Venue: Meeting Room 1, County Hall, Dorchester, DT1 1XJ. View directions
Contact: Denise Hunt 01305 224878 - Email: denise.hunt@dorsetcouncil.gov.uk
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Apologies To receive any apologies for absence. Minutes: No apologies for absence were received at the meeting. |
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Declarations of Interest To receive any declarations of interest. Minutes: Councillor Andrew Kerby declared a discloseable pecuniary
interest as his partner was employed as a District Nurse for the Dorset
Healthcare University Foundation Trust.
He was currently awaiting a full dispensation from Legal Services,
however, he confirmed that he had received the appropriate clearance for this
meeting. Councillor Rebecca Knox made a general interest that she was
a member of the Health and Wellbeing Board. Councillor Jon Orrell declared a disclosable pecuniary interest as a practising General Practioner (GP). The Monitoring Officer had advised that his interest was not sufficiently linked to the business on the agenda and that he could therefore take part in the meeting that day. He was in the process of obtaining a dispensation from the Chief Executive in respect of future meetings and would withdraw immediately if any discussion impacted on how he was funded as a GP. |
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Terms of Reference To note the Committee's terms of reference:- Overview and scrutiny is a statutory activity of the Council, its powers and
responsibilities are set out in detail in the Council’s Constitution. The Council will appoint members to 4
Overview and Scrutiny Committees:- Health, People, Place and Resources. Each Overview and Scrutiny Committee
will perform all those functions conferred on it by the Local Government Act
2000 and each committee can review and scrutinise
decisions and actions made by the Council, relevant to their area. In the absence of any alternative
joint arrangements having been entered into, the
Health Scrutiny Committee shall be the Council’s Overview and Scrutiny
Committee for the purposes of fulfilling the Council’s statutory powers in
relation to health scrutiny. Minutes: The Committee noted its terms of reference. The Chairman confirmed that the terms of reference would be considered during the informal session following the meeting. |
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To receive the minutes of the meeting held on 7 March 2019 (signed by the previous Chairman). Minutes: The minutes of the Dorset Health Scrutiny Committee on 7 March 2019 that had been signed by the previous Chairman prior to the inception of the Dorset Council were noted. |
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Public Participation To receive questions or statements on the business of the
committee from town and parish councils and members of the public. Minutes: There were no public questions or statements made at the meeting. |
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Mental Health Rehabilitation Review PDF 193 KB To
consider a report by Elaine Hurll, Principle
Programme Lead, NHS Dorset Clinical Commissioning Group. Additional documents:
Minutes: The Committee considered a report by Elaine Hurll, the Principle Programme Lead, NHS Dorset Clinical
Commissioning Group (CCG) who gave a power point presentation. The shape of the review had been fully co-produced and reflected input by a broad range of consultees. The review stages included the following elements and interdependency with the Dorset Healthcare Estates Review:- · needs analysis and view seeking · options development · NHS assurance · consultation · implementation The preferred Option 1 fitted with the national direction of travel and included a High Dependency Unit, 1 recovery unit in East Dorset, 1 recovery unit in West Dorset; a community recovery team and supported housing. It was confirmed that the High Dependency Unit would need to be developed as there was currently no provision. Members commented that it would be helpful to have a plan showing where all of the existing units were located in order to better understand this in the context of the estates review. It was suggested that a copy of this was circulated to the committee. Members particularly focussed on the supported housing element of the proposal and in response to questions on this and other areas of discussion, the following points were made:- · That supported housing could be either shared or individual units, with a mixed range of tenancy offer depending on a person's needs whilst also recognising that moving home could be extremely stressful; · Delivery of supported housing could be secured as a result of development partnerships with a focus on providing housing solutions; · That there had been no local opposition to rehab housing due to the support in place and the use of "good neighbour" policies; · That costings should be revisited in light of anticipated increased demand in future years although it was not possible to accurately predict levels of provision beyond 2028. Discussions were ongoing in relation to funding by local authorities through Section 117 agreements. · That the assertive outreach team would be the service that maintained contact with people who were at risk of losing contact with mental health teams. On this point, comment was made that some people were discharged from rehabilitation services when they did not necessarily wish to be discharged at that point. · There was no flexibility to change the location of recovery units which were in urban rather than rural settings due to lack of funding and a need to use the existing estate. However work would continue in both urban and rural settings with a variety of health and wellbeing activities that people could access. It was anticipated that changes to the system would mean that hospital would not become the place where people lived for any longer than necessary. · A proposal to maintain 40 inpatient beds at Alderney Hospital and the creation of the 2 dementia wards as a centre of excellence had been developed as part of the Dementia Services Review Some concern was expressed that the supply of supported housing could run out and that it would be important to examine the way ... view the full minutes text for item 6. |
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Briefings for Information PDF 538 KB Minutes: The
Committee considered a report containing briefings for information concerning the
following topics:-
It was noted that a full briefing on the Dorset Suicide
Prevention Strategy would be provided at the Health and Wellbeing Board that
afternoon. Noted |
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Referral to Secretary of State Re: Clinical Services Review Proposals - Update To consider any items of business which the Chairman has had
prior notification and considers to be urgent pursuant to section 100B (4) b)
of the Local Government Act 1972. The reason for the urgency shall be recorded
in the minutes. Minutes: The Chairman provided a verbal update on the referral of the
Clinical Services Review proposals that had been referred to the Secretary of
State for Health and Social Care by the former Dorset Health Scrutiny
Committee. The Secretary of State had written back to advise that the request
had been referred to the Independent Reconfiguration Panel. The Panel advised that a response was
unlikely to be received before August 2019, bearing in mind other work in
progress and noting the Hearing relating to a Judicial Review of the process
due to take place on 24 July 2019. |