The Director of Legal and Governance will report the names of alternate Members who are attending the meeting in place of appointed Members. 

Apologies: Councillor Nunns

Observers: Councillor Ferriby, Portfolio Holder Healthy People and Places; Councillor Mitchell

Trevor Ramsay (Healthwatch Bradford and District)

Susan Crowe (Bradford District Assembly Health and Wellbeing Forum

(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 must consider their interests, and act according to the following:

(2)       Disclosable pecuniary interests relate to the Member concerned or their spouse/partner.

(3)       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. 

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

No disclosures of interest were received.

Recommended –

That the minutes of the meetings held on 6 October, 24 November, 15 December 2022, 19 January, 16 February and 22 March 2023 be signed as a correct records (previously circulated).

(Asad Shah  – 07970 414022)

Resolved –

That the minutes of the meetings held on 6 October, 24 November, 15 December 2022, 19 January, 16 February and 22 March 2023 be signed as correct records.

(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. 

(Asad Shah – 07970 414022)

There were no appeals submitted to review decisions to restrict documents.

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.

There were no referrals received by the Committee.

Under Article 6 of Part 2 of the Constitution the Committee may make a recommendation to Council for the co-option of non-voting members to the Committee. The Committee is asked to recommend the appointment of the following non-voting co-opted members:

1.    Susan Crowe – Bradford and Craven Co-Production Partnership

2.    Trevor Ramsay – i2i patient involvement Network, Bradford District NHS Foundation Care Trust

3.    Helen Rushworth – Healthwatch Bradford and District

(Caroline Coombes - 01274 432313)

Resolved –

That it be recommended to Council that the following non-voting co-opted members be appointed to the Health and Social Care Overview and Scrutiny Committee for the 2023/24 Municipal Year:

1.    Susan Crowe – Bradford and Craven Co-Production Partnership

2.    Trevor Ramsay – i2i patient involvement Network, Bradford District NHS Foundation Care Trust

3.    Helen Rushworth – Healthwatch Bradford and District

ACTION: Director of Legal and Governance

Previous reference: Minute 36 (2015/2016)

At its meeting of 29 October 2015 the Committee considered a report of the Chair and resolved ‘That the West Yorkshire Joint Health Overview and Scrutiny be supported’. It also nominated two members from within its membership to sit on the Joint Committee. As the Committee has since been reconstituted, there is now a need to appoint two members to sit on the Joint Committee.

Recommended –

That the Committee nominates two members from within its membership to sit on the West Yorkshire Joint Health Overview and Scrutiny Committee.

(Caroline Coombes - 01274 432313)

Resolved –

That the Committee nominates Councillor Jamil and Councillor Coates to sit on the West Yorkshire Joint Health Overview and Scrutiny Committee.

ACTION: Overview and Scrutiny Lead

Members are asked to note the following dates for the 2023/24 Municipal Year for meetings of this Committee scheduled to take place at 4.30 pm in City Hall, Bradford:

·         Wednesday 21 June 2023

·         Thursday 27 July 2023

·         Thursday 28 September 2023

·         Thursday 26 October 2023

·         Thursday 23 November 2023

·         Wednesday 6 December 2023

·         Thursday 25 January 2024

·         Thursday 29 February 2024

·         Thursday 14 March 2024

Asad Shah – 01274 432280

Resolved –

That the dates of future meetings of the Committee for the 2023/24 Municipal Year, scheduled to take place at 4.30pm in City Hall, Bradford, be noted.

• Wednesday 21 June 2023

• Thursday 27 July 2023

• Thursday 28 September 2023

• Thursday 26 October 2023

• Thursday 23 November 2023

• Wednesday 6 December 2023

• Thursday 25 January 2024

• Thursday 29 February 2024

• Thursday 14 March 2024

LEAD: Director of Governance

The report of the Chief Executive Office (Document “A”) presents the Bradford Safeguarding Adults Board's annual report for 2021-2022. The report outlines the activities carried out by the Board and its partner agencies to protect vulnerable adults from abuse and neglect. It further covers a range of areas, including efforts to improve outcomes for at-risk adults, case reviews, safeguarding training, performance quality assurance, and progress against priorities. By providing a transparent assessment of multi-agency safeguarding activity, the report aims to demonstrate the strength of the safeguarding arrangements in the Bradford District. The report is presented on behalf of the three statutory safeguarding partners, the Local Authority, West Yorkshire Police, and Clinical Commissioning Group, who are jointly responsible for the safeguarding partnership arrangements.

Recommended –

(1)       The Committee is requested to note the Annual Report 2021/22

(2)       The Committee to receive another report in 12 months’ time. 

(Darren Minton - 01274 434361)

The report of the Chief Executive Office (Document “A”) presented the Bradford Safeguarding Adults Board's annual report for 2021-2022. The report outlined the activities carried out by the Board and its partner agencies to protect vulnerable adults from abuse and neglect. It further covered a range of areas, including efforts to improve outcomes for at-risk adults, case reviews, safeguarding training, performance quality assurance, and progress against priorities. By providing a transparent assessment of multi-agency safeguarding activity, the report aimed to demonstrate the strength of the safeguarding arrangements in the Bradford District. The report was presented on behalf of the three statutory safeguarding partners, the Local Authority, West Yorkshire Police, and Clinical Commissioning Group, who are jointly responsible for the safeguarding partnership arrangements.

