Agenda, decisions and minutes

Health and Social Care Overview and Scrutiny Committee
Thursday, 21st March, 2019 4.30 pm

Venue: Committee Room 1 - City Hall, Bradford

Contact: Jane Lythgow 

Items
No. Item

73.

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:

Co-opted Member Susan Crowe disclosed, in the interest of transparency, that she received funding from the Clinical Commissioning Groups and Bradford Metropolitan District Council to deliver service as part of The Big Conversation, (Minute 77).

 

Councillor A Ahmed disclosed, in the interest of transparency, that she was employed by the West Yorkshire Ambulance Service (Minute 78).

 

 

 

74.

MINUTES

Recommended –

 

That the minutes of the meetings held on 24 January and 20 February 2019 be signed as a correct record (previously circulated).

 

(Jane Lythgow – 01274 432270)

Minutes:

Resolved –

 

That the minutes of the meetings held on 24 January and 20 February 2019 be signed as a correct record.

75.

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.

76.

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.

 

77.

INDEPENDENT ADVOCACY SERVICES IN THE BRADFORD DISTRICT pdf icon PDF 167 KB

Previous reference: Minute 18 (2017/2018)

 

The Strategic Director, Health and Wellbeing will submit Document “AJ” which outlines the recent commissioned Independent Advocacy that was jointly commissioned by the Council and the Bradford Districts Clinical Commissioning Groups (CCG).

 

The report also sets out the wider context of advocacy and what other services are available across the District and how future services might be shaped.

 

Recommended –

 

That the report be noted.

 

(Kerry James/Sasha Bhat – 01274 432576)

Additional documents:

Decision:

Resolved –

 

That Independent Advocacy Services in the Bradford District be added to the work programme for 2019/20 and to include the presentation of performance information and outcomes; and consideration of demand for services, cultural competency and diversity.

 

ACTION; Overview and Scrutiny Lead

Minutes:

The Strategic Director, Health and Wellbeing submitted Document “AJ” which outlined the recently commissioned Independent Advocacy that was jointly commissioned by the Council and the Bradford District’s Clinical Commissioning Groups (CCG).

 

The report also set out the wider context of advocacy and what other services were available across the District and how future services might be shaped.

 

The Contract and Quality Assurance Manager addressed the meeting and explained that the purpose of the re-commission of the service was to ensure people had greater choice and control over how their health and social care services were delivered through a new joint approach to funding advocacy services. 

 

Previously advocacy services had been provided by five Providers under 15 arrangements some of which were joint funding arrangements with the NHS and some of which were in the form of Council grants.  

 

Document “AJ” revealed that the new two contracts had commenced in April 2018.  Statutory and Non Statutory advocacy was provided by Voiceability. 

Self and Group Advocacy, Capacity Building and Volunteering was provided by Equality Together sub contracting to People First Keighley and Craven and Bradford People First.

 

A representative of Voiceability addressed the meeting to provide a flavour of the advocacy provided and how that was delivered.  He explained that the majority of the work undertaken by his organisation was statutory and had evolved from the statutes and associated regulations and codes of practice from The Care Act 2014; The Mental Capacity Act 2005, including the Deprivation of Liberty Safeguards (2009); the Mental Health Act 1983 (amended in 2007); The Equality Act 2010 and The Health and Social Care Act 2012.  The report set out the various advocacy service roles that were required in relation to statutory advocacy services.

 

Members were advised that anyone who had been sectioned under the Mental Health Act, because they had been deemed to have had their capacity taken from them, had the right to have an advocate to support them through the section process or an appeal.  The service acted as the voice of the person concerned and did not judge.  Other services were required to assess what was in the best interest of the person and the advocate would act to voice that person’s opinion. 

