Agenda and minutes

At this point in the meeting, Members are asked to declare:

·        any personal interests not included on the Register of Interests

·        any prejudicial interests or

·        any disclosable pecuniary interests

which they may have in respect of business on this agenda.

Members were asked to declare, at this point in the meeting, any personal interests, not included on the Register of Interests, or any prejudicial or disclosable pecuniary interests they may have in respect of business on the agenda.

Councillor Richardson requested that his standing personal interest be amended so that it now read “Undergoing treatment at York Pain clinic and ongoing treatment for knee operation”.

No other interests were declared.

To approve and sign the minutes of the meeting held on 28 September 2016.

Resolved:  That the minutes of the last meeting held on 28 September 2016 were approved and then signed by the Chair as a correct record subject to the following amendment;

Paragraph 23: Update Report on the NHS Vale of York Clinical Commissioning Group Turnaround and Recovery Plans

The Chair thanked the Chief Financial Officer for her attendance.

In relation to a comment in Paragraph 21 (2016/17 First Quarter and Performance Monitoring Report- Adult Social Care) it was confirmed that data of all those who remained substance free in York would be included within the next Health and Adult Social Care Quarter Finance and Performance Monitoring Update.

At this point in the meeting, members of the public who have registered their wish to speak regarding an item on the agenda or an issue within the Committee’s remit can do so. The deadline for registering is Monday 17 October 2016 at 5:00 pm.

Filming, Recording or Webcasting Meetings

Please note this meeting may be filmed and webcast and that includes any registered public speakers, who have given their permission.  This broadcast can be viewed at: http://www.york.gov.uk/webcasts.

Residents are welcome to photograph, film or record Councillors and Officers at all meetings open to the press and public. This includes the use of social media reporting, i.e. tweeting.  Anyone wishing to film, record or take photos at any public meeting should contact the Democracy Officer (whose contact details are at the foot of this agenda) in advance of the meeting.

The Council’s protocol on Webcasting, Filming & Recording of Meetings ensures that these practices are carried out in a manner both respectful to the conduct of the meeting and all those present.  It can be viewed at: http://www.york.gov.uk/download/downloads/id/11406/protocol_for_webcasting_filming_and_recording_of_council_meetings_20160809.pdf

It was reported that there had been no registrations to speak at the meeting under the Council’s Public Participation Scheme.

This report presents the Health & Adult Social Care Policy & Scrutiny Committee with the Annual Report of the Chief Executive of York Teaching Hospital NHS Foundation Trust, which details the performance and challenges faced by the hospital during financial period 2015/16.

Members considered the Annual Report of the Chief Executive of York Teaching Hospital NHS Foundation Trust. The report detailed the performance and challenges faced by the hospital during the financial period 2015/16.

The Deputy Chief Executive of York Teaching Hospital NHS Foundation Trust was in attendance to present the report and answer Members’ questions.

He informed Members that;

·        Although the hospital had predicted a deficit of £12m last year, against a planned deficit of £7m.

·        Costs were mainly due to spending on agency staff, which last year totalled £24m.

·        In addition £4m fines had been issued to the hospital from the CCG on the failure to meet A&E targets and ambulance turnaround times.

·        Trying to achieve a 4 hour minimum waiting time in A&E still remained an issue.

·        The hospital would have a £10m surplus the financial year 2016/17 through £13.5m sustainability funding and demanded savings of £10m.

·        Partnership working had improved through the establishment of the Provider Alliance Board, where health and care services, and voluntary services could come together.

·        The dedication of hospital staff needed to be reported.

Members commented on a number of aspects of the report and asked the following questions;

·                    The consistency of the cancer performance figures

·                    The limiting factors to the expansion of GPs surgeries

·                   What had been put in place to retain staff, particularly those from EU countries?

·                   Whether plans been put in place to engage staff at an earlier stage in decision making?

·                   What measures could be put in place to alleviate waiting times in A&E?

It was noted that some of the cancer targets were based on small numbers of patients, some of whom were referred on to other hospitals. Therefore if there was a failure in treating the patient within the deadline at that hospital, the failure would still be attributable to York Hospital.

The Hospital did not own large amounts of property for GP surgery expansion therefore it welcomed GP practice mergers and their plans to develop Urgent Care Centres.

Methods for retention of staff used included benefits, good terms and conditions and opportunities to progress. Following the EU referendum, staff from EU countries had been reassured that they had a job for as long as they wished.

In reference to the recent decision to close the Archways Intermediate Care Unit, the Deputy Chief Executive apologised and accepted that the consultation had not been carried out in the most appropriate way. He explained that he had been preparing a briefing, Moving Care Into People’s Homes, which he would share with Healthwatch York and the wider public to explain the rationale behind the decision. He added that there would be a patient led reference group in the development of the new model of care.

The Deputy Chief Executive felt that to alleviate waiting times in A&E more support was needed for minor care and there also had to be an acceptance that patients were less tolerant of waiting to be seen than previously.

Resolved: That the  ...  view the full minutes text for item 29.

