Agenda and minutes

To receive any apologies for absence.

Apologies were received from Councillor Jan Warwick.  Councillor Neville Penman, as the conservative standing deputy, was in attendance in her place. 

Apologies were also received from co-opted member Councillor Trevor Cartwright.

The Chairman welcomed Councillor Tina Campbell to the meeting, who had been appointed by HIOWLA as the fourth co-opted member representing district and borough councils.

All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to the circumstances described in Part 3 Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Non-Pecuniary interest in a matter being considered at the meeting should consider whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.

Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code.  Furthermore, Members were mindful that where they believed they had a Non-Pecuniary interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.

No declarations were made.

To confirm the minutes of the previous meeting

The Minutes of the meeting of the Health and Adult Social Care Select Committee (HASC) held on 21 September 2017 were confirmed as a correct record and signed by the Chairman.

To receive any deputations notified under Standing Order 12.

The Committee did not receive any deputations.

To receive any announcements the Chairman may wish to make.

The Chairman made three announcements:

Death of Former Co-opted Member Councillor Dennis Wright

With regret the Chairman notified the Committee of the passing of Councillor Dennis Wright, who represented district and borough councillors on the Health Overview and Scrutiny Committee, and latterly on the HASC, until he stood down from that role in June 2017.  The Chairman spoke on behalf of the Committee, giving their thoughts and wishes for his family at this sad time, and remembering his contribution to the Committee.  A minute of silence was held in his memory.

Consultation on Older People and Physical Disability Service Day Opportunities

Members received an email on 15 November alerting them to the current consultation on this subject, which opened on 13 November and would close on 7 January 2018.  This considered the future of two older peoples’ day services; Bulmer House Day Service in Petersfield, and Masters House Day Service in Romsey, with a view to providing more personalised and tailored support to those currently attending.

During the consultation period, staff would work with those who currently use Bulmer House and Masters House day services and their families and carers to explore other potential options that they may wish to use.  Detailed work had already started on identifying alternative options for these people.

To ensure that the Committee would be provided with the opportunity to participate in the consultation, a separate briefing for HASC had been arranged for Thursday 7 December.  Members would be further contacted in advance of this briefing to provide any necessary background information.

In addition, Members would have noted that the HASC previous scheduled for 20 March had been brought forward to 27 February, in order to facilitate the pre-decision scrutiny of this item.

Briefings and Updates

Updates would be shared after this meeting with the Committee on:

·           Andover Minor Injuries Unit (Hampshire Hospitals NHS Foundation Trist)

·           Transforming Care Partnership (via West Hampshire Clinical Commissioning Group (CCG))

To consider the report of the Director of Transformation and Governance on proposals from the NHS or providers of health services to vary or develop health services in the area of the Committee.

Items for Monitoring

·      Guildford and Waverley CCG: West Surrey Stroke Services – update on implementation

NHS Guildford and Waverley CCG: West Surrey Stroke Services

The scrutiny officer to the Committee provided a brief overview of the report, and noted the responses to those areas where Members had made previous representations (see report, Item 6 in the Minute Book).

Members agreed that the temporary model being operated showed a positive impact on the conveyance times of those in the affected areas of Hampshire.  Members wished to be assured that treatment times at Frimley Park also remained positive, and that the relevant CCGs would continue to monitor ambulance response times.

RESOLVED

That the Committee:

a.  Note the outcomes of the consultation and final proposals for stroke services in West Surrey, which impact on some areas of South Eastern Hampshire.

b.  Request a further update once the new service model has been fully embedded, to include monitoring information on the ambulance response times in the affected Hampshire area, and treatment times once patients have reached Frimley Park Hospital.

To consider a report of the Director of Transformation and Governance on issues brought to the attention of the Committee which impact upon the planning, provision and/or operation of health services within Hampshire, or the Hampshire population.

·       Portsmouth Hospitals NHS Trust: Care Quality Commission Re-Inspection – consideration of action plan

·       Southern Health NHS Foundation Trust: Care Quality Commissioner Re-Inspection – update on progress

The Chairman agreed to take the second issue under Item 7 first.

