(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.

There were no disclosures for interest.

(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 by the public 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 referrels to the committee.

The report of the Strategic Director of Adult Social Care (Documwnt “Z”) provides an update on delivery against the Commissioning Strategy for 2022-2027 and sets out the commissioning intentions for 2024/25.

Recommended –

That the committee note the report.

(Jane Wood - 07970 273682)

The report of the Strategic Director of Adult Social Care (Document “Z”) provided an update on delivery against the Commissioning Strategy for 2022-2027 and set out the commissioning intentions for 2024/25.

Following a synopsis of the report a question session ensued to which the following answers were given:

·         Throughout the year 2023/24, the service had dedicated a considerable effort to commissioning various services. This included the revamping of the home support model in Bradford for Older People, Physical Disability, and Sensory Impairment services, the evaluation of Extra Care services in Bradford, the introduction of the Local Friendship Grants initiative, the establishment and execution of the innovative joint Dementia and Advice Contract, and the assessment of the Independent Equipment Service;

·         The process of implementing changes were fairly intricate. There were more significant changes needed than initially anticipated, partly due to some existing providers opting out or failing to secure bids. Additionally, actions taken by certain providers during the implementation phase led to significant complications. |It was recognised that these issues caused disruptions for many individuals, resulting in a high volume of complaints. Collaboration across the Department aimed to swiftly address these issues and complaints. After 3 months of the new contracts being in effect, services had largely stabilised in most areas, and the service remained dedicated to the goals of transforming services to provide high-quality, sustainable care that will continue to innovate in the coming years; and,

·         It was priority to provide services that were centred on meeting the specific goals for individuals for their care and assistance. The goal was to offer individuals the freedom to choose how they received support. The service currently assisted our partners in the Adults with Disabilities department in exploring the concept of Small Supports. Small Supports were tailor-made care packages provided by small organisations, catering to only 3-5 individuals at a time. This model primarily catered to individuals with Learning Disabilities and Autism who were transitioning from a hospital setting to community living and required a unique form of support. The Small Supports Initiative also involved the implementation of Individual Service Funds as part of the project.

Resolved:-

That the report be noted and that an update report be presented in 12 months.

To be actioned by: Strategic Director of Adult Social Care and Health

The Report of the Director of Public Health (Document “AA”) provides an overview of respiratory health in Bradford District and outlines what partners are doing to improve outcomes for people in the District.

Recommended –

(1)       That the committee to note and comment on the information provided in the report and to support ongoing work seeking to address the main challenges outlined.

(2)       That Elected members can provide unvaluable support through public statements and other awareness raising actions to:

·         Initiatives that aim to reduce the health impacts of air pollution, urban development and climate change, like the inclusion of a health in all policies approach in local development policies, instruments and plans. 

·         Implementation of the Bradford Tobacco Control Strategy, particularly actions to prevent uptake of smoking and vaping in young people and to reduce availability of illegal tobacco in our most deprived communities.

·         Initiatives to increase uptake of COVID-19 and flu vaccines and to restore public trust in health advice issued by the local authority, NHS and other local partners.

(jorge.zepeda@bradford.gov.uk)

The Report of the Director of Public Health (Document “AA”) provided an overview of respiratory health in Bradford District and outlines what partners were doing to improve outcomes for people in the District.

The Head of Public Health was in attendance and at the invitation of the Chair gave a detailed outline of the report. He stated that respiratory illnesses were a significant contributor to poor health and premature death in Bradford District. In comparison to other regions in England, the District's performance in this area was subpar. Acknowledging this disparity, various stakeholders within the District, such as the local government and the NHS, had made respiratory health a top priority in order to enhance health outcomes and reduce disparities. This document served as a comprehensive overview of respiratory health in Bradford District and highlighted the collaborative efforts of partners to enhance outcomes for individuals in the area. The key focus areas included air quality, extreme weather conditions, tobacco use, respiratory infections, and chronic respiratory diseases. This report built upon previous discussions in reports from February 2023 on respiratory health and November 2022 on COVID-19, providing updates on these critical topics.