This report and its annex inform the Health & Adult Social Care Policy & Scrutiny Committee of the implementation of Care Quality Commission (CQC)  recommendations following their inspection of York Teaching Hospital NHS Foundation Trust.

Members received a report informing them of the implementation of CQC recommendations following their inspection of York Teaching Hospital NHS Foundation Trust.

The Deputy Chief Executive of York Teaching Hospital NHS Foundation Trust informed Members that although there were four targets that remained partially completed under the CQC recommendations, that the CQC now had a new inspection regime and no longer sought action plans.

He suggested to the Committee that a report could be produced and presented in spring on how the hospital was coping over winter. One Member felt this should be considered in December to ensure that transition plans were in place and a report could be circulated by email. The report would also include how the community services had developed in light of the closure of the Archways Intermediate Care Unit.

Resolved: (i) That the contents of the update report and the annex be received and noted.

                 (ii) That there be no further updates on the implementations of the CQC recommendations to York Teaching Hospital NHS Foundation Trust.

                 (iii) That a report be received on how the hospital is coping with winter experiences and how community services have developed in light of the closure of the Archways Intermediate Care Unit.

Reason:    (i) As the inspection model is no longer used, there is no need for an action plan.

                 (ii) To keep the Committee updated on the performance of York Teaching Hospital NHS Foundation Trust.

This paper updates Members on the position for mental health and learning disability services since Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) took on services for the Vale of York from 1st October 2015.

Members received a report which updated them on mental health and learning disability services in York since Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) took on services for the Vale of York from 1st October 2015.

The TEWV Director of Operations for York and Selby gave a short update to Members on the current state of Older People’s Services in the city. It was reported that issues had arisen over the year such as staff and patients being brought in from outside of York. In addition, practical steps needed to be taken on the estate of buildings used by the Trust and a number of public meetings had been arranged. The Trust would also be having a CQC inspection focusing on York within the coming year.

Questions and comments from Members included;

·                    How would the IAPT service model change?

·                   Would the move to Acomb Gables be disruptive and when would it take place?

·                   What was the current capacity for rehabilitation and recovery services offered?

·                   The biggest reduction in beds was for dementia patients, how would the provision continue to be provided?

·                   What information had been provided to the public for the criteria regarding the sites under consideration for the new Mental Health hospital?

In response to questions from Members, it was reported that;

·                   A number of changes had been made to the IAPT service model, such as self referral via the telephone. Waiting times were decreasing, 75% of patient were being seen with 6-8 weeks of referral. The model was more about early prevention and intervention and the Trust were also working with a number of partners including GPs (in particular to understand numbers being referred), students and Local Authorities.

·                    Building works would be complete at Acomb Gables at New Year.

·                   Although there were currently no beds for recovery and rehabilitation, intensive support had been provided for service users in the community.

·                   The provision for dementia patients would continue through a Care Home Liaison Service which would operate seven days a week, this would help to prevent admissions to care homes.

Further questions related to the public consultation and development of a new mental health hospital for York. It was noted that the public consultation date had been extended to 16 February and that the eventual aim was to have a new mental hospital in York by 2019. In regards to financing the hospital, discussions were still ongoing with NHS Property Services as the Trust leased an estate of buildings. An outcome and analysis report of the public consultation would be received at a CCG Board meeting.

The Chair suggested that representatives from the CCG and TEWV present the outcome and analysis report of the public consultation into the new mental health hospital for York at the Committee’s meeting in February. He added that it would also be useful to see the Trust’s CQC report at a future meeting.

Resolved: (i) That the update report be received and noted.

                 (ii) That representatives from Tees, Esk and  ...  view the full minutes text for item 31.

Members are asked to consider the Committee’s work plan for the municipal year.

Consideration was given to the Committee’s work plan for the municipal year 2016/17.

It was suggested by the Chair that the Draft Mental Health Strategy be removed from the November meeting, as he had been informed that it would form part of the Draft Health and Wellbeing Strategy itself. Following further discussion, it was agreed that the Draft Health and Wellbeing Strategy would be considered by the Committee in December.

Discussion took place on whether to receive the quarter finance and performance monitoring reports by email. Officers pointed out that the information had already been discussed by Executive by the time it came to the scrutiny committee, and so was in the public domain. Some Members felt however that scrutiny should continue to receive these reports.

Resolved: That the work plan be received and noted with the following amendments;

·        An update report from York Teaching Hospital NHS Foundation Trust on winter experiences and how community services have developed in light of the closure of Archways Intermediate Care Unit be received in the early Spring.

·        That the CQC report for Tees, Esk and Wear Valleys NHS Foundation Trust be received by the Committee.

·        That Tees, Esk and Wear Valleys NHS Foundation Trust be invited to a future meeting to present a report on the outcome of the public consultation on the mental health hospital for York.

·        That the Draft Mental Health Strategy be removed from the workplan for November.

·        That the Draft Health and Wellbeing Board Strategy be considered in December.

Reason: To ensure that the Committee has a planned

programme of work in place.