Venue: Council Chamber, Runcorn Town Hall. View directions
Contact: Lynn Derbyshire on 0151 471 7389 or e-mail lynn.derbyshire@halton.gov.uk
No. | Item |
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Minutes Minutes: The Minutes of the meetings held 8th and 28th March 2011 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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Executive Board Minutes PDF 15 KB Additional documents: Minutes: The Board considered the Minutes of the meetings of the Executive Board Sub Committee relevant to the Health Policy and Performance Board.
RESOLVED: That the minutes be noted. |
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Additional documents: Minutes: RESOLVED: That the minutes be noted. |
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Performance Monitoring Reports - Quarter 4 PDF 27 KB Additional documents:
Minutes: The Board considered a report of the
Strategic Director, Policy and Resources regarding the 4th Quarter
Monitoring Report for: ·
Prevention
and Commissioning Services; ·
Complex
Needs; and ·
Enablement
Services. The following comments arose from the discussion:- ·
PCSI 1 – Repossession – Due to budgetary cuts to
the Citizen Advice Bureau and in the economic climate it was suggested that the
Board would need to monitor this situation as more houses could be re-possessed
in the Borough. It was noted that the
Authority had a mortgage advisor who could help with this situation; ·
PCS10 – It was noted that the Authority undertook
the training of staff employed by the independent sector registered care services
on the protection of adults; ·
Page 60 -% of items of equipment and adaptations delivered
within 7 working days - the Board took the opportunity to place on record their
congratulations to Officers on their excellent performance; · NI236 – Early access for women to maternity services - It was agreed the Recovery Plan be monitored by the Board, ·
It
was noted that questions had been submitted prior to the meeting and a response
provided which had been circulated at the meeting and would be attached as
Appendix 1 to the minutes RESOLVED: That the report and comments made be noted. |
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Annual Report for the Health Policy and Performance Board PDF 15 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 2010- March 2011 attached as Appendix 1 to this
report. It was reported that during 2010 -11 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. RESOLVED: That the report be noted. |
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Note: (Councillor M
Lloyd Jones declared a Personal Interest in the following items of business due
to her husband being a Non Executive Director of Halton & St Helens Primary
Care Trust.) |
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Windmill Hill Access Centre PDF 27 KB Minutes: The Board considered a report of
the Strategic Director, Communities which gave Members
an update on the recent Patient and
Public consultation regarding the potential closure of the nurse led Windmill
Hill Access Centre. The Board was advised that a report had
previously been submitted to Halton & St Helens PCT Clinical Commissioning
Committee in October 2010 and to the Finance Performance Approvals Committee on
27th April 2011. The Board was further advised that prior to 1997 the residents of Windmill Hill
had access to a singled handed GP
practice for their health needs. However, when the GP had left, the existing
patient list had been distributed between Castlefields
and Murdishaw practices. Ms Chris Turner, Halton & St Helens PCT and Ms Elaine McDowell, Since opening, the access centre had provided health care for people who
had coughs, sore throats, rashes, and many other minor illnesses. However,
people who had more complex or long term conditions required the continuity
provided by their own GP. On the 29th January 2010 the new Equitable Access GP practice had been
opened to the residents of Windmill Hill, and now had a list size of 1173
patients. The new GP practice provided an enhanced service to that available at Windmill Hill
Access Centre. For example: Women’s Health Clinic, Well Woman Clinic, Well Man
Clinic, Mother & Baby Clinic,Travel Health, Smoking
Cessation, Phlebotomy, Respiratory Clinic and many more. There had also been an increase in the
opening hours and the facility was available seven days a week. In January 2011 the PCT had completed a three month
consultation with the residents of Windmill Hill regarding the access
centre. The results from the
consultation highlighted the need for access to health care. It was proposed to
close the nurse led access centre from 1 August 2011. The following comments arose from the
discussion:- · The Members noted that the Member for the
Windmill Hill ward was not in attendance at the meeting; ·
It was noted that there would be no job losses as a
