Agenda and minutes

Health and Care Overview and Scrutiny Committee - Monday 26th October 2020 10:00am

Venue: Virtual/on-line at https://staffordshire.public-i.tv/core/portal/home

Contact: Jonathan Lindop  Email: jonathan.lindop@staffordshire.gov.uk

Media

Items
No. Item

30.

Quorum

To verify the meeting is quorate (six Members required)

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Minutes:

The Chairman verified that the meeting was quorate.

31.

Declarations of Interest

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Minutes:

There were no Declarations of Interest made.

32.

Minutes of meeting held on 14 September 2020 pdf icon PDF 146 KB

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Minutes:

With regard to minute No. 26, the Scrutiny and Support Officer said that that the additional information requested by the Committee from North Staffordshire Clinical Commissioning Group would be circulated to them as soon as possible.   

 

RESOLVED – That the minutes of the meeting held on 14 September 2020 be confirmed and signed by the Chairman.

33.

Adult Learning Disability 2022 Community Offer: Update on Learning Disability Services Directly Provided by Staffordshire County Council pdf icon PDF 194 KB

Report of the Cabinet Member for Health, Care and Wellbeing

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Minutes:

The Committee considered a report of the Cabinet Member for Health, Care and Wellbeing (Staffordshire County Council) (schedule 1 to the signed minutes) informing them of a recent review of the Authority’s previous decisions taken in 2019 and forthcoming recommendations to Cabinet on 18 November 2020 in respect of (i) transitioning Greenfield House, Leek and Horninglow Bungalows, Burton-upon-Trent to the independent supported living market; (ii) capital investment for the relocation of directly provided residential care services currently situated at Hawthorne House, Lichfield to the Scotch Orchard site; (iii) capital investment for the relocation of the respite services currently provided at Douglas Road, Newcastle-under-Lyme to Wilmott Drive and; (iv) commissioning of residential replacement care services in Cannock Chase District and East Staffordshire Borough from the independent sector. The was to ensure the configuration of services remained appropriate having regard to the 2020 Covid-19 pandemic.

 

In addition, he informed them that following the suspension of a review of Specialist Day Care Opportunities in March 2020 owing to the above-mentioned outbreak, it was his intention to recommend Cabinet that the review be re-commenced and include:- (i) the current building-based provision; (ii) alternative methods of supporting people in their own homes (eg Outreach and Virtual) which had been developed following the outbreak to comply with social distancing guidelines; (iii) staffing and; (iv) the exploration of a business case for development of a Single Integrated Service.

 

In response to a request for their views on the above-mentioned developments/proposals the Committee scrutinised the report, asking questions and seeking clarification where necessary.

 

A Member raised concerns regarding the importance of maintaining friendship groups which might have been established at Greenfield House and Horninglow Bungalows, under the new arrangements.

 

Another Member spoke in support of the decisions taken in 2019 and against delaying their implementation particularly having regard to the quality of the services currently provided at Hawthorne House which she said were not fit for purpose. They stated that the increase in capital costs referred to in the report (£5.140m from £2.820m were to be expected and sought further details of the timescale for construction of the new facility. In reply, the Cabinet Member highlighted that the Net Present Value of the development was still positive. However, further progress was dependent on registration by the Care Quality Commission. Discussion then focused on costs which had approximately doubled since the original quotation received from the Authority’s contractor (Entrust) in 2019. In response, the Cabinet Member undertook to obtain clarification from the company, seek further scrutiny by the appropriate Committee, as necessary and inform them of the outcome, in due course.

 

A Member spoke of the need to ensure Horninglow Bungalow’s ‘Good’ CQC rating was not adversely affected by either the Cabinet’s 2019 decisions or the current review. In response the Cabinet Member re-assured the Committee over the Authority’s rigorous selection processes to identify an independent provider and went on to explain the decision in the context of the Authority’s strategic approach to the  ...  view the full minutes text for item 33.

34.

Covid-19 - Changes to Service Delivery pdf icon PDF 242 KB

Report of Staffordshire and Stoke-on-Trent Clinical Commissioning Groups’ Accountable Officer

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Minutes:

The Committee considered a report and presentation of Staffordshire and Stoke-on-Trent Clinical Commissioning Group’s (CCGs) Accountable Officer (schedule 2 to the signed minutes) updating them on the progress and priorities of Health and Care Partners to restore and recover services following the first serge of the 2020 Covid-19 Pandemic.

 

Jenny Fullard (Communications and Engagement Service Partner) and Jane Moore (Director of Strategy, Planning and Performance), Staffordshire and Stoke-on-Trent CCGs were present at the meeting.

