In the interest of transparency, Councillor Goodwin declared an interest in respect of Minute No.13, as he was a Bank Staff at Airedale NHS Foundation Trust.

Recommended –

That the minutes of the meeting held on 28 July 2021 be signed as a correct record.

(Farzana Mughal – 07811 504164)

Resolved –

That the minutes of the meeting held on 28^th July 2021, 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. 

(Farzana Mughal – 07811 504164)

There were no appeals summited 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.

The following referrals have been made:

(i)           Council – 13 July 2021

At the meeting of full Council on 13 July 2021 the following motion was considered and referred to the Health & Social Care Overview & Scrutiny Committee:

SUPPORT OUR LOCAL NHS HEROES

Resolved –

Council notes that:

• The Covid-19 pandemic has highlighted the tremendous work of council and NHS staff. They all deserve to be properly and fairly rewarded for their efforts.
• Airedale NHS Foundation Trust created a wholly-owned subsidiary, AGH Solutions (AGHS), in 2018. Workers who were transferred over from the Trust into AGHS in 2018 remain on the NHS “Agenda For Change” (AFC) contract, while many new starters and indeed all staff (including those who were TUPED) that register on Bank (i.e. overtime shifts), are paid on the lower AGHS rates, despite doing the same job:

• The GMB trade union entered into a formal dispute over pay, terms and conditions with AGHS in November 2020, after members repeatedly voted to reject the pay proposals submitted by AGHS, all of which have been significantly less than the NHS pay rates. Members are demanding that AGHS align all staff with the NHS AFC contract.

Council believes that:

• Equal work deserves equal pay.
• No one working in the NHS should receive less than the minimum pay, terms and conditions set out in the NHS AFC contract.
• The GMB demand for harmonisation is reasonable and fair.

Council resolves to:

• Publicly support the workers in their campaign at Airedale Hospital to achieve harmonisation between AGHS and NHS AFC pay, terms and conditions.
• Write to the board of directors of both AGHS and Airedale NHS Foundation Trust, informing them of our support for the staff in their campaign for equal pay and calling on them to agree to its reasonable and fair demands.
• Urge everyone to get round the table to talk to resolve this inequality.
• Refer the matter to Health & Social Care Overview & Scrutiny Committee.

ACTION:  Chief Executive (write to AGHS & Airedale NHS Foundation Trust) / City Solicitor (referral to Health & Social Care O&S Committee)

(ii)          Corporate Overview & Scrutiny Committee – 22 July 2021

At the meeting of the Corporate Overview and Scrutiny Committee held on 22 July a report was considered on the Full Year Performance Report:

6.               FULL-YEAR PERFORMANCE REPORT

Resolved –

1. That a further performance report be presented to the Committee which specifically focuses on:

-       Housing;

-       Jobs;

-       Crime and Safety.

2. This Committee requests that the Health & Social Care Overview & Scrutiny Committee considers a detailed report on childhood obesity across the District and the effectiveness of approaches being used to tackle childhood obesity.

Action: Strategic Director, Corporate Resources

            Public  ...  view the full agenda text for item 13.

Members noted the following referrals:

·         At its meeting of full Council on 13^th July 2021, Members noted the motion that was considered and referred to the Health and Social Care

Overview and Scrutiny Committee:

·         At its meeting of the Corporate Overview and Scrutiny Committee held on 22^nd July 2021, the Committee considered the Full Year Performance report. Members noted the recommendations agreed at this meeting.

Resolved -

(i)           That no further action required: and

(ii)          That the matter be referred to the Children’s Services Overview and Scrutiny Committee pending consultation between the Chairs of both Committees

ACTION: Scrutiny Lead Officer

The Integrated Care Partnership Board Programme Director will submit a report (Document “C”) which sets out a high level overview of the plans for the evolution of our integrated health and care partnership arrangements in Bradford District and Craven, and across the West Yorkshire and Harrogate Health and Care Partnership. These changes address the requirements of the Government’s Health and Care Bill 2021.

Recommended –

That Members comment and note the report.

(James Drury - 07970 479491)

The Integrated Care Partnership Board Programme Director submitted a report (Document “C”) which provided an overview and updates in relation to the integrated Health and Care Partnership Arrangements in Bradford District and Craven, and across the West Yorkshire and Harrogate. 

It was noted that the changes addressed the requirements of the current Health and Care Bill 2021. The new partnership arrangement would bring the local NHS, councils and communities closer together by establishing a new Board to strengthen joint working arrangements between all organisations involved and to further improve health and care for people living across the area.

In the ensuing discussion, the following points were highlighted:

·         Service change was often very hard to understand, in terms of, where to go for health care services. It was recognised that explaining Integrated Care Systems (ICS) would be difficult for the public to understand. It was recognised that more needs to be done to communicate and to share examples of how integrated care would bring benefits to communities;

·         needs to ensure that all services receive the support they need to progress and to understand how services would be delivered to people in the local areas;

·         concern was expressed that engagement with the public had been limited and patient voice was not heard. It was acknowledged more needed to be done with engaging widely with the public and the importance of meaningful of public engagement;

·         focus must be on convincing the public of the benefits of working in collaboration and how services would be delivered to people in the local area to their specific needs.

The Programme Director, ICP Board acknowledged the challenges and stressed that the Integrated Health and Care Partnership Arrangements was to improve health and social care for all.  The public may not notice a great deal of change but would see better integrated and digitalised health and social care.

