Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 15th December, 2015
Time:
16.00
Place:
Jim Cooke Conference Suite, Stockton Central 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-Chairman), Cllr Sonia Bailey, Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Lynn Hall, Cllr Tracey Stott
Officers:
Jane Humphreys, Liz Hanley, Simon Willson(CESC), Peter Kelly(PH), Ann Baxter(Tees Adult Safeguarding Board), Karen Hawkins, Sue Greaves(CCG), Christine Keen(NHS England) and Natasha Judge(Healthwatch), Judith Trainer and Kirsty Wannop(LDS)
Apologies for absence:
Cllr Stefan Houghton and Cllr Mick Moore
Item Description Decision
Public
ASH
52/15
EVACUATION PROCEDURE
The evacuation procedure was noted.
ASH
53/15
DECLARATIONS OF INTEREST
 
ASH
54/15
MINUTES FOR SIGNATURE - 13 OCTOBER 2015
The minutes of the meeting held on 13th October 2015 were signed by the Chair as a correct record.
ASH
55/15
DRAFT MINUTES - 10 NOVEMBER 2015
AGREED that the minutes be approved.
ASH
56/15
TEESWIDE ADULT SAFEGUARDING BOARD
AGREED that the information be noted.
ASH
57/15
ADULT SERVICES SIX MONTH PERFORMANCE REPORT
AGREED that the information be noted.
ASH
58/15
SIX-MONTHLY PROGRESS UPDATES / UPDATE ON ACCESS TO GP SERVICES
AGREED that
1. the assessments of progress be agreed.
2. Members concerns be noted and where possible be looked into further.
3. information be noted.
ASH
59/15
HEALTHWATCH STOCKTON-ON-TEES ENTER AND VIEW REPORT
AGREED that the information be noted.
ASH
60/15
HEALTH AND WELLBEING BOARD MINUTES
 
ASH
61/15
WORK PROGRAMME 2015-16
 
ASH
62/15
CHAIR'S UPDATE
 
4.00pm/6.20pm

Preamble

ItemPreamble
ASH
53/15
Cllr Evaline Cunning declared a personal non prejudicial interest in the item titled Six Monthly Progress Updates/Update on Access to GP as her Husband was a MP.

Cllr Kevin Faulks declared a personal non prejudicial interest as he was on the Woodbridge Surgery Participation Group.
ASH
55/15
Consideration was given to the minutes of the meeting held on 10th November 2015.
ASH
56/15
The Committee considered the Annual Report of the Tees-wise Adult Safeguarding Board. As part of its approach to monitoring the quality of local health and care services, the Committee received a range of related reports, including an overview of Adult Safeguarding Activity. Similar arrangements were in place to consider Children's Safeguarding arrangements at Children and Young People Select Committee. The Teeswide Adult Safeguarding Board was the statutory Safeguarding Adults Board for the area, as required by the Care Act 2014. Operational delivery in each locality was overseen by the relevant Local Executive Group.

Information provided included:-

- Details of the governance arrangements, structure and membership.
- Information on the reviews from 2014-15 were provided as well as the consultation and engagement and Strategic Plan for 2015-18.

Members asked the following questions:

• There was currently a low referral rate from the BME community. What steps are being taken to improve this?

Ann Baxter commented that this was an issue which was being addressed in planning for future years and working with the voluntary sector and GPs.

• How strong are links with housing providers?

Ann Baxter advised that forging links with housing providers was problematical due to the fragmented nature of the sector. There were links, however, into the Executive Group.

• To what extent do we share policies and procedures?

Liz Hanley advised that policy and procedures are in place across Tees and have been reviewed to ensure they are care Act compliant.

• Members felt it would be useful to compare SBC performance in respect of direct payments and personal budgets with other Local Authorities.

Liz Hanley commented that information would be provided to Members in the regional benchmarking report and that indications from the recent Peer Review were that SBC performance was in line with other Local Authorities.
ASH
57/15
The Committee considered a report that provided an overview of performance of Adult Social Care Services for Quarter 2 of 2015 - 16 (i.e. for the period from 1st July to 30th September 2015). Also included in the report was information from the regional benchmarking report (2014-15) and a summary of Care Quality Commission inspection outcomes.

