(i)            Councillor A Ahmed disclosed, in the interest of transparency, that she was a Governor of Bradford District Care NHS Foundation Trust, in relation to the reports on the Industrial Centre of Excellence (Minute  48) and the Health and Wellbeing Sector Workforce (Minute 50).

(ii)          Councillor Rickard disclosed, in the interest of transparency, that he had undertaken work at the University of Bradford, as part of his employment, in relation to the report on the Industrial Centre of Excellence (Minute 48).

(iii)         Susan Crowe disclosed, in the interest of transparency, that she had received commissions from Public Health and Clinical Commissioning Groups.

ACTION: City Solicitor

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.

REFERRAL FROM THE GOVERNANCE AND AUDIT COMMITTEE, 30 NOVEMBER 2017:

LOCAL GOVERNMENT AND SOCIAL CARE OMBUDSMAN - REVIEW OF LOCAL GOVERNMENT COMPLAINTS 2016/17

(1)       That the Committee takes assurance from the result of the Local Government and Social Care Ombudsman’s Annual Review of Local Government Complaints         2016/17, that the Authorities complaints process is overall satisfactory.

(2)       That the Committee expresses concern at the number of complaints upheld by the Local Government Ombudsman in Adult Social Care and asks the Health and Social Care Overview and Scrutiny Committee to examine the reason why so many complaints were upheld in 2016/17 compared to the number of complaints received in this service area.

Action:            Strategic Director Health and Wellbeing/Overview and Scrutiny Lead Officer

Resolved –

That the referral be noted and that the Chair seek further information and advise the Committee at its next meeting on any action she considers the Committee should take.

ACTION: Overview and Scrutiny Lead Officer

The ICE Programme is a strategic partnership between industry and education. It has come out of a need to improve the skills levels of our young people across the Bradford District. The ICE addresses the skills shortage in the health and social care sector by providing young people with the skills, behaviours and attributes to support Bradford capability to secure more jobs and inward investment in the future. 

The ICE:

·         Improves the opportunities for 14-19 year olds to benefit from specialist skills influenced by Industry, developing progression routes in further higher learning and skilled employment   

·         Engages with business to identify their priority skills in order to redesign, shape, create fit for purpose education and training programmes that address market failure and transformational change.

·         Provides young people with a set of in-demand and marketable qualifications weaved in with employability skills to help them secure employment  

The Director will attend the meeting to give an update on the establishment and activity of the Bradford District Health and Social Care ICE to date.

(Stacey Jobson – 07880 380426)

The Industrial Centre of Excellence (ICE) Programme is a strategic partnership between industry and education. It has come out of a need to improve the skills levels of young people across the Bradford district. The ICE addresses the skills shortage in the health and social care sector by providing young people with the skills, behaviours and attributes to support Bradford capability to secure more jobs and inward investment in the future. 

The ICE:

·         Improves the opportunities for 14-19 year olds to benefit from specialist skills influenced by Industry, developing progression routes in further higher learning and skilled employment   

·         Engages with business to identify their priority skills in order to redesign, shape, create fit for purpose education and training programmes that address market failure and transformational change.

·         Provide young people with a set of in-demand and marketable qualifications weaved in with employability skills to help them secure employment  

The Director attended the meeting to give an update on the establishment and activity of the Bradford District Health and Social Care ICE to date.  During her presentation she stated that:

·         The Health and Social Care ICE Programme commenced in October 2017 with 80 students attending a Careers Carousel Exploration Day at the University of Bradford.

·         The ICE Programmes had been rolled out in 18 secondary schools and to 3,000 students across the district, delivering industry led programmes since 2013.

·         Students studied technical based programmes which were considered key to the district ‘growing its own’ workforce in areas where there were skills gaps.

·         Business engagement and partnership working was at the heart of the programme.

·         The ICE Programmes were an innovative way in which students could gain skills and qualifications to give them pathways into industry and further training.

·         Young people on the programme were expected to complete 12 competencies which helped towards creating a CV and personal statement for university.

·         The programme currently had seven industry partners and five educational partners.

·         The ICE Board members included representatives from: Bradford Teaching Hospitals NHS Foundation Trust, Airedale Hospital, Bradford District Care Trust, Bradford Council, Bradford Trident, Skills for Care, Bradford University, Bradford College, Bradford Girls Grammar, Bradford Academy and Parkside School. 

·         Schools taking part in the Health and Social Care ICE Programme were: Bradford Girls Grammar School, Bradford Academy and Parkside School.  All schools were selected by the ICE Board.

·         Qualifications being offered were: A Level Science (Biology, Physics, and Chemistry), Cambridge technical level 2 and 3 in Health and Social Care and BTEC Level 3 National Award in Children's Play, Learning and Development.

