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Adult Services and Health Scrutiny Panel

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Adult Services and Health Scrutiny Panel ADULT SERVICES AND HEALTH SCRUTINY PANEL Venue: Town Hall, Moorgate Date: Thursday, 2 March 2006 Street, Rotherham. Time: 9.30 a.m. A G E N D A 1. To determine if the following matters are to be considered under the categories suggested in accordance with the Local Government Act 1972. 2. To determine any item which the Chairman is of the opinion should be considered as a matter of urgency. 3. Apologies for Absence. 4. Declarations of Interest. 5. Questions from members of the public and the press. FOR DECISION 6. Consultation on the Configuration of Strategic Health Authorities in Yorkshire and the Humber, South Yorkshire Ambulance Service and PCT's in Yorkshire and Humber (report herewith) (Pages 1 - 4) 7. Review of NHS Dental Services - To consider the draft report and recommendations (herewith) (Pages 5 - 14) 8. Suggested Items for inclusion in Panel Work Programme 2006 / 07 (report herewith) (Pages 15 - 17) 9. Co-option onto Adult Services and Health Scrutiny Panel 2006 / 07 (report herewith) (Pages 18 - 20) 10. Nomination onto Transport Review Group At its meeting on 9th December 2005, PSOC agreed to undertake a cross panel review of Transportation in the Borough. A nomination of up to two members from each Scrutiny Panel, at least one being an elected member, is required for the review group.The terms of reference and scope of the review will be agreed by the group when it is established. FOR MONITORING 11. Adult Social Services Revenue Budget Monitoring Report (herewith) (Pages 21 - 33) Mark Scarrott 12. Half Yearly Complaints Report (herewith) (Pages 34 - 40) Adam Hurst / Ian Bradbury 13. Intermediate Care Strategy - Action Plan (herewith) (Pages 41 - 45) John Harding 14. Direct Payments - Progress Report (herewith) (Pages 46 - 49) Susan Sumpner 15. Forward Plan of Key Decisions - Adult Social Services (herewith) (Pages 50 - 51) FOR INFORMATION 16. Annual Health Check - Responses to Health Trusts (report herewith) (Pages 52 - 64) 17. Minutes of a meeting of the Adult Services and Health Scrutiny Panel held on 5th January, 2nd and 8th February, 2006 (copies herewith). (Pages 65 - 92) 18. Minutes of a meeting of the Performance and Scrutiny Overview Committee held on 21st December, 2005 and 20th January, 2006 (copies herewith). (Pages 93 - 101) Date of Next Meeting:- Thursday, 13 April 2006 Membership:- Chairman – Councillor Doyle Vice-Chairman – The Mayor (Councillor Jack) Councillors:- Burke, Burton, Clarke, Darby, Havenhand, Jackson, St.John, Turner and Wootton Co-opted Members Sandra Bann (PPI Forum Rotherham PCT), Mrs. A. Clough (ROPES), Victoria Farnsworth (Speak Up), Mr. G. Hewitt (Rotherham Carers' Forum), Val Lindsay (Patient Public Involvement Forum), Ms. J. Mullins (Disability Network), Mr. R. H. Noble (Rotherham Hard of Hearing Soc.), Parveen Qureshi (R.E.M.A.), Gladys Sherratt (Patient Public Involvement Forum) and Lizzie Williams (S.Y. Ambulance Service PPI) Page 1 Agenda Item 6 ROTHERHAM BOROUGH COUNCIL – REPORT TO MEMBERS 1. Meeting: Adult Social Care and Health Scrutiny Panel 2. Date: 2nd March 2006 3. Title: Consultation on the configuration of Strategic Health Authority for Yorkshire and Humber; Ambulance Trust for Yorkshire and Humber and new Primary Care Trusts in Yorkshire and Humber 4. Programme Area: Chief Executives Office 5. Summary The Department of Health (DOH) is consulting on its proposed boundaries for strategic health authorities (SHAs), primary care trusts (PCTs) and Ambulance Trusts in England more widely. This report advises of the DofH proposals for the existing South Yorkshire SHA and Rotherham PCT and proposes a response from Rotherham MBC to the proposals. 6. Recommendations That the Panel: 1. Welcomes and supports the Department of Health’s proposals for a Yorkshire and Humber Strategic Health Authority, Yorkshire and Humber Ambulance Trust and Rotherham PCT coterminous with the local authority area boundaries 2. Considers and agrees that this report form the basis of the Council’s response to these important consultations 3. Is asked to consider offering its support to Doncaster MBC’s request that we support the creation of a single local PCT coterminous with the boundary of Doncaster MBC Page 2 7. Proposals and Details Background The DOH are undertaking a series of inter-related reviews of the boundaries of SHAs, Ambulance Trusts and PCTs in England. These reviews look at the size of the bodies and their geographical boundaries, and not for example the services they provide. Each review shares a number of common central aims and objectives, notably: • Support the shift of services towards patient centred care, with a greater focus on care in the community rather than in hospitals • Reduce administrative costs, releasing further resources for front-line care • Encourage better co-ordination between health, social care and other local services In order to best support and develop this, the Department of Health is proposing