In the interest of transparency Councillor Griffiths disclosed that he was a retired GP returning to work to administer the COVID-19 vaccine. The interest, in Minute 55, was not prejudicial and he remained in the meeting during discussion and voting on that item.

In relation to all items Councillor Godwin disclosed that he was working as a doctor at Airedale Hospital during the pandemic.  The interest was not prejudicial and he remained in the meeting during discussion and voting on all items.

ACTION: City Solicitor

Recommended –

That the minutes of the meetings held on 17 November and 9 December 2020 be signed as a correct record (previously circulated).

(Jane Lythgow  – 01274 432270)

Resolved –

That the minutes of the meetings held on 17 November and 9 December 2020 be signed as a correct record.

(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)

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 referrals made to the Committee.

The report of the NHS  Programme Directors, Act as One Programme and Acess to  Health and Care Programme, (Document “R”) provides an update on the transition of the Acute Provider Collaboration into Bradford District and Craven Act as One Programme, and the establishment of seven transformation programmes.

Members are asked to consider and comment on the information provided within the report.

(Mark Hindmarsh - 07984 291931 / Helen Farmer - 07932 946494)

The report of the NHS Programme Directors, Act as One Programme and Access to Health and Care Programme, (Document “R”) provided an update on the transition of the Acute Provider Collaboration into Bradford District and Craven Act as One Programme, and the establishment of seven transformation programmes.

For the benefit of those not involved in the work of the Committee during the 2019/2020 municipal year the report clarified that in September 2019 a presentation had been received setting out the planned work of the Acute Provider Collaboration (APC) between Airedale NHS Foundation Trust and Bradford Teaching Hospitals NHS Foundation Trust.

The achievements of the APC in bringing teams together was reported together with the rationale for the transition, in July 2020, into seven Act as One programmes. 

It was explained that the programmes brought together partners from across the health and care system around fewer mutually agreed priorities and focused on issues both within and outside of the acute hospitals. The programmes encouraged collaboration and partnerships between all sectors involved in the delivery and commissioning of health and care services. All programmes had a broad “end to end” scope, meaning that they covered the whole pathway of care from prevention of illness through to specialist hospital care. The current priority areas were reported as: -

Children & Young People’s Mental Health

Access to Health & Care

Diabetes

Respiratory

Ageing Well

Healthy Hearts

Better Births

The achievements of the APC; the rationale for that programme to be stopped and what had happened to the work planned to take place in the APC were reported. 

The Act as One priority programmes were presented together with the system governance arrangements around them; early achievements; areas of focus and challenges remaining for 2021.  Members were advised that challenges included: -

·         Support for the recovery of the health and care system from the COVID-19 pandemic and support the roll out of the vaccination programme where possible.

·         To Improve working with communities to understand and start to address the inequity in access to health and care services through stronger links with the VCS, grassroots GPs and Community Partnerships.

·         Innovate - there are unlikely to be significant funding increases into the health and care system in 2021, so improvements were likely to arise through innovation and improved working arrangements and relationships between partners.

The Chair thanked officers for a detailed presentation and acknowledged that the district had always worked well with partners. The joint work to encourage people to take up the flu vaccination was discussed and in response to questions it was confirmed that 25,000 more people had received the vaccine compared to the previous year.

A Member questioned why the governance arrangements included a member of the Bradford District Care Trust as Senior Responsible Officer for the Children and Young People Mental Health Programme as he believed the programmes were joint ventures between two acute hospital trusts.  It was explained that the appointment was in an endeavour to include a mixture of other partners on  ...  view the full minutes text for item 54.

The report of the Joint Senior Responsible Officers (SROs), Bradford and Craven COVID-19 Vaccine Progamme, Document “S”,  outlines the progress and challenges to delivering a whole population COVID-19 vaccination programme at scale and pace.  The Vaccination programme aims are to vaccinate the entire over 50 years old population that are registered with General Practices within the Bradford and Craven district as quickly and safely as possible (by March 2021) and the population over 18 years of age by July 2021.

Members are asked to note the information provided, the proposed trajectories and the timescales.

(Nancy O’Neill / Karen Dawber – 01274 432313)

The report of the Joint Senior Responsible Officers (SROs), Bradford and Craven COVID-19 Vaccine Programme, Document “S”, outlined the progress and challenges to delivering a whole population COVID-19 vaccination programme at scale and pace. 

The report provided an introduction to the Vaccine Programme and included information on: -

• Governance
• Vaccinations
• The Joint Committee on Vaccination and Immunisation (JCVI) priority cohorts for vaccination
• The available vaccines
• Total numbers to be vaccinated
• Delivery models
• Workforce
• Communications
• Equality Impact Assessment

In recognition of the fast moving nature of current events surrounding the Covid-19 pandemic and the vaccine programme since the agenda publication Members were provided with a verbal update to the report at the meeting.

It was reported that the vaccination programme aimed to vaccinate the entire over 50 years old population that were registered with General Practices within the Bradford and Craven district as quickly and safely as possible (by March 2021) and the population over 18 years of age by July 2021.

The Chief Nurse (Bradford Teaching Hospitals Foundation Trust) explained that she had never seen a programme come together so effectively.  Within a matter of weeks, it had been possible to deliver the vaccine in fourteen locations throughout the District and an additional mass vaccination centre would also be opened at Jacobs Well in Bradford on 1 February 2021.  It was expected that the biggest challenge would be to reach all communities to ensure that everybody had the opportunity to receive the vaccine and that people had the correct information to enable them to make informed decisions.

It was acknowledged that the roll out rate of the vaccine had been outstanding,

however, Members believed it would have been useful to understand the number of residents who had been vaccinated, reported in Document “S” broken down into cohorts.  They were also concerns that the report did not refer to vaccine supply issues.

Following presentation of the report a number of questions/comments were raised to which the following responses were provided: -

·         The decision to begin the vaccination programme with elderly people as opposed to people in the working age bracket, who may be more likely to spread infection, was to protect those who would be most vulnerable.   It was not known if the virus could be spread by those inoculated and the transmission rates were being investigated.

·         There were well documented issues about supply of the vaccine and although supplies were being delivered those deliveries could be at short notice.  The model adopted was to primarily deliver the vaccine through the Primary Care Network, however, capacity could be increased with the use of facilities such as the vaccination centre at Jacobs Well, Bradford.

·         It was difficult to split those immunised into additional cohorts as a resident would often fall in a number of groups. 

·         There was no evidence to support reports in the media that supplies were being halved in the District and distributed elsewhere in the country.

·         Due to the fragility of the vaccine supplies and, because the entirety  ...  view the full minutes text for item 55.

The Overview and Scrutiny Lead will present Document “T” which presents the Work Programme 2020/21.

Recommended –

1.    That Members comment on the information contained in the appendix to Document “T”.

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)

The Overview and Scrutiny Lead presented Document “T” which reported the Work Programme 2020/21.

Items for consideration at the next meeting included End of Life Care in the District; Public Health Outcomes Framework and the Health and Wellbeing Commissioning Strategy and Intensions.  All Members were provided with details of the Chairs briefing prior to that meeting and invited to attend.

Member were advised that the Care Quality Commission had been invited to attend the meeting in March and were asked to provide details of issues they would like to be considered as part of that item.

In response to questions it was confirmed that the Public Health Outcomes Framework would include progress on vaccinations.

A Member raised concerns about allegations of the bullying of people with Learning Disabilities at the Cygnet Woodside private hospital and it was agreed to mention those issues for inclusion in the CQC report.

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