·         A four year rolling programme for the Health and Social Care ICE Programme had been devised.

·         The programme has been created through mapping the curriculum to the skills required by industry.

·         Each programme was tailored to individual schools and the qualification that they delivered.

·         The programme contextualised the learning by putting theory into practice.

·         Employability skills were weaved into the curriculum and delivered by industry professionals.

·         Young people on the programme had the opportunity to undertake work placements and visits  ...  view the full minutes text for item 48.

The report (Document “T”) of the West Yorkshire Screening and Immunisation Team provides an update on the progress with regard to the uptake and coverage of screening and immunisation programmes in the Bradford locality through partnership working.

Recommended –

That the Committee note:

(1)       The report and the on-going work to support and promote the NHS England commissioned screening and immunisation programmes within the Bradford area.

(2)       That Bradford MDC continues to engage and assurances are given to the  Director of Public Health in relation to commissioned screening and immunisation programmes which are sought through local operational groups, programme boards and West Yorkshire Screening & Immunisation Oversight Group.

(Kate Horsfall – 01132 8252703)

The report (Document “T”) of the West Yorkshire Screening and Immunisation Team provided an update on the progress with regard to the uptake and coverage of screening and immunisation programmes in the Bradford locality through partnership working.

A brief summary of the report was provided, highlighting the governance arrangements.  It was reported that trends outlined in the report for Bradford were mirrored regionally and were not unique to the district; work was on-going with the communications team to promote screening and immunisation through the media to increase uptake of the programmes.  It was stressed that the Screening and Immunisation programmes were unique in that they invited healthy people for a screening test, often invasive, which would tell them whether or not they had a disease. 

A Member commented that the uptake of bowel and cervical screenings was low and questioned whether the team were speaking to people about why they were not getting screened.  In response, it was explained that feedback was sought locally and nationally on this matter and information in the leaflets which went out to people inviting them to make an appointment for these screenings were being simplified as an outcome, in order for the process to be easier to understand.

In response to Members questions, it was reported that:

·         Awareness training was provided for carers e.g. how to complete the bowel screening kit.

·         The communications team were working with the national campaign to raise awareness at a local level to increase the uptake of screenings.

·         The decline in cervical screening rates in Bradford was mirrored nationally.  Some of the barriers e.g. access hours were being addressed with GPs.

·         It was acknowledged that some people would fear going for a screening and approaches were taken to try to make people feel at ease e.g. explanation in the leaflets, informing then they could be accompanied and trying to ensure they saw the same person on their screening care pathway.

·         Many compliments were received from patients following their appointments with the specialist screening practitioners and any complaints received were looked at in detail with the clinicians.

·         Breast screening was the only programme that would include a genetics pathway; it would be accessed through the GP and individuals screened yearly.

A Member thanked officers for the work undertaken in her ward (Manningham) and suggested the targeting of local gyms in the area to try to increase BME bowel screening uptake rates.  Officers agreed to feed this back to Screening and Immunisation Co-ordinators.

The Chair thanked the officers for the report.

Resolved –

(1)       That the report and the on-going work to support and promote the NHS England commissioned screening and immunisation programmes within the Bradford area be noted.

(2)       That the Committee notes that Bradford Council continues to engage and assurances are given to the  Director of Public Health in relation to commissioned screening and immunisation programmes which are sought through local operational groups, programme boards and West Yorkshire Screening & Immunisation Oversight Group.

(3)       That performance  ...  view the full minutes text for item 49.

NHS Airedale Wharfedale & Craven, Bradford City and Bradford Districts Clinical Commissioning Groups will submit Document “S” which provides both a strategic overview of the national, regional and local priorities and associated workforce challenges and enablers for the health, social care and wellbeing sector, and a progress update on the development and delivery of the Bradford District and Craven Integrated Workforce Programme’s workforce strategy.

A presentation will be given at the meeting which will include an overview of  how Bradford District and Craven is addressing the workforce issues and challenges.

Recommended –

(1)      That the Committee is assured that the Integrated Workforce Programme (IWP) strategy and work programmes are taking the right approach and actions to support achievement of the vision and objectives for health and social care in the District.

(2)      That Members of the Committee provide support in communicating the ambitions and actions of the IWP at regional and district forums; providing any links or connections that the Board thinks may strengthen the approach of the IWP.

(3)      That Members advise the IWP on the nature and frequency of further reports to the Committee.

(Michelle Turner - 01274 237290)

NHS Airedale Wharfedale & Craven, Bradford City and Bradford Districts Clinical Commissioning Groups submitted Document “S” which provided both a strategic overview of the national, regional and local priorities and associated workforce challenges and enablers for the health, social care and wellbeing sector, and a progress update on the development and delivery of the Bradford District and Craven Integrated Workforce Programme’s workforce strategy.

