Venue: Council Chamber, Runcorn Town Hall. View directions
Contact: Lynn Derbyshire on 0151 511 7975 or e-mail lynn.derbyshire@halton.gov.uk
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Minutes Minutes: The Minutes of the meeting held 4 March 2014 having been printed and circulated were signed as a correct record. |
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Public Question Time PDF 27 KB Minutes: The Board was advised that no public questions had been received. |
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Health and Wellbeing Minutes PDF 15 KB Additional documents: Minutes: The Minutes of the Health and Wellbeing Board of its meeting held on 12 March 2014 were submitted to the Board for consideration. RESOLVED: That the minutes be noted. |
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Presentation: Urgent Care – Progress, including Urgent Care Centre Development PDF 56 KB Additional documents:
Minutes: The Board
considered a report of the Strategic Director, Communities which gave Members
an update in relation to the current projects/areas of work associated with
improvements in Urgent Care. The Board also received
a presentation from Mr Simon Wright, Chief Operating Officer/Deputy Chief
Executive of Warrington and Halton Hospitals NHS Foundation Trust in respect of
the progress towards the development of Urgent Care Centres in Runcorn and
Widnes. The Board was
advised that demand on NHS hospital resources had increased dramatically over
the past 10 years, with a 35% increase in emergency hospital admissions and a
65% increase in secondary care episodes for those over 75 years. It was reported
that the Governance Structure associated with the Urgent Care system in Halton
was attached at Appendix 1 to the report. It was reported that the Urgent Care agenda
was a complex and challenging, which required high quality and accessible primary,
community and social care services to be in place to provide alternatives to
A&E attendance and admittance to hospital for the local population. The Board noted the local activity in Halton
in respect of NHS services set out in paragraph 3.9 of the report. The Board
also noted the areas that were improving but were presenting a challenge and
the areas that remained a significant challenge. The Board
discussed and noted the local developments currently having an impact on the
urgent care system within Halton, set out in paragraphs 3.17 to 3.23 of the
report. The following points arose from the presentation:- ·
The
Board welcomed the proposals as it would reduce the number of people attending
A&E as they could be treated locally; ·
Clarity
was sought on the timetable for phase two of the project and whether it would
result in patients attending the Urgent Care Centres rather than their GPs. In
response, it was reported that some people would use the Centre rather than
their GP but this would release time for GPs to develop other services which
they are currently unable to do because of time constraints. It was reported that there were no formal
timelines for Phase 2 of the project.
However, it was anticipated that Phase 2 would be completed by summer
2015; · Concern was raised that on the following points in relation to the building in Widnes; access was limited; there was already a massive car parking issue and increased usage of the building would exacerbate this issue; the lift was not suitable for wheelchair access and because of the design of the building it was very cold in the winter. In response, it was reported that 175 car parking spaces would be made available across from the Unit. Patients would be encouraged to part at the unit and staff on the car park which would also create additional parking for patients The situation was being monitored and it was anticipated that it would eventually alleviate parking problems in that area. It was also reported that the ground floor services would be moved ... view the full minutes text for item 4. |
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Note: (Councillor
Gerrard declared a Disclosable Pecuniary Interest in
the following items of business 5C,5D,6A, 6B and 6D and a Disclosable
Other Interest in Item 6C due to a close relatives holding positions including
management of 5Boroughs and Halton and Warrington Partnerships) and left the
meeting) |
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Clatterbridge Cancer Proposals PDF 21 KB Additional documents:
Minutes: The Board
considered a report of the Strategic Director, Communities which presented Members with details of
the proposals for change and expansion of the Clatterbridge
Cancer Centre Services, the rationale for these changes and the
implications. The following
representatives from Clatterbridge Hospital attended
the meeting to present the proposals: Fiona Jones - Project Director, Dr. Nicky
Thorp - Assistant Medical Director, Emer Scott - Associate Director of
Strategic Communications. Ms Jacqueline Robinson, NHS
Cheshire & Merseyside Commissioning Support Unit. The
Board was advised that formal notification had been received from NHS England
(NHSE) Cheshire, Warrington and Wirral Area Team Specialised Commissioning, as
the accountable commissioners, and Clatterbridge
Cancer Centre (CCC) NHS Foundation Trust, as the providers of cancer care for
the people in Halton, of the proposed changes to the services provided by CCC.
