Agenda, decisions and minutes

Health and Social Care Overview and Scrutiny Committee
Tuesday, 22nd September, 2020 4.30 pm

Contact: Jane Lythgow 

Items
No. Item

21.

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:

In the interest of transparency Members made the following declarations: -

 

·         Councillor K Hussain disclosed that the healthcare provision reported in Minute 26 was located in his Ward.

 

·         In relation to all health care issues Councillor Griffiths disclosed that he was no longer a member of the local Medical Committee.

 

As the interests were not prejudicial both Members remained in the meeting during discussion and voting on those items.

 

ACTION: City Solicitor

 

22.

MINUTES

Recommended –

 

That the minutes of the meeting held on 18 August 2020 be signed as a correct record (previously circulated).

 

(Jane Lythgow – 01274 432270)

Minutes:

Resolved –

 

That the minutes of the meeting held on 18 August 2020 be signed as a correct record.

 

23.

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.

 

24.

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.

 

25.

HEALTHCARE ESTATE IN KEIGHLEY & GENERAL PRACTICE APMS CONTRACT FOR NORTH STREET SURGERY pdf icon PDF 111 KB

The report of the NHS Associate Director Keeping Well and Chief Finance Officer (Document “G”) is presented in two parts and is intended to brief Members on the commitment of Bradford District and Craven CCG and the former AWC CCG to deliver fit for purpose primary and community estate in central Keighley, it also provides a briefing in relation to a contract for general practice services which has an end date of November 2021.

 

Members are asked to consider the proposal for public engagement and it is -  Recommended

 

1.    That progress made on the Keighley estate development, and the NHSE/I letter of support be noted.

2.    That the need to secure service provision for the 6.5k patients registered at the North Street Surgery post November 2021, informed by the outcome of market testing be noted.

3.    That the engagement activities with the registered population of the North Street Surgery be noted.

 

(Lynne Scutton – 07855832612 /

Robert Maden – robert.maden@bradford.nhs.uk)

 

 

 

Minutes:

The joint report of the NHS Associate Director Keeping Well and Chief Finance Officer (Document “G”) was presented in two parts and intended to brief Members on the commitment of Bradford District and Craven Clinical Commissioning Group (CCG) and the former Airedale, Wharfedale and Craven (AWC CCG) to deliver fit for purpose primary and community estate in central Keighley, it also provided a briefing in relation to a contract for general practice services which has an end date of November 2021.

 

The first part of the report updated Members on progress made since the formation of Bradford District and Craven CCG on the Keighley estates development; it set out the high level timeline of planned activities; confirmed the financial ‘affordability’; outlined the three potential estate options and the intended approach to public engagement.

 

Secondly the report set out an interdependency as the estate development was also likely to be required to make provision for 6.5k patients currently registered at North Street practice which has a contract of a time limited nature known as Alternative Personal Medical Services (APMS) with an end date of November 2021.

The background to the report clarified the Keighley Health and Wellbeing Estate Solution and explained that the need for healthcare estate development in Keighley had been recognised for many years. Former NHS bodies had proceeded to the public consultation stage; however, the development and delivery of an estate solution for integrated services did not proceed due to a range of reasons including financial constraints and NHS reorganisation.

 

The case for change had not diminished and was, in fact, stronger due to the growing population need; increasing health inequalities; and the deteriorating nature of the estate; namely Keighley Health Centre, Holycroft Surgery and North Street Surgery which were becoming increasingly expensive to maintain. The case was strengthened through the intent of the NHS Long Term Plan; national policy direction and local strategy and vision.

 

The report revealed that in central Keighley there were five practices within 1.5 miles of each other. The delivery of an estate solution for Keighley would address the CCG estate priorities and the needs of the Holycroft Surgery (10k patients); North Street Surgery (6.5k patients) and community services, including community diagnostics for the Airedale locality (circa 54k population). The NHSE commissioned dental services for vulnerable people and those who had difficulty accessing a ‘high street’ dentist.  The community dental service was delivered by BDCFT which was also located within the health centre and plans for future estate provision were included in the report.  The overall model was for re-provision of current services whilst recognising that there were opportunities for integrated working and shared space and to create and realise benefits and efficiencies.

 

Plans for the North Street Surgery were explained in detail and included that the Holycroft Surgery team, as well as the current providers of the North Street contract, had engaged in stakeholder activities and affirmed their willingness to work together and share space in order to create an environment  ...  view the full minutes text for item 25.

26.

THE IMPACT OF COVID-19 ON GENERAL PRACTICE pdf icon PDF 309 KB

The report of the NHS Keeping Well Director (Document “H”) provides an overview of how General Practice, GPs and their staff have adapted to operating in the COVID-19 environment and highlights how learning to date has informed the model of care going forward.

 

Recommended –

 

1.    That the contents of Document “H” be noted as assurance of actions taken to ensure safe delivery of care by GP practices during covid-19.

 

2.    That the phased approach to restoring services outlined in Document ”H” be noted.

 

(Lynne Scrutton – 07855832612)

 

 

Minutes:

The report of the NHS Keeping Well Director (Document “H”) provided an overview of how General Practice and how General Practitioners (GPs) and their staff had adapted to operating in the COVID-19 environment.  The report also highlighted how learning to date had informed the model of care going forward.

 

Document “H” revealed that COVID -19 had an early and almost immediate impact on General Practice.  Report issues included ‘Living with COVID19’ Bradford District and Craven Strategic Approach; Maintaining Service; General Practice during COVID-19 March to August 2020; the establishment of ‘Red Hub’s for people who were COVID-19 symptomatic or living with someone who was symptomatic; Access to Care; Support to Care Home residents; The Digital Care Hub and People’s experience of General Practice during the COVID-19 Pandemic.

