Agenda, decisions and minutes

Health and Social Care Overview and Scrutiny Committee
Tuesday, 16th February, 2021 4.30 pm

Contact: Jane Lythgow 

Items
No. Item

57.

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:

Susan Crowe disclosed that the organisation she was employed by (Bradford Talking Media) received public health funding (Minute 62) 

 

Action: City Solicitor

 

 

 

 

 

58.

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.

 

59.

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.

 

60.

END OF LIFE CARE IN BRADFORD DISTRICT pdf icon PDF 1 MB

 

Document “U” provides a summary and overview of End of Life Care (EOLC) across Bradford District. The report includes what is good EOLC, resuscitation, advance care planning and reports how people are supported in their last days of life.

 

Recommended –

 

That the report be noted.

(Beverley Gallagher – 07832475700)

 

 

 

Minutes:

Representatives from Bradford Teaching Hospitals Foundation Trust presented Document “U” providing a summary and overview of End of Life Care (EOLC) across Bradford District.

 

A PowerPoint presentation was provided which defined the nature of end of life care; support available in Bradford for people at the end of their life; statistics on the number of people at that stage in their life and where they were most likely to die; who would provide end of life care in the district and what characterised good end of life care. 

 

The presentation also advised Members of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) which was a specific type of advance care plan summarising the emergency care part of a wider advance of anticipatory care planning process creating a summary of recommendations for a person’s clinical care in a future emergency in which they would be unable to make choices and included a decision on resuscitation. 

 

A background to resuscitation was provided and included an explanation of the phrase Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR).  The presentation concluded with a summary of changes in care as a result of the pandemic including the establishment of a rapid review of resources to support clinicians; an Ethics Committee to guide complex decision making across hospitals in the District; allowing visiting for patients in their final days; chaplaincy and palliative care support seven days per week and a relatives contact line.

 

Following a very detailed presentation Members raised a number of points and questions to which the following responses were provided: -

 

·         A reason to provide medical intervention when a patient had a DNACPR would be when intervention was required for an unrelated specific condition for example if a patient was choking and would be expected to recover without detriment. 

·         A person having learning disabilities would not be the rationale for a DNAPR although that did not mean that a person with learning disabilities would not decide to have a DNACPR. 

·         Supplementary information would be provided for Members to gauge the age range of people dying in the District.

·         All family views or complaints were captured in patient records and, in Bradford, a bereaved carers survey was conducted. The majority of comments were positive but the survey identified if things could be done better, for all deaths in the Trust, and was shared on the Trust website.  A national audit of End of Life Care was also conducted.

·         Assurances were provided that checks were in place to ensure that sick patients who had a DNACPR would still wish for that to continue if they had recovered from their illness.

·         General Practitioners (GPs) were asked to communicate with all patients with a Learning Disability and a DNACPR to review that decision and were sent tips and tools to enable them to have good conversations with those people.

 

·         Since September 2020 with the rollout of the ReSPECT plan a copy of those plans would be kept with the patient and a copy on GPs  ...  view the full minutes text for item 60.

61.

PUBLIC HEALTH OUTCOMES FRAMEWORK (PHOF) PERFORMANCE REPORT pdf icon PDF 171 KB

The report of the Director of Public Health, Document “V” provides an overview of the health and wellbeing of the population of the Bradford District based on the indicator and sub indicators within the Public Health Outcomes Framework (PHOF).

 

The report summarises how indicators and sub indicators compare against the England average and provides a summary of some of the key areas of Public Health relevant to the District.

 

Recommended –

 

That the report be noted and the Director of Public Health be requested to provide a further report on Public Health Outcomes Framework indicators in 2021.

 

(Jonathan Stansbie – 01274 436031)

 

 

Additional documents:

Minutes:

The report of the Director of Public Health, Document “V” provided an overview of the health and wellbeing of the population of the Bradford District based on the indicator and sub indicators within the Public Health Outcomes Framework (PHOF).