that: • PCTs, SHAs and Ambulance Trusts should be generally larger, and that there should significantly fewer of them • Their boundaries should be co-terminous with other key agencies, notably regional bodies and local government The review looked at Rotherham and the wider Yorkshire and Humber together. It has just published its draft proposals. These are, as they relate to Rotherham: 1. The creation of single Strategic Health Authority for the Yorkshire and Humber encompassing the existing South Yorkshire and West Yorkshire SHAs together with the majority of the North and East Yorkshire and North Lincolnshire SHA. 2. The creation of single Strategic Ambulance for the Yorkshire and Humber encompassing the existing South Yorkshire and West Yorkshire Ambulance Trust together with elements of the existing Tees, East and North Yorkshire and Lincolnshire Trusts. 3. No change to the boundaries of the existing Rotherham PCT whose boundaries are co-terminous with Rotherham MBC’s. In terms of the other PCTs in South Yorkshire, they also proposing • Sheffield – reduce the existing 4 PCTs to one single PCT coterminous with Sheffield CC • Barnsley – no charge as the boundaries are co-termous with the Council • Doncaster – either reduce the existing 3 PCTs to one single PCT coterminous with Doncaster MBC or create a single Doncaster and Bassetlaw PCT from the three current PCTs and Bassetlaw PCT. The proposals should also be seen in their wider context which has seen a number of Government proposals aimed at reviewing the scope and working of health partners. A good example is the recently released Health and Social Care White Paper which also has major implications for agencies involved in public health such Page 3 as the development of practice based community health care. This White Paper will be the subject of a further report. Proposed Council response We should welcome the reviews and their proposals. Its main aims are to achieve efficiencies and improve coordination, which should be supported. The Department of Health estimate that nationally the proposals will save over £250m, of which South Yorkshire will share over £7m. The DofH also identify that common boundaries with other agencies notably Local Authorities and Regional Assemblies are key to developing co-ordination. Rotherham MBC has directly experienced the benefits this brings to joint working and the development of services. It is also against a background where cross agency working is becoming greater and more complex as reflected in the development of Local Area Agreements and Community Strategies. One of the main concerns expressed about the DofH proposals is that the proposed regional Strategic Health and Ambulance Trust will cover too large an area, and will therefore will be too unwieldy and lack flexibility. In response, the DoH has promised that it will take steps to ensure that will not be the case, and that it will continue to work closely with partners. A concern raised by Corporate Management Team is the possible new requirement for a budgetary surplus to be generated by each of the four Primary Care Trusts in order to address a deficit across the Strategic Health Authority area. As Rotherham PCT does not run a deficit, this equates to a transfer of resources out of Rotherham, and therefore we would not support this proposal. Other than this concern, the proposals are sound and warrant our support. The Council has also received a letter from Doncaster Central NHS PCT, Doncaster east PCT and Doncaster west PCT asking for our support for the creation of a single PCT coterminous with Doncaster MBC boundaries. This also has the support of Doncaster MBC. The DofH have put forward two options (i) a Doncaster PCT sharing the boundary of Doncaster MBC and (ii) a Doncaster and Bassetlaw PCT spanning the boundaries of Doncaster MBC and Bassetlaw DC. Rotherham Council has consistently argued that local authority and other administrative boundaries should align as far as possible. It was for example a central argument in our evidence to the recent Parliamentary Boundary Review. We should therefore consider offering our support to the Doncaster PCTs. 8. Finance There are no significant financial implications with the proposed re-configuration of the boundaries Page 4 9. Risks and Uncertainties The main risk relates to ensuring sufficient commitment and resources from the Government to implement the final recommendations in relation to the boundaries. This is highly unlikely, and the indications are that the Government wishes for the reconfigurations to take place as soon as possible. 10. Policy and Performance Agenda Implications There are no significant implications for policy and performance. The DoH considers that the new SHA will be in a stronger position to influence national policy. 11. Background Papers and Consultation The deadline for comments for both consultation is the 22 March. This report has been agreed by Corporate Management Team. A copy of the draft paper have been forwarded to all Programme Areas for comment and information.
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