Agenda, decisions and minutes

Health and Social Care Overview and Scrutiny Committee - Thursday, 4th July, 2019 4.30 pm

Venue: Committee Room 1 - City Hall, Bradford. View directions

Contact: Palbinder Sandhu/Jane Lythgow 

Items
No. Item

8.

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 Councillor Godwin disclosed, in the interest of transparency, that he was currently working as bank staff at Airedale NHS Foundation Trust (Minute 12).

 

Action: City Solicitor

9.

MINUTES

Recommended –

 

That the minutes of the meeting held on 13 June 2019 be signed as a correct record (previously circulated).

 

(Palbinder Sandhu – 01274 432269)

Minutes:

Resolved –

 

That the minutes of the meeting held on 13 June 2019 be signed as a correct record.

10.

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. 

 

(Palbinder Sandhu - 01274 432269)

 

Minutes:

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

11.

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.

12.

CHALLENGES TO CANCER SERVICES WITH A FOCUS ON LUNG CANCERS AND AN OVERVIEW OF THE TACKLING LUNG CANCER PROGRAMME WITHIN BRADFORD CITY AND DISTRICT pdf icon PDF 130 KB

The report of the NHS Bradford District and Craven Clinical Commissioning Groups (Document “B”) provides an update on the challenges faced in cancer services in regard to 62-day performance at Bradford Teaching Hospitals Foundation Trust, diagnosing cancers early to achieve better outcomes and quality of life for patients and uptake of the national cancer screening programmes.  The report focuses on lung cancers in particular and provides an outline of the Tackling Lung Cancer project currently being developed in Bradford and highlights the number of initiatives and developments in cancer services within primary, community and secondary care.

 

Recommended –

 

(1)       That members note the importance of and support and influence the smoking cessation service in order to help reduce the incidence of lung cancer in Bradford.

 

(2)       That members note the issues surrounding low uptake to screening services and support and influence the participation with the national screening services programmes.

 

(Janet Hargreaves – 01274 237349)

Additional documents:

Minutes:

The report of the NHS Bradford District and Craven Clinical Commissioning Groups (CCGs) (Document “B”) provided an update on the challenges faced in cancer services in regard to 62-day performance at Bradford Teaching Hospitals Foundation Trust (BTHFT), diagnosing cancers early to achieve better outcomes and quality of life for patients and uptake of the national cancer screening programmes.  The report focused on lung cancers in particular and provided an outline of the Tackling Lung Cancer project currently being developed in Bradford and highlighted the number of initiatives and developments in cancer services within primary, community and secondary care.

 

The Director of Quality and Nursing for the three CCGs covering the Bradford district referred to recent national media articles highlighting that nearly three-quarters of NHS Trusts, including BTHFT, were failing to treat cancer patients quickly enough.  CCG representatives in attendance at the meeting provided Members with information about waiting time targets and how concerns were being addressed which included the following:

 

Two Week Wait

·         There was a national target that 93% of patients referred with suspected cancer by a GP should be seen within 14 days (two week wait).

·         BTHFT had struggled to meet this target until November 2018.

·         Performance had been approximately 60% due to dermatology capacity which was 25% of all referrals.

·         Non-urgent referrals for dermatology started being seen by community providers in November 2018 which freed up capacity for the Trust to see patients with suspected cancer; prior to this change only 6.5% of dermatology referrals were being seen within two weeks.

·         Following this change the target had been met as 94% of patients with suspected cancer were being seen within two weeks.

·         Airedale NHS Foundation Trust (ANHSFT) had consistently been achieving the target but all their dermatology referrals went to BTHFT.

 

62 Day Target

·         Hospitals had a target for patients to start treatment within 62 days of an urgent referral by a GP in 85% of cases.

·         The performance for 2018/19 at BTHFT against this target was 73.9%.

·         The low percentage was due to the relatively low number of cases as BTHFT treated an average of 77 new cancer patients per month; if 12 patients did not begin treatment within the 62 day target (due to hospital capacity, complex diagnostics, patient choice etc.) then the Trust would fail the target.

·         ANHSFT treated an average of 35 patients per month and were consistently achieving the target.

 

Members were informed of the different pathways for patients with suspected cancer and that work was being undertaken with GPs to stress the importance to patients of attending their referral appointment as there were many missed appointments and patients sometimes did not realise it was a cancer referral. 

 

In response to a Member’s question, it was reported that a new target would be implemented from April 2020 for patients with suspected cancer to be diagnosed within 28 days of being referred by a GP and that this was currently being piloted in five hospitals, including Leeds and East Lancashire.

 

The  ...  view the full minutes text for item 12.

13.

WEST YORKSHIRE JOINT HEALTH OVERVIEW AND SCRUTINY COMMITTEE

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 new 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)

Minutes:

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 had since been reconstituted, there was now a need to appoint two new Members to sit on the Joint Committee.

 

Resolved –

 

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

 

ACTION: Scrutiny Lead Officer

14.

CONSULTATION ON VASCULAR SERVICES

NHS England are currently consulting on changes to vascular services across West Yorkshire and parts of North Yorkshire and have requested that a Joint Health Scrutiny Committee undertake this consultation.

 

However, until that Committee amends its Terms of Reference it is probable that a separate Joint Health Scrutiny Committee will be established to consider vascular services in particular.

 

A letter and briefing document produced by NHS England have been circulated to Committee members.

 

When draft Terms of Reference for this Committee have been prepared, the Health and Social Care Overview and Scrutiny Committee will be asked to consider those Terms of Reference.

 

Recommended –

 

(1)       That the Committee agree that changes to vascular services are a proposal for a substantial variation in service by NHS England.

 

(2)       That the Committee agree to form a Joint Health Scrutiny Committee with Calderdale, Kirklees, Leeds, North Yorkshire and Wakefield Councils.

 

(3)       That the Committee agree to appoint two Members to sit on the Joint Health Scrutiny Committee and the vascular services Joint Committee when it is formed.

 

(Caroline Coombes – 01274 432313)

Minutes:

NHS England were consulting on changes to vascular services across West Yorkshire and parts of North Yorkshire and had requested that a Joint Health Scrutiny Committee undertake this consultation.

 

However, until that West Yorkshire Joint Health Overview and Scrutiny Committee amends its Terms of Reference it is probable that a separate Joint Health Scrutiny Committee will be established to consider vascular services in particular.

 

A letter and briefing document produced by NHS England had been circulated to Committee Members.

 

When draft Terms of Reference for this Committee have been prepared, the Health and Social Care Overview and Scrutiny Committee will be asked to consider those Terms of Reference.

 

Resolved –

 

(1)       That the Committee agree that changes to vascular services are a proposal for a substantial variation in service by NHS England.

 

(2)       That the Committee agree to form a Joint Health Scrutiny Committee with Calderdale, Kirklees, Leeds, North Yorkshire and Wakefield Councils.

 

(3)       That Councillor Greenwood and Councillor Hargreaves be appointed to sit on the Vascular Services Joint Committee when it is formed.

 

ACTION: Scrutiny Lead Officer