Apologies were received from Councillor W Cross, Councillor L Toseland, John Morley, Fiona Myers and Councillor S Harvey

Councillor Waller informed attendees that, due to difficulties in getting the updated data regarding dentistry in Rutland and the correct people to brief Scrutiny Committee, it had been proposed that the item be postponed until the next meeting.  She stated that she had spoken with Councillor Ainsley and they had agreed to have a joint scrutiny meeting to discuss dentistry in Rutland.

To confirm the record of the meeting of the Adults and Health Scrutiny Committee held on 17^th February 2022.

The minutes of the meeting held on the 17^th February 2022 were confirmed as an accurate record.

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 216.

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.

There were no petitions, deputations or questions.

To consider any questions with notice from Members received in accordance with the provisions of Procedure Rule No 218 and No 218A.

The Scrutiny Officer confirmed that questions had been received from Committee members regarding agenda item 10 – Adult Services Performance Data and Risk Register.

She confirmed that written responses from Officers would be collated and distributed to the committee members and published with the minutes.

To consider any Notices of Motion from Members submitted in accordance with the provisions of Procedure Rule No 219.

No notices of motion were received from members.

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

No call ins were received.

To receive an update from Lakeside Health Care Stamford regarding how the surgeries in Stamford are operating and the progress made regarding the improvement plans.

A verbal update and a short presentation (copy attached) were received from Dr Sara Hall, GP Partner and Teri White, Hub Manager from Lakeside Healthcare Stamford.  During the discussion, the following points were noted:

·       Teri White confirmed that her role as ‘Hub Manager’ was the equivalent of a ‘Practice Manager’ but that a Hub Manager managed more than one site or medical practice.

·       It was reported that the Patient Participation Group (PPG) used a ‘mystery shopper’ style of action to investigate the different processes within the medical practice and then provided feedback.

·       Dr Hall confirmed that the medical practice had seen a huge increase in the number of patients contacting the surgery during to the pandemic.

·       Post pandemic the medical practice was still dealing with a large number of people including an increased number of people with mental health issues resulting from the lockdown.

·       Lakeside Healthcare Stamford was the first surgery in the UK to use a Swedish system (Doctrin) to manage digital contact with patients.  This had proved very successful with patient satisfaction ratings recorded as  95% of users being happy with the new system after only 1 week of the system going live.

·       Patients were encouraged to use the digital access where possible.  This would then free up the phone lines and the GP’s so allowing them to deal with those patients who actually required a face-to-face GP meeting.

·       The practice was currently not at full capacity with regard to its GPs but there was a national shortage of medically qualified staff.

·       Dr Hall stated that the surgery was aware that patients were reluctant to use the new ‘triage’ system instead of the previous system of everyone having an appointment with a GP but the new triage system meant better and quicker treatment for patients. 

·       The message to patients that they would not be receiving a second-class service if they did not see a GP needed to be more strongly emphasised.  Patients would probably be better off seeing a more specialised trained member of staff than a GP e.g. Respiratory specialist Nurse, Diabetic Specialist Nurse, Musculo-skeletal Physiotherapist etc.

·       Councillor Wilby thanked the team at Lakeside Healthcare Stamford for all their hard work especially during the pandemic as the vaccination and testing sites had been run exceptionally well.

·       Dr Hall confirmed that the surgery had seen approximately 1000 patients leave in the past 12-18 months, with people registering to Wansford surgery and Empingham surgery.  However, some patients were now returning to Lakeside Healthcare Stamford and the surgery had approximately 29,000 patients registered at the practice. 

·       It was confirmed that St Mary’s Medical Practice in Stamford had been closed and used purely for vaccinations during the pandemic.  Over 20,000 vaccinations had been done but the site had since been re-opened for GP use. 

·       Some patients did not understand that the role of a ‘Receptionist’ had changed to that of a ‘Care Navigator’ or that they were medically trained to triage patients to the most suitable care provider.  ...  view the full minutes text for item 8.

To receive the final report from the Primary Care Task & Finish Group including recommendations for the long term demand for primary care.

The report from the Primary Care Task and Finish Group was presented by Councillor P Ainsley, Chair of the Primary Care Task and Finish Group.  During the discussion, the following points were noted:

·       This report followed on from the preliminary report.  It detailed recommendations and proposed actions and would also be presented to the Rutland Health and Wellbeing Board and Council.

·       The final approved report would be distributed to the medical practices, the PCN and the LLR CCG.

·       The report had been produced in a very short space of time with the whole process only taking 72 days from beginning to end.

·       Councillor Ainsley emphasised that it had never been the intention of the group to dictate what needed to improve and by who.

·       Councillor Ainsley personally thanked members and officers for their hard work and support in producing the final report.

·       Scrutiny Committee thanked members of the Group for all their hard work in doing an outstanding job in producing the report.

RESOLVED

That the Committee:

a)    ENDORSED the Report of the Primary Care Task and Finish Group and its recommendations in section 8 save that in 8.1.e the references to Public Health and RCC were omitted and that an additional recommendation be added stating ‘That the Rutland PPG’s contact Lakeside Healthcare Stamford PPG to share good practice for the best interests of Rutland residents’.

b)    REQUESTED that Council approve the amended report and commends it to LLR CCG, Lincolnshire CCG, RCC’s Health and Wellbeing Board, each Rutland GP practice and their PPGs, with a request that the recommendations in section 8 be actioned by the appropriate body.

c)    DETERMINED that the scrutiny process in Rutland would follow up this work with a further public survey by January 2023 to gauge public satisfaction with improvement in the key areas identified.

To receive a report on the current performance data, ensure that it matches the current identified risks and identify any possible priorities for review in 2022/23.  [FOR INFORMATION ONLY]

If members of the Committee have any questions on this data, please submit to the clerk who will arrange for a response.

The Chair confirmed that this item was FOR INFORMATION ONLY.

To consider the current Forward Plan and identify any relevant items for inclusion in the Adults and Health Scrutiny Committee Annual Work Plan, or to request further information.

The Forward Plan is available on the website at:

https://rutlandcounty.moderngov.co.uk/mgListPlans.aspx?RPId=133&RD=0

·       The Forward Plan and the draft Annual Work Plan for 2022/2023 were discussed. 

·       Councillor Waller proposed that ‘Rutland Medical Practice Estates’ be added for discussion in the new municipal year. 

·       Dr Underwood suggested contacting Sarah Prema, Executive Director of Strategy and Planning at the LLR CCGs, as she had produced a report following a review of the estates at medical practices.

RESOLVED:

That the Committee:

a)    ADDED to the annual work plan ‘A review of the estates at the Medical Practices within Rutland’.

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

There was no urgent business.

Future meeting dates will be confirmed at Annual Council on the 9^th May 2022

Future meeting dates would be confirmed at the meeting of Annual Council on the 9^th May 2022.