The details of the proposals, the background and consultation plan were
attached at Appendix 1-6 of the report. It was
reported that the Board would need to consider the proposals and agree that
they constituted a significant variation to the services provided to the
residents of Halton. If this was agreed then the proposals would be subject to
joint scrutiny as determined by the protocol for establishment of joint health
scrutiny arrangements for Cheshire and Merseyside. The protocol had been agreed by full Council
in April 2014. Following the agreed protocol, it was likely that the lead
Authority would be Liverpool or Wirral. The
following comments arose from the discussion:- ·
The
Board raised concern at the transport issue and the cost of car parking for
residents indicating that Halton was a deprived area and there would be a
substantial cost for the residents. It
was also reported that to get to The Royal in Liverpool, Halton residents would
have to take three buses, which resulted in a long journey and a significant
cost to the resident. Concern was also
raised that numerous services were being placed in The Royal Hospital,
Liverpool and the footfall would significantly increase. In response, it was
reported that car parking on the Liverpool and Clatterbridge
sites would be free. It was also
reported that discussions would take place with Merseytravel
to enhance the bus services. In
addition, it was reported that the proposals would give patients greater
options and some of those patients would be treated more locally than at the
present time. An assurance was given
that Members would receive more detailed information on transport via the
patient journeys that will be developed in the future; ·
Clarity
was sought on waiting times and whether they would be affected or
improved. In response, it was reported
that the waiting times at Clatterbridge were very
good. However, patients only attended
the services provided by Clatterbridge further down
the patients pathway as they had already been
diagnosed or had surgery. However, it
was reported that the increased capacity would make treatments more accessible; · It was suggested that Fazakerley would have been the ideal location for such services as it was easily accessible and was ... view the full minutes text for item 5. |
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Performance Management Reports, Quarter 4 2013-14 PDF 17 KB Additional documents: Minutes: The Board considered a report of the Strategic Director, Policy and
Resources, regarding the Quarter Monitoring Reports for the fourth quarter of
2013-14. The report detailed progress of key performance milestones and
performance targets relating to Healthy Halton and described factors affecting
the service. The following comments arose from the discussion:- ·
Respiratory
Health and the development of the Action Plan - the Board requested that this
be reported to the Board; ·
Public
Health targets, amber indicators, it was highlighted that as it is the end of
year, these indicators should be amber or red.
It was agreed that information on this matter would be circulated to all
Members of the Board; and ·
Raising
awareness of bowel, breast and lung cancer - Clarity was sought on why data was
not available. In response, it was reported
that information on this matter would be circulated to all Members of the
Board. RESOLVED: That the report and comments raised be noted. |
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Sustainable Community Strategy Quarter 4 year-end Progress Report 2013-14 PDF 29 KB Additional documents: Minutes: The Board considered a report of the Strategic Director, Communities
which information to
the Health Policy & Performance Board on the progress in achieving targets
contained within the 2011 – 2016 Sustainable Community Strategy for Halton. The Board
was advised the Sustainable Community Strategy for Halton, and the performance
measures and targets contained within the report would remain central to the
delivery of community outcomes. It was therefore important that progress was
monitored and that Members were satisfied that adequate plans were in place to
ensure that the Council and its partners achieved the improvement targets that
had been agreed. The Board was
also advised that Appendix 1 to the report outlined the progress for the period
to year end 31 March 2014 which included a summary of all indicators for a
Healthy Halton. The Board complimented Officers on the report and requested that in
future reports could include a commentary on the yellow indicators. RESOLVED: That the report and comment raised be noted. |
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Safeguarding Adults Update PDF 31 KB Minutes: The Board considered a report of the Strategic Director, Communities
which gave Members an update
on key issues and the progression of the agenda for safeguarding ‘vulnerable
adults’ (i.e. adults at risk of abuse) in Halton. The Board
was advised that The Deprivation of Liberty Safeguards (DoLS)
was one aspect of the Mental Capacity Act (2005). The Safeguards were to ensure
that people in care homes and hospitals were cared for in a way that does not
inappropriately restrict their freedom, and if necessary restrictions would
only applied in a safe and correct way, and that this was only done when it was
in the best interests of the person and there was no other way to provide
appropriate care. The
Board was further advised that the recent Supreme Court ruling was significant
in the determination of whether arrangements made for the care and/or treatment
of an individual lacking capacity to consent to those arrangements amounted to
