Items
No. |
Item |
1. |
General
Additional documents:
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1(1) |
Apologies
Additional documents:
Minutes:
Apologies for absence from the
meeting had been received Councillors Drew, O’Donnell and
Rolfe (replaced by Councillor Roodhouse), from Councillor Clifton
and Vicky Castree (Coventry City Council) and from Phil Johns and
Rose Uwins (CWCCG).
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1(2) |
Disclosures of Pecuniary and Non-Pecuniary Interests
Additional documents:
Minutes:
Councillor Jerry Roodhouse declared an
interest as a Director of HWW.
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1(3) |
Chair’s Announcements
Additional documents:
Minutes:
The Chair welcomed everyone to the meeting,
especially new members to the Committee. She outlined the purpose
and remit of this committee, the breadth of services covered, and
this first meeting would provide context for newer members. The
Chair explained the additional arrangements for this face to face
meeting and the possibility of providing additional information to
members away from the formal meetings using virtual meeting
technology.
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1(4) |
Minutes of previous meetings PDF 1 MB
To receive the
Minutes of the meetings held on 17 February and 25 May
2021.
Additional documents:
Minutes:
The Minutes of the meetings
held on 17 February and 25 May 2021 were accepted as true records
and signed by the Chair.
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2. |
Public Speaking
Additional documents:
Minutes:
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3. |
Questions to Portfolio Holders
Up to 30 minutes of the meeting is available
for members of the Committee to put questions to the Portfolio
Holder: Councillor Margaret Bell (Adult Social Care and Health) on
any matters relevant to the remit of this Committee.
Additional documents:
Minutes:
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4. |
Questions to the NHS
Members of the Committee are invited to give
notice of questions to NHS commissioners and service providers at
least 10 working days before each meeting. A list of the questions
and issues raised will be provided to members.
Additional documents:
Minutes:
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5. |
Outline of services within the People Group
An introductory presentation to explain the
remit of the committee, its roles, how it works and degrees of
influence. To include the services the county council commissions
and those provided through Social Care and Public Health.
Additional documents:
Minutes:
The Committee
received an introductory presentation. The slides
had been circulated ahead of the meeting. Nigel Minns,
Strategic Director for People Group opened,
giving an overview of the Committee, its role and the service areas
it reviewed and scrutinised, including the specific role in
relation to health scrutiny. Slides included:
- The
Committee’s role
- Specific health
scrutiny powers
- The bodies and
providers involved
- Substantial changes in health services
Next an outline
was given on the People Directorate, covering its aim, vision and
roles in commissioning services and providing them. This included a
structure chart showing key officers. It was followed by further
detail from each of the Assistant Directors.
Shade Agboola,
Director of Public Health (DPH) covered the following areas:
- What is Public
health?
- A brief history
on the function
- Mandated
responsibilities
- Non-mandated
functions
- Funding
- The role of the
Director of Public Health
- A structure chart
showing the key personnel
- Current
priorities
- An offer to
circulate the previous statutory DPH annual report
Pete Sidgwick,
Assistant Director for Adult Social Care gave
an overview of Adult Social Care delivery. This covered the
following areas:
- An overview of
Adult Social Care
- Legislative
changes introduced by the Care Act 2014, the Mental Capacity Act
2005 and the implications for the Council
- How we support
individuals
- A graphic showing
key data for the service
- A structure chart
showing the key personnel
- Finances
- Key metrics
Becky Hale
concluded with an overview of People Strategy and Commissioning,
which covered the following areas:
- An overview of
the key roles of this function.
