{meta} Agenda for Health and Adult Care Scrutiny Committee on Monday, 19th June, 2017, 2.15 pm

Agenda and minutes

Venue: Committee Suite - County Hall. View directions

Contact: Gerry Rufolo 01392 382299  Email: gerry.rufolo@devon.gov.uk

Webcast: View the webcast

Items
Note No. Item

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1.

Minutes

Minutes of the meeting of the Health and Wellbeing Scrutiny Committee held on 7 March 2017 and the People’s Scrutiny Committee held on 20 March 2017  (previously circulated)

Additional documents:

Minutes:

RESOLVED that the Minutes of the meetings of the Health and Wellbeing Scrutiny Committee held on 7 March 2017 and the People’s Scrutiny Committee held on 20 March 2017 be signed as correct records.

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2.

Public Participation

Members of the public may make representations/presentations on any substantive matter listed in the published agenda, as set out hereunder, relating to a specific matter or an examination of services or facilities provided or to be provided.

 

Additional documents:

Minutes:

In accordance with the Council's Public Participation Rules, the Committee received and acknowledged oral representations made by Mr P Wardman, Mr M Pigott, Ms G Pritchett, Mr S Craddock, Mr M McAlpine and  Mr B Sturtivant on a matter to be considered by the Committee, namely ‘Your Future Care’ (Minute *5 refers).

 

The Chairman responded, thanking the speakers for their attendance and presentations which would be taken into account by the Committee during its subsequent deliberations.

 

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3.

Matter of Urgency: Review of Acute Services

Items which in the opinion of the Chairman should be considered at the meeting as matters of urgency.

Additional documents:

Minutes:

An item taken under Section 100B (4) of the Local Government Act, 1972)             

 

The Chairman had decided that the Committee should consider this item at the request of Councillor Greenslade in relation to a review of Acute Services and requesting an update on the current position.

 

Dr S Manton, (Director of Strategy, North East and West Devon (NEW Devon CCG) and South Devon and Torbay CCG), attended and spoke to this item at the invitation of the Committee.

 

Dr Manton reported on the clinical review of a range of acute services (stroke, maternity, paediatrics and neonatal care and urgent and emergency care) in hospitals in Exeter, Plymouth, Torquay and Barnstaple since late 2016 which would be published shortly. The review aimed to achieve sustainable services due to difficulty in recruiting key clinical staff, large increases in demand for services – and difficulty meeting national service standards. 

 

Following publication the next stage involved detailed staff and other stakeholder consultation and Dr Manton undertook to bring a report on the proposals to a future meeting. 

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4.

Terms of Reference of Scrutiny Committees, Cabinet Member Remits and co-ordination of Scrutiny Activity pdf icon PDF 45 KB

The Scrutiny Committees’ current Terms of Reference are attached for information. 

 

Additional documents:

Minutes:

The Committee noted the Scrutiny Committees’ Terms of Reference.

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5.

Your Future Care Proposals (Eastern Locality) pdf icon PDF 133 KB

Report of the NEW Devon Clinical Commissioning Group and correspondence with the Committee, attached

Additional documents:

Minutes:

(Councillor C Whitton declared a personal interest this matter in relation only to the Royal and Devon Exeter Hospital Trust by virtue of her employment with the Trust)

 

(Councillors M Shaw and I Hall attended in accordance with Standing Order 25(2) and spoke to this item)

 

Dr S Manton, (Director of Strategy, North East and West Devon (NEW Devon CCG) and South Devon and Torbay CCG), Mr R Sainsbury (Chief Operating Officer, NEW Devon CCG), Mr E Wilkinson Brice (Deputy Chief Executive/Chief Nurse, Royal Devon & Exeter NHS Foundation Trust); and Ms A Jones (Director of Integration Royal Devon & Exeter NHS Foundation Trust) attended and spoke to this item at the invitation of the Committee.

 

The local members attending under Standing Orders questioned the rationale behind the decisions by NEW Devon CCG and impact on the respective communities of the proposed closure of community beds at Seaton, Honiton, Axminster and Okehampton and calling for a referral to the Secretary of State for Health.

 

The Scrutiny Officer reported the receipt of 21 representations protesting at the proposed closure of beds in Honiton, Seaton and Okehampton Hospitals across the locality, and protesting at the commencement of implementation by the CCG prior to debate by this Committee and urging the Committee to make a referral to the Secretary of State.

 

The Committee considered the report of NEW Devon CCG on background information to the Your Future Care programme and decisions made by NHS Northern, Eastern and Western Devon Clinical Commissioning Group (CCG) Governing Body of 2nd March 2017, following public consultation, to reduce community hospital inpatient beds and units in the Eastern locality in the context of developing a new model of care for the area. 

