Appendix 9(a) BLACKPOOL COUNCIL REPORT of the HEAD OF DEMOCRATIC SERVICES to CHERRY TREE AREA PANEL CHERRY TREE AREA FORUM MEETING HELD ON TUESDAY 1ST MAY 2012 1. Introduction Ms Sarah Elliott, Head of Neighbourhood Services South welcomed members of the community to the meeting. She introduced the Councillors for the Area Forum, Councillor Coleman (Marton ward), Councillor Hutton (Clifton ward), Councillors Hardy and Mrs Haynes (Hawes Side ward) and Police Sergeant Mark Stringfellow. She explained that her role was to manage the service area delivery team, working in partnership with the Police, Fire Service and NHS Blackpool and she had recently taken over responsibility of the Marton ward. She added that a community representative, who would be elected later in the meeting, would chair future Forum meetings. Ms Elliott advised the Forum that following a review of the Area Panels/ Forums last year, applications for six community representatives had been sought. Applications had been received and the deadline for nominations was Friday 30th March. One of the six Community Representative positions had been appointed through the Blackpool Young People’s Council and the Young People’s Community Representative for the Forum was Lauren Bates, who unfortunately was unable to attend the meeting. She explained that three nominations had been received from residents and organisations living and/ or working in one of the three wards for the remaining five vacancies. The nominees were: Ann Allen Jack Borrino John Garnham Ms Elliott sought affirmation of the Area Forum that the three nominees be elected as Community Representatives. The Forum was advised that as all three nominees had indicated a wish to become the Chairman of the Area Panel/ Forum, an election was necessary and upon arrival residents, on the Electoral Register, had been provided with a purple ballot paper and some additional information provided by the candidates. Each nominee addressed the Forum and Ms Elliott asked residents to place an ‘X’ against the candidate they would like to vote for to become the Chairman. She explained that the ballot papers would be counted during the presentation and anyone was welcome to observe the process. The results of the Election would be announced after the presentation. Appendix 9(a) The Forum was reminded that there were two remaining vacancies for Community Representatives and further nominations were being sought. The deadline would be 4pm on Friday 15th June 2012 and if necessary, an election would be held at the Forum meeting on Wednesday 18th July. Ms Elliott confirmed that applications forms were available at the meeting. Area Forum Funding Ms Elliott reported that with effect from the 1st April 2012 the Area Forum funding had been reinstated following contributions from Blackpool Council, NHS Blackpool and Blackpool Coastal Housing. There was a total of £22,500 for the Cherry Tree Area Forum to spend on community related projects. Following a number of questions, it was confirmed that the funding would not be ring fenced for clean and green projects, as it had previously had been. In order to develop the “community” ethos the funding would be for the Forum as a whole and not proportioned between the three wards and unless the funding was time sensitive, the Forum would be the primary decision maker. The Forum was advised that a fully completed application, which was available at the meeting, needed to be returned by no later than 5pm on Friday 13th July for consideration by the Forum at its meeting on Wednesday 18th July 2012. Ms Elliott explained that applicants would be given the opportunity to address the Forum on their application before a vote was taken. 2. Context The Area Panel at its meeting held on 28th March agreed that representatives from NHS Blackpool and Neighbourhood Services, Blackpool Council would be invited to give a joint presentation, using the interactive voting pads, to identify the community’s priorities, which would then be fed into both the Health commissioning priorities and assist with the prioritisation of resources. The Panel had agreed, in view of recent boundary changes and the inclusion of Marton residents, to identify a centralised location within the three wards. It was suggested, subject to availability, that the preferred venue would be St Wilfrid’s Church, Langdale Road or Clifton Christian Centre (Elim Pentecostal Church), Langdale Road. 3. Theme Mr Ian Treasure, Deputy Director of Quality and Engagement, NHS Blackpool explained that following the changes to NHS Blackpool the Clinical Commissioning Group had been established and was keen to involve the community in the development of the Commissioning Strategic Plan. Mr Treasure explained the purpose of the presentation was to establish the Forums perception of health priorities, which would then assist in the formulation of a strategy and priorities of the Health and Well Being Board and subsequently the Clinical Commissioning Group. Residents of the Cherry Tree Area Forum were given the opportunity to comment, using voting key pads, on what they perceived to be the health priorities for their community. Mr Treasure facilitated this process. 1. Preventing People from Dying Prematurely - What do you think of the priority to reduce alcohol dependency? 52% strongly agreed, 24% agreed. 2. Preventing People from Dying Prematurely - What do you think of the priority to reduce CVD mortality? 87% strongly agreed. Appendix 9(a) 3. Preventing People from Dying Prematurely - What do you think of the priority to reduce cancer mortality? 71% strongly agreed. 4. Reducing Health Inequalities - What do you think of the priority to increase smoking quitters? 27% strongly agreed, 27% agreed and 27% neither agreed nor disagreed. 5. Reducing Health Inequalities - What do you think of the priority to reduce the harm caused by substance misuse? 