 

Examples of the work of Voiceability included situations when people lacking capacity had difficulty when assessing care needs were supported to make decisions about their care.  The service was often involved in long term decisions about accommodation or if serious medical treatment was required and a person lacked the capacity to accept or decline that treatment.  People could be supported through safeguarding processes and were generally helped when there was no one else to support them.  If it had been deemed that someone should be in residential care but they did not want to go the advocate would work to look at other options and may be able to engineer a plan to keep that person in their own home.  Personal situations where the advocate had been able to  ...  view the full minutes text for item 77.

78.

DIGITAL HEALTH AND CARE IN BRADFORD DISTRICT pdf icon PDF 56 KB

The Digital 2020 Board was formed in 2016 by health and local authority partners across Bradford District and Craven with a vision that appropriate technology could be used across an integrated system to assist in the delivery of health and care services.

 

The Digital 2020 Board will submit Document “AK” which presents, in Appendix A, information on the Local Digital Roadmap: People Frist – Digital First.  The Roadmap is a 5 year plan and is governed by the Digital 2020 Board.

 

Recommended –

 

That the report be noted.

 

(Cindy Fedell – 01274 364844)

Additional documents:

Decision:

Resolved –

 

That progress on Digital Health and Care in the Bradford District be added to the Committee’s work programme for 2021/2022.

 

ACTION: Overview and Scrutiny Lead

Minutes:

The Digital 2020 Board was formed in 2016 by health and local authority partners across Bradford District and Craven with a vision that appropriate technology could be used across an integrated system to assist in the delivery of health and care services.

 

The Digital 2020 Board submitted a report, Document “AK” which presented, in Appendix A, information on the Local Digital Roadmap: People First – Digital First.  The Roadmap is a 5 year plan and is governed by the Digital 2020 Board. 

 

Cindy Feddell, the Co-Chair, Digital 2020 and Chief Digital and Information Officer, Bradford Teaching Hospitals NHS Foundation Trust and Dr Justin Tuggey, Co-Chair, Digital 2020 and Chief Clinical Information Officer, Airedale Hospital Foundation Trust addressed the meeting.

 

Dr Tuggey provided examples of patient stories where people were accessing various care services at differing locations and the issues they faced with clinicians lacking all their information and patients having to repeat their medical history several times. The examples demonstrated the inefficiency and inaccuracy which could occur. 

 

Appended to Document “AK” was a Roadmap of an ambitious five year plan through 2020/21 that was aimed primarily at seeing the completion of the strategy to have a fully interoperable electronic health record based on two electronic records – SystmOne from TPP and Millenium from Cerner. The Roadmap was being executed through each of the local partners and was governed by the Digital 2020 (D2020) Board.  D2020 was comprised of all local partners including Bradford Metropolitan District Council.

 

In addition to the Roadmap all partners had plans in place to ensure that all organisations had digital patient records that were accessible anytime and anywhere. 

 

The Roadmap also called for progress in the following areas:-

 

·         Remote care to allow clinicians to care for patients from anywhere, which expedited clinical decisions and treatment.

·         Transfer of care to ensure quick and safe transfer of patient’s care between different care settings, for example, once discharged from a hospital to the care of a GP ensuring the GP had the right information in a timely way.

·         Medicines management and optimisation that intelligently helped clinicians by, for example, alerting clinicians to allergies.

·         Order and results management to expedite the diagnostic process as a critical step in diagnosing the patient and developing a treatment plan.

·         Decision support to assist clinicians, enabled by digital clinical records.

·         Asset and resource optimisation to ensure funding was used as efficiently as possible.

·         Support for the programmes of work locally and for the West Yorkshire & Harrogate Partnership (the integrated care system), the Yorkshire & Humber Shared Care Record, and the National agenda.

 

In addition Document “AK” provided examples of several areas where progress had moved beyond the road map and included:-

 

·         A transformational pathway re-design for diabetes that enabled patients to upload wellness and outcome focussed goals using mobile applications including video.

·         Advancing the application of population health analytics via Connected Bradford for example using multiple pieces of data to enable the identification of people who could be frail to support self- management  ...  view the full minutes text for item 78.