Agenda and minutes

Agenda and minutes

Venue: Council Chamber, Priory House, Monks Walk, Shefford

Contact: Paula Everitt  0300 300 4196

No. Item


Minutes pdf icon PDF 76 KB


To approve as a correct record the Minutes of the meeting of the Social Care Health and Housing Overview and Scrutiny Committee held on 17 September 2018 and to note actions taken since that meeting.




RESOLVED that the Minutes of the meeting of the Social Care Health and Housing Overview and Scrutiny Committee held on 17 September 2018 be confirmed and signed by the Chairman as a correct record.



Members' Interests

To receive from Members any declarations of interest and of any political whip in relation to any agenda item.


·         Cllr Duckett declared an interest in his role as a part time domiciliary worker.

·         Cllr Versallion declared an interest as a Non-Executive Member of the Luton and Dunstable Hospital.



Chairman's Announcements and Communications

To receive any announcements from the Chairman and any matters of communication.



The Chairman advised the Committee of the latest news and developments that included:-

  • The appointment of the new Joint Accountable Officer for the Bedfordshire, Luton and Milton Keynes Clinical Commissioning Groups.
  • The appointment of a new interim Chief Executive at the East of England Ambulance Service Trust.
  • The addition of two phlebotomy clinics in the Dunstable area.
  • Discussions and advice to the care provider Allied Home Care was in hand.




To receive petitions from members of the public in accordance with the Public Participation Procedure as set out in Part 4G of the Constitution.






Questions, Statements or Deputations

To receive any questions, statements or deputations from members of the public in accordance with the Public Participation Procedure as set out in Part 4G of the Constitution.







To consider any decision of the Executive referred to this Committee for review in accordance with Part 4D of the Constitution. 






Requested Items

To consider any items referred to the Committee at the request of a Member in accordance with Part 4D of the Constitution.






Executive Members' Update


To receive a brief verbal update from:-

·         The Executive Member for Adults, Social Care and Housing Operations

·         The Executive Member for Health and

·         The Executive Member for Assets and Housing Delivery



The Executive Member for Adult Social Care and Housing Operations updated the Committee on the latest news and developments that included:-

·         Attendance at the Children’s and Adults Services Conference at which the concerns on Government Funding for Social Care services was raised.

·         More clarity will be available for Members on the complex areas of income funding streams, including Better Care Fund and Improved Better Care Fund that were coming to an end.

·         Reassurance that Central Bedfordshire was doing well in transforming its services and the development of personal budgets for residence.


The Deputy Executive Member for Health advised that regular meetings with Bedfordshire Clinical Commissioning Group colleagues and Planners would be held to discuss the impact of growth in Central Beds. A visit to a care village in Warwick was made by a number of Member to inform them of options planned for the Steppingley Road, Flitwick site.


The Executive Member for Assets advised:-

·         the Assets Team would look again at the 20 possible sites identified for housing schemes, following the lift to the Housing Revenue Account cap by the Government.

·         The development of a rural housing exception scheme in Wrestlingworth.

·         That developers would start on site to build Houghton Regis Central in February 2019.


In response to questions raised on the updates, the Committee was advised:-

·         Ward members would be advised of the proposed sites when available.

·         That housing for key workers was a focus for each of the proposed housing sites.

·         Proposals in the long term was for a Health and Social Care Hub in Leighton Buzzard.



Extended Access to GP Services pdf icon PDF 457 KB


Members will receive an update on extended access to primary care services in Central Bedfordshire.



The Strategy and Planning Manager from Bedfordshire Clinical Commissioning Group (BCCG) provided an update on the implementation of extended access to primary care services required by NHS England.  Residents were able to book appointments between 6.30-8pm at one of the four locality bases of which 83.5% were taken up and around 10% did not attend (DNA).


Further developments would include the ability to

book extended access appointments via the 111 service.


In light of the information provided, a Member queried if the service would be able to cope with demand once the service had been widely publicised and whether DNA’s were classified.  In response The Strategy and Planning Manager advised that a rise in demand was expected.  Currently DNA’s were not classified and investigation into non-attendance would form part of a wider review of the service.


In response to a question regarding funding, the service had not received its full funding allocation. Some funds had been held back in a contingency fund to help with the development of IT equipment, which enabled GP to look at any patient record in the locality, and overall service costs.



1.    Committee welcomes the extended access to primary care services but expresses concern that some 1-% of patients are failing to attend their appointment.

2.    Expects Practices to take action to reduce the number of DNA.

3.    Expects the funding available to be used directly for the extended services and monies held back by the CCG to be directly supporting the extended care services and to release to the surgeries monies not otherwise used by the CCG.



Stroke Services pdf icon PDF 119 KB


This Bedfordshire Clinical Commissioning Group paper provides Members with an outline of the direction in which the CCG would like to take stroke services.  The update also provides details on current progress to improve outcomes for patients who have experienced a stroke.



The Assistant Director, Planned Care, BCCG, introduced a report that explained the current model of care for Stroke.  Following a number of engagement events and a review of current services that included rehabilitation services.  The BCCG hoped, in consultation with partners, to provide a better integrated service and opportunities to provide a rehabilitation centre.


In response to questions raised on the updates, the Committee was advised:-

·         The proposed Hospital merger would be taken into account and discharge from hospital to rehabilitation was critical to free capacity.