The main information provided included details of:-
- Overall satisfaction measures
- Safeguarding
- Personalisation
- Prevention
- Carers
- Mental Health clients
- Learning disability clients
- Complaints
- CQC Inspection outcomes - Quarter 3 2015/16
- 2014/15 regional benchmarking report.

Members were then given opportunity to ask questions/make comments that could be summarised as follows:-

• What would be the implications of introducing the living wage?

Jane Humphrey's advised that it was estimated that it would cost an extra 9 million and more information would be presented to the Committee regarding the impact of this.

• Members asked for more information on Adult Social Care complaints and how this compared with other authorities?

A report would be prepared for Committee to consider in 2016

• Were direct payments offered to everyone?

Jane Humphrey's advised that 100% of eligible clients are offered a personal budget, which can be taken as a direct payment, which has resulted in approximately 30% take up, which is in line with other Local Authorities.
ASH
58/15
Members considered the assessments of progress contained within the provided Progress Updates on the implementation of previously agreed recommendations. There were outstanding recommendations from the reviews of Licensing and Public Health and Access to GP, Urgent and Emergency Care.

Licensing and Public Health

Members requested timescales for when recommendations 1 and 5 would be complete.

Peter Kelly advised that he needed to discuss implementation with planning officers and would come back to the Committee with an update as a matter of urgency.



Access to GP, Urgent and Emergency Care

Representatives from the NHS were in attendance to address issues emanating from the review of Access to GP care, in particular:

• How GP practices are monitored and held to account
• How prospective patients are informed of their rights and responsibilities when registering
• How prospective patients are informed of what they should do if turned away/ how they can raise concerns

Members had previously highlighted that they were receiving complaints from people in their wards about difficulties for some patients registering in GP surgeries.


• GPs were saying their lists were full and unable to register anyone else. The Committee felt this tended to be patients that would be likely to be demanding on the Surgery.

The CCG confirmed that no GP practice had applied to close their list but should they receive information about GP's turning patients away they would follow it up. Members were asked to pass on any concerns/ intelligence about specific practices and this would be investigated. All practices were also going to be contacted to remind them of their obligations under the legislation. The Committee were also advised that as soon as a list was closed, the CCG would be working on solutions to open the list again as a priority.

• Members were worried that GP's were 'policing' themselves. and asked if any mystery shopping had been carried out?

The Committee were advised that mystery shopping was not carried out but action would be taken based on feedback from GPs and patients.

Healthwatch advised that they had not be alerted to any issues with closed lists in the last six months.

• Members also had issues with GP waiting times and appointment systems and asked what power there was to recommend best practice.

The CCG advised that they could not dictate how GPs organised their appointments and their ways of working although could suggest better ways of working. There were no legal requirements of access standards.

Most GP contracts were awarded in perpetuity unlike other areas of the NHS. Any action which could be taken would be restricted to the quality and safety of the service.

A development session would be organised for Members regarding GP roles and responsibilities and the new contracts.
ASH
59/15
The Committee considered a report that provided details of the Enter and View report of Woodbridge GP Practice.

The main information provided included:-
- What and Enter and View was
- The overall aims and objectives
- The methodology used for the Enter and View visit
- Details on the findings and the recommendations made
- Response from the provider on the recommendations

Members asked whether the findings were shared with CQC. The Committee were advised that Enter and View reports were shared with all stakeholders.

Members commented that where high levels of missed appointment were experienced, this would probably be due to the length of time waiting for an appointment.

The Committee also highlighted that there were other surgeries within the Borough that could benefit from an Enter and View.
ASH
60/15
Members noted the minutes of the Health and Wellbeing Board meeting on 28th October 2015.
ASH
61/15
The Committee noted its work programme.
ASH
62/15
The Chair had nothing to update.

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