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COMMITTEE REF: HSCRG/06/16 NOTICE OF MEETING SCRUTINY HEALTH AND SOCIAL CARE REVIEW GROUP Date : WEDNESDAY, 15 JUNE 2016 Time : 18:00 Place : COUNCIL CHAMBER TOWN HALL, LUTON Members : AGBLEY MOLES CAMPBELL PEDERSEN T. MALIK PETTS LEWIS WAHEED Co-Opted Mr Norris Bullock (Healthwatch Luton) Members: Nomination awaited (Healthwatch Luton) Quorum: 3 Elected Members Contact Officer: Bert Siong (01582 546781) EMERGENCY EVACUATION PROCEDURE Committee Rooms 1, 2, 4 & Council Chamber: Turn left, follow the green emergency exit signs to the main town hall entrance and proceed to the assembly point at St George's Square. Committee Room 3: Proceed straight ahead through the double doors, follow the green emergency exit signs to the main Town Hall entrance and proceed to the assembly point at St George's Square. Page 1 of 61 AGENDA Agenda Subject Page Item No. 1 ELECTION OF CHAIR 2 APOLOGIES FOR ABSENCE 3 MINUTES 3.1 Minutes 29th February 2016 5 - 16 4 DISCLOSURES OF INTEREST Members are reminded that they must disclose both the existence and nature of any disclosable pecuniary interest and any personal interest that they have in any matter to be considered at the meeting unless the interest is a sensitive interest in which event they need not disclose the nature of the interest. A member with a disclosable pecuniary interest must not further participate in any discussion of, vote on, or take any executive steps in relation to the item of business. A member with a personal interest, which a member of the public with knowledge of the relevant facts would reasonably regard as so significant that it is likely to prejudice the member’s judgment of the public interest, must similarly not participate in any discussion of, vote on, or take any executive steps in relation to the item of business. Disclosable pecuniary interests and Personal Interests are defined in the Council’s Code of Conduct for Members and Co- opted members. 5 URGENT BUSINESS The Chair to report on any business which is considered to be urgent and which should be discussed at the meeting in accordance with Section 100B(4)(b) of the Local Government Act 1972 and to determine when, during the meeting, any such business should be discussed. 6 REFERENCES FROM COMMITTEES AND OTHER BODIES 7 CHAIR'S UPDATE Chair to report on issues since the last meeting. REPORTS Page 2 of 61 8 Non-Emergency Patient Transport Services - 17 - 19 May 2016 (Director of Commissioning & Integration, Luton CCG) 9 Health Improvement Provisions of Parks and 20 - 32 Leisure Facilities (Report by Adam Divney/ Barry Timms, LBC) 10 Health and Social Care Review Group - Revised 33 - 41 Terms of Reference 2016-17 (Report of the Service Director, Policy & Communities & Engagement) 11 Work Programme Report and Dates of Future 42 - 61 Meetings (Report of the Service Director, Policy & Communities & Engagement) 12 LOCAL GOVERNMENT ACT 1972, PART VA To consider whether to pass a resolution under Section 100A(4) of the Local Government Act 1972 to exclude the public from the meeting during consideration of any item listed above if it is likely that if members of the public were present during those items there would be disclosure to them of exempt information falling within the Paragraphs of Part 1 of Schedule 12A to the Local Government Act 1972. Page 3 of 61 Page 4 of 61 AGENDA ITEM 2.1 MINUTES OF THE HEALTH AND SOCIAL CARE REVIEW GROUP 29TH FEBRUARY 2016 at 6.00 P.M PRESENT: Councillor Agbley (Chair), Councillors Campbell, Pedersen, Lewis and Waheed CO-OPTED MEMBERS: IN ATTENDANCE: SUPPORT OFFICERS/ ADVISORS: Nicky Poulain, Director of Commissioning & Integration - Luton CCG Dr Anita Ray-Choudhury – GP representative - Luton CCG Kimberley Radford – Commissioning Manager, Adult Social Care - LBC Pam Garraway – Director, Housing, Community Living & Adult Social care - LBC Bert Siong - Democracy and Scrutiny Officer - LBC Gerry Taylor – Director, Public Health - LBC Stephen Gunther – Consultant, Public Health - LBC Matthew Winn – Chief Executive - CCS PUBLIC – 1 member of the public in attendance – name not known ACTION 10 APOLOGIES FOR ABSENCE (REF: 1) Resolved: Apologies for absences were received on behalf of Councillors Moles and Petts and Mr Norris Bullock (Healthwatch, Luton) 11 MINUTES (REF: 2.1) Resolved: That the minutes of the meeting held on 7th January 2016 be taken as read, approved as a correct record and the Chair be authorised to sign them, subject to the amendment below: That Cllr T. Khan, who was late, be shown as otherwise present at the meeting. 