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.

At this point in the meeting, Members were invited to declare any personal, prejudicial or disclosable pecuniary interest, other than their standing interests attached to the agenda, that they might have had in the business.

None were declared.

To approve and sign the minutes of the meeting held on 15 January 2014.

Resolved:  That the minutes of the last meeting of the Health Overview and Scrutiny Committee held on 15 January 2014 be approved and signed by the Chair subject to;

·        A number of typing errors under Minute Item 65 (Night Time Economy-Draft Interim Report). These were corrected on the hard copy of the minutes, which were republished online following the meeting.

In regards to legal advice requested by Members relating to the accountability of the Health and Wellbeing Board raised by Members under Minute Item 66 (Building the Relationship between the Health and Wellbeing Board and the Health Overview and Scrutiny Committee), the following advice from the Assistant Director of Governance and ICT was received. The advice said;

“A local authority may review and scrutinise any matter relating to the planning, provision and operation of the health service in its area” That is certainly wide enough to allow Health Overview and Scrutiny (HOSC) to scrutinise the work of the Health and Wellbeing Board (H&WBB) and, in particular the joint strategic needs assessment and joint health and wellbeing strategy. The fact that the H&WBB is a Committee does not mean that HOSC cannot scrutinise it as all the scrutiny committees’ remits are wide enough to allow them to scrutinise non executive (Cabinet) functions. They cannot call in H&WBB decisions though as that power only applies to executive decisions.”

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 Tuesday 18 February 2014 at 5:00 pm.

Please note that this meeting, including public speakers, will be sound recorded to allow members of the public to listen to the proceedings without having to attend the meeting. The sound recording will be uploaded onto the Council’s website following the meeting.

It was reported that there had been one registration to speak under the Council’s Public Participation Scheme.

Mick Phythian from York Defend our NHS asked how personal health budgets were being enforced in the city, and the level of governance to do this.

In response to the question, the Assistant Director for Commissioning and Partnerships informed the Committee that the governance of personal health budgets was through NHS England and the Partnership Commissioning Unit (PCU) on behalf of the Clinical Commissioning Group (CCG). If a person had already requested one then they would receive it by October 2014.

This report provides Members with a further update on the implementation of the recommendations arising from the previously completed End of Life Care Scrutiny Review which falls within the remit of the Health Overview & Scrutiny Committee.

Members received a report which provided them with a further update on the implementation of the recommendations arising from the previously completed End of Life Care Scrutiny Review which fell within the remit of the Health Overview and Scrutiny Committee.

Members commented that the Do Not Attempt Cardiopulmonary Resuscitation  (DNACPR) forms were now out of date. However, they felt that the original aim of the review had been reached. Nonetheless, they added that it would be useful to look at the recommendations from the review, when considering End of Life Care issues.

Resolved: (i) That the report be noted.

                 (ii) That no further updates on the review be received.

Reason: To raise awareness that all recommendations are satisfactorily implemented.

The Chief Operating Officer from the Vale of York Clinical Commissioning Group (CCG) will present reports on the re-procurement of Healthcare in the Community and GP Out Of Hours Services.

Members received two reports on the procurement of Healthcare in the Community and GP Out of Hours Services. The Chief Clinical Officer of the Vale of York Clinical Commissioning Group (CCG) attended the meeting to present the report.

Community Healthcare Services

The Chief Clinical Officer told the Committee about a proposed a model of healthcare ‘hubs’, where a full range of services would be developed and linked into hospital services. It was hoped that the hubs could also deliver some Outpatient services for the Hospital. It was felt that the financial structure of community healthcare was crucial. For example the current system had been shaped by money flow. The new proposals for healthcare hubs needed a different financial structure. It was reported that public consultation to the proposed changes were continuing, and that a meeting would take place between the CCG and the Hospital in order to come up with a plan to put in place the new model and to encourage active participation by patients in their healthcare.

Out of Hours (OOH) Procurement

Some Members asked a question about risks that might be encountered if a provider for the service in the city was not found. It was reported that the risk was not finding a provider, but the time taken for the process.

In addition, Members were told that it would be difficult to reduce geographic inequalities in the Vale of York CCG area as the emergency care system in Ryedale may be different from that in York. There were also different ambulance turnout rates in these areas, but the CCG acknowledged that this was something that needed work on. It was also added that the changes to the procurement system and the introduction of the proposed community healthcare hubs would be robustly tested.

Members were informed that commissioners of care in the city had to formulate a five year strategy for integrated health in the city.

It was hoped that it would be completed by June and it would be presented to the Health and Wellbeing Board.

Integration between services

Discussion took place around the integration of other services in the city such as Mental Health provision. It was reported that the Council were keen to work with Leeds and York Partnership NHS Foundation Trust in order to integrate their services in the proposed community health care hubs.

It was also reported that the Council and the CCG were due to meet with NHS Property Co about moving facilities out of Bootham Park Hospital.

Resolved:  That the reports be noted.

Reason:    In order for the Committee to be updated in regards to the progress of Healthcare procurement for  Community Services and GP Out of Hours Services in the city.

This report presents updated information on the work completed to date by Members of the Health Overview and Scrutiny Committee (OSC) in relation to the corporate review into York’s Night Time Economy and their recommendations to the Corporate Scrutiny Management Committee (CSMC).

Members considered a report which presented updated information on the work completed to date by Members in relation to the corporate review into York’s Night Time Economy alongside their recommendations to the Corporate and Scrutiny Management Committee (CSMC).

The Chair discussed the recommendations that had arisen from the review. She explained to the Committee that several amendments had been made to the recommendations. This was due to information received from Council Officers.

In reference to the first recommendation about establishing a city centre treatment and recovery centre to operate on Friday and Saturday nights, the Chair explained that this was a suggestion. She said this was in line with the review remit to identify ways to ease the pressure on the hospital’s emergency department on those nights.

In response to a comment from a member of the public, the Chair commented that she hoped that the catch all nature of the Corporate Night Time Economy review had allowed for the Committee to think about looking more in depth at a topic around alcohol in the future. Other Members agreed that although they knew some of the problems identified in the review were as a result of alcohol usage, that other Scrutiny Committees might also have been looking at the impact of alcohol through their own Night Time Economy Reviews.

Resolved:  That the report be noted and the following amended recommendations be approved;

(i)           That the Council, Safer York Partnership and Health Partners investigate the establishment of a city centre treatment and recovery centre to operate on Friday and Saturday nights to provide both clinical care and a place of safety.

(ii)          That the Council continue to support the work of Street Angels, and encourage Safer York Partnership to continue supporting and working in partnership with them to support funding bids from the Police and Crime Commissioner.

(iii)        That York Hospital Trust be actively encouraged to continue to monitor the reasons for people arriving in ED and identify what else needs to be done to manage the pressures on ED, both on the services that are provided and the strains on staff.

(iv)        That the Council’s Public Health team continue to promote any future public health campaign in relation to alcohol, by proactively linking with NHS England.

(v)         Further to the Pop Campaign, that the Safer York Partnership be recommended to encourage late night bars and clubs in the city centre to consider using plastic glasses instead of glass.

Reason:   To conclude the work on this Review in compliance with scrutiny procedures, protocols and workplans.

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

Members considered the Committee’s work plan.

The following additions were suggested;

·        That an update on CCG Community Services and Out of Hours GP Service Commissioning Plans be added to the work plan to be considered at a future meeting.

·        That a report on the relationship between Health Overview and Scrutiny Committee and Health and Wellbeing Board be considered at the Committee’s April meeting.

Resolved:  That the work plan with the following additions be  agreed.

Reason:   To ensure that the Committee has a planned programme of work in place.