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Council and councillors

Agenda and minutes

Venue: Council Chamber, Catmose, Oakham, Rutland, LE15 6HP. View directions

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Items
No. Item

579.

RECORD OF MEETING

To confirm the record of the meeting of the Adults and Health Scrutiny Panel held on 30 November 2017 (previously circulated).

 

To confirm the record of the Special Joint Adults and Health and Children and Young People Scrutiny Panel held on 24 January 2018 (previously circulated).

Minutes:

The minutes of the meeting of the Adults and Health Scrutiny Panel held on 30 November 2017, copies of which had been previously circulated, were confirmed as a correct record and signed by the Chairman.

 

The minutes of the Special meeting of the Adults and Health and Children and  Young People Scrutiny Panel held on 24 January 2018, copies of which had been previously circulated, were confirmed as a correct record and signed by the Chairman.

580.

DECLARATIONS OF INTEREST

In accordance with the Regulations, Members are invited to declare any personal or prejudicial interests they may have and the nature of those interests in respect of items on this Agenda and/or indicate if Section 106 of the Local Government Finance Act 1992 applies to them.

 

Minutes:

No declarations of interest were received.

 

581.

PETITIONS, DEPUTATIONS AND QUESTIONS

To receive any petitions, deputations and questions received from Members of the Public in accordance with the provisions of Procedure Rule 217.

 

The total time allowed for this item shall be 30 minutes.  Petitions, declarations and questions shall be dealt with in the order in which they are received.  Questions may also be submitted at short notice by giving a written copy to the Committee Administrator 15 minutes before the start of the meeting.

 

The total time allowed for questions at short notice is 15 minutes out of the total time of 30 minutes.  Any petitions, deputations and questions that have been submitted with prior formal notice will take precedence over questions submitted at short notice.  Any questions that are not considered within the time limit shall receive a written response after the meeting and be the subject of a report to the next meeting.

Minutes:

One question had been received from Mr Nancarrow.  Mr Nancarrow put the question to the meeting as Members had received the full text prior to the meeting:

 

Question:

Part 1:

Was the panel made aware of the potential closure of the Ketton Surgery and if so what discussions took place with the Surgery, CCG or LPT? Can the Panel share that information with the residents of Ketton? What action did the Panel take in respect of that information?

Part 2:

If the panel was not aware of the potential closure, can the Panel consider taking an urgent and very close look at the provision of surgery, nursing and pharmacy services in the south east of the County, and Ketton in particular, before the end of the consultation period in respect of the closure to provide a report to Council and Cabinet with recommendations before 1st May 2018 taking into account

      a       The future growth of Ketton with an additional 300 homes and 1000 residents over the upcoming Local Plan period
      b       The jigsaw approach of the East Leics and Rutland CCG and the relationship with the South Lincs CCG (covering Stamford) considering that the residents of Ketton use 3 different GP practices, namely Uppingham (8.8 mls),  Empingham (4 mls) and Stamford (4.5 mls) with only 20% being registered with Uppingham.
      c       How these services will be provided to the vulnerable residents of Ketton who have no transport  and who could spend anything from 4 to 6 hours going to a doctor’s appointment in Uppingham by bus.

The Chair, Mrs Stephenson, responded to the question.  The response is shown below.

Answer

The Panel were not aware in advance.  The CCG have provided the following information regarding the consultation:

 

Uppingham Surgery have requested that East Leicestershire and Rutland Clinical Commissioning Group consider allowing them to close their branch surgery at Ketton.  The CCG gave permission for Uppingham Surgery to undertake a 90 day consultation concerning this to inform the decision.  The CCG are supporting Uppingham Surgery to ensure that the 90 day consultation meets good practice guidelines on consultation.

 

The Surgery are required to have an independent analysis of the results of the consultation and present this alongside their full business case requesting the closure of Ketton surgery. 

 

The decision regarding the closure will be made by East Leicestershire and Rutland Clinical Commissioning Group’s Primary Care Commissioning Committee, at a meeting held in public.  This decision will take into account the long-term sustainability of the practice as well as the results of the consultation.

 

It is important to point out that neither the Uppingham Surgery nor its branch in Ketton are commissioned services by Rutland County Council so therefore this decision is not within the control of this authority.  However, we sit as elected members representing the views and needs of our residents.  Your views must be heard.  The avenues of action available to us as a panel are as follows:

 

1)    That the proposed closure  ...  view the full minutes text for item 581.