12 CHAIR'S UPDATE (REF: 6) The Chair informed the Committee on progress since the last meeting, in particular a matter not otherwise on the agenda as set out below: He informed Members that a petition of around 1000 signatures had been received in relation to the cessation of dental service provision for NHS patients at the Leagrave Dental Sedation Clinic from 1st April 2016. This Page 5 of 61 proposal had been considered and supported by HSCRG back in May 2015, as was deemed to represent an enhancement in service for the whole of Luton. He proposed that an extraordinary HSCRG meeting be arranged to take place in the Council Chamber at 6.00 pm on 5th April 2016, to give an opportunity to NHS England, the commissioning body, to present their case for the change and allow the petitioners to voice their views, which was agreed. Resolved: That the Democracy & Scrutiny Officer be requested to arrange an extraordinary HSCRG meeting to take place in the Council Chamber at 6.00 pm on 5th April 2016, to consider the petition in relation to the cessation of dental service provision for NHS patients at the Leagrave Dental Sedation Clinic from 1st April 2016. 13 CARE QUALITY COMMISSION (CQC)INSPECTION BRIEFING (REF: 7) Phil Terry, a CQC regional Inspection Manager, gave a presentation briefing Members on the changes in the way the CQC regulates, inspects and monitors care. A full copy of the presentation, ‘Changing the way CQC regulates, inspects and monitors care’, can be found at the foot of the page from the following link: Link Responding to comments from a Member of how certain service quality issues in care homes would be monitored, Phil Terry gave assurance how the CQC would address such circumstance. Pam Garraway also gave assurance that the Adult Social Care Quality Team would look at issues raised, in conjunction with the CQC. On the issue on how whistle-blowers would be listened to following the Francis report, Phil Terry stated the CQC would guarantee that the anonymity of whistle-blowers would be protected as far as possible. He went on to give a few examples on how issues raised by whistle-blowers had been dealt with in the past, e.g. by focused unannounced inspections on escalation procedures and practice, without even mentioning anything about whistle- blowing. On how Race Equality Standards were applied, he said Key Lines of Enquiries (KLOEs) asked a raft of questions on how services were meeting the diverse needs of the population. He added a quality summit meeting was held 2/3 days ahead of the publication of all final inspection reports to address any issues. In relation to challenges, he stated that anyone could challenge factual inaccuracies of CQC reports, which would be looked at and corrected as appropriate. Page 6 of 61 Resolved: (i) That Phil Terry’s presentation on ‘Changing the way CQC regulates, inspects and monitors care’ be noted; (ii) That the Committee’s thanks to Phil Terry for a very informative presentation be recorded. 14 CQC STRATEGY 2016 – 2021 - CONSULTATION (REF: 8) The Democracy & Scrutiny Officer presented the report (Ref: 8) to enable HSCRG to consider and approve its responses to the Care Quality Commission (CQC) Strategy 2016 – 2021, ‘Shaping the future’ consultation questions. He said that the full consultation report and summary of keys points had previously be sent to Members for consideration and comments, and that the Director of Housing & Community Living had also had an opportunity to contribute to the draft responses. In the absence of any questions, the committee approved the recommended responses, without amendments, as reported. Resolved: (i) That the responses to the CQC Strategy, ‘Shaping the future’ consultation questions as set out in the report (Ref 8) be approved without amendments; (ii) That the Democracy & Scrutiny Officer be requested to forward the Committee’s responses to the consultation questions to the CQC, as set out in the report. 15 OUTSOURCING PROJECT UPDATE - LUTON AND DUNSTABLE HOSPITAL (REF: 9) Ian Allen, Director of Estates and Facilities, Luton & Dunstable presented the Hospital Outsourcing Project report (Ref 9) to the committee, providing details of progress achieved so far, in relation to the outsourcing of Hospital’s cleaning and catering. The Committee had previously expressed concerns about the risks to patients’ safety and wellbeing, if standards were to be adversely affected, as a result of these cost saving measures. He responded to questions and comments on the report, providing further information and clarifications as follows: There had been a few issues alleged about food quality, but these were addressed without any adverse comments; The new ‘plated food’ service system was due to start in the spring of 2016; The food would be the ‘cooked – chilled’ types, which had been evaluated at hospitals supplied by the same supplier and rated Page 7 of 61 very highly. Responses from their open forum were very positive; Adding to a comment from a Member who had had positive feedback from a patient on the food, he said there were more choices for patients, which was a step in the right direction to improve patients’ experience; Wards would be equipped with new equipment to support the management of the food provision at ward level, starting with 4 wards at St Mary’s, with the whole site completed within 3-4 months; Patients’ feedback provided through the ‘Family and Friends’ tests and comments on their stay in the hospital were examined to see if any issues raised for estates management to address; The position of the Contract Manager was a permanent one, as the project was a sizeable commercial and quality one.