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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

694.

APOLOGIES

695.

RECORD OF MEETING

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 31 January 2017 (previously circulated)

Minutes:

The minutes of the meeting of the Rutland Health and Wellbeing Board held on the 31st January 2017, copies of which had been previously circulated, were confirmed as a correct record and signed by the Chair.

 

696.

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:

Dr Ker declared a conflict of interest in Agenda Item No. 9 as was a GP in a Rutland medical practice.

 

697.

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 93.

 

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:

Two questions had been received from Mrs K Reynolds and Dr J Higgo regarding the Proposals to Implement Congenital Heart Disease Services for Children and Adults in England.  At the suggestion of the Chair and with the agreement of the Board and Mrs Reynolds and Dr Higgo, it was decided to discuss the questions within Agenda Item 6, after the presentation by Mr Huxter. 

 

698.

Local Safeguarding Children's Board and Safeguarding Adults Board: Business Plans pdf icon PDF 70 KB

To receive Report No. 71/2017 from Paul Burnett, Chair of the Leicestershire and Rutland Safeguarding Children and Adults Boards

 

Minutes:

Report no. 71/2017 was received from Paul Burnett, Chair of the Leicestershire and Rutland Safeguarding Children and Adults Boards and was presented by James Fox, Safeguarding Boards Business Office Manager.

 

During discussion the following points were noted:

 

a)    The report gave an overview of the draft proposed Business Plan priorities for the Leicestershire and Rutland Local Safeguarding Children Board (LRLSCB) and the Leicestershire and Rutland Safeguarding Adult Board (LRSAB) for 2017/18.

b)    More detailed action plans would be presented to the LRLSCB and the LRSAB on Friday, 31st March 2017.

c)     The development priorities for the LRSAB would be:

 

1.     Prevention        

2.     Making Safeguarding Personal (MSP)        

3.     Thresholds        

4.     Self-Neglect      

 

d)    The development priorities for the LRLSCB would be:

 

1.     CSE, Trafficking and Missing

2.     Children with Disabilities

3.     Signs of Safety

 

e)    The Joint Development Priorities would be:

 

1.     The Toxic Trio

2.     Participation and Engagement

3.     Emotional Health and Well Being

4.     Multi-Agency risk management and supervision

 

f)      The procedures for processing safeguarding issues would be reviewed as any concerns raised regarding a child or children had to be recorded in writing.  This was not currently the case for adults.

 

AGREED:

 

The Board NOTED the proposed Business Plan priorities 2017/18 for the LRLSCB and LRSAB, particularly in relation to the most appropriate route for assurance regarding the safeguarding implications and impacts of the Better Care Together and Sustainability and Transformation Plan programmes.

699.

Proposals to Implement Congenital Heart Disease Services for Children and Adults in England pdf icon PDF 47 KB

To receive Report No. 60/2017 from Will Huxter, Regional Director of Specialised Commissioning & Dr Geraldine Linehan, Regional Clinical Director - NHS England

Additional documents:

Minutes:

Report No. 60/2017 was received from Will Huxter, Regional Director of Specialised Commissioning, NHS England

 

During discussion the following points were noted:

 

a)    The consultation process would run from the 9th February until the 5th June 2017.

b)    It was proposed to implement national service standards at every hospital that provided congenital heart disease (CHD) services.  This would result in some hospitals carrying out more CHD surgery while other hospitals would stop this work.

c)     University Hospitals of Leicester (UHL) NHS Trust did not and would not meet the minimum number of cases required by the national service standards – 375 cases by April 2016 and 500 cases by April 2021.  It was therefore proposed that surgery and interventional cardiology for children and adults at this hospital should cease.

d)    It was proposed that children and adults who would receive surgery and/or interventional cardiology at University Hospitals of Leicester would in future receive their care at either Birmingham Children’s Hospital NHS Foundation Trust or University Hospitals Birmingham NHS Foundation Trust.  Some Leicester patients could also choose Leeds Teaching Hospitals NHS Trust, if this was closer for them than Birmingham, or any other commissioned centre.  NHS England would not direct patients to attend particular centres.

