To confirm the record of the meeting of the People (Adults & Health) Scrutiny Panel held on Thursday, 22^nd September 2016 (previously circulated).

The minutes of the meeting of the People (Adults & Health) Scrutiny Panel held on the 22 September 2016, copies of which had been previously circulated, were confirmed and signed by the Chair.

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.

No Declarations of Interest were received.

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.

No petitions, deputations or questions were received from members of the public.

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

No questions were received from members.

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

No notices of motion were received from members.

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.

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

a)    Health Inequalities

The Chair invited Mr Tim Sacks, Chief Operating Officer, East Leicestershire and Rutland Clinical Commissioning Group (ELRCCG) to give a brief overview on the Sustainability and Transformation Plan (STP) in relation to the impact on deprived people in Rutland and how they accessed services.

Mr Sacks confirmed that the STP was about planning and managing health services.  In Rutland the focus would be on enabling more services to become available and expanding local services, increasing the number of repeat/outpatient appointments available locally in order to reduce the amount of time people had to travel to access services.  “Home First” would be aimed at looking after people at a local level.  There would be a consultation on the proposals in order to understand the views of local people.

During discussion the following points were noted:

1. Losing beds was difficult, but the solution put forward for the financial difficulties being faced made a lot of sense;
2. There was no funding to assist with public transport, but Health, Social Care and the Third Sector would work together to look for ways of assisting with transportation;
3. Engagement with the media would be carefully managed and communication with key influencers and the public would ensure that a clear and positive message was communicated;
4. Mr Sacks agreed to provide further information regarding how a risk assessment might be carried out to ensure that a person’s home was an appropriate place to carry out care and what the solution might be should a person’s home be found to be unsuitable;
5. Members of the community should look out for their neighbours and make sure they are alright and properties are maintained to an acceptable standard.  The Rutland Neighbourhood Watch had just launched an app which provided access to other services;
6. Ms Kibblewhite would provide further information regarding the powers that the council had with regard to enforcing housing associations and private landlords to maintain properties to acceptable standards;
7. There would be a Joint Leicestershire, Leicester and Rutland Health Scrutiny Panel focusing on the STP on 14 December 2016, Mr Conde would be attending with another member of the Rutland (Adults and Health) Scrutiny Panel;
8. Hospitals could provide a variety of services and it was important to get the message across  regarding the services that will be available and how they can be accessed;

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Miss Waller declared an interest at this part of the meeting as she privately rented two properties.

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Mr Sacks left the meeting and did not return.

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Trish Crowson, Senior Public Health Manager, introduced the Poverty Report on Health Inequalities, the purpose of which was to give an overview of how poverty can impact on the occurrence of obesity and issues around dental health.

During discussion the following points were noted:

1. It is important to understand the limitations with data at a population level in Rutland not least because of small sample numbers meaning that data can vary significantly from year to year;
2. There was some correlation in areas  ...  view the full minutes text for item 439.

To receive Report No. 216/2016 from Jennifer Fenelon, Chair of Healthwatch Rutland

Mrs J Fenelon, Chair of Healthwatch Rutland, introduced Report No. 216/2016, the purpose of which was to provide a summary of the work undertaken in the year 2015/16 by Healthwatch Rutland and the work planned for the coming year for discussion by the People (Adults and Health) Scrutiny Panel and to enable the members of that panel to provide feedback or request further information.

During discussion the following points were noted:

1. In the last year, 10 reports had been published by Healthwatch Rutland highlighting key issues that had been raised including dementia; young people’s mental health; and ambulance services;
2. A survey would be launched in January to gather opinions on primary care, there would be a project focusing on the experiences of people being discharged from hospital and in the summer of 2017 Healthwatch would be looking at the effects of the STP on the population of Rutland;
3. Increases in mental health issues for young people might be exacerbated by pressure to perform well at school, bullying and social media;
4. Members expressed that the reports were very helpful and provided valuable insight, but that it would also be useful to see what outcomes were achieved as a result of the research;
5. Members were concerned regarding the ongoing issues around the Children and Adolescent Mental Health Service (CAMHS); and
6. Healthwatch had produced a hard copy directory of health services to assist those who did not have computer/internet access.  This would be distributed to access points such as libraries; surgeries and parish councils.

AGREED:

1. The Panel provided feedback on the Healthwatch Rutland Annual Report as detailed above; and
2. The panel NOTED the contents of the Healthwatch Rutland Annual Report for 2015-16.

To receive Report No. 194/2016 from the Chief Executive

(Report previously circulated under separate cover)

Report No. 194/2016 from the Director for Resources was received. 

The Chairman, Mr Conde advised that this was the last panel to receive the report and invited urgent questions from members.  No questions were forthcoming at this time.

AGREED:

1.    That the Panel NOTED the Report.

To receive Report No. 191/2016 from the Director for Resources

(Report previously circulated under separate cover)

Report No. 191/2016 from the Chief Executive was received. 

The Chairman, Mr Conde advised that this was the last panel to receive the report and invited urgent questions from members.  No questions were forthcoming at this time.

AGREED:

1.    That the Panel NOTED the content of the Report.

a)  Service User Meeting

A Service User meeting had been arranged for Friday 13 January 2017.  The details and timings would be circulated to all Councilors.

b)  Scrutiny programme 2015/16 & review of forward plan

The panel reviewed the Forward Plan and noted the forthcoming reports.

2nd February 2017:

Poverty in Rutland Project

1.    Vulnerable People

2.    Home Care Service User and Carer Feedback

During discussion the following points were noted:

1. Barleythorpe College Plan would be more appropriate for Resources, or Children’s Scrutiny Panel; and
2. Social Value Policy was on the Cabinet Forward Plan for January.  The Chair would liaise with the Portfolio Holder in order to ascertain how the Panel could consider this report.

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

Mr Cross requested some further information regarding a complaint that had been made in relation to a residential care home.    Mr Clifton, Portfolio Holder for Health and Adult Social Care, responded that although details could not be given regarding specific cases, all complaints were investigated carefully and safeguarding procedures would be followed.

The Chair thanked all of the guests for attending the meeting and for their contribution.

Special Joint Scrutiny Panel: Thursday, 19 January 2017 at 7 pm

Proposed Agenda Items:

1.    Budget

Special Joint Scrutiny Panel: Thursday, 19 January 2017 at 7 pm

Proposed Agenda Items:

1.      Budget