Agenda and minutes
Venue: Council Chamber, Guildhall
Contact: Suzanne Price Scrutiny Facilitator
Apologies for absence
Apologies for absence were submitted on behalf of Councillors Russell Gilmartin, Tina Mannering and Nigel Williams.
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 declaration was made:
Agenda Item 4 – Betsi Cadwaladr University Health Board
Councillor Trevor Bates – Personal – a close relative being employed at Chirk Community Hospital. The Councillor remained in the meeting and took part in the discussion and voting thereon.
To sign as a correct record the Minutes of the Meeting held on 19 December 2018.
The Minutes of the meeting held on 19 December 2018 were submitted.
AGREED - That the Minutes of the meeting held on 19 December 2018 be signed as a correct record.
(a) BCUHB - Progress with Primary Care
(b) BCUHB and WAST - How BCUHB and WAST are working together to improve flow from ambulances and through Emergency Department to improve patient outcomes and experiences.
Members’ declaration of interest in relation to this Agenda Item is set out in Minute 39 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 held in October 2018.
He then welcomed Rob Smith (Area Director – East), Dr. Gareth Bowdler (Area Medical Director – East), Janet Ellis (Assistant Area Director Primary Care – East), Meinir Williams ( Associate Director for Unscheduled Care), Betsi Cadwaladr University Health Board and Duncan Robertson (Regional Consultant Lead and Consultant Paramedic), Liz Hughes (Operations Manger – East and Central North Wales) Pam Hall (Non – Executive Director) Wales Ambulance Service Trust to the meeting.
(a) BCUHB – Progress with Primary Care
Dr Gareth Bowdler (BCUHB) gave a progress report and commented that the Health Board were looking at innovative approaches to develop and improve primary health care services in the Wrexham area. He referred to the following matters in particular:
· The Health Board undertake regular reviews and risk assessments on the viability of all GP practices to identify those at risk of closure and to provide active support where required. As a result of this action, there have been no resignations of GPs in the Wrexham area during the past 12 months.
· Negotiations are progressing to hand back three managed GP practices, Borras, Hill Crest and Forge Road, to a preferred provider. This will be a not-for-profit community interest company which will have the advantage of being able to draw down social and charitable funding not available to General Medical Services (GMS) practices. Members welcomed this news but sought assurance that the three practices would have permanent GPs and not rely on locums.
· Introduction of an alternative model for GP practices with the provision of ‘health clusters’ to bring together a wide mix of health professionals within one building, including Advance Nurse Practitioners, physiotherapists and pharmacists, Health Board community services, district nurses and health visitors. To ensure that all patients receive treatment as quickly as possible, the model will direct them to the most appropriate healthcare professional to meet their needs. This will enable GPs to concentrate on their core role of treating the more complex cases.
· All three health clusters within Wrexham now have GP cluster leads.
· The North West Wrexham cluster has recently started a home visiting service led by colleagues in the Wrexham Ambulance Service visiting patients during the day time who otherwise would require a GP visit.
· Meiner Williams reported that the South West Wrexham Cluster is one of two pilot areas within North Wales for the introduction of a new provision for referrals to Out of Hours services. Members requested further information on this initiative.
· The recruitment and retention of GPs continues to be both a local and national concern and the Health Board continued to work with the profession in developing innovative ways to increase the number of GPs entering the profession and ... view the full minutes text for item 41.
To consider the report of the Head of Finance
The Head of Finance submitted a report (HF/05/19s) 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. A Topic Selection Form requesting that the findings and recommendation of the Care Inspectorate Wales (CIW) Inspection Report of WCBC Adult Social Care services be considered by this Scrutiny Committee submitted by Councillor Gwenfair Jones was attached at Appendix 2 to the report.
During consideration of the report Members referred to the following matters in particular:
· With reference to the report on the restructuring of the Children and Adult Social Care Services (due to be implemented on 1 April 2019) the Chair reported that a report would not be available prior to the completion of the restructuring process in March 2109. The Lead Member for Health and Adult social Care had requested that, to enable time for the new structure to be embedded within the department, a progress report be submitted in 6 to 9 months time. Whilst accepting the increased workload on staff due to the CIW inspection, the Committee requested that the report be submitted as soon as possible.
· Members noted that there were no items of business scheduled on the Work Programme for either February / March 2019, therefore, these meetings can be cancelled.
· It was suggested that the possibility for Members to visit the Wales Ambulance Service Trust Clinical Contact Centre at Llanfairfechan and the North Wales Police Control Centre at St Asaph be investigated.
(i) That the draft Work Programme attached at Appendix 1 to report HF/05/19s be approved.
(ii) That the Scrutiny Facilitator liaises with the Head of Adult Social Care on submitting a report on the implementation of the new Senior Management Structure within Adult and Children’s Services to this Scrutiny Committee as soon as possible.
(iii) That the Scrutiny Facilitator liaises with both the Wales Ambulance Service Trust and North Wales Police on the possibility of Members visiting their respective Control Centres.