Respiratory illnesses encompassed a range of health conditions that impacted the airways and lungs, leading to difficulties in breathing. This category included both sudden infections such as the flu, COVID-19, and pneumonia, as well as ongoing diseases like asthma and COPD. Genetics and metabolism played a role in respiratory health, for example, obesity could contribute to the development of asthma. Infections from pathogens like viruses (such as COVID-19), lifestyle choices like smoking, and exposure to environmental pollutants could also affect respiratory well-being. Chronic respiratory diseases were part of a group of conditions that accounted for a significant portion of premature deaths and years lived with poor health. These are the health issues that had been identified as a top priority in the new NHS major conditions strategy.

Respiratory illnesses affected a significant portion of the population in the United Kingdom, with statistics showing that one in every five individuals was impacted by such conditions. These diseases ranked as the third leading cause of death in the country. Despite advancements in medical treatment and research, the improvement in health outcomes for respiratory diseases had not been as significant as that seen in other areas such as cardiovascular disease and cancer over the past decade.

Hospital admissions related to respiratory issues played a crucial role in the strain faced by the National Health Service, especially during the winter months. The impact of these admissions was not limited to the healthcare sector, as it also affected the broader economy due to the loss of productivity from missed workdays. Historically, lung cancer, pneumonia, and Chronic Obstructive Pulmonary Disease (COPD) had been the primary contributors to mortality from respiratory diseases, with an average of 500 deaths recorded annually in the Bradford district alone.

However, since the year 2020, the landscape of respiratory health had been dramatically altered by the emergence of COVID-19.  ...  view the full minutes text for item 62.

The Bradford and Airedale Neurodevelopment Service (BANDS) was commissioned in 2015 to provide triage, assessment and diagnosis for both ASD and ADHD for adults (over 18) in Bradford, Airedale, Wharfedale and Craven. 

The report of the Bradford and Craven Health and Care Partnership (Document “AB”) This briefing and appendices relate to Adult Autism services only, there is no reference to similar services for children.

Commissioners and providers are pleased to share evidence and data, within this report, to evidence that all outcomes and objectives for the Adult Autism Pathway have been met or are well on the way to being met.

Recommended –

(1)       Members are asked to support the developments to the BDCFT/SWYPFT service model to develop a new Adult Autism Pathway and service model to assess and diagnose adults with autism spectrum conditions and the benefits for patients and referrers.  

(2)       That it be noted that all project objectives have been met, or are on target to be met, and the new service is now operating as ‘business as usual’.

(Walter O’Neill - 07432 721557)

The Bradford and Airedale Neurodevelopment Service (BANDS) was commissioned in 2015 to provide triage, assessment and diagnosis for both ASD and ADHD for adults (over 18) in Bradford, Airedale, Wharfedale and Craven. 

The report of the Bradford and Craven Health and Care Partnership (Document “AB”). This briefing and appendices related to Adult Autism services only, there was no reference to similar services for children.

Commissioners and providers were pleased to share evidence and data, within this report, to evidence that all outcomes and objectives for the Adult Autism Pathway had been met or were well on the way to being met.

A brief overview of the report was provided to the committee.

In response to calrifications sought by the committee, it was explained that:

·         The Bradford and Airedale Neurodevelopment Service (BANDS) was established in 2015 with the purpose of offering triage, evaluation, and diagnosis for both Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) in adults over the age of 18 residing in Bradford, Airedale, Wharfedale, and Craven. This briefing and its annexes pertained solely to services catering to adults with Autism, with no mention of services for children. Following criticisms from the Health Overview and Scrutiny Committee (HOSC) and complaints from patients regarding the service's structure, cost-effectiveness, excessive waitlists, and lengthy waiting times, a thorough review was conducted. As a result, an Action Plan was devised and approved by the Mental Health (MH), Learning Disability (LD), and Neurodevelopmental (ND) Partnership Board to address these issues and introduce a new service structure.

·         After numerous unsuccessful efforts to improve the current BANDS service model, it became clear that a fresh and creative strategy was necessary to bridge the widening disparity between the need for adult autism assessment and support and the available capacity. A key component of this new approach was to establish a collaborative relationship between the BANDS service and the more effective SWYPFT service. Furthermore, a significant boost in funding was approved by Bd&C Health and Care Partnership, increasing from £65,000 per annum to £352,000 per annum.

Resolved:-

(1)       That the report be welcomed and officers be commended for the progress made, and

(2)       That a further progress update be presented in 12 months.

To be actioned by: Bradford and Craven Health and Care Partnership