result of the changes; ·
Clarity was sought on how the changes would be
communicated to the community. In
response, it was reported that the Primary Care Trust would be developing a
full communication plan to ensure the community were aware of the changes. In addition, patients had already been
registered at Murdishaw and Castlefield surgeries;
and ·
It was noted that the new GP centre was fully
accessible for people with disabilities. RESOLVED: That (1) the report ... view the full minutes text for item 7. |
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Summary of Quality Accounts 2010/11 for Warrington and Halton NHS Foundation Trust PDF 29 KB Additional documents: Minutes: The Board considered a report of
the Strategic Director, Communities which gave Members a summary of the Quality Accounts
2010/11 for The Board was advised the Quality Accounts
summary detailed a comparison between 2009/10 figures and 2010/11 figures for
various subject areas, for example, infection control, pressure ulcers, Thromboprophylaxis, falls, Hospital Standardised Mortality
Review (HSMR), along with a narrative for each area. Mr David Melia,
Director of Nursing, Warrington and St Helens NHS Foundation Trust attended the
meeting to present the report, Mr Melia outlined the issues and priorities that had been
identified last year for improvement and provided assurance on performance in
respect of:-
The following comments arose from the
discussion:- ·
Clarity was sought on the procedures that were in
place for when a patient used their call bell, In response, it was reported
that one of the priorities for the organisation was to look at ways of freeing
up nurse time to enable them to have more control of their wards, spend more
time with patients and relatives and undertake regular ward rounds. This would result in nurses being more aware
of any issues/concerns that a patient may have and reduce the need for that patient
to use a call bell. It was noted that
this would present a challenge. However,
it was also noted that work was being undertaken with staff to identify areas
of duplication, work processes and what activities take nurses away from
providing clinical care; ·
It was noted that a recent unannounced inspection
had shown that staff were very responsive to the needs of the patient and the
dignity in care for older people had received an endorsement; ·
It was noted that there had been some improvement in
electronic systems such as the transfer of images between the sites, but as yet
electronic records had not been developed; ·
Clarity was sought on whether there were any action
plans for the eight target areas. In
response, it was reported that each area was project led, with clear aims and
objectives and a monitoring process in place.
It was suggested that this information could be presented to a future
meeting of the Board; ·
Clarity was sought on the information relating to
falls – out of the 55 patients, how did they fall,
where they alone when they fell and the age range. In response, it was reported that the
detailed information was available on the website. Members requested the link to the website and
it was agreed that this would be circulated to all Members of the Board; · Clarity was sought on MRSA procedures in relation to informing family members or carers when the patient was discharged from hospital, In response, it was reported that this raised issues of confidentiality and the ... view the full minutes text for item 8. |
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Draft Scrutiny Review of Dignity PDF 27 KB Additional documents:
Minutes: The Board considered a report of
the Strategic Director, Communities which introduce the draft report of the Scrutiny
Review of Dignity in Care. It was reported that Appendix 1 set out in the report was
commissioned by the Board. A scrutiny review
working group had been established with five Members from the Board, a
Principal Policy Officer from the policy team, the Dignity in Care Co-ordinator
and the Divisional Manager from the Independent Living Service. The Board was advised that the report had been commissioned as Halton Borough Council was the only local
authority in the country with a Dignity in Care Co-ordinator, as well as the
only one that covered both the council and the wider remit of Health. The scrutiny review had been conducted through a number of means between
October 2010 and April 2011, as follows: ·
Monthly
meetings of the scrutiny review topic group; ·
Presentations
by various key members of staff from the Council and Health (detail of the
presentations were attached at Appendix 2 of the report); ·
The
provision of information; ·
Service-user
consultation; and ·
A field
visit to a Productive Ward at An additional paper was circulated at the
meeting which requested that Members endorse the report and all the
recommendations that were in their report.
