Venue: Meeting Room 1, County Hall, Dorchester, DT1 1XJ. View directions
Contact: Helen Whitby 01305 224187 - Email: helen.whitby@dorsetcouncil.gov.uk
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Apologies To receive any apologies for absence. Minutes: Apologies for absence were received from Councillors Emma Parker, Bill Pipe and Byron Quayle. |
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To confirm the minutes of the meeting held on 26 September 2019. Minutes: The minutes of the meeting held on 26 September 2019 were
confirmed and signed. Matters Arising Minute 15 NHS Dorset CCG - Physiotherapy Services Review Members were reminded that they had been sent a copy of the letter to the Dorset CCG and their response and that this might be reviewed in six months' time. The Chairman stated that she had recently received two complaints from members of the public about the way the system was working. She asked officers to arrange for a report to be provided to the meeting on 16 June 2020 to see whether the figures had improved and how the system was working. Minute 19 - Clinical Services Review The Chairman informed the Committee that the Independent Reconfiguration Panel (IRP) had now written to the Secretary of State (SoS) regarding its review of the Clinical Services Review and the SoS had written to the Dorset Clinical Commissioning Group with the outcome. Members would be sent the IRP letter, the Secretary of State's letter and a copy of the CCG's press release following the meeting. Resolved 1. That members be sent copies of the Independent Reconfiguration Panel letter, the Secretary of State's letter and the Dorset CCG's press release following the meeting. 2. That officers arrange for a report on the Physiotherapy Services Review be provided for the meeting on 16 June 2020 to see whether the figures for the services had improved and how the system was working. |
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Declarations of Interest To receive any declarations of interest. Minutes: Cllr Andrew Kerby declared a disclosable pecuniary interest
as his partner was employed by the Dorset Healthcare University NHS Foundation
Trust as a nurse and that a dispensation was now in place. Cllr Kerby also declared that he was a
Governor for the Royal Bournemouth and Christchurch Hospitals NHS Foundation
Trust. Cllr Jon Orrell declared a disclosable pecuniary interest as
a GP and confirmed that a dispensation was now in place. Cllr Nick Ireland declared that he and his partner were Governors of Dorset Healthcare University NHS Foundation Trust. |
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Public Participation PDF 41 KB 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 statements and questions from Town and Parish
Councils at the meeting: A question from Mr Barry Tempest was asked at the meeting. The question and response are attached as an
appendix to the minutes. Mr Tempest
added that the response did not mention anything about maternity services nor
paediatrics. The Chairman stated that the Committee were interested to
find out more about Dorset County Hospital NHS Foundation Trust's plans and
asked for a report to be provided for the Committee's meeting on 16 June
2020. Mr Tempest would be able to attend
that meeting to hear more about future plans. Resolved That a report on Dorset County Hospital NHS Foundation Trusts future plans be provided for the Committee's meeting on 16 June 2020. |
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Integrated Urgent Care Service PDF 95 KB To consider a joint report by the Deputy Director - Lead Member for Urgent and Emergency Care and the Programme Manager - Urgent and Emergency Care, NHS Dorset Clinical Commissioning Group (CCG). Minutes: The Committee
considered a report by the Lead Member for Urgent and Emergency Care, Dorset
Clinical Commissioning Group (CCG) which provided an update on the Dorset
Integrated Urgent Care Service. It was noted that
the model was innovative and was considered appropriate for Dorset. There had
been performance challenges and work was being
undertaken with Dorset Healthcare University NHS Foundation Trust to address
these. South Western Ambulance NHS
Foundation Trust (SWAST) had recently announced their withdrawal from their
contract from April 2020 and partner organisations were considering the effect
of this. Members noted that
there were metrics for each of the three components and that filling shifts was
a challenge across each of these and a long-term recruitment plan was being
considered to address this. One member referred
to the withdrawal of SWAST and about the interface between 999 calls and the
111 service. It was explained that work to address this would be undertaken
from now until April 2020 to ensure any change did not have any detrimental
effect. The Healthwatch
representative was welcomed to the meeting.
She asked about how people's feedback was being used to improve the
service. The CCG's various means of
obtaining feedback were explained and any feedback from Healthwatch welcomed. Noted |
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Somerset Integrated Health and Care Strategy PDF 96 KB To consider a report by the Health Scrutiny Committee Member Working Group. Minutes: The Committee considered a report by the Executive Director
of People - Adults on the findings of the Committee's Working Group reviewing
Somerset's Integrated Health and Care Strategy to see whether there were any
concerns for Dorset residents receiving care. The Chairman explained that no concerns had been raised
about changes to services in Somerset and their impact on Dorset
residents. Somerset were currently going
through a Clinical Services Review and this would need to be monitored. Any concerns would be reported at a future
meeting. Concerns had been expressed about hospital merges in Taunton
and how these might affect Yeovil Hospital and Dorset residents accessing
services there. Members were reminded of the duty on Hospital Trusts to
notify the Committee of any service changes and the lack of contact with both
Yeovil and Salisbury Hospitals. The
Senior Democratic Services Officers was asked to write to both hospitals to
remind them of their duty to notify the Committee of any service changes. The Chairman of the Dorset Health and Wellbeing Board
highlighted Somerset's investment in prevention work and expressed an interest
in investigating their governance arrangements so as to compare them to
Dorset's. . Resolved That the Senior Democratic Services Officer write to Yeovil and Salisbury Hospitals to remind them of their duty to inform the Committee of any service changes. |
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To consider a report by the Executive Director of People - Adults. Minutes: The Committee
considered a report by the Executive Director of People - Adults which provided
an update for Transforming Care and Moving on from Hospital Living. Members were
reminded that this involved vulnerable adults who for various reasons had found
themselves in campus or hospital accommodation. There were challenges in trying
to find suitable accommodation to enable them to become more independent and
live in the community with appropriate support.