- The structure of
the three service areas Health, well-being and self-care,
integrated and targeted support and all age specialist
provision
- The key functions
to analyse, plan, do and review
- Partnership
working
- Commissioning
principles
- Examples of services
commissioned
- Extracts from the
commissioning plan for the period 2020-22 with slides showing
examples of the areas of work against analyse, plan, do and
review
The Chair thanked
officers for the comprehensive presentation and spoke of the scale
of expenditure involved. She used the example of the consultation
undertaken for the Coventry and Warwickshire stroke service
redesign to demonstrate the committee’s influence, speaking
of the good dialogue with NHS colleagues in considering this
reconfiguration. She invited questions and comments from the
committee:
- Councillor Pam
Redford raised the closure of the clinics where people could
undertake lateral flow tests and asked if the service could be
retained. Shade Agboola responded. With the move to home testing,
there had been a significant reduction in footfall at the sites and
their continuation could not be justified. Covid was likely to
remain into the future. The testing arrangements were dynamic, with
a current focus on certain key groups. One site would be retained
in Nuneaton and discussions were ongoing so some additional fixed
sites may be required, but for now they had been closed.
- Councillor John
Holland praised the clear presentation. He sought further
information regarding enquiries when members were notified of
people needing support. There were concerns about when issues
should be ...
view the full minutes text for item 5.
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6. |
Outline of NHS Services
To complement the above item, this is a
high-level presentation by the Coventry and Warwickshire Clinical
Commissioning Group (CCG) on the NHS services commissioned and
provided in Warwickshire.
Additional documents:
Minutes:
Dr Sarah Raistrick, Chair of the Coventry and
Warwickshire Clinical Commissioning Group (CWCCG) was welcomed to
the meeting. She gave a presentation explaining the roles of the
NHS and services delivered in Coventry and Warwickshire. The
presentation covered the following areas:
- Integrated Care in Coventry and
Warwickshire
- Health and care services
- Our role as a clinical commissioner
– plan, determine & prioritise, purchase and monitor
- Coventry and Warwickshire Health
System
- What happens at place and system, a
graphic on primary care networks, place and system
- How we can work together – the
ways the committee could receive information to undertake its
scrutiny role
- The next steps for health and care
in Coventry and Warwickshire
- Why become an ICS?
- Our Vision
- What does this mean for clinical
commissioning?
- Next steps for ICS
The Chair thanked
Sarah Raistrick for the comprehensive presentation and noted that
the ICS would feature on the committee’s future work
programme. She invited questions and comments from the
committee:
- Concerns were
raised about GP service delivery. Councillor Redford had received
complaints about the lack of face to face services, telephone
waiting times and the amount of personal information being required
by receptionists. There had been an increase in demand for GP
services, challenges in getting appointments, frustration and it
was especially so for those with mental health conditions. An
assurance was sought on service resumption.
- The Chair added
that a revisit of the focused task and finish group (TFG) on GP
Services would be proposed under the work programme.
- Sarah Raistrick
acknowledged these points which were raised to varying degrees
across the area. She explained that the information being sought by
receptionists was to ensure each patient was referred to the
correct part of the practice, as not all required the GP to
respond.
- In terms of the
‘return to normal’, there was a push under the NHS long
term plan to offer digital and remote services using technology.
This approach was preferred by some patients. Others preferred face
to face appointments and the CCG was working with GPs to ensure
capacity to offer this.
- An apology was
provided on the example of a patient having to call over 200 times
to join a call queue, which was not acceptable. The CCG would like
to work with the committee and the public on finding solutions to
such issues, to make suggestions to those providing the services.
GPs were working very hard, with increasing requests for
appointments. A range of other clinical staff were collocated at
practices to assist. Another area discussed was liaison with
patients via participation groups and Healthwatch.
- Councillor
Matecki asked about contact information for NHS services and the
process for escalation of queries to enable councillors to assist.
Sarah Raistrick offered to work with Nigel Minns on a combined
NHS/council contact list.
- Chris Bain of HWW
also offered to be a conduit for councillor enquiries, referring to
the recent briefing note he’d supplied. He was pleased to see
that ICS would have statutory powers, unlike the ...
view the full minutes text for item 6.
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7. |
Council Plan 2020-2025 Quarterly Progress Report PDF 709 KB
The Council Plan Year End Performance Report
was considered and approved by Cabinet on 17th June. This report
provides the Committee with information relevant to its remit. It
will be accompanied by a presentation.