 

Since the outbreak of the Pandemic in March 2020 all health and care services had had to adapt to enable a greater focus on priorities and ensure compliance with social distancing measures. Consequently, many routine NHS services had been temporarily paused/changed in order that workforce and resources could be re-deployed towards fighting the effects of the virus. However, as cases had decreased over the Summer, Partners had worked to restore routine services. In July 2020 NHS England and Improvement (NHSE&I) published their Phase Three Letter which included various ambitious targets for the restoration of routine services, including endoscopy, Magnetic Resonance Imaging (MRI) scans and primary care by Autumn 2020.

 

The vast majority of services had now either been restored or were in the process of restoration. However, some temporary changes previously implemented would need to continue during the second serge of the virus. Currently Partners were balancing both routine and Covid-19 care and detailed modelling was being undertaken to help plan future demand. In addition, the Pandemic had accelerated various areas of transformation included in the national Long-Term Plan (published in 2019). In a relatively short period of time, areas such as digital technology and integration had advanced significantly and Health were keen to explore how these innovations could be retained in the future.

 

During their presentation of the report, the representatives of Health highlighted:- (i) the impact of Covid-19 on services in Staffordshire; (ii) the various measures which had been implemented to keep patients safe; (iii) the Restoration and Recovery (System) Plan submitted to NHS England on 21 September 2019; (iv) the Priorities outlined in the Plan; (v) the current status with regard to implementation of the Plan; (vi) the key risks and challenges involved; (vii) the temporary service changes implemented; (viii) the various locally driven changes; (ix) the Phase 1 - Critical Tests to exclude non-viable long-term solutions; (x) the Phase 2 – Service Changes Impact Appraisal; (xi) the Communications and Engagement activity undertaken; (xii) emerging patient feedback; (xiii) the Phase 3 – System Engagement and Alignment work undertaken; (xiv) next steps in the restoration and recovery process and; (xv) further information on the restoration of specific services, details of which were included in the slides circulated to Members with the Agenda for the meeting.

 

In the full and wide-ranging discussion which ensued, Members gave careful scrutiny to the report, asked questions and held the CCGs to account.

 

In response to a question from a Member regarding mental health services, the Director of Strategy, Planning and Performance spoke of the arrangements  ...  view the full minutes text for item 34.

35.

District/Borough Healthy Scrutiny Activity pdf icon PDF 208 KB

Reports/oral reports of District/Borough Councils’ Representatives

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Minutes:

The Committee considered a report of the Scrutiny and Support Manager (schedule 3 to the signed minutes) giving a summary of the health scrutiny activity which had been undertaken by Staffordshire District and Borough Council’s under the standing joint working arrangements, since their previous meeting.

 

With regard to South Staffordshire District Council’s Wellbeing Select Committee a Member informed them that that the meeting on 16 October 2020 had been attended by representatives of three local Clinical Commissioning Groups (CCGs) at which they referred to possible delays in implementing the extended flu vaccination programme later in the year owing to a shortage of supplies.

 

With regard to Lichfield District Council’s Community Housing and Health (Overview and Scrutiny) Committee, a Member stressed the urgent need for clarity regarding the long term future/re-opening of the George Bryan Centre which had provided mental health services until a serious fire at the site during 2019. In reply the Scrutiny and Support Manager referred to an update given to the Committee shortly after the fire. However, further information regarding the Centre was being sort from the local CCG and would be circulated to Members as soon as possible. 

 

RESOLVED – That the reports and further update set out above be received and noted.

36.

Work Programme 2020/21 pdf icon PDF 445 KB

Report of Scrutiny and Support Manager

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Minutes:

The Committee considered a rolling Work Programme for 2020/21 (schedule 4 to the signed minutes).

 

The Chairman highlighted the proposed additional meeting which had been included for a date and time to be arranged in December 2020 in order to consider the new Integrated System for Staffordshire and Stoke-on-Trent. He also proposed inclusion of “Workforce Planning” in the list of Suggested Items as a follow-up to Together We’re Better’s Workforce Strategy strand which had previously been scrutinised by the Committee.

 

In addition, the Chairman informed them that:- (i) work on compiling a Health Dashboard was progressing and would be brought to the Committee as soon as possible; (ii) he had recently met with representatives of Healthwatch Staffordshire for an information sharing session; (iii) he had recently received correspondence from local residents/groups regarding various NHS establishments which would be taken forward as appropriate and; (iv) copies of Quality Accounts he had received from Health Trusts would be circulated to Members in due course so that responses could be provided by the required deadlines.

 

RESOLVED – (a) That the report be received and noted.

 

(b) That the updated Work Programme 2020/21 be approved with the addition of the above-mentioned changes.  

37.

Date of Next Meeting - Monday 30 November 2020 at 10.00 am, Virtual/on-line

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Minutes:

RESOLVED – That the date, time and venue of the next meeting be noted.