Local democracy

Agenda, decisions and minutes

Venue: Council Chamber - City Hall, Bradford. View directions

Contact: Asad Shah 

Items
No. Item

23.

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:

No disclosures of interest in matters under consideration were received.

 

 

24.

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.

 

 

25.

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 recommendations referred to the Committee.

 

 

26.

CANCER SERVICES AND PERFORMANCE pdf icon PDF 2 MB

The report of the Chief Operating Officers, Bradford District and Craven Health and Care Partnership (Document “T”) provides an update on performance against the key cancer standards and actions being taken to improve performance as a follow on from the last report brought in 2019.  This paper also includes an update on the early phase pilot of the Tackling lung cancer pilot and the subsequent Targeted Lung Health Check Programme.

 

Recommended –

 

(1)       Note the current outcomes of the targeted lung cancer health checks project.

 

(2)       Note the placed based initiatives being implemented to support           improvement in update of cancer screening programmes.

 

(3)       Note the current performance in cancer services in Bradford District and Craven, and the improvements being made to cancer services following the Covid-19 pandemic.

 

(janet.hargreaves@bradford.nhs.uk)

 

 

Minutes:

The report of the Chief Operating Officers, Bradford District and Craven Health and Care Partnership (Document “T”) provided an update on performance against the key cancer standards and actions being taken to improve performance as a follow on from the last report brought in 2019.  This paper also included an update on the early phase pilot of the Tackling lung cancer pilot and the subsequent Targeted Lung Health Check Programme.

 

Representatives from the Bradford District and Craven Health and Care Partnership were present and at the invitation of the Chair, gave a synopsis of the report, that during Covid, cancer services remained a priority for the NHS and our colleagues worked to maintain services throughout and post the pandemic. As seen across all health and care services and health and care systems - regionally and nationally - Covid had presented major challenges in meeting performance targets. One of the most significant impacts was a sharp reduction in the number of people coming forward and being referred urgently with suspected cancer and referred from cancer screening programmes, the latter of which were suspended at the height of the pandemic.

 

Preceding the introduction, a PowerPoint presentation titled “Cancer Services and Performance” was presented to the committee that covered the following subject areas:

·         Lung Cancer Pilot

·         Targeted Lung Health Check Programme

·         National Cancer Standards

·         Cancer Screening Uptake

·         Cancer Screening Initiatives

·         Covid-19 and our recovery (cancer specific)

·         *BTHFT 2 week wait performance

·         **AFT 28 day Faster Diagnosis Standard

·         **AFT 62 day first treatment

 

* Bradford Teaching Hospitals NHS Foundation Trust

** Airedale NHS Foundation Trust

 

A question and answer session ensued:

·         What were the reasons behind the contents within this report being identical to one presented to the committee a few years ago and had there been a slow progression in services?

o   The consequences of Covid had a detrimental impact on moving forward with many projects and services within the health service;

o   A number of service areas had only now begun to accelerate to the extent of meeting full potential;

·         For the purpose of improving health inequalities, how was cancer awareness being addressed?

o   It was about identifying the right triage and amongst many, pharmacies located in highly populated areas were playing a significant role with the means of a direct hotline to Hospitals;

·         Had the service experienced people not wishing to attend referrals?

o   Yes, there was a percentage of people who were reluctant to attend screening;

·         Was there any focus being invested in the universal human papillomavirus (HPV) immunisation programme, as this was a vaccine that had the potential to eradicate cervical cancer?

o   Despite difficulty in engaging with young people, the team was focused on engagement work directly in communities and via social media;

·         Was screening for cervical cancer a cost effective programme?

o   This was an absolute essential service for the reasons that the uptake of cancer screening services and diagnosing cancers early achieved better outcomes and quality of life for patients;

·         It was concerning to  ...  view the full minutes text for item 26.

27.

CONSULTATION ON PROPOSED CHANGES TO ADULT SOCIAL CARE NON-RESIDENTIAL CHARGES pdf icon PDF 137 KB

The report of the Strategic Director, Health and Wellbeing(Document “U”) seeks the committee’s comments on proposed changes to adult social care services non-residential charges from April 2023.

 

Recommended –

 

(1)       That the Committee comments on the proposals as part of the wider consultation exercise being undertaken by the Health & Wellbeing Department, ensuring that due regard is made to the Council’s public sector duty as set out in the Equality Act 2010.

 

(2)       That the Committee’s remarks be reported back to the Executive when making a decision on this issue at its meeting in February 2023

 

(Jane Wood – 01274 437312)

 

 

Additional documents:

Minutes:

The report of the Strategic Director, Health and Wellbeing(Document “U”) sought the committee’s comments on a consultation on proposed changes to Adult Social Care non-residential charges with effect from 1 April 2023. These proposed changes were in addition to the annual inflation uplift applied to charges from April each year.

 

The Strategic Director was in attendance and with the invitation of the Chair,  gave a narration on the contents contained in the report. He explained that this was a targeted consultation with people identified as being directly impacted. There were currently 504 people who used social care services who had been financially assessed as having the means to pay for the full cost of their care. In addition, the consultation would also contact people identified by our operational social work teams as likely to be entering the service in the coming months. If consultation is approved, the data would be re-run as at 30 November 2022 to identify any changes to ensure only those impacted were included in the consultation.

 

The changes were part of the preparatory work for the Government’s adult social care charging reforms, albeit the Government announced these reforms would be delayed to October 2025 in the Chancellor’s autumn statement.

 

A question and answer session ensued:

·         Where was the capacity to give advice and welfare as Bradford struggled at present?

o   Capacity had been produced to communicate information sharing with community groups in regards to the changes to be shared with community organisations who provided welfare advice support;

·         In terms of costs, what if people struggled to pay?

o   The government allowed discount schemes;

·         What would be the quality of access to the new reforms?

o   Further to information from the government, this was would be based on social and financial aspects;

·         What was the reason behind the increase of patients?

o   It was a target consultation exercise that involved engagement through various means; and,

·         Why were some people that needed help not picked up in the process previously?

o   It was possible that many people may not have been able to afford the costs associated with non-residential support and therefore dropped out of the system. However, in regards to current times, if people stated that they were unable to afford services then an officer would visit the person and undertake an assessment to establish whether their payments could be subsidised.

 

Resolved:-

 

That the report be noted and that the remarks of the Committee be reported back to the Executive when making a decision on this issue at its meeting in February 2023.

 

Action: Strategic Director, Health and Wellbeing

 

 

28.

HEALTH AND SOCIAL CARE OVERVIEW AND SCRUTINY COMMITTEE WORK PROGRAMME 2022/23 pdf icon PDF 90 KB

The report of the Director of Legal and Governance (Document “V”) presents the Committee’s work programme 2022/23.

 

Recommended –

 

(1)       That the Committee notes the information in Appendix A and considers any amendments or additions it may wish to make.

 

(2)       That the Committee notes that the March meeting will take place on Wednesday 22 March 2023.

 

(2)       That the Work Programme 2022/23 continues to be regularly reviewed during the year.

 

(Caroline Coombs – 01274 432313)

 

 

Additional documents:

Minutes:

The report of the Director of Legal and Governance (Document “V”) presented the Committee’s work programme 2022/23.

 

No resolution was passed on this item