Agenda and minutes
Venue: Meeting Room 1, Guildhall
Contact: Suzanne Price Scrutiny Facilitator
Apologies for absence
An apology for absence was received from Councillor Rondo Roberts.
The Chair welcomed Councillor Tina Mannering to her first meeting as a Member of this Scrutiny Committee.
Declarations of personal interests, if any
Members are reminded of their responsibility, under Paragraph 11 of the Members’ Code of Conduct, to declare the existence and nature of any personal interest in respect of any of the business to be transacted at this meeting.
Members were reminded of their responsibility, under Paragraph 11 of the Members’ Code of Conduct, to declare any interests in relation to any business to be transacted at this meeting. The following declarations were made:
Agenda Item 5 – Meeting with representatives of Betsi Cadwaladr University Health Board
Councillor Trevor Bates – Personal – a close family member works at Chirk Cottage Hospital. The Councillor stayed in the meeting and took part in the discussion and voting thereon.
To sign as a correct record the Minutes of the meeting held on19 September 2018.
The Minutes of the meeting held on 17 October 2018 were submitted.
Corrections to Minutes
(i) Councillor John Pritchard had been marked as absent.
(ii) Minute 14, Domiciliary Care Staff Survey: With reference to the concern expressed by a Member that 49% of staff felt they had insufficient time to read and understand Service Delivery Plans, the Committee agreed that the Minute should read: “A Member expressed concern that 49% of staff felt they have insufficient time to read and understand Service Delivery Plans. Members queried how is this being addressed by the Lead Member and Officers and what action is being taken to bring this figure down to a more reasonable level”.
AGREED – That subject to the above, the Minutes of the meeting held on 18 September 2018 be signed as a correct record.
To consider the report of the Head of Finance
The Head of Finance submitted a report (HF/112/18s) to assist the Committee in considering its Work Programme for the coming year.
The Scrutiny Facilitator introduced the report and advised Members that the items identified for further scrutiny at the previous meeting had been provisionally scheduled into the draft Work Programme, a copy of which was attached at Appendix 1 to the report. She reminded Members that the Executive Board at its meeting held on 9 October 2018, had approved the recommendation to reshape Day and Work Opportunities services (Phases 1 & 2) and had also suggested that a further report be submitted to this Scrutiny Committee in 6 months time to review the progress made in providing opportunities to service users. A decision was required on whether this Scrutiny Committee wanted to receive such a report.
During discussion of the report, reference was made to the correction agreed to Minute 14, Adult Social Care Contract (ASC) Monitoring report - Domiciliary Care Staff Survey and several Members commented that they did not wish to wait until the next 12 month ASC Contract Monitoring Report to receive an update on the situation. It was suggested that the Chair contacts the Lead Member for People – Health and Adult Social Care to request that a written response be provided on the action being taken with providers to address this matter, which can then be shared with Scrutiny Committee Members via e-mail.
(i) That a report to review progress made in providing opportunities to service users following the reshaping of Day and Work Opportunities services (Phases 1 & 2) be submitted to this scrutiny committee in 6 months and an item be placed on the Work Programme accordingly.
(ii) The Chair to request that the Lead Member for People - Health and Adult Social Care / Head of Adult Social Care provide a written response on the action being undertaken with Domiciliary Care Services providers to increase the number of staff that feel they have sufficient time to read and understand Service Delivery Plans to a more reasonable level.
(iii) That, subject to the above, the draft Work Programme attached at Appendix 1 to report HF/112/18s be approved.
(Members’ declarations of interest in relation to this Agenda Item is set out Minute 22 above).
The Chair commented that this was the latest in a series of regular meetings between the Council’s Scrutiny Committee with the remit for ‘health matters’ and representatives of BCUHB, the previous meeting being held in April 2018.
He then welcomed the following representatives from Betsi Cadwaladr University Health Board to the meeting: Gary Doherty (Chief Executive), Lesley Singleton (Director of Partnerships for Mental Health and Learning Disabilities) and Andrea Hughes, Area Nurse Director (CAMHS) to the meeting.
It was agreed that item (b) and (c) be brought forward and taken at this time.
(b) Progress with Mental Health Strategy
Lesley Singleton (Director of Partnerships for Mental Health and Learning Disabilities) introduced the report and outlined the work being undertaken to meet the key outcomes of the three year delivery plan to transform and improve the delivery of the Together for Mental Health in North Wales strategy. She then provided an update on the implementation of the Mental Health Strategy delivery plan agreed by Local Partnership Boards with key objectives being delivered through Local Implementation Teams and clinically led Quality and Workforce Groups working coherently in each local authority area.
An expected Powerpoint presentation had not been received prior to this meeting, however, copies would be circulated to Committee Members.
During consideration of the report the following matters were raised in particular:
· It had been recognised at the development stage of the strategy that close partnership working between the Health Board, statutory and voluntary organisations together with staff and service users would be a key driver in the overall approach to the strategy and the implementation of the delivery plan.
· Clarification was sought on the proposed bid for Healthier Wales Funding made by the Health Board to provide further funding for the Together for Mental Health in Wales strategy.
· Lesley Singleton commented that the bid was to provide pump-priming funding for the delivery of early intervention and preventative work to build community resilience across North Wales with Local Implementation Teams being responsible for identifying qualifying schemes within their areas. Funding would be available for a two year period and she agreed to provide Committee Members with further details of the bid, including bids for proposed schemes within Wrexham, following the meeting.
· A Member commented that performance statistics published in July 2018 showed that 71.5% of BCUHB patients started mental health therapy within 28 days of referral. The national performance target was 80% and the Wales average was 82.5%. This figure ranked BCUHB 6th out of the 7 Health Boards within Wales and an explanation was sought.
· Lesley Singleton commented that the Mental Health measures were based on mental health assessments and patient access to psychological treatment such as counselling. The Health Board were undertaking a review of psychological therapy services to see if there are particular drivers behind the increase in demand for the service, how access to the service could be improved and ... view the full minutes text for item 26.