582.

QUESTIONS WITH NOTICE FROM MEMBERS

To consider any questions with notice from Members received in accordance with the provisions of Procedure Rule No 219 and No 219A.

Minutes:

No questions were received from Members.

 

 

583.

NOTICES OF MOTION FROM MEMBERS

To consider any Notices of Motion from Members submitted in accordance with the provisions of Procedure Rule No 220.

Minutes:

No notices of motion were received from Members.

584.

CONSIDERATION OF ANY MATTER REFERRED TO THE PANEL FOR A DECISIONS IN RELATION TO CALL IN OF A DECISION

To consider any matter referred to the Panel for a decision in relation to call in of a decision in accordance with Procedure Rule 206.

Minutes:

No matter was referred to the Panel for a decision in relation to a call-in of a decision in accordance with Procedure Rule 206.

585.

DIRECTOR OF PUBLIC HEALTH ANNUAL REPORT pdf icon PDF 49 KB

To receive Report No. 31/2018 from the Director of Public Health for Leicestershire and Rutland

 

Additional documents:

Minutes:

Report No. 31/2018 from the Director of Public Health was received.

 

The Director of Public Health, Mr Sandys, introduced the report, the purpose of which was to improve the health and wellbeing of the people of Rutland by reporting publicly and independently on trends and gaps in the health and wellbeing of the population and by making recommendations for improvements to a wide range of organisations.  The focus of this year’s report was an analysis of health in Rutland covering demography, wider determinants of health, lifestyles, ill health, hospital admissions and prescribing.

 

During discussion the following points were noted:

 

a)    Members would have welcomed more analysis of the data.

b)    That a lot of the data was based on the 2011 Census and therefore needed to note changes that had taken place since then, such as the Oakham North West development.

c)    That Military Health could be expanded to include specific analysis on non-serving spouses, children and veterans; by age range.

d)    That mental health was as important, if not more prevalent with military veterans, as with those who were serving military.  Members were advised that the National Health Service was part of the Military Covenant to ensure that military personnel were not disadvantaged.  

e)    That the report did not contain any analysis on the prescribing of anti-depressants and that there was very little reference to mental health.  The Director of Public Health advised the Panel that this was a joint area of work and would be followed up.

f)     That the level of recorded diabetes could indicate that GPs were better at diagnosing than national comparators.

g)    That Members requested age ranges be included within the data, for example, prescription data and diabetes data.

h)   That Health was referenced in all policies concerned with deprivation.

i)     That a holistic approach would allow for the relationship between various sets of data to be explored; enabling preventative work and the promotion of good health.

j)      Public Health was looking at the possibility of working in partnership with North West Anglian Trust, due to the number of Rutland residents using the services provided by the Trust.

k)    The Director of Public Health undertook to ensure that the transport planning team was aware of the information regarding air pollution.  It was noted that some human-made particulate air pollution (PM2.5) was due to agricultural dust.

l)     The low level of the emissions and the working being undertaken by Hanson Cement in Ketton, and the regular liaison meetings with the local community.

m)  It was requested that Public Health be used to inform possible future development of the St George’s Barracks.

n)   The integrated locality team (one team for Rutland) was a multi-disciplinary health and social care team concerned with the vulnerable cohort in Rutland, offering preventative support.  It was a strategy developed through the Sustainability and Transformation Partnership based on methodologies, most effective planning area 40-50k population units.

o)    The Panel requested the recommendations within the report be changed to:

 

Military Health including  ...  view the full minutes text for item 585.

586.

ADULT SERVICES PERFORMANCE FRAMEWORK pdf icon PDF 70 KB

To receive Report No. 35/2018 from the Director for People.

 

Additional documents:

Minutes:

Report No. 35/2018 from the Director for People was received.

 

The Business Intelligence Manager, Mr Adamson, introduced the report, the purpose of which was to provide an overview of all the relevant performance measures used for monitoring adult services and to establish a suite of Key Performance Indicators (KPIs) which will be reported to Scrutiny.

 

The Chair, Mrs Stephenson, reminded Members that it was not the job of the panel to performance manage operational issues; rather to use the data to understand operational issues in order to be able to inform strategic and policy discussion.

