Agenda and minutes

Venue: Council Chamber - Guildhall, Bath. View directions

Contact: Mark Durnford  01225 394458

Items
No. Item

31.

WELCOME AND INTRODUCTIONS

Minutes:

The Chair welcomed everyone to the meeting.

32.

EMERGENCY EVACUATION PROCEDURE

The Chair will draw attention to the emergency evacuation procedure as set out under Note 6.

 

Minutes:

The Chair drew attention to the emergency evacuation procedure.

33.

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

Minutes:

There were none.

34.

DECLARATIONS OF INTEREST

At this point in the meeting declarations of interest are received from Members in any of the agenda items under consideration at the meeting. Members are asked to indicate:

(a) The agenda item number in which they have an interest to declare.

(b) The nature of their interest.

(c) Whether their interest is a disclosable pecuniary interest or an other interest,  (as defined in Part 2, A and B of the Code of Conduct and Rules for Registration of Interests)

Any Member who needs to clarify any matters relating to the declaration of interests is recommended to seek advice from the Council’s Monitoring Officeror a member of his staff before the meeting to expedite dealing with the item during the meeting.

Minutes:

Councillor Lin Patterson declared an other interest in agenda item 12 (Your Care, Your Way Update) as she has signed a petition regarding the non-privatisation of the Health Service.

 

Councillor Paul May declared an other interest in agenda item 12 (Your Care, Your Way Update) as he is a Sirona board member.

35.

TO ANNOUNCE ANY URGENT BUSINESS AGREED BY THE CHAIRMAN

Minutes:

There was none.

36.

ITEMS FROM THE PUBLIC OR COUNCILLORS - TO RECEIVE DEPUTATIONS, STATEMENTS, PETITIONS OR QUESTIONS RELATING TO THE BUSINESS OF THIS MEETING

At the time of publication no notifications had been received.

 

Minutes:

Susan Charles, WWISE Network addressed the Panel. A copy of her statement can be found on the Panel’s Minute Book and online as an appendix to these minutes, a summary is set out below.

 

She thanked them for their support at the last meeting and wished to update them on the latest developments.

 

She explained that they have put forward a number of suggestions of how a suitable pool could be incorporated into the plans for the refurbishment of the Bath Leisure Centre and that they have been informed that GLL are looking at the feasibility, potential income & costing implications and will be producing a formal report in due course.

 

Councillor Vic Pritchard, Cabinet Member for Adult Social Care & Health commented that as agreed following the presentation by the WWISE Network to July’s meeting of the Health and Wellbeing Select Committee, he had sought further clarification, including from Cabinet colleagues on the potential to enhance access to warm water pools in Bath and North East Somerset as part of the re-provision of Bath and Keynsham Leisure Centres.  He stated that considerable engagement and consultation had been undertaken on leisure services provision in Bath and North East Somerset in order to identify the key priorities. He said that this had informed agreement of detailed plans, including funding requirements for the re-provision of the leisure centres and it is, therefore, not possible for the Council to consider revised specifications for the Leisure Centres at this late stage. 

 

He added that a report is being compiled by the Place directorate on what provision can be sought elsewhere.

 

He informed the Select Committee that a formal complaint regarding the re-provision of the Bath and Keynsham Leisure Centres has been received and the Council are investigating this currently.

 

Councillor Paul May reaffirmed the Select Committee’s support for the concept and suggested that the relevant Cabinet Member or officer addresses them at a future meeting.

 

The Director for Integrated Health & Care Commissioning suggested that a briefing from the Place directorate be circulated in advance of the next meeting.

Additional documents:

37.

MINUTES - 20th July 2016 pdf icon PDF 135 KB

Minutes:

Councillor Eleanor Jackson advised that in the 4th paragraph on page 19 of the minutes it should read ‘secure further accommodation in Midsomer Norton and Radstock’ rather than Norton Radstock.

 

She also advised that the 3rd paragraph on page 20 should read ‘but they had remained in Rosewell’.

 

The Select Committee confirmed the minutes of the previous meeting with these amendments as a true record and they were duly signed by the Chair.

38.

Clinical Commissioning Group Update

The Select Committee will receive an update from the Clinical Commissioning Group (CCG) on current issues.

Minutes:

Dr Ian Orpen addressed the Select Committee, a summary of the update is set out below.

 

A&E performance

 

We did not see a reduction in demand and pressure on services over the summer and our performance against the A&E waiting time target (95% of attendees to be seen within four hours) dropped to 79.3% in August.  However indicative figures for September show that performance has improved and currently stands at 87%. 

 

Local performance and progress against the locally agreed A&E Improvement Plan continues to be overseen by regular tripartite meetings of the Royal United Hospitals (RUH), CCGs, NHS England and NHS Improvement.

 

Sustainability and Transformation Plan (STP)

 

The B&NES, Swindon and Wiltshire (BSW) footprint is developing plans to be submitted to NHS England on 21 October 2016 setting out how a transformation in health and care outcomes within the footprint will be achieved and sustained.

