Agenda and minutes

Venue: Warspite Room, Council House. View directions

Contact: Ross Jago, Democratic Support Officer  Email: ross.jago@plymouth.gov.uk

Items
No. Item

25.

DECLARATIONS OF INTEREST

Members will be asked to make any declarations of interest in respect of items on this agenda.

Minutes:

Name

Minute No. and

Subject

Reason

Interest

Councillor Mrs Bowyer

35. Work Programme Safeguarding vulnerable adults.

 

Care home manager.

Personal

Councillor Dr Mahony

 

33. Health and wellbeing boards – Status Update

General Practitioner.

Personal

 

26.

CHAIR'S URGENT BUSINESS

To receive reports on business which, in the opinion of the Chair, should be brought forward for urgent consideration.

Minutes:

There were no items of Chair’s urgent business.

27.

MINUTES pdf icon PDF 97 KB

The panel will be asked to confirm the minutes of the meeting of 20 July 2011.

Minutes:

Agreed that the minutes of the meeting held on the 20 July 2011 were approved as a correct record.

28.

TRACKING RESOLUTIONS AND FEEDBACK FROM THE OVERVIEW AND SCRUTINY MANAGEMENT BOARD pdf icon PDF 20 KB

The panel will monitor the progress of previous resolutions and receive any relevant feedback from the Overview and Scrutiny Management Board.

Minutes:

Agreed that the panel’s tracking resolutions were noted.

29.

GYNAECOLOGICAL CANCER SURGERY pdf icon PDF 176 KB

To receive an update on Gynaecological Cancer Services and the Peninsula Cancer Network’s engagement strategy.

 

(This item reflects minute number 57 (1, 2 and 3) regarding a petition received by the panel on the 13 October 2010 on the possible closure of the Gynaecological Surgical Cancer Unit at Derriford Hospital).

Additional documents:

Minutes:

Nikki Thomas of the Peninsula Cancer Network (PCN) introduced a report on the shaping of patient and public involvement in cancer services. In response to questions from members of the panel it was reported that -

 

(a)   the petitioners who had presented their petition to the panel had been contacted and a representative identified. They would be working closely with the PCN on the engagement of patients with regard to gynaecological cancer surgery;

 

(b)   the approach to building engagement with patients, carers and key stakeholders would involve a prioritisation process, gynaecological cancer surgery would be within that process but it was not appropriate to assume the newly formed working group would choose it as a high priority;

 

(c)    there would be further news on proposed service reconfigurations over the coming weeks;

 

(d)   although a great deal of consultation had been taking place via the internet there were also telephone support lines, support groups and leaflets available.

 

Members of the panel expressed their disappointment at the apparent lack of process in addressing the concerns of Plymouth patients.

 

Agreed that -

 

  1. a position paper outlining the approach of the working group after their first meeting would be presented to a future meeting of the panel;

 

  1. information regarding the decision making process and proposals regarding the reconfiguration of Gynaecological Cancer Services would be made available to the panel as soon as possible.

30.

WINTER PRESSURE AND REABLEMENT FUND UPDATE pdf icon PDF 133 KB

The panel will receive a report on the winter pressure and reablement fund.

 

(This item follows recommendation 88 (1) 16 February 2011 on Adult Social Care budget and performance).

Minutes:

The Assistant Director for Adult Social Care introduced a report on the winter pressure and reablement fund. The report set out arrangements for investment into social care services for 2010/11 and set out further investment plans over 2011/12 – 12/13.

 

It was reported that joint working had been productive and successful. The funding was in addition to current social care spend and had allowed for investment in small changes in provision which would result in long term benefit.

 

As a result of the winter pressures funding, Managed Care Appropriateness (MCAP) software had been purchased and was currently on trial.  It was anticipated that the software would highlight the ways in which care quality and pathways could be improved, which could lead to more efficient service structures and save clinical costs.

 

In response to questions from the panel it was reported that –

 

(a)   the funding was not intended for major adaptations such as ramps and extensions. The service were intending to use some of the funding to pump prime sustainable projects such as time banks where people link locally to share their time and skills. There could be some discrete funding available for the smaller adaptations or an equipment bank;

 

(b)   direct discharge to residential care had been increasing over the last 18 months. The Local Authority was seeking alternatives to discharge to residential care with NHS Plymouth and NHS Plymouth Hospitals Trust. Discharge to residential care often reduced the confidence of patients and could present difficulties in reablement.

 

31.

A DRAFT TOBACCO ACTION PLAN FOR PLYMOUTH pdf icon PDF 341 KB

The panel will consider the Draft Tobacco Action Plan for Plymouth.

Additional documents:

Minutes:

The Cabinet Member for Adult Health and Social Care introduced Russell Moody, Stop Smoking Service Manager, who presented the action plan for comment. In response to questions from members of the panel it was reported that –

 

(a)   the Plymouth Smoke-free Team would drive the action plan and would include key stakeholders;

 

(b)   smoking prevention, with a particular focus on children, was a high priority. The baseline data for the prevalence of smoking amongst 15 years olds was very high and it was likely this was not a true reflection of the situation in Plymouth. The smoke free team would be working with Routeways to improve the types of questions used to gather the data from young people;

 

(c)    when Public Health migrate into the local authority there would be increased opportunities to become involved in the wider determinants of health which would help the smoke free team to become more holistic in their approach;

 

(d)   the action plan is focused on social marketing, understanding the causes of smoking, health and lifestyle issues which would link to issues such as obesity and alcohol misuse.