Looking forward, attention was drawn to the number of people with
learning disabilities who were living longer, the potential for their needs to
become more complex and the need for steps to be taken by the Council to try to
mitigate this risk. There was some
discussion about safeguarding issues and the need for accommodation to be in
areas where appropriate support was available, the need to stimulate more opportunities
for independent living and minimise any risks involved, timescales for changes
at Whorlton Hall and the costs involved, that
equalities and diversity issues had been considered, and that the report did
not reflect Dorset's special schools.
Members also wished to see where the budget had made a difference. The Committee
wanted to better understand the number of people involved and asked for a
report to be provided to their meeting on 16 June 2020. Resolved That a report on
figures of people involved be provided for the meeting on 16 June 2020. |
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Information Reports Received The following information report has been circulated to the Committee since the last meeting:- · West Moors Group Practice Branch Closure - Rushmore House, Church Road, Three Legged Cross, Wimborne, Dorset, BH21 6RQ. Minutes: Noted |
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Dorset Health and Wellbeing Board Workplan Minutes: The Chairman of the Dorset Health and Wellbeing Board
provided an update on the Board's work in relation to natural prescription,
keeping fit and active, the mini health and wellbeing boards, the focus on
children and adolescents and the transition from child to adulthood, data
sharing across partner organisations in order to identify vulnerable young
people, Education Health Care Plan assessments, suicide prevention and a
refresh of the Health and Wellbeing Strategy.
She also highlighted the need for all Dorset Council reports to include
health outcomes within every policy, particularly planning. Noted |
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Requests for Joint Scrutiny To consider a request from Bournemouth, Christchurch & Poole (BCP) Council's Health and Adult Social Care Overview and Scrutiny Committee for joint scrutiny in relation to the following areas:- · The Ambulance Service Improvement and Financial Investment Plan · The implementation and performance of NHS Dorset Urgent Integrated Care Services Minutes: The Chairman informed the Committee that she had spoken to
Bournemouth, Christchurch and Poole's Chairman with regard to
possible joint scrutiny. Two items had
been identified - the Ambulance Service improvement and investment plan and the
Urgent Integrated Care Service. These
would be undertaken in June/July 2020. The Committee's work programme had been circulated to
members and would be posted on the internet so that members of the public had
access. Noted |
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Urgent items- Pre- Decision Scrutiny of the 2020/21 Budget PDF 854 KB 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: Pre-decision Scrutiny of the 2020/21
Budget The Committee considered a report by the Executive
Director Corporate Development on pre-decision scrutiny of the 2020/21 budget. The Council's Scrutiny Committees had
scrutinised the budget the previous day and the report had been added as an
urgent item to allow the Committee the opportunity to scrutinise the budget as
well. Officers presented the report highlighting the proposed
increase in the adult social care budget, the continuing increase in demand for
services, the increasing complexity of care needed, the cost of residential
placements compared to enabling people to remain in their own home, the need to
do more preventative work, increased use of assistive technology, pressures
arising from demographic growth and implications of leaving the EU. The Chairman acknowledged the year on year increased
demand for both adult and children's services and that the cases involved
greater complexity and increased costs.
The only way to tackle this was by undertaking prevention work at the
early stages and by including health in everything the Council did. Members then scrutinised the budget in detail and the
following points were noted:- ·
that the only
means of off-setting any overspend appeared to be the social care precept; ·
steps which could
be taken to enable people to remain living at home; ·
the need to
invest more in intermediate care and work differently; ·
Somerset's strong
discharge to assess which provided savings for them by providing appropriate
care at home; ·
the need to
emphasise the impact of budgetary decisions on people's health; ·
the importance of
early intervention and prevention and for outcomes to be analysed to see
whether they had an impact on targets; ·
that it may take
time before the impact of prevention at scale work could be seen; ·
the need to embed
health across the whole Council and in all decisions; and · the need for appropriate targets to be set. Recommended 1. That a health line should be included in all Dorset
Council papers, including planning applications, to ensure that health impacts
were considered in every policy and decision. 2. The Committee was concerned that insufficient
activity waas taking place across the Council to encourage prevention and early
intervention. The Committee urged the
Cabinet to pursue these areas in order to control spend in the future. |