Agenda and minutes

The new Chair of the Committee, Councillor Doughty, gave thanks to the previous Chair, Councillor Funnell for all the hard work she had done in the role.

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 asked to declare any personal or disclosable pecuniary interests that they might have had in the business on the agenda.

Councillor Funnell declared a personal interest in Agenda Item 6 (Chair’s Report- Health and Wellbeing Board) as she had attended a recent Joint Stakeholder Event around innovative Health and Social Care hosted by the Health and Wellbeing Board.

Councillor Runciman declared a personal interest in Agenda Item 7 (Update Report of Castlegate Centre for Young Adults) as a member of the YorOK Board.

No other interests were declared.

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

Resolved:  That the minutes of the Health Overview and Scrutiny Committee held on 15 October 2014 be signed and approved by the Chair as a correct record.

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 25 November 2014 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/downloads/download/3130/protocol_for_webcasting_filming_and_recording_of_council_meetings

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

This six monthly monitoring report provides details of the performance by York based providers against Care Quality Commission standards and the Adults Commissioning Team’s Quality Assessment Framework together with details of the Care Quality Commission’s new approach to the regulation and inspection of care homes. 

Members received a six monthly monitoring report which provided details of the performance by York based providers against Care Quality Commission (CQC) standards and the Adults Commissioning Team’s Quality Assessment Framework together with details of the Care Quality Commission’s new approach to the regulation and inspection of care homes.

Officers outlined the new requirements and highlighted that the CQC Lead Inspector had offered to attend a future meeting to outline the new inspection model and expectations for performance if Members wished.

They informed the Committee that there was a decent compliance level of standards but concerns still remained over a small number of providers.

The Chair commented that he would like for care providers in the city to attend a Health Overview and Scrutiny Committee meeting in order to answer any questions that Members might have.

Resolved:  (i) That the performance and standards of provision across the care service in York along with an offer from CQC to attend a future meeting to give a presentation to Members on the new inspection process be noted.

                  (ii) That care providers be invited to attend a future Health Overview and Scrutiny Committee to answer Members’ questions regarding issues around performance monitoring.

Reason:    To update Members on the new approach being taken by the Care Quality Commission in relation to the regulation and inspection of care homes.

This report informs Members of the Committee of the decision by Monitor to close their investigation into York Teaching Hospital NHS Foundation Trust.

Members received a report which informed them of the decision by Monitor to close their investigation into York Teaching Hospital NHS Foundation Trust.

Mike Proctor, the Deputy Chief Executive of York Teaching Hospital NHS Foundation Trust was in attendance to answer questions from Members. He confirmed that Monitor were satisfied that the Hospital Governing Board has addressed previous concerns. A Powerpoint presentation was shown, slides of which were attached to the agenda which was republished following the meeting.

It was noted that the cancer referral figures related to all hospitals in the Trust area and numbers varied between GP practices. It was acknowledged that recruitment of staff at Scarborough hospital had always been problematic but this was now appearing in York. The Deputy Chief Executive suggested this might be as a result of the general effect of the public inquiry into Mid Staffordshire NHS Foundation Trust.

Members asked a series of questions relating to the possible development of a Community Hub in York along similar lines to the one set up at Selby and how the Hospital linked up with training schools in regards to nurse recruitment.

It was reported that if the Community Hub in Selby was successful then the Hospital would be happy to repeat the scheme in York. Regarding recruitment from nurse training schools, the Deputy Chief Executive confirmed that the Hospital did commission from them, while also hiring more mature candidates with wider life skills and experience.

Members agreed to ask for a report on nurse workforce planning and recruitment.

The Chair thanked the Deputy Chief Executive for his presentation and attendance at the meeting.

Resolved:  That the presentation provided by the Deputy Chief Executive of York Hospital NHS Foundation Trust and information provided in Annexes A and B be noted.

Reason:     To ensure compliance with scrutiny procedures and protocols.

This is one of the regular update reports provided by the Chair of the Health and Wellbeing Board agreed as part of the working protocol between Health Overview and Scrutiny Committee and the Health and Wellbeing Board.

Members received a report from the Chair of the Health and Wellbeing Board which updated them on the work of the Health and Wellbeing Board.

The Chair of the Health and Wellbeing Board, Councillor Cunningham-Cross, commented that there had been progress and willingness to recognise that a whole system approach was needed in Health and Social Care in the city. This she felt was a key and most important part of the Health and Wellbeing Board’s work.

One Member asked Councillor Cunningham-Cross how she felt the Care Act would affect the Council. She stated that it was unclear what the impacts would be but that as the Council now had a statutory duty to concentrate and improve people’s wellbeing when providing all services that the new approach would take time to embed. York would be affected by the Care Cap as it had a high number of ‘self funders’ (those who paid for their own care) and from a longer term basis because of changing demographics, such as an elderly population.