 

Comments from members of the panel included–

 

(e)   the Smoke-free Team should include ethnic minority groups, Her Majesty’s Revenues and Customs and Trading Standards;

 

(f)     accepting that the document was an early draft for consultation it required further proof reading and translation into plain English so that it was accessible to a range of people;

 

(g)   the smoke free team should recommend that health visitors and midwives be allotted sufficient time to be able to speak to people regarding smoking cessation.

 

32.

HEALTHWATCH PATHFINDER - STATUS UPDATE pdf icon PDF 1 MB

The Chair of Plymouth LINk will provide an update to the panel.

Additional documents:

Minutes:

Vicky Shipway, Local Involvement Network (LINk) host manager provided an update to the panel on the recent work of the LINk and development of Healthwatch. It was reported that -

 

(a)   membership of the LINk had grown to around 2,500 members;

 

(b)   the LINk were developing a number of work streams including a project with gypsies and travellers, the LINk manager was in contact with the Democratic Support Officer for the panel to ascertain whether a joint approach to this piece of work was appropriate;

 

(c)    the LINk had recently provided recommendations to Derriford Hospital around access and discharge from hospital;

 

(d)   the LINk had also undertaken an access to primary care survey and reported its results to NHS Plymouth;

 

(e)   LINk would, over the next 18 months, develop into Healthwatch. In addition to the functions currently carried out by the LINk a number of other functions would be part of Local Healthwatch. Functions would include representing the views of patients on the Health and Wellbeing Board and providing access to independent complaints and advocacy services;

 

(f)     it was anticipated that Local Healthwatch would be in place by October 2012 and new arrangements for advocacy would take effect from March 2013.

 

In response to questions from members of the panel it was reported that –

 

(g)   the LINk worked hard to be representative and input to as many meetings and consultations as possible, the stewardship group made the decisions on where the limited resources would be applied;

 

(h)   theLINk had no regular contact with individual general practices in the city; however they had excellent working relationships with General Practitioners via the Sentinel Clinical Commissioning Executive and the NHS Plymouth Primary Care Team.

 

Some panel members expressed disappointment at the lack of success of LINk both at a local and national level.

 

Agreed that the panel would take part in the tendering process and make recommendations to the Cabinet with regard to Local Healthwatch.

33.

HEALTH AND WELLBEING BOARDS - STATUS UPDATE pdf icon PDF 50 KB

The panel’s lead officer will provide an update to the panel on the development of the shadow Health and Wellbeing Board.

Minutes:

The panel’s lead officer introduced a paper on the development of a Health and Wellbeing Board for Plymouth. It was reported that -

 

(a)   there was no requirement for early implementers to have a formally constituted Shadow Health and Wellbeing Board in place;

 

(b)   Plymouth would be taking a different approach to many of the early implementers across the country and would have Health and Wellbeing Development Group. It was anticipated that this approach would allow lessons to be learned from those who had set up Shadow Boards and encountered difficulties;

 

(c)    a development group had been formed and would meet initially in November 2011. The group would include the statutory membership outlined in the most recent version of the Health and Social Care Bill and would also include members of scrutiny.

 

Members of the panel noted the report and commented that whilst it was appropriate that scrutiny is active on the development group there were concerns raised as to the appropriateness of members of scrutiny having seats on future Health and Wellbeing Board.

 

Agreed that the panel would have a number of provisional meeting dates added to the calendar over the next 18 months to allow for scrutiny of Healthwatch and Health and Wellbeing Board development.

34.

ANNUAL OVERVIEW AND SCRUTINY REPORT pdf icon PDF 426 KB

The panel will receive the annual scrutiny report for comment.

Minutes:

Agreed that the Annual Overview and Scrutiny report was noted but required the addition of the co-opted members of the panel.

35.

PROJECT INITIATION DOCUMENT pdf icon PDF 96 KB

The panel will consider a project initiation document for a task and finish group on the safeguarding of vulnerable adults. The panel will confirm membership and the Chair of the group.

Minutes:

Agreed that the project initiation document, regarding the safeguarding of vulnerable adults, be commended to the Overview and Scrutiny Management Board for approval subject to the following amendments -

 

  1. That the methodology should include evidence gathering by councillors through ward work;

 

  1. That the following are added to the document as objectives –

 

  1. To review and assess the adequacy of policies regarding whistle blowing;

 

  1. To review and assess the adequacy of polices regarding unannounced visits to care settings.

 

Councillor Mrs Bowyer declared a personal interest and withdrew from debate on this item.

36.

WORK PROGRAMME pdf icon PDF 37 KB

The panel will consider its work programme.

Minutes:

Agreed that the panel’s work programme was noted.

37.

EXEMPT BUSINESS

To consider passing a resolution under Section 100A (4) of the Local Government Act 1972 to exclude the press and public from the meeting for the following item(s) of business on the grounds that it (they) involve(s) the likely disclosure of exempt information as defined in paragraph(s) of Part 1 of Schedule 12A of the Act, as amended by the Freedom of Information Act 2000

Minutes:

There were no items of exempt business.