Additional documents:
Minutes:
The Council plan year end performance report for the period 1 April
2020 to 31 March 2021 was considered and approved by Cabinet on
17June. A tailored report for the areas
within the committee’s remit was provided which reported an
overview of progress of the key elements of the council plan,
specifically in relation to performance against key business
measures (KBMs), strategic risks and workforce management. It
included a financial monitoring report for the period covering both
the revenue and capital
budgets, reserves and delivery of the savings plan.
The report was
accompanied by a presentation from Nigel Minns which covered the
following areas:
- Introduction
- Context and
Performance
- The two high
level outcomes
-
Warwickshire’s communities and individuals are supported to
be safe, healthy and independent; and,
-
Warwickshire’s economy is vibrant and supported by the right
jobs, training, skills and infrastructure.
- Of the 83% (ten) KBMs which were
‘on track’, there were four of note for which
detailed slides showed performance and a narrative, including
direction of travel
- There were two
KBM’s which were not on track at year end of which one
required highlighting on people with a learning disability or
autism in inpatient care.
- Finances –
revenue, savings and capital
The Chair thanked
officers for the presentation and invited questions and comments
from the committee:
- Councillor
Matecki asked if targets were achieved or exceeded, whether they
were refreshed to make them more stretching. Targets were set to
stretch but be achievable. They were not adjusted in year, but a
focus was maintained, and endeavours were made to exceed the
targets.
- Councillor
Humphreys spoke of the increase in domestic abuse cases, asking how
services had coped. She questioned if there was a role for local
councillors in providing ongoing support. Becky Hale gave an outline of the joint work
across partners, including the Police, Refuge and the Council. This
included targeted activity, campaigns and communications work on
domestic abuse services. There was new domestic abuse legislation
and a lot of work was taking place within the Council and with
partners to meet its requirements. This would be a useful area for
the committee to consider. Warwickshire had been recognised as an
example of good practice for its work on collaboration. The Chair
agreed this could be added to the work programme and there would be
a key focus on the ICS too.
- The Chair encouraged people
who were experiencing domestic abuse to call the national domestic
abuse helpline on 0808 200 0247, also the website www.uksaysnomore.org which was
partnering with pharmacists to use their consulting room as a safe
space to report domestic violence. A further national resource
was www.nationaldahelpline.org.uk
·
In Warwickshire, Refuge had a domestic violence
service helpline on 0800 408 1552 (Monday-Friday 8:30am-8:30pm;
Saturday 10am-4pm). It included an out of hours voicemail and they
would respond. Contact could be made by email
DVSW@refuge.org.uk. Finally, in an emergency, people should call
999.
Resolved
That the Committee notes the presentation
and comments on the progress of the delivery
...
view the full minutes text for item 7.
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8. |
Work Programme PDF 293 KB
To review the Committee’s work programme
for 2021/22.
Additional documents:
Minutes:
It was reported that each overview and scrutiny
committee set a work programme of areas for consideration. A draft
work programme was discussed by the committee’s Chair,
Vice Chair and representatives of other groups (spokespeople) on 7
June. The outcome from that discussion was submitted. The
Chair provided context that the work programme would include some
significant pieces of work. The
committee reviewed its draft work programme, with the following
points being raised:
- The Chair
referred to the previous task and finish group (TFG) on GP
services, which would be revisited. For
the benefit of new members, the previous review report would be
circulated. Members wishing to participate in the TFG were asked to
contact Paul Spencer in Democratic Services.
- Councillor Mills
asked that the contact information provided under the previous item
be circulated to members.
- In response to a
question from Councillor Cooke, an outline was provided on the
function of the Chair and party spokespeople meetings. It was emphasised that those meetings and the
scrutiny function were not political.
- The Chair
highlighted the proposal to include menopause services on the work
programme. This was supported and a date for its consideration
would be agreed. Similarly, the topic of domestic abuse services
would be included on the work programme.
- Reference was
made to the briefing notes circulated and those proposed in the
near future.
Resolved
That the Committee approves its draft work
programme as submitted.
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