 

The decisions by the Governing Body had been as follows:

 

·         a reduction of community hospital beds from 143 to 72 in the Eastern locality

·         Tiverton & District Hospital to be a fixed point providing an inpatient unit with 32 beds Exmouth Community Hospital as a 16-bedded hospital

·         Sidmouth Community Hospital as a 24-bedded hospital

·         in light of the rurality and associated factors, to commission further work to assess more extensively the services needed in the Okehampton area

 

The decisions had meant that community inpatients beds at Sidmouth, Exmouth and Tiverton community hospitals would remain, while those at Seaton, Exeter (Whipton), Okehampton and Honiton would close.

 

The Committee also received copies of correspondence between the Chairman of the predecessor Committee and the North, East and West Devon Clinical Commissioning Group (NEW Devon CCG) relating to questions and concerns by Scrutiny and the CCG’s responses.

 

The Clinical Commissioning Groups’ and the Trusts’ representatives then responded to Members’ questions and/or commented that:

 

·         the programme was designed to deliver improved outcomes and experiences for patients, improved experiences for staff and clinical and financial sustainability of community services and that detailed consultation  with staff regarding implementation had commenced

·         a breakdown of representations received would be provided by the CCG

·         the projected savings and investments in community services based on work  ...  view the full minutes text for item 5.

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6.

The Better Care Fund: Allocation of Additional Social Care Funding pdf icon PDF 131 KB

Report of the Head of Adult Commissioning and Health, DCC and the Director of Strategy, NEW Devon and South Devon and Torbay (ACH/17/68) attached

Additional documents:

Minutes:

(Councillor A Leadbetter  attended in accordance with Standing Order 25 (1) and spoke to this item at the invitation of the Committee)

 

Dr S Manton, (Director of Strategy, North East and West Devon (NEW Devon CCG) and South Devon and Torbay CCG), attended and spoke to this item at the invitation of the Committee.

 

The Committee considered the report of the Head of Adult Commissioning and Health, Devon County Council and the Director of Strategy, North, East and West Devon Clinical Commissioning Group (NEW Devon CCG) and South Devon and Torbay CCG.

 

The Committee noted that the Better Care Fund was the only mandatory policy to facilitate integration. It brought together health and social care funding, with a major injection of social care money announced at the Government’s Spring Budget 2017.

 

There were specific conditions around how the money could be used, and the metrics against which the County and CCG would be measured, with a particular focus on reducing the numbers of delayed transfers of care.  There were also conditions about how local authorities and clinical commissioning groups worked together in agreeing proposals for how the money was used.  

 

For Devon, the additional money amounted to:

 

2017/18             2018/19             2019/20

£15.15m                        £10.15m                        £5.04m

 

It was MOVED by Councillor Randall Johnson, SECONDED by Councillor Ackland and

 

RESOLVED

 

(a)  that the proposed approach to use of additional social care funding in Devon in 2017/18 be noted;

 

(b) that the a Task Group comprising (the Chairman, Councillors H Ackland, S Russell and P Sanders) be established to investigate the Transfer of Care process and use of the new monies during 2017/18.

 

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7.

Election of Commissioning Liaison Member

In line with the recommendations of the ‘Scrutiny in a Commissioning Council’ Task Group Report, the Committee be asked to select a Commissioning Liaison Member, whose role will be to work closely with the relevant Cabinet Members and Chief Officers/Heads of Service, developing a fuller understanding of commissioning processes, and provide a link between Cabinet and Scrutiny on commissioning and commissioned services.

 

 

The Commissioning Scrutiny Task Group Report can be viewed here:

 

http://democracy.devon.gov.uk/documents/s1830/Scrutiny%20in%20a%20Commissioninig%20Council.pdf

 

Additional documents:

Minutes:

RESOLVED that Councillor H Ackland be elected as the Commissioning Liaison Member. 

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8.

Work Programme pdf icon PDF 69 KB

In accordance with previous practice, Scrutiny Committees are requested to review the forthcoming business and determine which items are to be included in the Work Programme, draft work plan attached.

 

The Committee may also wish to review the content of the Cabinet Forward Plan to see if there are any specific item therein it might wish to explore further.

 

The Work Programme and Forward Plan can be found at:

 

http://democracy.devon.gov.uk/mgPlansHome.aspx?bcr=1    

Additional documents:

Minutes:

RESOLVED that the current outline Work Programme be approved subject to inclusion of the following topics for future consideration:

 

(a) Mental health including dementia

(b) Integration of Adult Care and Health

(c) Task Group Scoping Execise: NHS in Devon (response to the Notice of Motion referred by the Cabinet).

 

 [NB: The Scrutiny Work Programme was available on the Council's website at http://www.devon.gov.uk/scrutiny_programme.htm

 

and the Council/Cabinet Forward Plan is available at http://www.devon.gov.uk/forward_plan]