Health Select Committee Minutes

Date:
Monday, 17th October, 2011
Time:
04.00 p.m.
Place:
Lecture Hall, Stockton Library, Stockton on Tees, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Mohammed Javed (Chairman), Cllr Michael Clark (vice Cllr Baker), Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Elliot Kennedy, Cllr Ray McCall, Cllr Mrs Sylvia Walmsley.
Officers:
Pete Smith, Lynn Wightman (CESC); Julie Nixon, Stephen Shaw (DNS); Fiona McKie, Peter Mennear (LD); Michelle Graham (R).
In Attendance:
Sue Smith, Jan Atkinson (North Tees and Hartlepool NHS Foundation Trust); James Newton, Shirley Erskine (Stockton LINk).
Apologies for absence:
were submitted on behalf of Cllr Paul Baker, Cllr Norma Wilburn, Cllr Mary Womphrey.
Item Description Decision
Public
H
24/11		 DECLARATIONS OF INTEREST
Preamble
 
H
25/11		 DRAFT MINUTES - 5TH SEPTEMBER 2011
Preamble
AGREED that the minutes be approved.
H
26/11		 NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST QUALITY ACCOUNT 2012-13
- TO RECEIVE A PRESENTATION ON THE DEVELOPMENT OF THE 2012-13 QUALITY ACCOUNT
Preamble
AGREED that the Committee submit its suggestions for priorities for inclusion on the 2012-13 Quality Account, and that a joint statement with Stockton LINk be developed following consideration of the draft 2012-12 Account in the New Year.
H
27/11		 EFFICIENCY, IMPROVEMENT AND TRANSFORMATION (EIT) REVIEW OF LEARNING DISABILITY SERVICES
- TO CONSIDER THE PHASE 1 CONSULTATION RESULTS, AND THE DEVELOPMENT OF OPTIONS FOR FUTURE SERVICE DELIVERY
Preamble
AGREED that:-

1. a report outlining the principles for consultation be submitted to Cabinet for endorsement, and final approval of the report be delegated to the Chair and Vice-Chair;

2. further detail on the plan for the consultation be brought to a future Committee meeting;

3. the Committee support the introduction of a Community Bridge Building pilot service.
H
28/11		 UPDATE ON REGIONAL AND SUB-REGIONAL JOINT HEALTH SCRUTINY
Preamble
AGREED that the update be noted.
H
29/11		 WORK PROGRAMME
- TO CONSIDER THE WORK PROGRAMME FOR FORTHCOMING MEETINGS
Preamble
AGREED that the work programme be noted.
H
30/11		 CHAIR'S UPDATE
 None
4.00 p.m. - 6.15 p.m.

Preamble

ItemPreamble
H
24/11		Councillor Javed declared a personal/non prejudicial interest further to being employed by Tees, Esk and Wear Valley NHS Foundation Trust.

Councillor McCall declared a personal/non prejudicial interest further to being a Governor of Tees Esk and Wear Valley NHS Trust and a Member of New Horizons Teesside.

Mrs J Nixon declared a personal/non prejudicial interest in relation to Agenda item No. 5 - EIT Review of Learning Disability Services further to her son being a user of the Steps Service.
H
25/11		Consideration was given to the draft minutes of the meeting held on 5th September, 2011.
H
26/11		The Committee were requested to consider a presentation as part of the North Tees and Hartlepool NHS Foundation Trust’s (NTHFT) consultation into the priorities for inclusion in next year’s Quality Account.

Further to Members recommendations last year a summary document had been produced. Further work was being carried out to produce a true easy to read summary version rather than an executive summary of the main document.

The three key priorities in a quality account were:-

Patient Safety
Effectiveness of Care
Patient Experience


Stakeholders were being consulted upon the priorities for inclusion in the 2012-13 Quality Account. It was requested that Members consider three suggestions for each of the three key priorities and indicators that could be used to measure them. Members held discussion on issues such as:

- Dementia patients
- A&E waiting times
- Falls
- Malnutrition
- Staffing ratios

It was reported to the Committee that the Trust was seeking to validate anecdotal evidence that had been a rise in patients with dementia in North Tees Hospital over the previous few months. The results of this work were requested when available by the Chair.

The final draft of the Quality Account for 2012/13 would be ready in April 2012 for comment. The deadline for comments on the draft would be early May. It was suggested that a joint response from the Committee and the LINk be provided. This had been done previously and had been highlighted as good practice.
H
27/11		Members were requested to consider a presentation on the Community Bridge Building model, the results of the phase 1 consultation, value for money and benchmarking information, and progress reports on the development of options.

Peter Smith and Lynn Wightman from the Steps Service were in attendance to provide a presentation on Community Bridge Building. The aim of a bridge building service was to promote inclusion by assisting and enabling individuals excluded from mainstream community networks to discover, explore and interact with facilities and organisations in their own neighbourhood. Information was provided on case studies of people who had attended the service.

Members raised the following issues:-

- funding
- access to the service
- type/variety of work placement
- transport

Discussion was held on the findings from Phase 1 of the consultation that had taken place. Findings covered the following:-

- Choice/Range of Services
- Access to Respite
- Quiet Areas in Centres
- Access to Services for BME communities
- Increase in demand for autistic services
- Housing Issues

The Committee was presented with information on costs and benchmarking, and progress on the options development process.

The Committee discussed the need to undertake a further formal public consultation on the principles and options for future service delivery. Members were informed that this would need to be endorsed by Cabinet prior to the start of the consultation period, and that a report from the Committee would need to be drafted for Cabinet’s consideration.

Members felt that alternative services such as a Community Bridge Building service should be considered to offer further choice to clients and to provide a contrast to the traditional type of day services currently on offer. It was noted that there would need to be a pilot of this service in order to examine it further. This would also be considered by Cabinet.
H
28/11		The Committee were requested to consider an update on the work of the Regional Health Scrutiny Committee, and the Tees Valley Joint Health Scrutiny Committee.

The Regional Committee had considered the results of the national review of children’s heart surgery consultation on behalf of the region, and submitted further comments to the review. A final decision on the review was expected later this year.

The Tees Valley Committee had considered a report from South Tees NHS Foundation Trust on proposals to centralise sub-regional consultant-led orthodontic services at the James Cook, and Friarage Hospitals. This issue would be considered further at a meeting on 21 November, and Members were requested to submit any comments to the Scrutiny Team before that date.
H
29/11		Members considered the Work Programme. The next meeting would be held on 28th November 2011.

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