Resolved: That the Chair be thanked for her attendance at the meeting and that her report be noted.

Reason:  To keep the Committee updated on the work of the Health and Wellbeing Board.

This report, provided at the request of the Chair, updates Members on the situation regarding the Castlegate Centre which provides information, support, advice and counselling to young adults aged 16-25 who live in the City of York.

Members received a report which updated them on the situation regarding the Castlegate Centre, which provided information, support, advice and counselling to young adults aged 16-25 who lived in the City of York.

The Committee were informed of the outcome of the Cabinet Call-In meeting which had been held on 25 November 2014 to consider the Cabinet’s original decision to close the Castlegate centre and transfer the service to West Offices.

The Director of Adult Social Care stated that the meeting concluded that more consultation should take place and that time be taken to consider alternative proposals and options for the continuation of services provided at Castlegate. He suggested that as a result of the decision, Members might wish to contribute to the further consultation which would take place. He also suggested the Committee might wish to nominate a named Member to contribute to the consultation on the Committee’s behalf.

The Director of Adult Social Care suggested that if a representative from the Committee took part in the consultation this could allow for Members to influence a recommendation to possibly extend the timing of the consultation.

Following further discussion it was; 

Resolved:  (i) That the report and outcome of the Cabinet Calling-In meeting be noted.

                 (ii) That Councillor Douglas be nominated as the Committee’s representative in the consultation on Castlegate’s future.

Reason:     To ensure that the Committee are aware of developments around Castlegate and to have a role in shaping any further recommendations in regards to its future direction of Castlegate.

This report from NHS England (North Yorkshire and the Humber) provides details of proposals to merge Jorvik Medical Practice with Gillygate Surgery to become Jorvik Gillygate Practice on 31 October 2014. 

Members received a report from NHS England (North Yorkshire and the Humber) which provided details on proposals to merge Gillygate Surgery and Jorvik Medical Practice. A representative from NHS England, Chris Clark, was in attendance to present the report and answer any questions that Members’ might have had on the merger.

Discussion took place on the patient consultation on the proposals and what further services could be offered by the joint practice. It was reported that although some services such as podiatry were privately commissioned by the Vale of York Clinical Commissioning Group, a joint practice would have better access to counselling services.

Resolved:  That the report be noted and Chris Clark from NHS England (North Yorkshire and the Humber) be thanked.

Reason:     To keep Members informed of the future merger of Gillygate Surgery and Jorvik Medical Practice.

This report updates Members on the current progress of Healthwatch York in delivering the service set out in the contract with the Council.

Members received a report which informed them of the current progress of Healthwatch York in delivering the service set out in the contract with the Council. The Manager of Healthwatch York was in attendance to present the report and to answer questions.

Healthwatch York were praised by Members for the service they provided. The number of new issues logged with Healthwatch York in the last quarter was queried by some Members.

The Manager of Healthwatch York responded that although full details of issues received were confidential the trends could be identified within their six monthly monitoring reports. The Chair felt it would be useful for the Committee to have sight of the monitoring report.

Resolved:  That the Manager be thanked for her attendance and the report be noted.

Reason:    To help monitor the service received under the contract and to note the service issues that Healthwatch are dealing with.

This report informs Members of the need to amend the membership of the Supporting Older People Task Group and requests delegation of agreement of the aims and objectives for the review to the Task Group.

Members received a report which informed them of the need to amend the membership of the Supporting Older People Task Group.

Following discussion it was;

Resolved:  (i) That Councillors Doughty and Runciman be appointed to the Supporting Older People Task Group.

                 (ii) That authority be delegated to the Task Group to agree the aim and objectives for the review.

                (iii) That a Task Group meeting be arranged for the afternoon of Wednesday 17 December.

Reason:   To enable the Task Group to progress the work needed to complete the review.   

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

Members considered the Committee’s work plan for the remainder of the municipal year.

The Chair suggested that the next scheduled meeting of the Committee be cancelled due to a lack of business and a clash of attendance for Members who were also on the Local Plan Working Group. Another Member suggested that the Committee might like to invite the NHS Partnership and Commissioning Support Unit back to a future meeting. The Scrutiny Officer suggested that a report from the Care Quality Commission (CQC) and Nurse Training school be added on to the work plan to be considered in January.

Resolved: That the work plan include the following;

·        The cancellation of the meeting on 17 December 2014.

·        The attendance of the Lead CQC Inspector for the North to give a presentation and answer Members’ questions on the new inspection and process for Residential, Nursing and Homecare Services.

·        A report on nurse workforce planning and recruitment from nurse training schools.

·        That care providers be invited to attend a future Health Overview and Scrutiny Committee meeting.

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