 

The report summarised how indicators and sub indicators compared against the England average and provided a summary of some of the key areas of Public Health relevant to the District.  In addition, changes in trends in recent years were also provided.

 

Statistics portraying 54% of children in poverty were felt to be tragic and Members suggested that national input was required. 

 

It was questioned what had been done to address areas where there was no significant improvement or situations worsening and, in response, and in light of the report containing 140 indicators it was felt that this was difficult to summarise.  Members were assured that the Public Health Outcomes Framework (PHOF) was used to flag issues which were then raised with commissioning boards to develop work plans to tackle those issues.  It was explained that improvements had been seen since 2010 but with less money a focus had been on young people where it was clear the most difference could be made. More specific data on the district could be provided to Members if needed.

 

A Member questioned the data suggesting there had been no significant change in fuel poverty despite his belief that the situation in Bradford was improving. 

 

The indicators revealed that the healthy life expectancy in the district was worsening and it was questioned if people were becoming ill sooner or was earlier diagnosis or the way issues were recorded impacting on that figure. In answer it was agreed that screening levels had increased but to provide a more definitive answer it was agreed to consult analysists and get back to Members on that question.

 

Reference to ‘unhealthy and life expectancy curtailed’ detailed in the report was raised and further explanation was requested.  It was explained that when compared with national figures more people living in poorer areas of Bradford were categorised as unhealthy. There was a nine-year difference between healthy life expectancy in areas across the district and despite any changes in definitions of unhealthy this was a key issue.

 

A Member expressed concern about being told he could only have a GP appointment if the situation was urgent and believed that making it difficult for people to see a GP was leading to late diagnoses.  He also suggested that the District had more green spaces than any other metropolitan district which could be utilised to tackle unhealthy lifestyles and childhood obesity.  In response it was agreed to feedback those comments to be incorporated into the Healthy Living Strategy.

 

In response to questions about residents not getting outside and into the sunlight it was reported that a new vitamin supplement programme had started, however, dealing with COVID infection had been the focus of support.

 

The timeframe when the data in the report had been collected was  ...  view the full minutes text for item 61.

62.

HEALTH AND WELLBEING COMMISSIONING STRATEGY AND INTENTIONS - ADULT SOCIAL CARE 2021 UPDATE pdf icon PDF 125 KB

The report of the Strategic Director, Health and Wellbeing (Document “W”) provides an update, and advises Members, on the progress of the 2019-2021 Adult Social Care Commissioning Strategy and intentions of the Council’s Department of Health and Wellbeing.

 

Recommended –

 

That the report be noted.

 

Jane Wood / Holly Watson - 07812 490 705

 

 

 

 

 

 

 

Additional documents:

Minutes:

The report of the Strategic Director, Health and Wellbeing (Document “W”) provided an update, and advised Members, on the progress of the 2019-2021 Adult Social Care Commissioning Strategy and intentions of the Council’s Department of Health and Wellbeing.

 

Members agreed that this was a valuable report and it was self-explanatory.  Members were advised that additional information could be provided if requested.

 

Resolved –

 

That the report be noted and the Strategic Director, Health and Wellbeing be requested to provide a further report in 2021.

 

ACTION: Straegic Director, Health and Wellbeing /Overview and Scrutiny Lead

63.

HEALTH AND SOCIAL CARE OVERVIEW AND SCRUTINY COMMITTEE WORK PROGRAMME 2020/21

A work planning discussion will take place on the Committee’s work programme for the remainder of the 2020/21 municipal year.

 

The views of Members are requested.

 

(Caroline Coombes - 01274 432313)

 

Minutes:

A work planning discussion took place on the Committee’s work programme for the remainder of the 2020/21 municipal year.

 

Members were asked to provide details to the Overview and Scrutiny Lead of any additions they would like to be included in the work programme.

 

No resolution was passed on this item.