Meeting documents
Venue: Mezzanine Room 1, County Hall, Aylesbury. View directions
Contact: Liz Wheaton
Note: Please note that this meeting will be webcast - please use the "Webcasts" menu link
Media
Webcast: View the webcast
Note | No. | Item |
---|---|---|
10.00am |
Apologies for Absence / Changes in Membership Additional documents: Minutes: Apologies had been received from:
|
|
Declarations of Interest To disclose any Personal or Disclosable Pecuniary Interests Additional documents: Minutes: Ms M Aston declared an interest as she was Chairman of the Executive Committee of Abbeyfield Residential Home in Haddenham.
|
||
To confirm the minutes of the meeting held on Tuesday 28 November 2017 as a correct record. Additional documents: Minutes: The minutes of the meeting held on 28 November 2017 were agreed as an accurate record and signed by the Chairman. |
||
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: There were no public questions. The Chairman referred to the response the Select Committee had received from the CCGs regarding the question raised by District Councillor Robin Stuchbury on the proposed changes to GP provision in Buckingham at the last meeting. The Members had received a copy of the letter by email and a copy of the response would be attached to the minutes of this meeting. Ms L Patten would provide an update in May. |
||
10.10am |
Cabinet Member Question Time An opportunity for Committee Members to ask questions of the Cabinet Member for Health & Wellbeing and the Cabinet Member for Community Engagement and Public Health. Additional documents: Minutes: Lin Hazell, Cabinet Member for Health and Wellbeing, reported that the budget was under constant focus. In December, £2.8 million had been released from the contingency fund reducing the year end overspend forecast to £1.3 million. Since then the department had found £700,000 of efficiencies resulting in a projected overspend of approximately £700,000. The Cabinet Member acknowledged that demand fluctuated and the budget situation was volatile. More controls would be put in place and a more robust transformation programme had been devised which would be closely monitored through weekly meetings.
The following questions/points were raised:
.
It was asked whether L Hazell could provide assurance that domiciliary care providers would not undertake the practice of "clipping", i.e. reducing the time spent with the client. L Hazell had not heard of the term and had not received any feedback that this was happening and agreed to find out.
Ms J Bowie, Director of Joint Commissioning, had provided the following update after the meeting.
Post Meeting Note
Locally, BCC referred to a practice called "call cramming" and work had been taking place with our providers to stop this occurring. BCC commissioned domiciliary care with our main providers on a time and task basis with allocated hours for this work. The actual hours of care delivered were reconciled with the commissioned hours over 4 week periods. Any complaints received that visits had been significantly shorter than planned were investigated. Care workers were generally paid for the hours of care they delivered so there was no personal incentive to shorten the visit times.
Post meeting note:
Readmissions to hospital after 30 days stopped being routinely monitored nearly 5 years ago so there were no current national comparisons of rates. ... view the full minutes text for item 5. |
|
10.20am |
Chairman's update Additional documents: Minutes: The Chairman updated that following the last meeting, he had assigned a RAG status to the recommendations made in the Adults with learning disabilities inquiry and met with the officers to raise some of the concerns about some of the recommendations. An update had been attached under the information item.
Following discussions at the last meeting, the Chairman advised he had also assigned a RAG status to the recommendations in the Hospital Discharge Inquiry and this had also been attached under the information item.
Forthcoming events:
· There would be a BHT Board meeting in Aylesbury on 31 January 2018. Mr N Dardis, Chief Executive of BHT, would be leaving on 16 March due to a move to Frimley Park Hospital and Mr N Macdonald would be taking over as interim Chief Executive. · Evidence gathering for the Child Obesity Inquiry would start on 6 February 2018. A private briefing was taking place after the HASC meeting today with the Inquiry Group and members of the Public Health team.
|
|
10.25am |
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: Committee members provided the following updates:
Action: Ms Wheaton
|
|
10.30am |
At the Committee’s July meeting, Members undertook an Inquiry looking at how well the council is prepared for the planned future growth. This was a piece of work across all the Select Committees. The purpose of this item is for the Committee to evaluate how well public health is embedded across the County and review the strength of key stakeholder relationships.
Attendees: Mr N Brown, Cabinet Member for Community Engagement & Public Health Dr J O’Grady, Director of Public Health
Papers: Presentation attached
Intended outcome: For Members to be reassured that Public Health services are embedded across the Council and that Public Health is at the heart of all discussions, particularly around future growth plans for the County. Additional documents: Minutes: The Chairman welcomed Mr N Brown, Cabinet Member for Community Engagement and Public Health and Dr J O’Grady, Director of Public Health.
Mr Brown declared an interest as his daughter was a nurse at Frimley Park Hospital and confirmed the nurses were working extra shifts to cope with the winter pressures.
Mr Brown reported that the Public Health team was leading the work stream on the social care transformation plan. Mr Brown stressed the importance of engaging with older people before their situation became a crisis. The Public Health team were very involved in prevention and the prevention at scale pilot to try to keep people healthy for longer.
Dr O’Grady provided a brief overview of the presentation in the agenda pack and made the following points:
The following comments were made in response to questions from the Committee.
|
|
11.10am |
The Health & Adult Social Care Select Committee carried out a review of Dementia Services in 2012 with recommendations being presented to Cabinet. This item is an opportunity for Members to hear from representatives about the progress being made in Dementia Services.
Attendees: Lin Hazell, Cabinet Member for Health & Wellbeing Ms J Bowie, Director of Joint Commissioning, Adult Social Care
Report attached
Intended outcome: For Members to gain a greater understanding of the current services available for patients with dementia and their carers and to seek reassurance that patients are receiving the best possible care and that future demand on services can be met.
Additional documents: Minutes: The Chairman welcomed L Hazell, Cabinet Member for Health and Wellbeing and Jane Bowie, Director of Joint Commissioning, Adult Social Care and Maxine Foster, Commissioning Manager, CCG.
L Hazell advised that due to increased numbers of people diagnosed with dementia, working together with the CCGs and Public Health was essential.
Ms J Bowie reiterated that there had been joint working between the CCGs and public health and social care. There was a three year dementia strategy with five key themes:
There was a joint dementia board overseeing the implementation of the strategy and looking at an all aged mental health strategy to build on the work on dementia services.
The following points were made in response to questions from the Committee:
|
|
12.15pm |
Committee Work Programme PDF 97 KB For Committee Members to note the work programme.
Papers: Work programme attached Additional documents: Minutes: The Chairman asked the Members to note the following items on the work programme for the meeting in March:-
· Mental Health
The Chairman asked for any other suggestions to be fedback to Ms Wheaton. |
|
1. BOBW STP interim report - attached; 2. Adults with Learning Disabilities (12 month recommendation monitoring RAG status) update from the Service following the last meeting - attached; 3. Hospital Discharge (6 month recommendation RAG status) – following the last meeting, the Chairman has assigned the RAG to the recommendations – updated table attached Additional documents:
Minutes: The Chairman advised on the following items for information:
· BOBW STP – The Chairman and Ms Wheaton would be attending a meeting in Reading in March to gain an update. · Adults with Learning Disabilities – update from the Service following the 12 month recommendation monitoring exercise Hospital Discharge – table showing the 6 month RAG status assigned following the last meeting. |
||
12.30pm |
Date and Time of Next Meeting The next meeting is due to take place on Tuesday 20 March 2018 at 10am in Mezzanine Room 1, County Hall, Aylesbury. Additional documents: Minutes: Tuesday 20 March 2018 at 10.00 am.
|