45% strongly agreed, 23% neither agreed nor disagreed. 6. Reducing Health Inequalities - What do you think of the priority to reduce the harm caused by alcohol consumption? 40% strongly agreed, 25% agreed. 7. Reducing Health Inequalities - What do you think of the priority to tackle sexual health? 43% strongly agreed, 29% neither agreed nor disagreed. 8. Reducing Health Inequalities - What do you think of the priority to reduce obesity? 32% strongly agreed, 23% agreed, 23% neither agreed nor disagreed. 9. Commission for better outcomes - What do you think of long-term condition treatment as a priority? 64% strongly agreed, 23% agreed. 10. Commission for better outcomes - What do you think of mental health as a priority? 63% strongly agreed, 17% agreed, 17% neither agreed nor disagreed. 11. Commission for better outcomes - What do you think of reducing demand for unplanned care as a priority? 36% strongly agreed, 32% neither agreed nor disagreed. During the interactive session, a number of comments were made regarding the questions posed. It was suggested that alcohol dependency should be a recognised illness and the priority to reduce the harm caused by alcohol consumption, should be rephrased to read “excessive” alcohol consumption. It was suggested that long-term conditions, such as Chronic Obstructive Pulmonary Disease (COPD) was not only caused by smoking, but also could be hereditary. Mr Treasure reported that scientific health evidence had confirmed that 90% of all cases resulted from smoking. A Forum member asked what percentage of long term conditions were hereditary. Mr Treasure agreed to investigate and feedback to the member. A resident referred to the mental health priority and explained that in their opinion this needed urgent attention as Blackpool was ranked fifth highest in the country for suicide. Mr Treasure added that the development of the mental health inpatient unit at Whyndyke Farm was due to start in the near future. In response to the priority to reduce demand for unplanned care, it was suggested that the lack of available doctors’ appointments affected the number of people attending hospital in the first instance and that provision should be made urgent appointments. A Forum member suggested that telephone consultations would be available at all surgeries. Mr Treasure confirmed that residents should be able to see a doctor within 48 hours, if not he recommended residents to use the surgery’s complaints procedure as this was regularly monitored by the Clinical Commissioning Group Appendix 9(a) The Forum was provided with comparative statistics for the national average and Blackpool and Mr Treasure highlighted that that Blackpool experienced high levels of deprivation, the worst levels of smoking in pregnancy, drug misuse and smoking related deaths in the country. He explained that whilst life expectancy was increasing in Blackpool it was not increasing nearly as fast as it was for the country on average and the gap was getting wider. It was reported that the average life expectancy of a female living in Blackpool was 79 years compared to 82 years nationally and 74 years for males compared to 78 years nationally. The life expectancy of a child born in the Bloomfield ward was 10 years lower than the national average. Mr Treasure explained that the causes of the increasing gap were: Digestive diseases (including liver cirrhosis) Heart diseases and strokes Respiratory diseases Cancers Overdose and poisoning (alcohol and substance misuse) Self harm (including suicide) Infant mortality He advised the Forum that the Clinical Commissioning Group had identified the following priorities: Preventing People from Dying Prematurely o Reduce cardiovascular disease (CVD) mortality o Improve cancer mortality o Reduce Alcohol Dependence Reduce Health Inequalities; o Increase smoking quitters o Reduce Harm Caused by Alcohol Consumption o Substance Misuse o Sexual Health o Reduce Obesity Commission for Better Outcomes; o Quality of Life for patients with Long Term Conditions o Mental Health o Reduce Demand for Unplanned Care o QIPP (quality, innovation, productivity and prevention). Mr Treasure explained that NHS Blackpool was able to improve on all the priorities with the existing resources and the NHS QIPP (quality, innovation, productivity and prevention) challenge would ensure that the health pound would be spent more efficiently. He offered to provide copies of the Commissioning Strategy Plan to interested parties, which would explain how the Clinical Commissioning Group would address the identified priorities. A resident queried the definition of “premature”. Mr Treasure had previously explained the national average life expectancy figures so anything below those could be considered premature. It was suggested that the transient population and the high level of retired residents relocating to the area could affect the statistics provided. Mr Treasure acknowledged this fact and confirmed the migration issue was being considered. Appendix 9(a) It was suggested that doctors’ surgeries could be more proactive, reporting that some practices offered health checks from the age of 40 to identify potential health issues earlier therefore saving money in the long term. Mr Treasure confirmed that practices also offered health checks from 75 years of age. Ms Elliott thanked Mr Treasure for his presentation. Ms Elliott, Head of Neighbourhood Services South displayed the following list of neighbourhood priorities. Anti-Social Behaviour Dog Fouling Littering Fly Tipping and Refuse in Back Alleys Condition of Roads and Footways Maintenance of Parks and Grassed Areas Using the voting key pads, residents were asked what they perceived to be the priorities in their community. Ms Elliott explained that the results would inform the work of the Neighbourhood Team and the Area Panel. 1. Do you think reducing Anti-Social Behaviour is a priority for your area? 61% strongly agreed, 30% agreed. 