Meeting documents

Apologies were received from Ms J Wassell with Mr S Lambert attending as a substitute

Mrs Avril Davis had been appointed as a Committee member

None

To confirm the minutes of the meeting held on Tuesday 18 October 2016 and the special meeting held on Tuesday 29 November 2016 as a correct record.

The minutes from the 18 October and 29 November meeting were agreed as an accurate record and signed by the Chairman.

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/

No public questions were received.

Mr Roberts gave the following updates:

Pharmacy Cuts

A meeting had been held with two representatives from the Local Pharmacy Council following the last HASC meeting to better understand the proposed changes to the way local pharmacists receive their funding.  .

Ward 5b

A paper had been circulated to Members on the results of the pilot study and the plans going forward (attached to these minutes).

Julia Wassell submitted questions via to the meeting outlined below:

1. How can the pilot be reliable when it has not taken place in the most pressured time of the year in respect of admissions for older people?
2. Why are we being asked to look at this now after the decision has been taken and the ward is closed for its previous patient intake?
3. Can the decision be referred to the Secretary of State for Health?

Mr Roberts confirmed that answers to the questions would be sought and responses circulated to the Committee. Update: Responses attached

Action: Mrs Wheaton

Hospital Discharge Inquiry update

The Inquiry Group held a briefing with key stakeholders and a number of visits had taken place to speak to Hospital staff and those working out in the Community.  Further evidence was being gathered and a meeting with stakeholders to discuss the key findings would be held at the end of February, to inform the final report going to the Select Committee in March.

Buckinghamshire, Oxfordshire and Berkshire West (BOBW) STP

A special HASC meeting to discuss the BOBW STP was taking place on 21^st February.  An update on the BOBW STP would be circulated to the Committee members after the meeting. 

Action: Mr Roberts

Bucks Care

A meeting with Graeme Betts, Interim Managing Director for Communities, Health and Adult Social Care (CHASC) would be taking place to discuss Bucks Care in more detail.  The Committee would be informed of the outcome.

Action: Mrs Wheaton

The Bedfordshire and Milton Keynes Healthcare Review

A meeting was held on 14 December in Bedford to discuss the Bedfordshire and Milton Keynes Health Care Review and the continuation of some of its work as part of the STP process.  An update from attendees was awaited. 

Notes from the meeting can be viewed here http://www.councillorsupport.bedford.gov.uk/ieListDocuments.aspx?CId=570&MId=4344&Ver=4]

Mrs W Mallen provided feedback on the Buckinghamshire Dignity Strategy Group and highlighted:

Ø  The Strategy ensured that people were treated with respect

Ø  In Dignity Awards:  care providers could be nominated via the BCC website from 1-24 February and shortlisting would take place in March with the awards ceremony in May

Ø  Publicity for the Awards was in hand

Mr Roberts confirmed that regular meetings would be taking place with the CCGs and Bucks Healthcare Trust.

The Buckinghamshire Health & Wellbeing Board is in the process of refreshing the Joint Strategic Needs Assessment (JSNA) for 2016-2020.  Members will receive an update on the refreshed JSNA.

Attendees:

Jane O’Grady, Director of Public Health

Emily Youngman, Consultant in Public Health Medicine

Dr J O’Grady, Director of Public Health and Dr E Youngman, Consultant in Public Health Medicine attended the meeting to present an update on the JSNA (presentation attached).

Dr Youngman made a presentation and highlighted in particular the aims of the JSNA, key findings and key demographics Link to JSNA report: http://www.healthandwellbeingbucks.org/s4s/WhereILive/Council?pageId=2098

The Committee discussed the following points:

Ø  The benefits of early intervention work

Ø  The increase of children and young people at risk of mental health and the need to prioritise work in this area.  It was noted that young people’s mental health was a national priority with a Government Green Paper on the issue

Ø  The £1.8m grant reduction as part of the medium term plan and the effect on service delivery, in particular the move to integrated, online lifestyle services The targeting of services on areas of higher need

More data was available in the main JSNA documentation.

