Meeting documents

Apologies received from Mr Carl Etholen

Ms T Jervis declared an interest in the Better Care Fund item as Healthwatch Bucks are involved in some of the projects.

To confirm the minutes of the meeting held on Tuesday 24^th January and the special meeting held on 21^st February 2017.

Members wanted it noted following the special meeting on 21February that during the Community Hubs pilot beds would be closed for overnight admissions and not permanent closure as reported in the press.

The minutes of the meetings held on 24 January 2017 and 21 February 2017 were agreed as a correct record.

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 had been received.

Julia Wassell handed in a letter from a resident regarding pain management.  Letter was passed to Mrs Wheaton to pass on to the correct department.

Action:  Committee & Governance Adviser to forward letter to relevant health organisation

Ozma Hasif submitted a petition to the Council on 1 February 2017 in relation to Community Hospitals.  Attached is a copy of the petition response.

The members of the committee noted the response to the petition received from Ozma Hasif in relation to Community Hospitals.

The evaluation of the pilot scheme is due to be discussed by the Committee in September.

As this meeting was the last one before the Elections in May, the Chairman thanked the Members for their hard work and involvement in the various inquiries.  He asked Committee Members to reflect on the work over the past few years and feedback any learning points and work that they felt had been of great benefit.

The following points were highlighted

• The value of getting out to visit those that deliver the services
• GP inquiry and seeing the recommendations implemented and have an impact
• The importance of  continuity in Membership
• Inquiry focus groups had worked well
• The idea of sub committees being used to feed information into scrutiny inquiries
• More systematic follow up to inquiries to see if actions have been implemented and are successful
• To evaluate the relationship between BCC and Healthwatch and maximise the opportunities. 

Julia Wassell updated the committee that following a meeting with the Clinical Care Commissioning lead on GP commissioning, £20k had been awarded towards the refurbishment of Linton House surgery and an active campaign to have a new health centre in East Wycombe as part of the infrastructure funding and development.

Ms T Jervis from Healthwatch provided a presentation on some of the highlights that Healthwatch has been involved in and their planned areas of work for the rest of the year.

Following discussions with the Committee. Ms Jervis confirmed:

·         That although Healthwatch were funded by the County Council they were still independent

·         That individual surgery reports were not available on the website but there has been feedback directly to them to see how they have taken forward any recommendations

·         They continue to recruit volunteers through various means

Ms Jervis was thanked for her update.

A review by commissioners of Musculoskeletal (MSK) care began with engagement to seek opinion of service users in Autumn 2014.  Members will hear about the new service which has been developed and how its success will be measured.

Attendees:

Dr Christine Campling, CCG Clinical Director

Mr Neil Flint, Head of Commissioning for Planned Care

Mr Ben Collins, BHT Programme Director for MSK

Ms Charlotte Moss, BHT Clinical Lead for MSK

Dr Christine Campling, CCG Clinical Director, Mr Neil Flint, Head of Commissioning for Planed Care and Ms Charlotte Moss, BHT Clinical Lead for MSK attended the meeting and gave a presentation to update Committee Members on the clinical integration of Musculoskeletal Services.

The Committee discussed the following areas:

• The timings of the implementation of the new service.  This is anticipated to be the second quarter of this year but can’t be confirmed at the moment
• Factors that e contribute to the workload of the service
• The pathways of care and the need for this to remain seamless
• The need for consultation and engagement to be cross county
• Other areas that could benefit from integrated service for example phycology
• The publicity required to highlight the launch of the new service
• The barriers that need to be removed e.g. access for older people and ethnic communities
• The Governance of the new service and where for example complaints would be handled.  It was confirmed that the details of the governance were still being worked on, however Bucks Healthcare Trust will have overall governance over the other providers.

As this is the last Committee meeting before the Election, Committee Members will reflect on their time on the Select Committee and review the items on the work programme for future meetings.

The Committee discussed ideas for the work programme and possible topics for future inquiries

Areas to consider included:

Ø  Contract Management

Ø  Sustainability and Transformation Plans

Ø  Dementia

Ø  Diabetes and links to obesity

Ø  Performance Reports

The Committee requested that District Members of the Committee were included in any induction material used for new County Councillors.

Members will receive an update on the Better Care Fund.

Attendees:

Jane Bowie, Director of Joint Commissioning (BCC)

Debbie Richards, Director of Commissioning & Delivery (CCG)

Rajni Cairns, Programme Manager for Integrated Care, Joint Commissioning

Ms Jane Bowie, Director of Joint Commissioning and Ms Rajni Cairns, Programme Manager Integrated Care attended the meeting to update Committee Members on the progress of the Better Care Fund.

Ms Bowie gave an overview of the programme including areas of success, examples of work completed and next steps. 

The Committee discussed the following areas:

• Concerns were raised as part of the Hospital Discharge inquiry about the governance and decision-making
• In response to a question about  who sits on the  Transformation Delivery Group, it was confirmed that this  Group is made up of health commissioners, CCGs and health providers, including BHT
• Examples of where integration had been successful and learning from them.  Ms Bowie confirmed that they were in touch with other Local Authorities and were learning from their experiences
• A Member expressed concern over the lack of performance indicators in the report but Ms Bowie confirmed that this information is available and would be included in future reports. The overall responsibility for the BCF sits with the CCGs. 
• The protection of funding in some areas and how the assessments of funding applied have been carried out
• An explanation of acronyms including MAGs (Multi Agency Groups), DFG (Disabled Facilities Grant) and OPAT (Outpatient Services)
• The administration of the programme and it’s back offices services and if this was funded from within the BCF
• Discussed theJoint Commissioning team and its membership was confirmed as lead commissioners from Health and Social Care and this will feed into the Health and Wellbeing Board
• Committee Members asked when the delayed transfers of care Better Care Fund performance indicator would be out of the red.  Ms Bowie confirmed that an official response on this would be fedback to partners following the Hospital Discharge inquiry but confirmed that work is ongoing about how they can address that particular target.  Ms Bowie also stated that Bucks is a better performing area locally but the way in which the targets are set doesn’t always highlight this
• It was agreed that Committee Members would be invited to the BCF workshop

Action: Ms Cairns

The Committee thanked Ms Bowie and Ms Cairns for their update.

The next meeting is due to take place on Tuesday 13^th June 2017 at 10am.

The next meeting is due to take place on Tuesday 13June 2017 at 10am.