·         The CCG was working closely with Headway, who would inform future rehabilitation services for stroke and other patients with head injuries

·         There was no deadline to the stroke service review in order that the best outcome can be achieved. 

·         That the BCCG provide a breakdown on improvements in stroke services that are made and report back on the four main priorities outlined on page 3 of the report.



1.    Welcome the general thrust of the provisions for stroke services.

2.    Further reassurance as to how services will be delivered given the merger of the Bedford and L&D hospitals.

3.    Look to ensure that Bedford hospital meets national guidelines.

4.    Need further detail of how the four priorities for stroke are to be achieved.



Annual Safeguarding Board Report 2017-2018 pdf icon PDF 57 KB


Consider and comment on the annual report of the Safeguarding Adults Board 2017/18, with a particular focus on how awareness raising and knowledge of adult safeguarding could be improved for the public and within the wider community.


Additional documents:


The Independent Chairman of the Bedford and Central Bedfordshire Safeguarding Adults Board introduced its statutory annual report.  The report outlined the achievements, challenges and future plans as well as summarising continued concerns.


Despite strong partnership working, there were instances where the safeguarding teams had been called upon to deal with matters for Mental Health agencies and welfare teams.  Of 600 concerns, 27 went on to be section 42 Inquiries.  The Board had planned to delivery training and pathways to help each agency take the right course of action.  A triage system would also be developed to direct partners to the correct agency.   Other key issues raised included:-

·         that in the case of a failure in the care market, the Council and BCCG had emergency plans in place to fill a deficiency.

·         Safeguard checks on care institutions where life had been lost or was threaten.

·         Care of vulnerable inmates at Bedford Prison.


In response to questions raised by Members, the Chairman provided the following responses:-


·         The Chairman would take back the suggestion to engage with Housing Associations to safeguard vulnerable residents. 

·         A mapping exercise to identify if high incidents of safeguarding concerns.



1.    Like to see better mechanism to ensure in conjunction with partners that the right concerns are referred to the local adult safeguarding team.

2.    See developed in conjunction with partners a clearer path for those with Mental Health Issues.

3.    Emphasis and agree the need to ensure a continuing focus on domestic abuse.

4.    Encourage the collection of data to do a mapping exercise to determine if there is a collaboration between issues of self neglect and areas of deprivation.

5.    Recommend extending the boards reach to housing associations.




Future of Ampthill Older Persons Day Centre and the Public Consultation Outcome pdf icon PDF 290 KB


To consider the outcome of the consultation into the future of the Ampthill Day Centre and make recommendations to a future meeting of the Executive.


Additional documents:


The Head of MANOP introduced a comprehensive report on the Older Persons Day offer in principle and specifically on the current arrangements in Ampthill.  Pilot schemes on new day care offer had been carried out, feedback from the residents and staff had been collated as well as a full public consultation.


In response to concerns  raised by Members, the Head of MANOP provided the following responses:-

·         It was recognised the size of the current day centre accommodation was too big, it continued to be a life line to local residents and other users of the facilities.

·         A Member was disappointed that the current site was not being considered as a health hub for the area and was also concerned at the loss of facilities for Ampthill and beyond, taking into account the growing population. This was not however in the scope of the review of the use of the Ampthill Day Centre.’

·         Whilst the sample of feed back to the consultation was small, all those customers who had been able to give a view were provided with help to do so.


The Executive Member for Adult Social Care advised it was the Council wished to move to a better offer for residents, some of whom had welcomed a session at the Silsoe Horticultural facility.



·         Acknowledges there has been an acceptable consultation with a mixed response to the preferred option

·         Asks that cognisance is taken of those concerned about retaining friendships, travel distance

·         Needs reassurance that the facilities at Silsoe are sufficient and the interaction with horticulture service users is well managed.

·         While there has been a mixed response, look at the result of the pilots and recognise that the hub and spoke approach will be more flexible to meet modern day client’s needs and improve the Council’s offer.



Customer Relations Adult Social Care and Public Health Annual Report 2017/18 pdf icon PDF 57 KB


To consider and comment on the Customer Relations Adult Social Care and Public Health Annual report. The report provides statistics on the number of compliments and complaints received; complaint outcomes (upheld/not upheld); performance; issues complained about; and learning and improvements resulting from complaints for 2017/18.


Additional documents:


The Assistant Director, Strategic Commissioning, introduced the Customer Relations Adult Social Care and Public Health Annual Report 2017/18 that sets out the number of compliments and complaints received and the nature and outcomes of these. 


The Directorate remains open to complaints and acts on them where appropriate to improve the service to residents.  With a reduction in the number of complaints and the development of services, it was envisaged the system was having the desired effect.


The Committee noted the various ways residents can complain or complement the Council and asked that usage of the on-line form be incorporated in the Annual Report.



1.    Asks where a valid cause for complaint has been identified and such relates to communication, incorrect action, staff conduct/attitude, that further training may be considered.

2.    Looks forward to learning how successful the on-line complaint form has been.



Work Programme 2018/19 and Executive Forward Plan pdf icon PDF 71 KB


The report provides Members with details of the currently drafted Committee work programme and the latest Executive Forward Plan.


Additional documents:



The Committee considered the current Work Programme and Executive Forward Plan.  The Work Programme was agreed subject to the addition of the Private Sector Housing Provision report in March 2019.