 

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The Chair agreed to take the questions from Mrs K Reynolds and Dr J Higgo

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QUESTION 1 – from Mrs K Reynolds

Can NHS England assure the patients and their families in the East Midlands that the risks associated with the implementation of the proposal to decommission CHD services at Leicester, will NOT exceed any known/ evidenced based risk associated with giving EMCHC sufficient time to meet the standards, as has been offered to Newcastle?

 

Background:

The East Midlands Congenital Heart Centre (EMCHC,) is a high quality Level 1 centre that provides Congenital Heart Disease (CHD) Surgery and all related medical CHD services for the population of the East Midlands. It also provides the majority of extracorporeal membrane oxygenation (ECMO) services for the entire UK.

Its latest CQC inspection rated the EMCHC as Outstanding for effectiveness. Its latest results show they are performing above expectations in many areas such as Better that Expected Surgical Survival Rates, low waits for surgery and a 99% recommendation rate on Family & Friends Test. The EMCHC is up there with the best, but the constant uncertainty surrounding the unit will undermine the confidence of both the staff working within the unit and of those clinicians sending patients to it, in case it might not be there in 18 months.

 

Question:

It is known from National Institute for Cardiovascular Outcomes Research (NICOR) data that the East Midlands already delivers over 500 cases of Congenital Heart Disease (CHD) surgery per annum, and based on Office for National Statistics (ONS) population growth this caseload is expected to rise. The EMCHC believes with time they will be able to facilitate relationships and referrals from within the East Midlands that will meet the 2021 case load standard.  ...  view the full minutes text for item 699.

700.

Transformation Plan for Mental Health and Wellbeing for Children and Young People pdf icon PDF 58 KB

To receive Report No. 61/2017 from Chris West, Director of Nursing and Quality and Tim O’Neill Director for People and Deputy CEO for Rutland County Council

Additional documents:

Minutes:

Report No. 61/2017 was received from Chris West, Director of Nursing and Quality and Tim O’Neill Director for People and Deputy CEO for Rutland County Council

 

During discussion the following points were noted:

 

a)    The refreshed Transformation Plan for mental health and wellbeing services for children and young people (Oct 2016), sets out Leicester, Leicestershire and Rutland’s (LLR) multi-agency Transformational Plan to improve the mental health and wellbeing of children and young people (C&YP) up to the age of 25

b)    The procurement process for the Early Help Services had been unsuccessful but good progress had been made in the other areas.

c)     Healthwatch was in discussions with Rutland County Council to continue the work that Healthwatch had been doing with children and young people in Rutland.

d)    Support services were in place for children and young people with self-harm issues.

e)    The money allocated was ear-marked, not ring-fenced.  Discussions were ongoing with the Clinical Commissioning Group regarding the remainder of the ear-marked money.

AGREED:

 

1.     The Board NOTED the content of the refreshed transformation plan. 

2.     The Board APPROVED the document prior to publication on the CCG and LA website.

 

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3.10 pm Chris West and James Fox left the meeting

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701.

Sport England Local Delivery Pilot Bid pdf icon PDF 194 KB

To receive Report No. 69/2017 from Mike Sandys, Director for Public Health for Leicestershire and Rutland

Minutes:

Report no. 69/2017 was received from Mike Sandys, Director for Public Health.   During discussion the following points were noted:

 

a)    The report outlined the emerging bid for Rutland to join in partnership with Leicestershire to be a Sport England Local Delivery Pilot site.

b)    The aim of Local Delivery Pilots was to help test what works to get the most inactive people to be more active.

c)     18% of people in Rutland do less than 30 minutes of activity per week.  There is substantial scope to target this segment of the population, reduce the proportion of inactive people and improve the overall health and wellbeing of our population.

d)    Exercise needs to be part of people’s everyday lives rather than just organised groups. 

e)    The bid would be seeking funding from Sport England in the region of £13-15m to support walking programme delivery, volunteer training, website/digital platform development and capital investments in walking infrastructure. 

f)      The deadline for expressions of interest was 5 p.m., Friday, 31st March 2017.

g)    If the bid was successful then it would progress to Stage 2 in May 2017. 

h)    Concern was expressed about the amount of actual funding Rutland would receive.

 

AGREED:

 

1.     The Board AGREED to support the bid and initial expression of interest but NOTED that it had concerns 

 

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3.37 pm Maria Smith left the meeting

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702.

