Agenda and minutes

Agenda and minutes

Venue: Committee Room 2, Watling House, High Street North, Dunstable

Contact: Paula Everitt  0300 300 4196

Note: Please note that this meeting will not be webcast. 

No. Item


Minutes pdf icon PDF 75 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 20 March 2017 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 20 March 2017 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 as a part time Domiciliary Care Worker.



Chairman's Announcements and Communications

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



The Chairman wished to thank all those involved in the successful arrangements for the Queen’s visit to Priory View in April.


Following the visit to Bromley by Bow Community Hub, the Chairman would prepare a summary of the visit to be appended to the Integrated of Health and Social Care Enquiry Report.


Concerns had been raised by a member of the public regarding the Private Ambulance Service (PAS).The Bedfordshire Clinical Commissioning Group (BCCG) was working with PAS representatives to resolve the issues and Members of the Committee would be kept informed.




To receive petitions from members of the public in accordance with the Public Participation Procedure as set out in Annex 2 of Part A4 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 Annex 1 of part A4 of the Constitution.







To consider any decision of the Executive referred to this Committee for review  in accordance with Procedure Rule 10.10 of Part D2. 






Requested Items

To consider any items referred to the Committee at the request of a Member under Procedure Rule 3.1 of Part D2 of the Constitution.






Executive Members Update

To receive a brief verbal update from the Executive Members for:-


·         Social Care and Housing.

·         Health




The Executive Member for Social Care and Housing advised:-

           Thanks were extended to everyone involved in the successful visit by the Queen and Duke of Edinburgh to Priory View, Dunstable and was delighted to announce the development had won the Local Authority Building Control award.

           That comments made in the recent Staff Survey would be considered and reported to Members.

           That a Member briefing would be arranged on the modern methods of housing construction and modular buildings.

           Members would receive details of additional funds received by the Council and how the money would be spent on Social Care services.


The Executive Member for Health wished to record his thanks to Maurice Jones for his contribution to the work of the Council and specifically the Health Agenda.



Hospital and Care Providers' Quality Accounts 2016/17 pdf icon PDF 58 KB


Comments on the Quality Account are voluntary, the Committee is not obliged to comment if it does not feel it necessary.  Any statements agreed by the Committee will be sent to each Hospital and Care Provider in order to include the statement in their final document. 


The Committee is asked to consider the Quality Accounts provided by:-


Appendix A   Milton Keynes University Hospital NHS Trust

Appendix B   Bedford Hospital NHS Trust

Appendix C   South Essex Partnership Trust (SEPT)

Appendix D   East and North Herts Hospital NHS Trust

Appendix E   The Luton and Dunstable University Hospital NHS Trust and

Appendix F   East London Foundation Trust (ELFT)


At the request of Members, a list of comparable NHS indicators used by Bedford, East and North Herts, SEPT and the Luton and Dunstable has been produced for consideration and comment and is available at Appendix 1.


Additional documents:



The Chairman extended his thanks to Jacqui Evans, Head of Quality and Patient Safety, East and North Hertfordshire NHS Trust, who collated the table of common indicators at the request of the Committee.  The information provided useful comparative data for Members. The Committee were advised that due to the international IT cyber attack and the impact on the East and North Herts Hospital, Jacqui Evans was unable to attend the meeting.


Milton Keynes University Hospital Trust


Kate Burke, Corporate Affairs Director, Milton Keynes University Hospital Trust introduced the Hospital’s Quality Account 2016/17 that had been written in line with national guidance.  With the Milton Keynes area growing at a fast pace, a Member raised concern as to whether the Hospital was able to keep pace as there was no evidence of this in the Quality Account.  In response the Director advised that new buildings had been provided including a new surgical ward and the incorporation of Buckinghamshire University Teaching unit.  Members were also advised that the Sustainability and Transformation Plan (STP) would take into account the increasing demand for services in the area.


The Executive Member for Social Care and Housing complimented the hospital on its urgent care system but raised concerns on the number of patients over the age of 75 moved after 10pm at night.  In response the Director advised the moves were due to capacity issues but it was hoped this number would be reduced.  The criteria regarding the number of falls recorded in hospital had also been changed and although it was not necessary to record near misses, this information would continue to be recorded internally.


In response to a question about the recent cyber attack, the Director advised the IT teams had worked over the weekend and the Milton Keynes Hospital system had not been affected.  Members were also advised that Milton Keynes had been a media access point during the strike by Junior Doctors.  Elective patient operations had been cancelled as a result, however, consultants and multi disciplinary teams had supported all other services.


Members thanked the Director and were reassured that Milton Keynes Hospital had the right interventions in place and had listened and responded to patients’ needs and the views of their staff.


Bedford Hospital NHS Trust


Tracey Brigstock, Director of Nursing and Patient Services at Bedford Hospital NHS Trust, introduced the Hospital Quality Account and advised Members on the Trust’s achievements for the last year that included:-

·         A reduction in the number of serious harm incidents reported.

·         Improved complaints processes

·         Procedures used by consultants on dementia wards had been rolled out to appropriate ward rounds to help patients who were hard of hearing.

·         Revised and streamlined procedures introduced in A&E in an ambulatory care unit.


Following a Care Quality Commission inspection, the Trust had implemented improvements that included better privacy and dignity arrangements for male and female patients.  The Trust was in the process of defining their priorities for 2017/18 with the help of stakeholders.


In response a Member congratulated  ...  view the full minutes text for item 101a


The Integration of Health and Social Care in Central Bedfordshire pdf icon PDF 52 KB

To receive the Enquiry team report on the Integration of Health and Social Care in Central Bedfordshire and agree recommendations for the consideration of Executive.


Additional documents:



The Chairman of the overview and scrutiny enquiry into integration of health and social care introduced the enquiry report and advised the Committee that the team had conducted their enquiry over several months and thanked all those who gave evidence and had contributed to findings.  The Chairman emphasised the importance of managing the expectations of the public and funding of services going forward.  There was a clear desire declared by those interviewed to achieve a more integrated health and social care system, however, the implementation and action plans were critical in order to avoid another ‘talking shop’. 


The Committee were reminded of the five principles agreed by the Enquiry Team supported by a number of recommendations to the Executive.


In response the Executive Member for Health commented that although locality work was important, the proposals should be more about integration of services along side village care schemes and other third sector services. Members agreed to re-emphasis the following areas in the report to the Executive:--

·         The importance of the role of community and voluntary sector, such as the Village Care and good neighbour schemes, and faith groups to support integration along side multi disciplinary teams in localities be highlighted and supported. 

·         That officers investigate public sector funding opportunities for Hub facilities in the Ivel Valley, West Mid Bedfordshire, Chiltern Vale, Leighton Buzzard.

·         The Committee supported the view that spokes be considered for market towns and villages such as Silsoe, Sandy, Potton and amongst others to be aligned to the hubs and that an approach for what the spokes might look like for those areas be mapped out by officers and NHS Partners.

·         That the Bromley-by-Bow community centre be recommended to the Executive as a good practice model for Integrated Health and Care Hub working.


RECOMMEDED that the Enquiry report into the Integration of Health and Social Care in Central Bedfordshire be approved and submitted to the Executive at their meeting on 20 June 2017, incorporating the details of the Member visit to Bromley-by-Bow community centre.