Agenda, decisions and minutes

Health and Social Care Overview and Scrutiny Committee - Thursday, 21st October, 2021 4.30 pm

Venue: Council Chamber - City Hall, Bradford

Contact: Jane Lythgow 

Items
No. Item

19.

DISCLOSURES OF INTEREST

(Members Code of Conduct - Part 4A of the Constitution)

 

To receive disclosures of interests from members and co-opted members on matters to be considered at the meeting. The disclosure must include the nature of the interest.

 

An interest must also be disclosed in the meeting when it becomes apparent to the member during the meeting.

 

Notes:

 

(1)       Members may remain in the meeting and take part fully in discussion and voting unless the interest is a disclosable pecuniary interest or an interest which the Member feels would call into question their compliance with the wider principles set out in the Code of Conduct.  Disclosable pecuniary interests relate to the Member concerned or their spouse/partner.

 

(2)       Members in arrears of Council Tax by more than two months must not vote in decisions on, or which might affect, budget calculations, and must disclose at the meeting that this restriction applies to them.  A failure to comply with these requirements is a criminal offence under section 106 of the Local Government Finance Act 1992. 

 

(3)       Members are also welcome to disclose interests which are not disclosable pecuniary interests but which they consider should be made in the interest of clarity.

 

(4)       Officers must disclose interests in accordance with Council Standing Order 44.

 

 

Minutes:

During the meeting and In the interests of transparency, Councillor Berry declared that his current employer provided advocacy in the area of safeguarding (Minute 22). The interest was not prejudicial and he remained in the meeting during discussion and voting on that item.

 

ACTION: City Solicitor

 

 

20.

INSPECTION OF REPORTS AND BACKGROUND PAPERS

(Access to Information Procedure Rules – Part 3B of the Constitution)

 

Reports and background papers for agenda items may be inspected by contacting the person shown after each agenda item.  Certain reports and background papers may be restricted. 

 

Any request to remove the restriction on a report or background paper should be made to the relevant Strategic Director or Assistant Director whose name is shown on the front page of the report. 

 

If that request is refused, there is a right of appeal to this meeting. 

 

Please contact the officer shown below in advance of the meeting if you wish to appeal. 

 

(Jane Lythgow - 01274 432270)

 

Minutes:

There were no appeals submitted by the public to review decisions to restrict documents.

 

 

21.

REFERRALS TO THE OVERVIEW AND SCRUTINY COMMITTEE

Any referrals that have been made to this Committee up to and including the date of publication of this agenda will be reported at the meeting.

Minutes:

There were no referrals made to the Committee.

 

 

22.

UPDATE ON CYGNET pdf icon PDF 113 KB

The report of the of the Bradford District and Craven Clinical Commissioning Group and Bradford Metropolitan District Council (Document “H”) provides a joint update on the local arrangements in place for responding to safeguarding concerns from Cygnet Hospitals Health Care, Bradford.

 

Recommended –

 

(1)       Members are asked to consider and comment on the information provided within the report.

 

(2)       Members are asked to receive assurance against the safeguarding actions taken at place in relation to Cygnet.

 

(3)       Members may wish to consider inviting a national Cygnet Health Care representative to attend a future Health and Social Care Overview and Scrutiny Committee meeting.

 

(Iain MacBeath - 01274 432990)

(Michelle Turner - 01274 237707)

 

 

Decision:

 

Resolved:-

 

(1)  That a report on the implementation of the new ‘Host Commissioner’ arrangements be added to the Committee’s 2022/3 programme of work;

 

(2)  That the assurance against the safeguarding actions taken in relation to Cygnet be welcomed.

 

 

Action: Overview and Scrutiny Lead

 

(Caroline Coombes – 01274 432313)

Minutes:

The report of the of the Bradford District and Craven Clinical Commissioning Group and Bradford Metropolitan District Council (Document “H”) provided a joint update on the local arrangements in place for responding to safeguarding concerns from Cygnet Hospitals Health Care, Bradford.

 

The Strategic Director of Health and Wellbeing for Bradford Council was in attendance, accompanied by the Strategic Director of Quality and Nursing for Bradford District and Craven Clinical Commissioning Group, Deputy Director of Nursing, NHS England and Improvement, Director of Nursing and Patient Experience, Cygnet Healthcare and the Managing Director, Cygnet Healthcare North.

 

With the request of the Chair, the Strategic Director of Quality and Nursing for Bradford District and Craven Clinical Commissioning Group gave a detailed synopsis of the report to the committee.

 

Following an introduction of the report, a question and answer session ensued:

  • As there was no mention in the report, clarification was sought in regards to whether there was an independent advocacy support network in place for people with learning disabilities and, a general insight on the independent advocacy services for all users was requested
    • Yes. An independent advocacy support network was in place for vulnerable adults who were unable to fully take part in their own planning process as it was the responsibility of the Council to offer this service; 
    • Viable contracts were in place with external advocacy organisations through immense work in the development of strong relations over the last six months.
    • A co-production steering group was in place and chaired by an expert through experience. The group was about working in partnership with patients and service users to make sure that the agenda was not proven only by professionals, but in partnership with patients and service users. This was an important feature as it brought together all of the leads for the advocacy organisation, for the purpose of reporting on current themes and trends. This process also gave an opportunity to challenge needs.
    • Every clinical area had contact information, the advocacy service visited the clinical areas regularly, at least weekly depending on the size of the hospital sites and the medical board once a week. Contact numbers for service users were also available, if users wished to contact the advocates from outside;
  • Further to a report by the Transforming Care and Commissioning Steering Group, chaired by Sir Stephen Bubb – 2014 in relation to Winterbourne View Hospital scandal; concerns expressed by this committee’s constituents; the public’s concerns of the treatment of people with learning disabilities, it has always been favoured for more intermediate level of psychiatric provision and care closer to home. Therefore, could assurances be given that everything was being done to ensure the correct safeguarding processes were in place?
    • There were plans to reopen Woodside hospital as a care in the community facility in November 2021 but had been pushed later in January 2022. The reopening of the hospital was to make a significant difference to the services provided. The services would provide specialist services for people with  ...  view the full minutes text for item 22.

