Agenda and minutes

Joint Meeting with the Adult Social Care and Communities Scrutiny Committee, Health Overview & Scrutiny Committee - Thursday 11 January 2024 10.00 am

Venue: Council Chamber - Shire Hall, Gloucester. View directions

Contact: Joanne Moore  Email: jo.moore@gloucestershire.gov.uk

Items
No. Item

1.

Apologies

To note any apologies for absence.

Minutes:

Chair of the Gloucestershire Health Overview and Scrutiny Committee, Cllr Andrew Gravells MBE, welcomed everyone to the meeting and explained that the meeting was a joint meeting of the Health Overview and Scrutiny Committee and the Gloucestershire County Council Adult Social Care and Communities Scrutiny Committee.

 

Cllr Gravells welcomed Kevin McNamara, newly appointed Chief Executive of Gloucestershire Hospitals NHS Foundation Trust to the meeting. It was confirmed that Kevin was taking over the role from former Chief Executive, Deborah Lee, having previously worked for Great Western Hospitals, Swindon. 

 

The following (member) apologies were noted at the meeting: 

 

Cllr Lisa Spivey (Chair of the Adult Social Care and Communities Scrutiny Committee)

Cllr Cate Cody

Cllr Pam Tracey MBE

Cllr Alan Preest

Cllr Helen Fenton

Cllr Gemma Madle 

 

Due to illness, Cllr Susan Williams joined the meeting via remote access.

 

Apologies were also noted from Cllr Carole Allaway-Martin, Cabinet Member for Adult Social Care: Commissioning.

2.

Declarations of Interest

To report any declarations of interest.

Minutes:

No declarations of interest were made at the meeting.

3.

Minutes pdf icon PDF 148 KB

To confirm the minutes of the following meetings: -

 

a)    Adult Social Care and Communities Scrutiny Committee meeting held on 14 November 2023 – Cllr Lisa Spivey (Chair)

 

b)    Gloucestershire Overview and Scrutiny Committee meeting held on 28 November 2023 - Cllr Andrew Gravells (Chair)

 

Additional documents:

Minutes:

The minutes of the following meetings were confirmed and agreed as a correct record of the meetings: -

 

a)    Adult Social Care and Communities Scrutiny Committee meeting held on 14 November 2023 (Chair – Cllr Lisa Spivey)

 

b)    Gloucestershire Overview and Scrutiny Committee meeting held on 28 November 2023 (Chair - Cllr Andrew Gravells)

4.

Gloucestershire Health and Wellbeing Strategy Annual Update 2024 pdf icon PDF 144 KB

An update on the Gloucestershire Health and Wellbeing Strategy and the request for regular updates on the Health and Wellbeing Boards’ Strategic Priorities to HOSC.

 

The update to include the following presentations: - 

 

1.    Health and Wellbeing Board Priorities Annual Update (30 minutes) – Siobhan Farmer

 

2.    Adverse Childhood Experiences (ACEs) Priority, including updates on ‘trauma informed relational practice and complex lives’ (30 minutes) – Samantha James, Molly Macleod and Helen Flitton

 

3.    Healthy Lifestyles (healthy weight) Priority (30 minutes) – Sue Weaver and Stuart King

 

4.    Physical Activity Priority, including examples of prevention work on falls and frailty (30 minutes) – Tom Beasley and Chris Davis

Additional documents:

Minutes:

In response to Motion 881 – Tackling Poverty and Deprivation, (proposed and seconded by Cllrs David Willingham and Cllr Jeremy Hilton at the Gloucestershire County Council meeting on 8 September 2021), the committee received an update on the Gloucestershire Health and Wellbeing Strategy. The update included presentations on the following Health and Wellbeing Board Strategic Priorities.

 

  1. Health and Wellbeing Board Priorities Update – Siobhan Farmer (Director of Public Health)

 

To view the report and presentation published with the agenda, please refer to the link here.

 

Members were informed that regular updates on the Health and Wellbeing Board Strategy are provided to the Gloucestershire Health and Wellbeing Board and form part of the work of the Gloucestershire Health and Wellbeing Partnership. To view updates on the work of the Partnership, please refer to the link here.

 

The Gloucestershire Health and Wellbeing Board is responsible for overseeing the development and delivery of the Joint Health and Wellbeing Strategy, and ultimately, improve the lives of the people of Gloucestershire.

 

Focussing on the following priorities, the Health and Wellbeing Board vision is to ensure that Gloucestershire is a place where everyone can live well, be healthy and thrive.

 

       Physical activity;

       Adverse childhood experiences;

       Mental wellbeing;

       Social isolation and loneliness;

       Healthy lifestyles (focussing on healthy weight);

       Early years and best start in life;

       Housing and health.

 

The Director of Public Health confirmed that progress was being made on all priorities, but not necessarily in the direction that had been anticipated pre Covid. Some areas of activities had halted, whilst others had been introduced in response to the pandemic. Not all priorities were presented at the meeting, the progress of which can be assessed via the County Council website at the link here.

 

Key areas of focus considered during the first presentation included mental wellbeing and social isolation. Presenting a summary of highlights plus areas of challenge, members were assured that, from effective partnership working, any next steps to be taken would focus on overcoming the challenges.

 

Responding to questions, the Director of Public Health and Chief Executive of Gloucestershire Health and Care NHS Foundation Trust, Douglas Blair, were asked to provide statistical data on young people’s mental health in Gloucestershire, including on the increased number of young people not attending school following the pandemic. Action by – Siobhan Farmer and Douglas Blair

 

It was reported that the huge rise in demand for mental health services, including mental health services for young people, was having a significant impact on the health and care system. From collective partnership working, every effort was being made to address current demands on the system. 