 

In collaboration with Wiltshire CCG, we held an engagement event for over 80 voluntary and charitable organisations and independent providers on 13 September 2016 in Devizes.  The event was an opportunity for delegates to hear more and feedback about emerging priorities.  A report from the event will be published on our website at the start of October.  Further engagement is planned for after the submission of the plans on 21 October 2016.

 

Re-procurement of NHS 111 and GP out-of-hours services

 

The NHS111 and GP out-of-hours services in B&NES are to be reviewed and re-procured across the wider STP footprint.  Commissioners from the three localities are working together to develop a new, more joined-up model of care for these two key urgent care services that will also include provision for a ‘clinical hub’ to provide timely, accessible and specialist advice to patients and health professionals.  The new contract will begin in April/May 2018.

 

Planning guidance for 2017/19 published

 

NHS England and NHS Improvement have published their planning guidance for the health service. For the first time the CCG will have to develop plans to cover a two, instead of a one year period from April 2017 to March 2019 and submit plans by this Christmas.

 

The new guidance marks a shift from planning at an organisation-level to a system-wide approach that is aligned to local Sustainability and Transformation Plans.  For the first time there is also a move towards adopting system-wide control totals alongside individual organisational control targets to enable health leaders to plan beyond their organisational boundaries and strengthen collaboration with other local health and care organisations for the benefit of the local population. 

 

There are also plans to boost funding to improve and increase the capacity in General Practice and to allow an additional £6 per head of population to improve access to General Practice by April 2019.  The CCG will need to set out in its two year plan how it will support and transform General Practice and expand opening hours to include evenings and weekends.

 

Strengthening Financial Performance & Accountability in 2016/17

 

On 21 July 2016 NHS England  ...  view the full minutes text for item 38.

Additional documents:

39.

Cabinet Member Update

The Cabinet Member will update the Select Committee on any relevant issues. Select Committee members may ask questions regarding the update.

Minutes:

Councillor Vic Pritchard, Cabinet Member for Adult Social Care & Health addressed the Select Committee, a summary of the update is set out below.

 

Celebration of Mental Health & Wellbeing Services in B&NES

 

At the end of July we held a celebration of mental health and wellbeing services in Bath and North East Somerset.  People who have experienced mental health and wellbeing services in B&NES came together with providers and commissioners of services. The event was arranged to showcase the very wide range of mental health and wellbeing services that people are able to access in B&NES and, also, to mark the retirement of Andrea Morland, joint Council and CCG mental health commissioner, who worked closely with service users and carers and led the development of many of these services.

 

He said that the feedback was excellent and that the day was invaluable. He added that he hoped to hold a similar event again in the future.

 

The Accessible Information Standard

 

The Accessible Information Standard (AIS) is new legislation that came into force on 31 July 2016. It aims to ensure that disabled patients, service users and their carers receive information in formats that they can understand and have appropriate support to help them communicate.

 

All NHS and publicly-funded adult social care services must follow AIS by law, under section 250 of the Health and Social Care Act 2012. The AIS sets out how organisations that provide NHS and Publicly-funded adult social care services should give disabled patients and service users information that they can access and understand and receive appropriate support to help them to communicate.

 

Councillor Paul May asked if the Council’s website would need to conform to the AIS.

 

Councillor Vic Pritchard replied that it would.

 

Councillor Eleanor Jackson asked if there was a way of monitoring incidents that have occurred in hospital to see if ‘lessons have been learnt’.

 

The Director for Integrated Health & Care Commissioning replied that for each complaint received an action plan will be put in place and monitored. She added that Coroner Investigations and Serious Case Reviews are monitored locally and by NHS England and will also have their own action plans.

 

Councillor Geoff Ward asked if he was aware of a project in Fleetwood that had been launched to improve the general health and wellbeing of the local population.

 

Councillor Vic Pritchard replied that he had and said that he considered B&NES to be leaders on this initiative such as this and the preventative agenda.

 

Councillor Lin Patterson asked how this period of reorganisation would affect the provision of mental health care young people once they become 18. She added that there appears to be a drop off in care after this age currently and that this can lead to problems.

 

The Director for Integrated Health & Care Commissioning replied that the CCG has received additional financial support to improve / enhance the transition period for this age group. She added that the future intention is to commission services along  ...  view the full minutes text for item 39.

Additional documents:

40.

Public Health Update

Members are asked to consider the information presented within the report and note the key issues described.

Minutes:

Becky Reynolds addressed the Select Committee, a summary of the update is set out below.

 

Smoking at time of delivery

 

There was a significant drop in the numbers of women smoking at time of delivery in B&NES during 15/16. Of the 1735 maternities in B&NES 7.2% were smoking at time of delivery compared to 10% during 14/15. This is better than the national and commissioning region (South Central) averages of 10.6% and 8.4% respectively. The introduction in 15/16 of the Saving Babies Lives: NHS Care Bundle to reduce stillbirths has given additional emphasis in maternity services to smoking in pregnancy. This has led to a noticeable increase in B&NES pregnant women who smoke engaging with support services.