In addition it be agreed that they should be put together at the end of
the report for clarity. The Board was advised that the report would be
presented to the Executive Board for approval. In addition, it was agreed that the
Board monitor progress on the recommendations on a six monthly basis. RESOLVED: That (1)
the
comments raised be noted; and (2)
the
Dignity in Care Scrutiny Review endorse the following recommendations:- ·
to include
the Multi Agency contact sheet in a future edition of Inside Halton; ·
endorse
continued briefing and training of staff both within social care and health and
continue with the public awareness raising; ·
continue
to positively promote the work of personalisation within Halton; ·
the
group suggest the continued roll out of the Productive Ward concept in both ·
the use
of Health Passports throughout the care system and extended beyond adults with
learning disabilities; ·
in
single sex wards in Whiston Hosptial
the male/female sign on toilets should also be accessible to people with visual
impairment; and ·
(3)
the
recommendations be presented to the Executive Board for adoption; and (4) the Board receive six monthly update reports on the progress of the recommendations. |
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Halton’s Health and Wellbeing Joint Strategic Needs Assessment (JSNA) PDF 55 KB Additional documents:
Minutes: The Board considered a report of
the Strategic Director, Communities which presented the process undertaken for
the production of the 2011 Joint Strategic Needs Assessment (JSNA). The
Board was advised that the draft executive summary was attached in Appendix 2 to the report
which included a summary of key findings and priorities. The
following comments arose from the discussion:- ·
It was noted that a question had been submitted
prior to the meeting and a response provided which had been circulated at the
meeting and attached as Appendix 1 to the minutes ·
It was agreed that as there was an overlap with the
Children and Young People’s Policy and Performance Board, that the report sent
to Members of that Board; ·
It was agreed that contact details of the Mortgage
Rescue Advisor would be circulated to all Members of the Board; ·
Concern was raised that due to the budgetary cuts
elderly people could be more vulnerable to falls in the evening. In response, it was reported that Telecare was available and there had been an increase in
the health budget for night services on a temporary basis and this gave the
Authority an opportunity to try out new approaches; and ·
It was noted that it was a very good comprehensive
report. However, it was suggested that
in light of the current economic downturn, future reports contain information
on the work available in the Borough as this impacted on the health and well
being of families. RESOLVED: That the report and comments raised be noted. |
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Sustainable Community Strategy 2010 - 11 Year-end progress report PDF 223 KB Minutes: The Board considered a report of
the Strategic Director, Communities which provided information on the progress in
achieving targets contained within the Sustainable Community Strategy for
Halton. The Board was advised that the Sustainable Community Strategy for Halton, and the performance measures and targets contained within it 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 following comments arose from
the discussion:- · In respect of NI 142 – Improve the number of vulnerable people supported to maintain independent living – Clarity was sought on how many services were commissioned. Members also requested more information on the service; · It was agreed that information on the Floating Support Service would be circulated to all Members of the Board; · It was noted that organisations were encouraged to submit their performance monitoring data. It was also noted that sometimes organisations had failed to submit their data due to the timescales; and · It was suggested that a list be provided of performance indicators that had ceased to exist at the national level be produced with an indication of how they would be monitored in the future, In response, it was reported that the next steps would be to identify priorities in order to determine what the performance indicators would need to be, This process had just commenced and Members views were welcomed. RESOLVED: That the report and comments raised be noted. |
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The Cheshire and Merseyside Treatment Centre PDF 30 KB Additional documents: Minutes: The Board considered a report of
the Strategic Director, Communities which reported that NHS Halton and The Board was advised that the The Board was further advised
that NHS Halton and ·
Do nothing- included only to provide a benchmark
for cost comparison; ·
Divest- sell the building on the open market
guided by an assessment by the District Valuer; ·
Lease- seek through a procurement process an
organisation that was willing to take on a lease for the building; and ·
Utilisation- use the asset for local health
care provision, if costs including capital charges, depreciation and running
costs could be recouped. It was reported that NHS
Halton and The report, concluded that taking into
account the overall mix of benefits, costs and risks and assuming that the
covenant did not apply, it was recommended that further work be undertaken to
develop the implementation option details for D2 and D3 set out in the report. The Board also received a presentation
from Mr Simon Bank, Halton and St Helens Primary Care Trust (PCT), outlining
the key issues and benefits within each option.