Pharmaceutical Needs Assessment pdf icon PDF 100 KB

To receive Report No. 70/2017 from Mike Sandys, Director for Public Health for Leicestershire and Rutland

Minutes:

Report no. 70/2017 was received from Mike Sandys, Director for Public Health.   During discussion the following points were noted:

 

a)    The Health and Well Being Board had a statutory responsibility to prepare and publish a Pharmaceutical Needs Assessment (PNA) every 3 years.

b)    The draft PNA would be discussed at a meeting of the Integration Executive Group before going out for consultation.

c)     The finished PNA would then be re-submitted to the Rutland Health and Wellbeing Board for final approval before March 2018.

d)    It was proposed that the PNA should be more Rutland focussed and should include what effect, if any, the military personnel and families had on the PNA.

 

AGREED:

 

1.     The Board NOTED the report.

2.     The Board APPROVED the proposal to form an interagency LLR wide Working Group and the draft terms of reference for the project team.

3.     The Board AGREED to receive further reports on progress and the final PNA report for approval in March 2018.

 

703.

Sustainability and Transformation Plan: update

To receive a verbal update from Tim Sacks, Chief Operating Officer, East Leicestershire and Rutland Clinical Commissioning Group

Minutes:

A verbal update was received from Dr Ker, Vice Chair, East Leicestershire & Rutland Clinical Commissioning Group.   During discussion the following points were noted:

 

a)    The draft Sustainability and Transformation Plan (STP) had been sent to NHS England for review.

b)    Notification of comments would be received from NHS England in due course.

c)     The Rutland Health and Wellbeing Board would have a governance role for Rutland Memorial Hospital and integrated community services.

d)    The Chairs of each Health and Wellbeing Board (Leicester, Leicestershire and Rutland) now meet in order to have a co-ordinated approach to the STP.

e)    The STP: Rutland Memorial Hospital and STP: Integrated Community Services will be standing items on future Board agenda’s on a rotation basis.

f)      The STP is ultimately the responsibility of the Clinical Commissioning Group and not the Health and Wellbeing Boards.

 

AGREED:

 

1.     The Board AGREED that the ‘STP: Rutland Memorial Hospital’ and the ‘STP: Integrated Community Services’ would be standing items on future Board agenda’s on a rotation basis.

2.     The Board AGREED that the Chair and Dr O’Neill would draft a response to NHS England on behalf of the Health and Wellbeing Board.  The draft would be circulated to board members for approval before sending to NHS England.

 

704.

Any Urgent Business

Minutes:

There was no urgent business.

 

 

705.

Date of Next Meeting

The proposed date for the next meeting of the Rutland Health and Wellbeing Board is Tuesday, 27 June 2017 at 2.00 p.m. in the Council Chamber, Catmose but this date has yet to be confirmed.

 

Proposed Agenda Items:

 

1.    Director of Public Health: Annual Report

Report from Mike Sandys, Director of Public Health for Leicestershire & Rutland

 

2.    Health Protection Board: Annual Report

Report from Vivienne Robbins, Consultant in Public Health.

Annual report to provide assurance from the LLR Health Protection Board that it is meeting its statutory functions

 

3.    General Practice Five Year Forward View

Report from Tim Sacks, Chief Operating Officer, East Leicestershire and Rutland Clinical Commissioning Group

 

Minutes:

The proposed date for the next meeting of the Rutland Health and Wellbeing Board would be on Tuesday 27th June 2017 at 2.00 p.m. in the Council Chamber, Catmose.

 

AGREED:

 

The following items would be included on the next agenda:

 

 

1.     Director of Public Health: Annual Report

Report from Mike Sandys, Director of Public Health for Leicestershire & Rutland

 

2.     Health Protection Board: Annual Report

Report from Vivienne Robbins, Consultant in Public Health.

Annual report to provide assurance from the LLR Health Protection Board that it is meeting its statutory functions

 

3.     General Practice Five Year Forward View

Report from Tim Sacks, Chief Operating Officer, East Leicestershire and Rutland Clinical Commissioning Group

 

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The Chairman declared the meeting closed at 3.56 pm.

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