 

During discussion the following points were noted:

 

a)    That it would be helpful to have some targets set or trend data where it is not possible to set a target.

b)    Annual report on the reasons for permanent admissions of older people (65+) to residential and nursing care homes was requested.

c)    That it would be helpful to receive a breakdown by age group of non-elective admissions in to hospital (general and acute). The Business Intelligence Manager advised that he would liaise with Health to see if the information was available.

 

AGREED:

 

That the Panel APPROVED the 18 Key Performance Indicators (KPIs) to be reported to Scrutiny on a quarterly basis for performance management of adult’s services.

 

587.

MENTAL HEALTH TASK AND FINISH GROUP TERMS OF REFERENCE pdf icon PDF 61 KB

To approve the Terms of Reference for the Mental Health and Task and Finish Group.

Minutes:

The Chairman, Mrs Stephenson, requested that the Panel considered the Mental Health Task and Finish Group Terms of Reference.

 

During discussion the following points were noted:

 

      i.        Councillor Begy having been appointed to Cabinet was no longer eligible to sit on the Task and Finish Group.  The Chair undertook to seek a replacement member from the Children’s Scrutiny Panel.

    ii.        That any alteration to the Key Milestones activity provisional dates was at the discretion of the Task and Finish Group.

 

AGREED:

 

That the Mental Health Task and Finish Group Terms of Reference be APPROVED.

588.

SCRUTINY PROGRAMME 2017/18 & REVIEW OF FORWARD PLAN

To consider Scrutiny issues to review. 

 

Copies of the Forward Plan will be available at the meeting.

Minutes:

Proposed closure of Ketton Surgery

 

The Chair reminded the Panel of the two avenues of action available to the Panel:

 

      i.        To request that the proposed closure of Ketton Surgery was placed on the agenda for the next meeting of the Health and Wellbeing Board on 6 March 2018; a public meeting chaired by the Portfolio Holder for Adult Social Care and Health, Mr Walters.

    ii.        That a special meeting of this panel was called before the end of the formal consultation period on 1 May 2018. Representatives from Uppingham Surgery and the Clinical Commissioning Group to be invited to attend so that Members might have the opportunity to ask questions.

 

A detailed discussion on both options took place.

 

AGREED:

 

The Portfolio Holder for Adult Social Care and Health, Mr Walters, AGREED to the proposed closure of Ketton Surgery being an agenda item at the Health and Wellbeing Board meeting on 6 March 2018.

 

The Panel AGREED that a Special meeting of the Adults and Health Scrutiny Panel would be held before the end of the formal consultation period to allow for the Panel to provide a formal response to the consultation.

 

The Chair, Mrs Stephenson, AGREED to email members of the Panel to agree the list of invitees to the Special meeting of the Adults and Health Scrutiny Panel and to liaise with the Governance Manager to set a date for the meeting.

 

Care Quality Commission Inspection of Health Services within the Trust

 

The Chair and the Director for People to discuss the provision of an annual report to this Panel.

589.

ANY OTHER URGENT BUSINESS

To receive any other items of urgent business which have been previously notified to the person presiding.

Minutes:

No items of urgent business had been previously notified to the person presiding.

 

 

590.

DATE AND PREVIEW OF NEXT MEETING

Thursday 5 April 2018 at 7.00 pm

 

Proposed agenda items:    

·         Quarter 3 Performance Management Report

·         Quarter 3 Finance Management Report

·         Homecare Recommissioning – verbal update

·         Sustainability and Transformation Partnership Business: Leicester, Leicestershire and Rutland Carers Strategy

·         Sustainability and Transformation Partnership Business: Leicester, Leicestershire and Rutland Dementia Strategy  

·         Mental Health Task and Finish Group Progress Report

·         Healthy Rutland Grant Scheme               

Minutes:

Thursday 5 April 2018 at 7.00 pm

 

      i.        Proposed agenda items:

    ii.        Quarter 3 Performance Management Report

   iii.        Quarter 3 Financial Management Report

   iv.        Homecare Recommissioning – verbal update

    v.        Sustainability and Transformation Partnership Business: Leicester, Leicestershire and Rutland Carers Strategy

   vi.        Sustainability and Transformation Partnership Business: Leicester, Leicestershire and Rutland Dementia Strategy

  vii.        Mental Health Task and Finish Group Progress Report

viii.        Healthy Rutland Grant Scheme