The Health & Wellbeing Board is refreshing the strategy at a time when the health and care system in Buckinghamshire is operating under significant budget pressures, combined with increased demand for local services.  The Strategy also informs the NHS Five Year Forward View and aligns with the Buckinghamshire chapter of the Buckinghamshire, Oxfordshire and Berkshire West Sustainability & Transformation Plans.

Attendees:

Jane O’Grady, Director of Public Health

Katie McDonald, Health & Wellbeing Lead Officer

Dr O’Grady and Ms K McDonald updated Committee Members on the Joint Health and Wellbeing Strategy.

Ms McDonald highlighted the following points:

Ø  The Strategy was a joint responsibility of the County Council and the Clinical Commissioning Groups (CCGs)

Ø  The Strategy had a strong emphasis on place, mental wellbeing and health equalities. 

Ø  Stakeholder engagement meetings would start in the summer, with a following development session with members of the Health and Wellbeing Board. 

Ø  The final strategy was planned to be presented at the Health and Wellbeing Board in March

Ø  Themed meetings were being held to provide feedback and members of the HASC invited to attend. 

The Committee discussed the following points:

Ø  Alignment of priorities: all the organisations on the H&W Board were required to ensure that their plans and priorities aligned with those agreed in the Strategy.  The development of policy would be discussed and driven through the themed meetings.  Key performance indicators and outcomes would be monitored by the Health and Wellbeing Board and reported in the annual report

Ø  The link between the Strategy and the Sustainability and Transformation Plan (STP) particularly in relation to governance. The Committee was told that the priorities of the strategy and the STP were aligned, with a Transformation Delivery Group reporting into Healthy Bucks Leaders (Chief Executives of all the health and social care organisations) which in turn reported into the Health and Wellbeing Board

Ø  The decline in smoking,  the rise obesity,  and the support available to help people lose weight 

Ø  The rise in the use of electronic cigarettes and the evidence on their impact

Ms McDonald welcomed any further comments from the Committee.

The purposed of this item is to provide information about the progress of the Active Bucks project which is due to complete delivery in September 2017.

Attendees:

Jane O’Grady, Director of Public Health

Sarah Preston, Public Health Principal

Mrs J O’Grady, Director of Public Health, Mrs S Preston, Public Health Principal and Mr T Burton, Public Health Practitioner attended the meeting to give Committee members an update the Active Bucks initiative. 

Mrs Preston gave an Update of progress on the Active Bucks project which is due to complete in September 2017and highlighted the following points:

Ø  3.5k residents were engaged with Active Bucks community engagement since it started, and 1.7k residents have participated in physical activities in the first 6 months of the project and 79% of those residents were not achieving the recommended activity levels 

Ø  19 Local Area documents were created to understand residents’ views and 25 Community Champions had been recruited so far

Ø  The team worked with Local Area Forums (LAFs) and Parish Councils to help engage with residents within their area and support the activities chosen

Ø  The second year activities were chosen at the end of last year by LAFs and the procurement process is now complete, with activities starting between January - March 2017

Ø  The Active Bucks website had been well used with a search by postcode for residents to find local activities. In the first 6 months the website had seen 15k unique users and 800 vouchers had been downloaded (first session free). Partners and providers had undertaken promotional work including stakeholder website, GP patient screens, and Leaflet drops

Ø  The importance of ensuring that activities were accessible by all community groups particularly those with cultural and language barriers.

Ø  Community Champions were being recruited with the aim of ensuring whole county coverage.

Ø  Sustainability of the activities, with 71% of activities currently being sustained, and the possibility of Sport England funding and local support. 

At its September meeting, Members of the Committee received a presentation on the PROM (Patient Reported Outcome Measures) project as part of the vascular services reconfiguration.  Members will receive a verbal update on the progress of the PROM project.