Members were informed that in June 2017 the Bradford and Airedale Health and Wellbeing Board held a development meeting and workforce issues had been identified as a key area for the Board’s work programme. 

A presentation was given which included an overview of how Bradford District and Craven were addressing the workforce issues and challenges identified.  During the presentation, Members were informed that:

Bradford District and Craven data tells us that:

·         There were more than 27,000 paid staff working across: acute, primary care and community, mental health and social care.

·         It was estimated that there were over 57,000 unpaid carers.

o   There were real gaps in available workforce data for voluntary and independent sector and some gaps in primary care data.

o   A lack of system wide strategic workforce planning was identified for the new roles required for integrated working for the future. The available data and workforce information currently suggested the main challenges would be where there was decreasing staff in post and an increasing demand i.e. Psychiatric Nursing, Neonatal Nursing, Diagnostic Radiography, Clinical Psychology, Registered Pharmacist and Operating Theatre Staff.

·         Social Care experienced difficulties in recruiting to:

o   Home Care Assistants to work daytime shifts and also particularly to work nights

o   Social workers (Adults and  Children’s)

o   Educational Psychologists

·         Primary care had identified a greater need for support staff in the future.

Workforce Issues and Challenges:

·         A lack of comprehensive and robust workforce data across the system

·         High turnover in some occupational groups and sectors

·         A national shortage of professionally qualified staff

·         High vacancy rates in some occupational groups and sectors

·         The ‘Brexit effect’

·         High numbers of older workforce/staff retirement

·         High sickness absence rates

·         Growth rates in demand for some services

·         Lack of capacity and skills shortage in mentoring for clinical placements

·         Difficulties in resourcing the release of staff for training

·         Over reliance on agency staffing in some sectors

·         Ensuring the necessary cultural shift for working differently

Common Workforce Priorities (identified across the system)

·         Effectively planning for the supply of health and care roles and understanding future requirements

·         Recruitment and retention of appropriately qualified staff to existing and new services

·         Ensuring good career structures are in place within and across occupational groups and organisations

·         Workforce re-design, role re-design/role substitution and extended role scope

·         Engaging staff in new ways of working, across boundaries and in an integrated way

·         Cultural shift from one of ‘caring for’ to one of enabling, encouraging and empowering people to self care

·         Releasing staff for training

Progress and Good News Stories

·         Health and Social Care Industrial Centre of Excellence

·         Co-ordinated approach to careers work with schools

·         Shared recruitment narrative

·         Bradford Medical School  ...  view the full minutes text for item 50.

In line with Council Standing Order 4.6.1 all contracts with an estimated value of over £2m must be reported to the relevant Overview and Scrutiny Committee before inviting tenders.

The Strategic Director of Health and Wellbeing will submit Document “U” in line with the above requirement.  The report gives an overview of the Reimagining Days project, which is part of the Department’s Transformation Programme work and seeks to assist people to participate in ordinary community activities and is based on the philosophy that everyone has contributions to make to their community.

Recommended –

Members may wish to comment on the contents of the report and appendix.

(Julie Robinson-Joyce/Kerry James – 01274 43 5064/ 2576)

In line with Council Standing Order 4.6.1 all contracts with an estimated value of over £2m must be reported to the relevant Overview and Scrutiny Committee before inviting tenders.

The Strategic Director of Health and Wellbeing submitted Document “U” in line with the above requirement.  The report gave an overview of the Reimagining Days project, which is part of the Department’s Transformation Programme work and seeks to assist people to participate in ordinary community activities and is based on the philosophy that everyone has contributions to make to their community.

The Commissioning Manager reported an error in the report: paragraph 4.2 should state “an envisaged saving of £300,000”, not £3,000.  She stated that the procurement of the contract was at the beginning of the tender process and that there would be further engagement.

A Member stated that she had a number of questions from the Strategic Disability Partnership but was happy for them to be responded to by officers after the meeting.  Service users had raised concerns about the changes and were worried about how they would be affected.

Resolved –

(1)       That the Strategic Director of Health and Wellbeing be requested to respond in writing to questions submitted by the Strategic Disability Partnership in response to the report (Document “U”) through the Chair.

(2)       That the Committee receives a further report on Reimagining Days prior to contract award.

ACTION: Strategic Director of Health and Wellbeing

A work planning discussion will take place on the Committee’s work programme for the remainder of the 2017/18 municipal year.

(Caroline Coombes – 01274 432313)

A work planning discussion took place on the Committee’s work programme for the remainder of the 2017/18 municipal year.

Members were informed that a training session on ‘scams’ would be held on 30 January 2018.

No resolution was passed on this item.