23.

UPDATE ON THE RESTORATION AND RECOVERY OF GENERAL PRACTICE PRIMARY CARE AND COVID -19 pdf icon PDF 1001 KB

Covid -19 has and continues to have a significant impact on General Practice.

 

General practices continue to support the Covid-19 pandemic in delivering the vaccination programme as well the new Covid-19 booster programme. Practices continue to take mitigating actions in line with national guidance to ensure both staff and patient are kept safe, and practices can continue to deliver, high quality care for their registered population.

 

The report of the NHS Bradford District and Craven CCG (Document “I”) provides an overview on the Restoration and Recovery of General Practice aligned to national guidance.

 

Even with the success of the vaccination programme, Covid-19 remains prevalent and presents an ongoing risk to the health and wellbeing of our communities. We acknowledge the tremendous efforts our General Practice and system partners are making to retain ongoing safe delivery of primary care services.

 

Recommended –

 

Members of the Health and Care Overview Scrutiny committee are asked to:

 

Note the contents of this report as assurance of the continuation of the safe delivery of care by GP practices during Covid-19 and the steps towards Restoration and Recovery of primary care in line with the NHS 2021/22 priorities and operational planning guidance for October 2021 to March 2022, published 30 September 2021.

 

(Parveen Akhtar – 07795 346286)

 

 

Decision:

 

Resolved:-

 

(1)  That the contents of Document “I” as assurance of the continuation of the safe delivery of care by GP practices during the Covid-19 pandemic and the steps towards Restoration and Recovery of primary care in line with the NHS 2021/22 priorities and operational planning guidance for October 2021 to March 2022 published 30 September 2021 be noted;

 

(2)  That a further report be provided in 12 months’ time.

 

ACTION: Overview and Scrutiny Lead

(Caroline Coombes – 01274 432313)

Minutes:

UPDATE ON THE RESTORATION AND RECOVERY OF GENERAL PRACTICE PRIMARY CARE AND COVID -19

 

Covid -19 continued to have a significant impact on General Practice. General practices continued to support the Covid-19 pandemic in delivering the vaccination programme as well the new Covid-19 booster programme. Practices continued to take mitigating actions in line with national guidance to ensure both staff and patient are kept safe, and practices could continue to deliver, high quality care for their registered population.

 

The report of the NHS Bradford District and Craven CCG (Document “I”) provided an overview on the Restoration and Recovery of General Practice aligned to national guidance.

 

Even with the success of the vaccination programme, Covid-19 remained prevalent and presented an ongoing risk to the health and wellbeing of communities. It was acknowledged the tremendous efforts of General Practice and system partners were making to retain ongoing safe delivery of primary care services.

 

The Associate Director, Keeping Well, Bradford District and Craven Clinical Commissioning Group (BDCCG) was in attendance, accompanied by the Strategic Director, Keeping Well at Home, BDCCG and the General Practitioner - Strategic Clinical Director, BDCCG.

 

At the request of the of the Chair, the Associate Director gave a synopsis of the report followed with a PowerPoint presentation of breakdown of data on the General Practice – Access Update 2021. The data related to the following areas of working practices:

·         General Practice

o   Bradford District and Craven – Primary Care Networks (PCN)

o   PCN current delivery service specifications

o   Key Priorities for PCNs

·         GP Workforce

o   GP to Patient Ratio – overview

o   GP to Patient Ratio – in order of PCN deprivation;

o   Face to face GP appointments

·         NHS England and NHS Improvement (NHSEI) Plan for Improving Access for Patients and Supporting General Practice

o   Winter Access Funding Guidance

o   NHSEI Winter Access Funding

o   NHSEI Plan Highlights

o   ICS Level

·         Next Steps

·         Time Line

·         Risk Issues

·         Risk Issues – Local and National

 

As an overview summary, the focus was to continue with online consultations as remote triage was part of the national agenda within PCNs. However face to face appointments were still available for those people who were clinically vulnerable. It was not about seeing a GP, but more so, the most appropriate way forward for people in accordance with their medical condition. In terms of industry requirements for key areas, there was ongoing complicated work development including the increase of workforce to deliver the new functions in addition to resuming back to business operations in terms of reducing the backlog of appointments including for chronic disease management and routine vaccinations and immunisations. In general Practices, high number of staff had been infected with COVID. There were challenges in trying to backfill positions. There was an increasing number of an abusive incidents . However, to deal with such behaviour, patients were made aware that they could be excluded from primary care. There were some signs of direction from government to tackle some of the long  ...  view the full minutes text for item 23.

24.

HEALTH AND SOCIAL CARE OVERVIEW AND SCRUTINY COMMITTEE WORK PROGRAMME 2021/22 pdf icon PDF 71 KB

The Committee receive a report (Document “J”) of the work programme 2021/22.

 

Recommended –

 

That the Committee notes the information in Appendix A,

 

(Caroline Coombs – 01274 432313)

 

 

Additional documents:

Decision:

 

No resolution was passed on this item

 

 

Minutes:

The Committee received a report (Document “J”) of the work programme 2021/22.

 

No resolution was passed on this item