Southern Health NHS Foundation Trust – Care Quality Commission Re-Inspection

Representatives from Southern Health NHS Foundation Trust presented a report updating the HASC on the progress of actions relating to the Care Quality Commission (CQC) and Mazars reports (see report, Item 7 in the Minute Book).

Members heard that Dr Nick Broughton, the new Chief Executive, had now taken up his post, and a new Chair, Lynne Hunt, was also now in position.  As a result of these Executive roles being filled, Julie Dawes, who had been the Interim Chief Executive, had now returned to the position of Chief Nurse.  The Executive Board felt new, and would take some time to embed.

Since this item had last appeared before the Committee, the CQC had undertaken an inspection of the Elmleigh and Antelope House adult mental health units, as a result of information received from whistleblowing.  This inspection had not resulted in the Trust being required to take any actions, although there were some ‘should do’ recommendations which Southern Health would integrate into its action plans.

An internal review had been commissioned from Niche Grant Thornton which considered the progress of all of the actions the Trust had needed to implement.  The report gave an ‘A’ to ‘E’ rating of 80 actions, with ‘A’ being the most advanced and ‘E’ the least progressed.  All of the actions had been given an ‘A’ or ‘B’ rating, and the comments received were positive.  Although the report highlighted some areas for improvement, the overall commentary noted that there was now a robust ‘Serious Incident Requiring Investigation’ (SIRI) process in place.

The Trust were subject to two ongoing prosecutions, one which related to a service user in Hampshire and another in Oxfordshire, with both being publically known cases.  Southern Health were not defending these suits.  Both related to health and safety, and the Trust felt that the considerable amount of work undertaken since the time of these incidents had resulted in environments being as safe and ligature-free as possible.  Going forward, it would be important that the Trust continued to build confidence in staff and service users, as well as the public, about these improvements.

In response to questions, Members heard:

·       That the most recent CQC report detailed concerns reported by staff about miscommunication between the Executive team and staff in Antelope House about expectations around the Hamtun ward reopening.  The Trust were aware of these concerns before the CQC inspection, and had discussed learning with staff.  The Trust believed that the ward had been opened safely, and with a new management team in place now, there would be a better relationship from floor to ward.

·       Antelope House staff may have previously felt disenfranchised in previous years due to the nature of the service, and how the service was managed, but recent engagement with staff had shown that this was no longer the case.

·       In relation to the death of a service user  ...  view the full minutes text for item 37.

To consider an annual update on Adult Safeguarding.

The Director of Adults’ Health and Care presented a report on Adult Safeguarding (see report, Item 8 in the Minute Book).

The report was taken as read, and in response to questions, Members heard:

·       That proof of concept was important to test when adopting new technologies, and the Department had piloted a number of different types.  This included those that enabled greater social contact to be made, and those which acted as sensors and reminders, as well as the more traditional forms of social care technology like fall alarms.  Rolling out technology to those who would benefit from it would allow precious social care resources to be freed up, and would result in more time for face to face time with those service users who need it.

·       Much of the technology being used was through the Argenti partnership, with any device tested and adjusted with service users before being rolled out across the County.  All technologies being regularly used had been implemented based on research, evidence and feedback.  Currently the service was looking at the benefits of using technologies such as Amazon’s ‘Alexa’.

·       Approximately 9,300 service users have integrated technology into their daily routine.  More than 5,000 of these individuals only used technology to assist their social care needs, rather than other forms of support.

·       It would be important to ensure that the Department closely monitored the use of technology to ensure that it doesn’t impact negatively on service users.

The Director indicated his willingness to bring a future briefing to Members on the use of technology in Adults’ Health and Care.

RESOLVED:

That the report is noted.

To consider and approve the Health and Adult Social Care Select Committee Work Programme.

The Director of Transformation and Governance presented the Committee’s work programme (see Item 9 in the Minute Book).

RESOLVED:

That the Committee’s work programme be approved, subject to any amendments agreed at this meeting.