Community, Health and Social Care Scrutiny Committee – 15 September 2005 Action Sheet Agenda Item 2 Councillor V Burgoyne Councillor Clague Councillor Gray Councillor Heywood Councillor Kean (Chair) Councillor Lindley Present Apologies Councillor B Murphy Councillor Jane Murphy Councillor Perkins Councillor Wilson A Co-opted Members: Mrs S Brearley, Mr J Wheelton Apologies, Mrs M Dixon Invitees and Officers: Elaine Inglesby and Henry Stahr, Salford Royal Hospitals Trust; Hilary Garratt, Salford PCT, Russell Bernstein and Karen Dainty, Scrutiny Support Team. Item Responsible Member Officer Action Sheet from Previous Meeting Discussion Action Required By Timescale Information which had been received from Salford Royal Hospitals Trust would be circulated to members for information. Cllr Kean had received a response from the Bolton Salford and Trafford Mental Health Trust PPI Forum, in respect of the closure of Duchy House. An update on progress would be scheduled into the work programme. 1 Karen Dainty Oct 2005 Community, Health and Social Care Scrutiny Committee – 15 September 2005 Action Sheet Agenda Item 2 The issue of the problems surrounding the private children’s home, raised by Councillor Heywood, to be referred to Children’s Services for further investigation. Standards for Better Health/Annual Health Check Elaine Inglesby, Henri Stahr, SRHT and Hilary Garratt, Salford PCT A presentation was made to members to provide the background to and process for this new self-assessment process and the role of overview and scrutiny committees. All trusts were expected to achieve the core standards this year, with compliance based on prescribed evidence. The first draft of the declaration from SRHT indicated non-compliance with only one of the standards, due to insufficient assurance. The draft declarations would be agreed by the relevant Trust Boards at meetings to be held on 13 October. An indication of the comments of the committee would be welcomed prior to this date. The following were raised as potential areas on which members may wish to comment, which have been considered as part of the work programme: MRSA/Infection Control Sexual health/public health It was agreed that officers would look in greater detail at the standards and cross-reference these to the work programme of the committee. 2 Karen Dainty/Amanda Carbery Oct 2005 Community, Health and Social Care Scrutiny Committee – 15 September 2005 Action Sheet Agenda Item 2 This could give greater focus to enable an evidence-based response. Best Value Report on Disability Services Julia Clark and Denise Ireland, Salford City Council and Carmel Reeves, Service User. A joint meeting was being planned in respect of the draft declaration from Bolton, Salford and Trafford Mental Health Trust and members would be advised as soon as this was confirmed. Julia Clark outlined the key points of the report and the implementation plan which had been developed in response. Members raised the following points: The need to provide a more “joined” up approach by the council and partners around employment opportunities for disabled people What happened to those 65+ who fell outside the remit of this review? A BV Review of Older People’s Services had already been conducted in 2002. Equipment and Occupational Therapy services served all age groups. There was a positive emphasis on adaptations and members had noticed a significant improvement in these services over the last 12 months. Julia reported that the private sector waiting list was almost at zero, however the public sector waiting list was still higher than would wish and work was ongoing with NPHL to improve this. What was in place to improve take up of direct payments? Social workers should be discussing this option with clients on a routine basis and the team in support of direct payments had increased. 3 Karen Dainty Sept 2005 Community, Health and Social Care Scrutiny Committee – 15 September 2005 Action Sheet Agenda Item 2 Carmel informed members of ongoing initiatives through the Disability Forum in training taxi drivers and work with the Passenger Transport Executive in developing transport services. Members commented that this was an excellent report and requested an update on progress on the improvement plan in 6 months time. Tobacco Control Partnership – update on progress. Jenny Hacker – Health and Wellbeing Manager Assistant Director, Adult Commissioning March 2006 Karen Dainty Sept 2005 Jenny Hacker Dec 2005 Jenny presented a report updating progress on the recommendations made in the Report of the Scrutiny Commission on Smoking and Tobacco Control; areas where there had been additional progress and areas of concern. Members made a number of comments, including: The risk to children of exposure to second hand smoke The need for initiatives to combat smoking uptake in young people and the possibility of intergenerational work in this area The need for smokefree policies in all schools The need to address at an early opportunity the funding of the 2 posts on Tobacco Control which are due to end in September 2006. The committee would write in support of the actions taking place and seek clarification regarding the funding of the two relevant posts. A further update would be available in 3 months time. 4 Community, Health and Social Care Scrutiny Committee – 15 September 2005 Action Sheet Agenda Item 2 Palliative Care Report for information in relation to end of life care and place of death. This report was in response to a request by members at the meeting in March, when an update had been provided in respect of the recommendations from the review of Palliative Care conducted by the committee in 2003. Members requested the following information: Percentages for the information given at figures 2 & 4 and comparison of the Salford death rates against the national figures Is any information available about why there have been changes, for example, why the hospital figures have gone up? What infrastructure is in place to provide support to families and enable them to die at home if that is their choice? Have the extra beds for Salford people been provided at St Ann’s Hospice? A further report on the draft strategy for supportive and palliative care services for Salford and Trafford was scheduled for January 2006. Work Programme Forward Plan AOB Following the meeting of Scrutiny Chairs, the committee had been asked to schedule a review of Older People’s Services into the work programme. No issues arising. Joint Health Scrutiny Committees Two invitations had been received to join joint health scrutiny committees. In respect of the Reconfiguration of Health Services in the 5 Karen Dainty Oct 2005 Karen Dainty Oct 2005 Community, Health and Social Care Scrutiny Committee – 15 September 2005 Action Sheet Agenda Item 2 North East Sector of Greater Manchester, the Chair had met with the Chair and Chief Executive of Salford PCT, who did not consider this would constitute a substantial variation in service and therefore it had been agreed not to be part of the joint committee. A further request had been made recently in respect of a national consultation on Improving Services for People with Burn Injuries. As information about possible local impact on services is not yet clear, it was advised that the committee register their wish to participate in this consultation. Pharmacy Relocation Members considered an application for a minor relocation of a pharmacy from Moorside Road to Swinton Shopping Precinct. Members expressed concern that notification had not been sent directly to the committee and raised the following issues: What are the reasons behind the relocation? How many prescriptions does the pharmacy currently process/deliver and what is the current level of footfall for other services (in addition to prescriptions)? The relocation would result in a reduced service to the local community, with the nearest alternative pharmacies some distance away There were particular concerns about potential problems with access, particularly for older people or those with mobility 6 Karen Dainty Sept 2005 Community, Health and Social Care Scrutiny Committee – 15 September 2005 Action Sheet Agenda Item 2 Date of next meeting difficulties Why is there a need for an additional pharmacy service on Swinton shopping precinct? A response outlining these concerns would be sent on the committee’s behalf. Thursday 20 October at 2pm Karen Dainty Chair Councillor Joe Kean 0161 775 7821 Assistant Director of Scrutiny Russell Bernstein 0161 793 3530 Principal Scrutiny Support Officer Karen Dainty 0161 793 2513 7 Sept 2005