 

Admissions for self-harm

 

This was an indicator where we have scored high in the past. It is difficult to be sure whether this reflects a poor situation locally, or whether it relates to how our health services respond to self-harm. Whatever the reasons, there has been a significant fall to a lowest rate since before 2010.  This is counter to the South West regional trend.

 

We cannot be sure whether it’s just down to statistical variability or something we’re doing or a bit of both.  We may only be able to tell if the figures remain low and also once AWP can give us recent enough data through the register to compare re-attendance rates before and after the postcards/information packs work began. In the meantime, we carry on our good local work with AWP, CAMHS, Samaritans, schools, etc.

 

The Sustainability and Transformation Plan

 

Work on this plan continues apace. It may be covered in other reports to the meeting, but it is worth mentioning that a joint bid is to be made for funding for the National Diabetes Prevention Programme which will provide lifestyle related support to people at high risk of type 2 diabetes.

 

The annual Director of Public Health report - “Get Fresh”

 

The annual Director of Public Health Report has now been published and all Councillors will receive a copy if they haven’t already done so. The aim of this year’s report is to provide a concise and readable account of the main priority areas for public health action which are encapsulated in the acronym FRESH which is explained in the report. The report also highlights this year’s emphasis on inequalities, and gives a basic snapshot of health in B&NES. Of course much more information about health indicators and local strategies and actions is available on the council’s website but browsing this document will give a quick overview.

 

Keep the date:  12th January 2017

 

The LGA has offered us its workshop for Councillors entitled “Prevention Matters: How elected members can improve the health of their communities”. After assessing that there was initial interest from members in B&NES we asked them to do this workshop here and the date has been set. The meeting will be in the Guildhall. A formal invitation will come out  ...  view the full minutes text for item 40.

Additional documents:

41.

Healthwatch Update

Members are asked to consider the information presented within the report and note the key issues described.

Minutes:

Alex Francis, Healthwatch was unable to attend the meeting, a copy of her update had been circulated to the members of the Select Committee.

Additional documents:

42.

Your Care, Your Way Update

The Select Committee will receive a presentation regarding this item.

Minutes:

Councillor Paul May was not present for this agenda item.

 

During the course of the meeting Councillor Lin Patterson had sought clarification on whether she and Councillor Paul May could remain present for this item. She said she had received correspondence from the Council’s Monitoring Officer and would convey it to the Select Committee. It read as follows;

 

Dear Councillors,

 

You are not "banned", however you do have a conflict of interest due to your behaviour (the signing of the petition against Virgin healthcare) or circumstances (Directorship of Sirona), which mean that you will not appear to be open minded in these discussions - you could stay in the room to hear the discussion but my advice is that you should not sit with the Board to avoid criticism or a standards complaint.

  
As set out in my email to all councillors - "It is important to take extra care if you are involved in a formal procurement process on behalf of the Council. Any comment you make - either intentionally or unintentionally - may be said to have compromised the process and could lead to a costly legal challenge and delays in the award of the contract. ....  Any conflicts of interest should be declared, with the councillor withdrawing from the process as soon as they realise there is a conflict.  (The rules around public sector procurement are covered in detail in the Council's Contract Standing Orders.)"
It is ultimately the councillor's decision as to whether they wish to remain or not and therefore this is for you to decide.

 

Councillor Lin Patterson left the meeting.

 

Barbara Gordon, Protect Our NHS (Banes) addressed the Select Committee. A copy of the statement can be found on the Panel’s Minute Book, and as an appendix online to these minutes, a summary is set out below.

 

Protect Our NHS BANES were very disappointed to learn that Virgin Care have been given preferred provider status by Bath and NE Somerset Council and the BANES Clinical Commissioning Group. We have since attended a meeting with the Your Care Your Way procurement team as well as an open meeting with the Virgin team. We continue to have deep concerns which we feel have not been answered.

 

We have been told that the provider will sign an undertaking to reinvest any profit or surplus from the operation into local services and that administrative costs will be capped. We understand that Richard Branson has said that he will not make a profit from the NHS. This does not appear to be a sustainable position for a private company and we would ask why, if Virgin is so altruistic, it has not created a charitable trust to bid for NHS services. 

 

The final business plan will not be made public until 3rd November and will be presented to councillors for a final decision on 10th November. We feel very strongly that one working week is quite inadequate for councillors and members of the public to  ...  view the full minutes text for item 42.

Additional documents:

43.

Select Committee Workplan pdf icon PDF 112 KB

This report presents the latest workplan for the Select Committee. Any suggestions for further items or amendments to the current programme will be logged and scheduled in consultation with the Chair of the Select Committee and supporting officers.

 

Minutes:

Councillor Eleanor Jackson commented that she would like to see the items relating to the Non-Emergency Patient Transport Service, Homecare Review Update and Loneliness allocated to specific meetings.

 

The Director for Integrated Health & Care Commissioning replied that she was aware that the Policy & Partnerships team had carried out some work regarding loneliness and it would therefore be good to check with them to see if anything can be shared with the Select Committee.

 

She added with regard to the Homecare Review Update that an assessment of available resources would be required.