Service Manager, Safeguarding, CHASC, Ms Ai Bulman, Service Director, CHASC

 

During presentations the following points were covered:

 

·         Essentially the review was looking at whether people were appropriately safeguarded.

·         The review considered: leadership; practice and policy; workforce development; partnership working; the Adult Safeguarding Board; and involvement of users and carers.

·         Strengths identified were: the review group were satisfied all adults had been appropriately safeguarded, rated as excellent for involvement of users and carers and there were good links with community partners and providers.

·         Areas for development were: lack of permanency of staff; policies and practice; communication.

·         Progress so far: had a successful recruitment campaign indicated by the fact that there were now only two agency staff in safeguarding; new policies and procedures were launched.

·         Ms Julie Puddephat was introduced as  the new =Head of Safeguarding

 

In response to questions from Members the following areas were highlighted:

 

·         The database needed to be considered by the Digital Board.

·         The recent Adult with Learning Disabilities Review highlighted the importance of awareness training particularly for bus and taxi drivers.

 

11:45am

9.

Committee Work Programme pdf icon PDF 257 KB

For Members to note the work programme.

Additional documents:

Minutes:

The work programme was noted.

10.

Date and Time of Next Meeting

The next meeting will take place on Tuesday 26th July 2016 at 10.00am in Mezzanine Room 2. There will be a pre-meeting for Committee Members at 9.30am.

 

 

 

                               

Additional documents:

Minutes:

The next full webcast Committee meeting will be on 26th July 2016 at 10am.

11.

Exclusion of press and public for agreeing confidential minutes

To resolve to exclude the press and public as the following item is exempt by virtue of Paragraph 3 of Part 1 of Schedule 12a of the Local Government Act

1972 because it contains information relating to thefinancial or business affairs of any particular person (including the authority holding that information)

Additional documents:

11:50am

12.

Confidential minutes of meeting on 10th May 2016

Confidential minutes of the meeting held on 10th May 2016 to be confirmed as a correct record

Additional documents:

Minutes:

The minutes were agreed in the public session as there were no comments.