Attendees:

Aarti Chapman, Associate Director, Strategic Clinical Network and Senate

Cliodhna Ni Ghuidhir, Thames Valley Vascular Network and Service Manager, Oxford University Hospitals NHS Foundation Trust

Annie Tysom, Senior Communications and Engagement Manager

Mrs Aarti Chapman, Associate Director, Strategic Clinical Network and Senate, Mrs Cliodhna Ni Ghuidhir, Thames Valley Vascular Network and Service Manager, Oxford University Hospitals NHS Foundation Trusts, Mrs Annie Tysom, Senior Communications and Engagement Manager and Ms Caroyln Hinton, Quality Improvement Lead, Thames Valley Strategic Clinical Networks attended the meeting to give an update on Vascular Services

Mrs Chapman gave an overview of the developments and highlighted:

Ø  The successful development of the Vascular Services network which was being used as a good example of both patient engagement and clinical involvement

Ø  Good work with the clinical community on a shared vision

Ø  NHS England continues to have involvement

Ø  Funding from NHS funding becoming available

Mrs Ni Ghuidhir gave the Committee an update on patient engagement and feedback and highlighted the following points:

Ø  Patient feedback was gained through interviews and survey

Ø  From 432 patients they had a good (36%) response rate

Ø  Summary of outcomes

o   Meetings to discuss the outcomes from feedback

o   Ward Managers, Sisters and Practice Development Nurses given the feedback to build into their practices and it will also come under the remit of clinical leads

o   Feedback around patient transport and cross county discharges

Clinical outcomes

Ø  Of those asked how they would rate their experience, over 80% said excellent or very good, 5% said ok or poor

Ø  Areas identified for improvement included the discharge process with 25% saying they weren’t sure of the next steps after leaving hospital and 25% didn’t know who to contact for help once they had left. 

Ø  An aid memoir had started to be developed to assist patients on the discharge process.  The aid would also be embedded within nursing teams for them to support patients

Patient feedback would continue to be discussed at meetings throughout February

Mrs N Ghuidhir agreed to provide more information on threshold for surgery and length of waiting lists, and to circulate the aide memoir

Action: Mrs N Ghuidhir

The Committee requested a further update back in 6 months.

For Members to receive a six month update on the recommendations which were made as part of an inquiry into "Accessibility and promotion of services for Adults with Learning Disabilities".  The attached table shows the progress of the recommendations (the text in red shows the progress).

Members to agree to delegate the assigning of the RAG status to the Chairman following the meeting.

Attendees:

Mike Appleyard, Deputy Leader and Cabinet Member for Adults and Health & Wellbeing

Oliver Stykuc-Dean, Commissioner – Early Intervention and Prevention

Mr Mike Appleyard Deputy Leader and Cabinet Member for Health & Wellbeing and Mr Oliver Stykuc-Dean, Commissioner – Early Intervention and Prevention attended the Committee to give a 6 month update on the recommendations from the Accessibility and promotion of services for Adults with Learning Disabilities inquiry

The Committee requested that the report be updated to reflect changes in personnel.

The following points were discussed:

Ø  Investment in travel training – A joint transition team was looking at this in conjunction with the recommendation to promote ‘Fair4All’ taxi scheme

Ø  Information - The Committee discussed accessibility to information and concerns were raised about the new County Council website in relation to users with learning disabilities.  .  Mr Appleyard suggested the need for a project to look at accessibility to and agreed to take this forward

Ø  Mr Appleyard agreed to provide a summary for each of the items on the plan for the Committee and to set up a sub group inviting members of the Committee to take part

Agreed: Members of the Committee agreed to delegate the application of the RAG status to the Chairman of the Health and Adult Social Care Select Committee.

Action: Mr Roberts to meet with Mr M Shaw and Mrs M Aston to discuss developments in their areas.

For Members to discuss and agree the items for forthcoming meetings.

Mr Roberts discussed items to forthcoming meetings.  No further items were added.

There will be a special meeting on Tuesday 21^st February at 10am in the Large Dining Room, Judges Lodgings, Aylesbury.  This meeting will be to review the Buckinghamshire, Oxfordshire and Berkshire West Sustainability and Transformation Plan.

There will be a special HASC meeting on Tuesday 21^st February at 10.00am in the Large Dining Room, Judges Lodgings.  This meeting will be an opportunity for the HASC Committee to discuss and question the content of the BOBW Sustainability and Transformation Plan.