 

The report also discussed Personal Protective Equipment; Restoration Priorities from August; management of demand and impact and support for staff.

During discussions on report issues the hard work which GP’s and health care workers had undertaken was acknowledged. 

 

Members questioned if GP’s had continued to visit care homes as it was recognised that not all issues could be addressed digitally.   A GP from the Baildon area who was in attendance at the meeting explained that the Bradford the Airedale Digital Hub was the first point of call for care homes.  She reported that while she had undertaken fewer visits to care homes, visits had taken place when necessary and she had undertaken wider consultation and ward rounds.

 

The provision of the flu vaccine for the 50 to 64-year age group was questioned and it was confirmed that this was a new cohort who could access the vaccine free of charge.  It was explained that supply could be a challenge as the new cohort had been announced after supplies had been ordered.  Further details about supply were awaited. 

 

A Member confirmed that, in discussion with pharmacists, he had been advised that 700 vaccines had been delivered as opposed to 200 in the same period last year indicating that many more people were keen to have the vaccine.

 

The reliability of anti-body tests was questioned and it was reported that there were various tests available with differing accuracy.  Anecdotal reports of people with classic COVID-19 symptoms producing negative test results were reported.  It was suggested that as antibody tests were conducted at Airedale Hospital a consultant from that hospital could be invited to a future meeting.

 

A Member described attempts he had made for a number of years to receive a telephone consultation or communication via email with his GP without success and welcomed that the facility was available at the current time. 

 

He believed that the report under discussion highlighted what had gone well during the pandemic and suggested that it would be helpful to understand what hadn’t worked.  He said that he heard incidents of people who had not presented their symptoms to GPs which had resulted in serious implications.   GP’s had confirmed to him that they were not working as  ...  view the full minutes text for item 26.

27.

HEALTHWATCH BRADFORD AND DISTRICT SURVEY

 

The Manager of Healthwatch Bradford and District will provide a verbal report on the findings of a patient survey detailing people’s experiences and challenges of accessing NHS health and care services during the Covid-19 outbreak.  The survey took place between May and August 2020

 

(Helen Rushworth - 07841 565467)

 

Minutes:

The Manager of Healthwatch Bradford and District provided a verbal presentation on the findings of a patient survey detailing people’s experiences and challenges of accessing NHS health and care services during the Covid-19 outbreak.  The survey took place between May and August 2020.

 

The presentation explained that Healthwatch helped people find the information they needed to make choices and get the most from health and social care services. It guided people through a system which can be confusing and put people in touch with services that could help. It endeavoured to find out what people thought about health and social care services; recorded the views which were heard and considered patterns to see what needs to be improved.

 

It also ensured that the people in charge listened to those views when they were making decisions and showed people how their views could make a difference. The rationale for undertaking the survey was the recognised need to respond to COVID-19; to understand what patients and the public’s experiences were and to improve services and the response.

 

It had not been possible to conduct face to face interviews so an online survey with an option to phone was undertaken between 30 March and 29th June.  The survey had been promoted via social media and networks and had a BAME focus.

 

The level of response was provided and included how easy it had been  for people to get information.  Key issues which had been revealed included communication needs and challenges; uncertainty around the of COVID-19 impact on pre-existing conditions; confusion around shielding and anxiety around a lack of clear information.

 

Statistics on the volume of people seeking treatment and medical advice; the numbers of people assessing services and people’s experiences of health and care were reported.

 

The percentage of people accessing care for advice of treatment for other health issues together with their experiences of those services were also presented.

The survey included details of the impact of COVID-19 on mental health; information on the numbers of residents who had accessed mental health services; the challenges people faced and the ways they had built resilience.

 

The levels of community support had been assessed and it was reported that most people who had asked for help felt that the pandemic had had a negative effect on them and their wellbeing through feelings of loss of control, helplessness and loss of independence.  An area to be revisited would be to consider if solutions had been found or issues still existed. 

 

It was reported that the survey had been shared with the CCG and WYHHCP (West Yorkshire and Harrogate Health and Care Partnership); the full report was shared with key delivery partners including the Voluntary and Community Sector and the report and operational changes had been shared with the public.

 

The presentation concluded with recommendations to increase the demographic reach of surveys; to increase access to mental health support services; to ensure health messages were communicated in a full range of formats and to provide  ...  view the full minutes text for item 27.

28.

HEALTH AND SOCIAL CARE OVERVIEW AND SCRUTINY COMMITTEE WORK PROGRAMME 2020/21. pdf icon PDF 78 KB

The report of the Overview and Scrutiny Lead, Document “I” presents the Work Programme 2020-2021.

 

Recommended –

 

1.    That the Committee comments on the information in Appendix 1 and 2 to Document “I”.

 

2.    That the Work Programme 2020/21 continues to be regularly reviewed and updated on a rolling three month basis up to March 2021.

 

(Caroline Coombes - 01274 432313)

Additional documents:

Minutes:

The report of the Overview and Scrutiny Lead, Document “I” presented the Work Programme 2020-2021.

 

Members were advised of the items for discussion at the meeting on 22 October 2020.  The dates of the Chair’s briefing to inform reports for that meeting was provided and all Members were invited to attend. 

 

Items scheduled for consideration at the meeting on 17 November 2020 were reported and included COVID-19 – impact on carers and an update on the carers strategy and COVID-19 Public Health update.

 

Resolved –

 

That the Work Programme 2020/21 continues to be regularly reviewed and updated on a rolling three month basis up to March 2021.

 

ACTION: Overview and Scrutiny Lead