2. Do you think reducing Dog Fouling is a priority for your area? 77% strongly agreed and 23% agreed. 3. Is reducing Littering a priority in your area? 64% strongly agreed, 32% agreed. 4. Is reducing Fly Tipping and Refuse in Back Alleys a priority in your area? 64% strongly agreed, 18% agreed. 5. Is addressing the Condition of Roads and Footways a priority for your area? 82% strongly agreed, 14% agreed. 6. Is the Maintenance of Parks and Grassed Areas a priority for your area? 48% strongly agreed, 35% agreed. Several Forum members referred to the issue of weed growth and whilst it was identified as a priority, it was acknowledged that the Council was often governed by EU Directive and weather conditions, which restricted the types of pesticides used and the timing of the work. A number of residents also commented that weeds were growing on footpaths recently tarmaced under Project 30 and questioned the standard of workmanship. It was acknowledged that weeds could grow anywhere, but Ms Elliott offered to investigate the matter. Another resident reported that she had no complaints with the contractors when their road was recently tarmaced. 5. Question Time A resident asked who had taken the decision to charge private motorists to tip rubble at the household waste recycling centres, as this would encourage fly tipping. Councillor Hutton expressed his concerns surrounding this decision and reported he would be investigating the matter further to establish the background, to this decision. Appendix 9(a) A Forum member suggested that Officers responsible for issues should be invited to attend Panel meetings to provide a response, which would then be feedback at the next Forum meeting. A resident raised concerns regarding the poor quality of work at the BMX facility at Stanley Park and it was suggested that a possible scrutiny of the workmanship of contractors working in behalf of the Council should be undertaken. Ms Elliott agreed to investigate the matter and offered to forward the suggestion of a scrutiny to the relevant Council Committee. Mr Morris-Iliffe, LEP Construction Manager, Blackpool Council who was at the meeting for another matter, commented that in the contract for the work at the BMX facility there would be a defects liability clause, which was a possible course of action for the Council. A resident reported that the parking around B and M Bargains, Vicarage Lane continued to cause traffic issues and the potential for an accident. Councillor Mrs Haynes reported that she had recently attend a site meeting with Ms Elliott and Mrs Galloway, Principal Engineer, Blackpool Council and it had been agreed that double yellow lines would be installed, although the timescales were unknown. The resident added that a traffic island had also been requested to assist patrons of ASDA to cross the road. Ms Elliott agreed to investigate the request for the traffic island and seek confirmation of the timescales for the double yellow lines. A number of concerns were raised regarding the damage of facilities/ infrastructure at Stanley Park and the misleading information being provided by the Park Management. It was suggested that the matter would be discussed by the Panel at its next meeting to identify what the community needed and whether responsible parties should be invited to the next Area Forum meeting. A neighbouring resident of Mereside School raised concerns regarding the disruption caused by the construction work at the school and the intrusion into her property. It was suggested that as no other residents had attended the meeting, the resident should discuss it privately with her ward Councillor. Mr Morris-Iliffe, LEP Construction Manager, Blackpool Council who had been invited to attend the meeting, along with colleagues from Eric Wright the Construction Company, acknowledged that some inconvenience had been caused to residents, but explained that the school was in dire need of refurbishment and had previously spoken with the resident regarding her concerns. He offered to meet with residents on a group or individual basis to discuss the matter. A Forum member encouraged residents to work with Councillors and Council officers to resolve issue in the community together. He explained that he had previously reported out of date road signs and lighting on road signs that were permanently illuminated and by working with Ms Elliott and Mr Ashton, PFI Contract Manager, Blackpool Council the matter had been resolved. He urged residents to report lights that were permanently illuminated to E On, using the telephone number and reference number provided on the lighting column as the Council could fine the company if it failed to comply. Councillor Hutton added that tours of E On sites, which he considered interesting, could be arranged and offered to take the details of interested residents after the meeting. A Forum member reported that the directional traffic signal on Preston Old Road at its junction with Preston New Road providing insufficient time for vehicles crossing the carriageway. Ms Elliott agreed to investigate the matter. Councillor Mrs Haynes informed the Forum that BEAT Limited was inviting suggestions for environmental projects from individuals/ groups to improve the green space in the community and would facilitate the development of the projects. She invited residents to attend the meeting in June and encouraged residents to make a difference. Ms Elliott offered to collect the details of those residents interested in attending after the meeting Appendix 9(a) and confirm date and timing of the meeting. 5. Election of Community Representatives Ms Elliott announced the results for position of Chairman and Vice Chairman 6. Ann Allen John Garnham Chairman Vice Chairman Conclusion The purpose of the meeting was to provide residents with an opportunity to set their community priorities. The meeting ended at 8.35pm.