He also reported that various public events had been arranged in Widnes,
Runcorn and The following comments arose from the
discussion:- ·
Clarity was sought on whether the option put
forward could be delivered, particularly in light of the Government proposed
change.. In response, it was reported
that the options had been through the process of a benefits evaluation and had
been led by the GP Consortia. The
proposed options would deliver the best patient experience and the long term
needs of patients in Halton; · Clarity was sought on whether this would have an ... view the full minutes text for item 12. |
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Proposal for the development of a Health and Well-being Board PDF 96 KB Minutes: The Board considered a report of
the Strategic Director, Communities which gave Members an update on the
development of a Shadow Health and Well-being Board for Halton, Halton’s application to become an Early Implementer of
Health and Well-being Boards and detailed the draft terms of reference for
comment and discussion. The Board was advised that it was
proposed that a Shadow Health and Well-being Board would be established by
summer 2011. Recent consultation with GP colleagues highlighted a desire not to
rush into any formal arrangements, but to take a more measured approach in
order to allow the new Board to evolve as all parties became clearer about
their respective roles and the emerging role for the new partnership Board. In
order to progress development of a Shadow Board the following points were
suggested for action: ·
Distribute
the Draft Terms of Reference more widely following comments from PPB members; ·
If it
is agreed that the new Shadow Health and Well-being Board could also
incorporate the role of the Health Partnership Board and arrangements would
need to be made to dissolve the HHP Board; ·
Arrange
the first meeting/ development session for the new Shadow Health and Well-being
Board to take place in Summer 2011; and ·
Make
use of the Early Implementer Network to share experiences with other areas and
benefit from the expertise offered from the DH. The following comments arose from
the discussion:- ·
It was noted that two questions had been submitted
prior to the meeting and a response provided which had been circulated at the
meeting and attached as Appendix 1 to the minutes; ·
In respect of Page 282, paragraph 3.15 of the
report -– it was noted that this would
significantly increase the workload and the responsibilities of Elected Members
with less resources from Officers of the Council. It was also noted that the Board would need
further reports in order to monitor the situation; and ·
It was agreed that the Board receive the minutes
of the Heath and Well Being Board as a standard item on the agenda. RESOLVED: That (1)
the content of the report and comments raised be
noted; (2)
the draft Terms of Reference set out in Appendix
1 to the report be supported; (3)
the recommendations for the links to the Health
and Well Being Boards for Children’s Services as set out in paragraph 3.19 of
the report be supported; (4) the next steps as set out in paragraph 3.30 of the report be agreed; and (5) the Board receive the minutes of the Health & Well Being Board as a standing item on the agenda. |
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STANDING ORDER 51 Minutes: The Board was reminded that Standing Order 51 of the councils constitution stated that meetings should not continue beyond 9 pm RESOLVED; That Standing Order 51 be waived to allow the meeting continue beyond 9 pm |
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Minutes: The Board
considered a report of the Strategic Director, Communities which gave Members
an update
on key issues and progression of the agenda for Safeguarding Vulnerable Adults. The Board was
advised that Halton LINk had held an informal ‘drop-in’ event/coffee morning in
February 2011 to mark Dignity Action Day.
The aims were to offer LINk’s support to the
local and national Dignity in Care campaign, to raise awareness of the
importance of Dignity in Care and highlight what was taking place locally,
remind society that the dignity of those in their community was not the sole
responsibility of health or social care staff- and that everyone had a role to
play, remind the public that staff have a right to be treated with dignity and
respect too, and hear about people's
experiences of local health and social care services over the past 12 months. The Board was further advised that on the 15th February 2011, a
shocking report from the Health Service Ombudsman, Ann Abraham, had been
published called “Care and Compassion” www.ombudsman.org.uk. The Board noted the key issues and progressions of the
safeguarding agenda set out in paragraphs 3.3 – 3.10 of the report The following
comments arose from the discussion:- ·
It was noted that the definition of ‘Serious
Untoward Incident’ would be circulated to Members of the Board; ·
Clarity was sought on the
change in respect of CRB checks. In
response, it was reported that the list of occupations within the CRB check
system was comprehensive, with different levels of checks required depending on
the occupation i.e. basic, standard and enhanced. However, it had been proposed that this list
be extended to incorporate additional occupations at various levels and this
had been put on hold; ·
Concern was raised that
some agency staff could be operating in the community without a CRB check. In addition, clarity was sought on whether
Members could undertake visits to residential/nursing homes in the Borough as
part of the safeguarding duties. In
response, it was reported that some Members do undertake visits to
residential/nursing homes, but it would be via an appointment and as they were
now independent providers, it was not an automatic right. However, the Contract Team, who were
responsible for the contracts with external providers of care services
undertook regular visits of the establishments and also had various methods of
collecting data and focussing on any concerns that are raised. In addition, it was agreed that a previous
report which had been considered last year highlighting a sample of the quality
of services that were provided for Halton be circulated to all Members of the
Board for information. RESOLVED: That
report and comments raised be noted. |