a deprivation of liberty. The ruling clarified that there be a revised test for
a deprivation of liberty and the two key questions should be asked; Is the person subject to
continuous supervision and control? And is the person free to leave? It was
reported that the judgment was important as it holds that a DoL
could occur in a domestic setting where the State was responsible for imposing
those arrangements. This would include a placement in a supported living
arrangement in the community. Therefore, where there is, or is likely to be, a
deprivation of liberty in such placements that must be authorised by the Court
of Protection. An action plan was
currently being developed to fully scope and address the implications of this
judgement. The
Board noted the various activities that had taken place that were set out in
paragraph 3.7 to 3.9 of the report. It was noted that Halton’s level of
participation was at bronze level due to it being the point that all Councils
had to start. RESOLVED:
That the report and comment raised be noted. |
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Care Home Project : Interim Report PDF 18 KB Additional documents: Minutes: The
Board considered a report of the Strategic Director, Communities which provided
Members with an update on the work of the Care Homes Project. The Appendix to the report contained the
Interim Report of the Halton Care Home Project undertaken in March 2014. The
Board was advised that Halton Care Homes project had been in operation since
July 2013. The project aimed to improve the quality of care within homes in the
Borough through: review of current care practices; analysis of the range and ease
of access residents have to health and social care services and identify
sustainable ways to improve treatment, care and support. The
Board was further advised that the project had identified that the care
provided by homes they have worked with has been of a high standard. The
project had worked closely with the full range of Halton’s
community health and social care services. A clinical reference group had been
supporting the aims of the project and some immediate solutions to issues had
been implemented. The project had also grouped some of the key issues into
seven areas: communication; end of life care; physical care; pharmacy;
equipment; primary care utilisation and activities. It was reported that further work was ongoing
to identify an appropriate level of clinical support to continue the work of
the project. The
following comments arose from the discussion:- ·
Clarity
was sought on who made the decision on whether to call out a GP or not in a
care home. It was reported that people
in care homes were being admitted into hospital as a result of the GP not being
called at an earlier stage. In response,
it was reported that this training and development would help to address this matter
i.e. staff could be trained to test for such things as a urine infection and if
the stick proved to show an infection, the GP could be called in at an early
stage; ·
Concern
was raised that GPs had different preferred methods for communication and some
GPs would not accept telephone calls. In
response, it was reported that the report would be presented to the GPs next
month with clear recommendations for communication practices with care homes to
ensure there was a consistent approach across all GP practices with the care
homes. It was also reported that GPs
were keen to adopt a consistent approach to this issue; · It was highlighted that in some care homes, individuality was lost as they were treated as patients not as a ‘person’. In response, it was reported that work was taking place on leadership and management within care homes with good practices being shared and consideration given to how they could be adopted in their care home setting i.e. a tv room made to look like a theatre and activities taking place during the day that residents can dip in and out of. This would create a culture where they would challenge each other. The importance of activities in the care home setting was ... view the full minutes text for item 9. |
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Health Policy and Performance Board Annual Report : 2013/14 PDF 16 KB Additional documents: Minutes: The Board considered a report of the Strategic Director, Communities
which presented the Annual Report for
the Health Policy and Performance Board for April 2013- March 2014 attached as
Appendix 1 to the report. It
was reported that during 2012 -13 the Board
had looked in detail at many of
Halton’s Health and Social Care priorities. Further
details of these were outlined within the Annual Report set out in Appendix 1
to the report. The Chairman took the opportunity to thank
Officers and Members for their contribution to the Board and Working Groups
during the last municipal year. RESOLVED: That the report be noted. |
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Scrutiny Topic 2014/15 : Care at Home Provision in Halton PDF 26 KB Additional documents: Minutes: The Board considered a report of the
Strategic Director, Communities, which presented Members with details of the Care at Home
Provision Scrutiny topic as outlined in the Topic Brief attached as Appendix 1
to the report. RESOLVED:
That (1)
the
report and comments raised be noted; (2)
the
Topic Brief outlined in Appendix 1 to the report be approved; and (3)
the
following Councillors be nominated as Members of the Care at Home Provision
Topic Group; Councillors: Baker, E Cargill, Horabin, M Lloyd-Jones, C Loftus,
Sinnott, Wallace and Mr
T Baker. |