The change to legislation would reduce the amount of unnecessary procurement. There would be no redundancies in employment and no cost changes to the services.

It was reported that the changes would not affect the Health and Social Care Overview and Scrutiny Committee responsibilities, although it would be important to align the new Partnership’s responsibilities as closely as possible. A new Unitary Board, to govern the NHS ICS Body would be constituted by a full range of NHS providers, General Practice and Local Authority representatives.

Resolved –

That a progress report on the development of the Integrated Health and Care Partnership arrangements for Bradford District and Craven be presented during the current 2021/22 Council year and that the issue of patient voice / involvement be added to the Committee’s work programme.

Action: Strategic Director, Health and Wellbeing

The Strategic Director of Health and Wellbeing will submit a report (Document “D”) which provides an update on the Home Support Locality Contracts post tender award and delivery, and an overview of the department’s intentions to review the service.

Recommended -

That the report be noted.

 (Jane Wood - 01274 43 7312)

The Strategic Director, Health and Wellbeing submitted a report which provided an update on the Home Support Locality Contracts.

It was reported that following the end of the Integrated Personalised Support and Care Framework (IPSAC) in September 2019, a new open tender process established the Home Support Locality Contracts. These were awarded on 28^th January 2019, to twenty providers in thirty-five areas across the Bradford District. This included a twelve-month implementation period for provider organisations to encourage a smooth transition, where appropriate, between provider organisations.

In the ensuing discussion, Members raised a number of questions and comments:

It was recognised there were issues around staffing and that recruitment had become challenging during the pandemic and that by offering low paid wage to care workers wasn’t appropriate to maintain staff. Members acknowledged the importance of care workers and stressed that this was a high skilled job.

It was reported that older people and people with physical disabilities received 19 hours of home support with 44% of the hours supported through the Locality Contracts. It was recognised that patients being discharged from hospitals during the pandemic had put pressure on Home Care Services being delivered.

Resolved –

That an update, including an opportunity to contribute to the full system-wide review of Home Support, be added to the Committee’s 2022/23 work programme.

Action: Strategic Director, Health and Wellbeing

The Director of Public Health will submit a report (Document “E”) which provides with an update on the timeline for procurement of services and key steps in preparation for any tender; this also supports compliance with Contract Standing Orders (CSOs) pre-procurement requirements to report to Overview and Scrutiny Committee Contracts valued at £2m or above.

Recommended –

The Committee to consider detail presented and raise any queries or provide feedback regarding the work outlined.

(Caroline Tomes – 01274 437352)

The Director of Public Health submitted a report which provided an update on the timeline for procurement of services and key steps in preparation for any tender; this also supported the compliance with Contract Standing Orders (CSOs) pre-procurement requirements to report to Overview and Scrutiny Committee Contracts valued at £2m or above.

Clarity was sought of the services commissioned by the NHS were out of scope which included:

·         Abortion services;

·         Sterilisation and Vasectomy;

·         Non-sexual health elements of psychosexual health services;

·         Gynaecology, including any use of contraception for non-contraception purposes;

·         Contraception provided as an additional service under the GP contract;

·         HIV treatment and care (including drug costs for post-exposure prophylaxis after sexual exposure);

·         Promotion of opportunistic testing and treatment for STSs, and patient-requested testing by GPs

·         Sexual health elements of prison health services;

·         Sexual Assault Referral Centres;

·         Cervical Screening; and

·         Specialist foetal medicine services.

Resolved –

That the report be noted.

Director of Public Health will submit a report (Document “F”) outlining recent data on the sexual and reproductive health of Bradford residents including the impact of COVID on sexual health service provision, outlines new developments on national sexual health policy and summarises key implications for local commissioning of sexual health services.

Recommended –

The Committee to comment and note the report.

(Caroline Tomes – 01274 437352)

The Director of Public Health submitted a report providing an update on Sexual Health Services, the direction of travel and the challenges faced during the pandemic.

The following key points were highlighted:

·         the number of those being tested for Sexually transmitted infection (STI) had increased significantly, however it was recognised that more needed to be done targeting women and men to get tested.   

·         contraception, including implants and intra-uterine contraception and all prescribing costs, but excluding contraception provided as an additional service under the NHS GP contract.

Arising from discussions the following points were noted:

·         it was confirmed the emergency contraception (morning after pill) prevented pregnancy and was not the same as the abortion pill;

·         there was a greater demand for online sexual health services as a result of Covid19;

·         it was proactive offering tests to both women and men;

·         those at risk were still presenting at sexual health clinics and had a full screen and not just a test for chlamydia;

·         Screening kits for Sexually Transmitted Infections (STI) were available online;

·         GPs services were under pressure due to funding cuts affecting the services provided which impacted on patients failing to get a GP appointment.

Whilst a range of services were being provided, face to face and online, Members stressed that there were long term issues about getting the right care at the right time and it was important to get things right at the outset.

Resolved –

That an update be presented to the Committee in 24 months

Action: Director of Public Health

The Committee receive a report (Document “G”) of the work programme 2021/22.

Recommended -

That the Committee notes the work programme 2021/22 in Appendix A.

                                    (Caroline Coombes – 01274 432313)

The Overview and Scrutiny Lead submitted the Committee’s work programme. Members were informed that an update in relation to Autism   had been added to the programme. Furthermore, Members requested that updates in relation to Mental Health to be included on every agenda of this Committee.

Resolved –

That the Health and Social Care Overview and Scrutiny Committee Work Programme be noted.