The Board Manager from the Safeguarding Children's Board was in attendance and with the invitation of the Chair, gave a synopsis of the report to the committee. The representative summarised that, the BSAB was legally required to complete an annual report under the Care Act 2014. The Act required local authorities and their partners to work together to set up Safeguarding Adults Boards to oversee and coordinate safeguarding activities in their areas.

The annual report was an essential component of the Board's statutory responsibilities. It helped ensure that all partner agencies were accountable for their safeguarding activities and that there was transparency in how activities were carried out. The report provided an opportunity for the Board to evaluate the effectiveness of its safeguarding arrangements and initiatives, identify any gaps in service provision, and set priorities for future action.

In short, completing an annual report was essential for the BSAB to fulfil its legal obligations, promote transparency and accountability, and engage with stakeholders to ensure that safeguarding remains a priority for all partner agencies.

Following introduction, a question and answer (Q&A) session ensued:

·         Information was sought on the subject of feedback?

o   On a general basis, feedback was positive and supported which was due to the strong structure within the safeguarding framework. Nevertheless, feedback that required immediate attention was responded to immediately in order to avoid extended trauma. To further the ongoing work, a newsletter was produced in addition to regular engagement work. In terms of follow up support work, there was a joint Multi-Agency Safeguarding Adults Policy and Procedures set out the framework to respond to concerns raised about abuse and neglect of adults at risk. These sit alongside all the support and work across the region to prevent abuse and neglect from occurring;

·         In the context of the complexity of the ongoing work, had the service come across work themes that may cause foreseeable challenges?

o   Maintaining a stable workforce was always a challenging obstacle. Currently, there was a 21% employment turnover and the root cause staff renewal being income levels;

·         How was information being translated to meet the language needs of individual communities for families that were new to the country?

o   A system had been put in place to employ staff to  ...  view the full minutes text for item 9.

There is a statutory requirement for Integrated Care Boards (ICBs) to develop Joint Forward Plans (JFPs), which set out how they will operationalise their strategies. Each place within West Yorkshire has been asked to provide their local contribution to the NHS West Yorkshire ICB JFP.

The report of the Health and Care Partnership (Document “B”) presents the Bradford District and Craven Health and Care Partnership Joint Forward Plan.

Recommended –

The Committee is asked to note and may wish to comment on the first draft Joint Forward Plan   

(clare.smart@bradford.gov.uk / kerry.weir@bradford.gov.uk)

There was a statutory requirement for Integrated Care Boards (ICBs) to develop Joint Forward Plans (JFPs), which set out how they will operationalise their strategies. Each place within West Yorkshire has been asked to provide their local contribution to the NHS West Yorkshire ICB JFP.

The report of the Health and Care Partnership (Document “B”) presented the Bradford District and Craven Health and Care Partnership Joint Forward Plan.

At the invitation of the Chair, the Deputy Director accompanied by the Associate Director of the Bradford Teaching Hospitals NHS Foundation and Trust alongside the Strategic Director of Health and Wellbeing jointly gave a synopsis of the report. The Health and Care Act 2022 set out new statutory arrangements for health and care systems including the creation of ICBs. As part of these changes, requirements were set out for the development of Integrated Care Strategies, which would be owned by Integrated Care Partnerships, and Joint Forward Plans, which would be owned by ICBs, and would describe the delivery of the NHS elements of this strategy. The JFP is therefore a statutory document owned by NHS West Yorkshire ICB.

On the 23 December 2022, guidance on developing the JFP was published. The guidance supports ICBs and their partner NHS trusts and foundation trusts to develop their first 5-year JFP with system partners. The JFP should demonstrate how the ICB will operationalise its strategy, with the first plan due for submission on 30 June 2023.

A Q&A session followed:

·         What work was being undertaken to acknowledge the valued contribution made by communities?

o   The services being delivered, directly impacted the lives of people.  Therefore, committing to ensuring that the work of our partnership was influenced by the population through conversations and engagement.  Connecting, listening to, and having a consistent feedback loop with communities on an ongoing basis would also help to build trust.  The People Plan was inclusive of all health and care partners and was also focused around creating a sense of belonging: To create a compassionate and inclusive culture where everyone feels they belong, have a voice, and feel empowered to make a difference;

·         In regards to reducing inequalities, how would the understanding of issues be achieved?

o   Supporting the Community Partnership (CPs) to develop plans on how they can reduce inequalities. A toolkit had been developed to assist in 'reducing inequalities' with evidence and data pack for each CP.  The toolkit provided a lightweight but systematic framework for planning, designing, and assessing action;

·         It was clear that the pace of improvement for face to face appointments was extremely slow. What was the root cause for the gradual improvement?

o   Current workforce and retention of staff was a big challenge. Gaps in nurses and the recent strikes brought costly challenges to the delivery of improving the quality of service levels. In addition, care in general practice becoming more complex, GPs and their teams were also seeing more people than ever. For example, the average number of appointments in general  ...  view the full minutes text for item 10.

The report of the Director of Legal and Governance (Document “C”) will discuss the Committee’s work programme 2023/24 in advance of its presentation at the next meeting for adoption.

Recommended –

(1)       That a draft Programme of Work 2023/24 be presented for consideration and adoption at the Committee’s meeting of 27 July 2023.

(Caroline Coombs – 01274 432313)

The report of the Director of Governance (Document “C”) discussed the Committee’s work programme 2023/24 in advance of its presentation at the next meeting for adoption.

Resolved –

That a Programme of Work 2023/24 be presented for consideration and adoption at the Committee’s meeting of 27 July 2023.

Action: Overview and Scrutiny Lead