Agenda and minutes

At this point Members are asked to declare any personal or prejudicial interests they may have in the business on this agenda. A list of general personal interests previously declared are attached.

Members were asked to declare at this point in the meeting any personal or prejudicial interests they might have in the business on the agenda. No interests were declared other than those recorded in the standard declarations for the committee.

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 5:00 pm on Monday 19 July 2010.

It was reported that there had been one registration to speak at the meeting under the council’s Public Participation Scheme.  George Wood, representative of York Older People’s Assembly, spoke on item 5 of the agenda – “Transforming Community Services”.  He drew attention to the PCT’s role in respect of the commissioning of new providers and made particular reference to GP Out of Hours services, Intermediate Care and Community equipment and wheelchair services. Mr Wood stated that there was an opportunity to engage with older people as to how services might be improved and, if there was a case for local change, this should be given due consideration and not be dependent on agreement on a county wide basis.

This report presents Members with an update on progress made in relation to implementing the recommendations arising from the ‘Dementia Review’ (Accessing Secondary Care).

Members received a report that gave an update on progress made in relation to implementing the recommendations arising from the “Dementia Review” (Accessing Secondary Care).  Members were asked to consider whether they wished to sign off any of the recommendations as complete or to receive further updates on progress.

Members noted that progress had been made in implementing the recommendations but that not all of the work had been completed.   Members requested that statistical information be included where appropriate in order to evidence work, for example in respect of the take up of staff training.  They also agreed that it would be useful for them to receive information that was circulated through the Dementia Network.

RESOLVED:(i)         That the report and progress made on implementation of

the recommendations arising from the Dementia Review be noted.

                        (ii)        That a further update on the recommendations be

presented to the committee at their meeting on 19 January 2011.

(iii)       That information circulated via the Dementia Network be forwarded to members of the committee.¹

REASON:      In order for the committee to carry out its duty to promote the health needs of the people it represents.

This report presents Members with a copy of the Local Involvement Networks (LINks) Annual Report and together with reports arising from two LINks Public Awareness and Consultation Events on Dignity and Respect and End of Life Care.

Members received a report that presented a copy of the Local Involvement Networks (LINks) Annual Report, together with reports arising from two LINks public awareness and consultation events on the following topics:

• Dignity and Respect
• End of Life Care

A paper detailing how LINk had tried to involve people in York was tabled.

A presentation was given on the Annual Report.  Attention was drawn to the following areas of work:

• Reports on neurological services and mental health services
• Development of a Health Passport for people with neurological conditions
• Training for Home Care staff.
• Involvement with services in York on issues including pharmacy provision and the wheelchair centre.

RESOLVED: That the reports at Annexes A, B and C of the report and the

                        LINks work plan at Annex D of the report be noted.

REASON:      In order for the committee to carry out its duty to promote the health needs of the people they represent.

This report provides Members with the opportunity to comment on a recent NHS North Yorkshire and York board paper, which provides an update regarding how Transforming Community Services is being introduced in North Yorkshire and York.

Members received a report that provided an opportunity to comment on a recent NHS North Yorkshire and York board paper, updating on how Transforming Community Services is being introduced in North Yorkshire and York.

The Deputy Chief Executive (Director of Localities) from NHS North Yorkshire & York went through the key  issues in the report.  Attention was drawn to the services that could be provided/managed on a locality basis and those which could be managed on a pan NYY basis (with locality delivery).  It was noted that the services that were to be provided on a North Yorkshire wide basis would initially be for a year.  These services were those that were very small and hence it was not practical to split the management arrangements.  Specifications would clearly set out expected outcomes in respect of quality of performance.

Details were given of the timetable for implementation of the changes, as detailed in Annex A of the report.  Board agreement and sign off was due to take place on 26 October 2010.  The mental health project would take longer to implement and would involve a formal tendering process.

Members were informed of the importance that had been placed on staff engagement with the process.  Every effort was being made to provide continuity in the provision of services whilst staff were being transferred.  Copies of staff engagement papers could be circulated to Members for information.

Concerns were expressed that there had not been sufficient consultation on the proposed changes.  The Deputy Chief Executive explained that it was a requirement that the provider and commissioner be split.  The proposed changes had taken into account the advice of health professionals, the required timescale for implementation, the quality of care and financial sustainability.  The Strategic Health Authority had stated that it would not support arrangements such as social enterprise or Community Foundation Trust.

Members asked if the council had tendered for any of the services.  Officers stated that it had not.  It had been envisaged that the providers would be from NHS organisations.  The Authority was also going through significant change and it was not thought an appropriate time to be taking on additional services.  

Members agreed that the Government White Paper “Equity and Excellence: Liberating the NHS”, would have significant implications and that it would be useful to receive a presentation on this issue.

RESOLVED:            (i)            That the report and updates be noted.

(ii)That the new service providers be invited to attend the meeting on 1 December 2010.

                        (iii)            That copies of the staff engagement paper be circulated

                                    to committee members.

(iv)That, at a future meeting, a presentation be given on issues arising from the Government White Paper “Equity and Excellence: Liberating the NHS”. 

REASON:      In order for the committee to carry out its duty to promote the health needs of the people it represents.

This report asks Members for their comments on the draft Joint Vision for Older People’s Health and Well Being in York 2010-2015.

Members received a report that asked for their comments on the draft Joint Vision for Older People’s Health and Well Being in York 2010-2015.  The report was to be presented to the Executive Member for Health & Adult Social Services at a decision session on 27 July 2010.

Members endorsed the aspirations in the report but put forward the following comments:

• Details of financial costs had not been included.
• Some of the recommendations e.g. para 3.5 may not be realistic in view of staffing.
• Concerns were expressed at the wording of paragraph 8.6.  There should be no expectation that family and friends should be responsible for the care.  It was, however, acknowledged that some families would wish to take on this role and it was important that they should receive appropriate support to enable them to do so. 

It was suggested that it may be useful for an action plan to be put in place to provide more detail as to how the vision would be implemented. 

RESOLVED:            (i)            That the contents of the report and its associated annex

be noted.

                        (ii)            That the Executive Member be requested to take into

consideration the committee’s comments on Annex A to the report, as detailed above.

REASON:      In order for the committee to carry out its duty to promote the health needs of the people it represents.

To consider the Committee’s work plan for 2010/11.

Consideration was given to the committee’s work plan for 2010/11.

RESOLVED:That the work plan be approved subject to the addition of the following items:

·        1 December 2010 - new community service providers to be invited to attend the meeting.

·        1 December 2010 – presentation on community based orthopaedic services.

·        19 January 2011 – further update on recommendations arising from the Dementia Review.

·        Presentation on issues arising from the Government White Paper “Equity and Excellence: Liberating the NHS” (date to be agreed)

REASON:            In order to progress the work of the committee.