 

A member enquired what activities were being explored to support the mental health and wellbeing of asylum and refugee families in Gloucestershire. The comments were noted and an update on the work relating to Gloucestershire Action for Refugees and Asylum Seekers (GARAS) to be provided to both committees.For more information, members may wish to refer to the  ...  view the full minutes text for item 4.

5.

Build Back Better and Gloucestershire’s Levelling Up Together Grant Scheme pdf icon PDF 148 KB

A review of the outcomes from the Build Back Better Conference held in 2022 and an update on Gloucestershire’s Levelling Up Together Grant Scheme.

Additional documents:

Minutes:

Gloucestershire County Council’s 2022-2026 Strategy “Building Back Better in Gloucestershire” sets out its ambition to ‘level up’ Gloucestershire communities. Details of the strategy can be viewed here

 

Incorporated within Council Motion 881, (agreed at the Gloucestershire County Council Meeting on 8 September 2021), was a request for a review of the outcomes from the Build Back Better Conference held on 18 May 2022, plus an update on Gloucestershire’s Levelling Up Together Grant Scheme.

 

Diana Billingham, Head of Voluntary and Community Partnerships, and Emily Brown, Senior Public Health Officer from the Public Health and Communities Hub were present at the meeting to respond to questions on the interim report published with the agenda and to the PowerPoint presentation circulated in advance of the meeting.

 

The ‘Gloucestershire Levelling Up Together Grant Scheme: Six Months On’ report provides an interim detailed evaluation of the Levelling Up Together Grant Scheme, including an update on the 52 projects funded by the scheme.

 

The report focuses on the six-month period from which the grants were awarded to a total of 45 partners (April – September 2023). All partners were asked to participate in an interim evaluation survey in September 2023, the results of which are summarised in the report. A ‘final’ report will be published in May 2024. To view the full list of projects and organisations please refer to the link here

 

Notable dates include:

Levelling Up Together celebration event in February 2024 - Levelling Up Together partners and elected members are encouraged to help shape and plan the event.

 

Further evaluation to be undertaken during Spring/Summer 2024 to mark 12 months since the grants were awarded.

 

Next Phase of Levelling Up to include:

 

Ø  Additional investment into the Councillor-led Build Back Better grant scheme

 

Ø  Investment into thematic areas to tackle inequalities which are not necessarily geographically based. The themes identified for investment are:

 

1.    Digital inclusion

2.    Cost of living

3.    Online harms and vulnerable young people

4.    Community transport and access to services

 

Ø  Working with and investing in some voluntary and community sector organisations with the connections, skills and expertise to deliver activities which tackle inequalities under the themes outlined above.

 

For more information, please visit the next phase of levelling up in Gloucestershire communities webpages

 

Members commended the value of the work shaped by the scheme and expressed their appreciation for the opportunity to make a difference within their local communities. The report and the presentation were taken as read at the meeting.

 

To meet the requirements of Motion 881, the report and presentation were circulated to all members after the meeting, inviting members to submit any comments or questions to Emily.Brown2@gloucestershire.gov.uk.

 

6.

HOSC Gloucestershire Integrated Care System (GICS) Performance Report pdf icon PDF 294 KB

An update on the performance of the Gloucestershire Integrated Care System (with comparisons to NHS constitutional and other agreed standards).

 

Minutes:

The committee noted the Gloucestershire Integrated Care System, (ICS), Performance Report detailing the performance of the NHS Gloucestershire Integrated Care Board. The report included information on performance, quality and workforce. The report was taken as read at the meeting.

 

To view the contents of the report please refer to the link on the Gloucestershire County Council website at the link here.

 

Key messages highlighted at the meeting included: -

 

Ø  Urgent and Emergency Care had experienced significant challenges during December and the Christmas holidays. This was now stabilising and under control.

 

Ø  Ambulance admissions to Gloucestershire Royal Hospital on Christmas Day had resulted in 128 admissions balanced against 36 discharges.

 

Ø  NHS111 had seen a significant improvement in call answering during October 2023, with proportion of calls abandoned dropping to 9.8% (down from 20% average in September). The Practice Plus Group had been trialling a new contract to improve evening and weekend shift fill and increase the resilience of the service – this will be kept under review, but initial performance appeared encouraging. Cllr Gravells enquired when the new contract for the service would be announced and asked to be informed when the announcement was made. Action by – NHS Gloucestershire

 

Ø  Members enquired when the next update on the delivery of maternity services was expected, including an update on the Avita Birthday Pool located at Cheltenham General Hospital. The committee requested that an update be provided at the next meeting. Action by – NHS Gloucestershire

 

Ø  Raising concerns about cancer performance targets, members requested a full update, including comparable data, at the next meeting. Action by – NHS Gloucestershire

 

The report was noted.

 

7.

HOSC NHS Gloucestershire Integrated Care Board (ICB) Report pdf icon PDF 775 KB

An update from the NHS Gloucestershire Integrated Care Board (ICB), known collectively as NHS Gloucestershire. The update to include updates from Integrated Care System (ICS) partners responsible for overseeing the day-to-day commissioning and provision of NHS services in Gloucestershire.

Minutes:

The NHS Gloucestershire Integrated Care Board, (ICB), report was taken as read at the meeting. The report included updates from Integrated Care System (ICS) Partners with responsibility for overseeing the day-to-day commissioning and provision of NHS services in Gloucestershire.

 

To view the contents of the report please refer to the link published on the Gloucestershire County Council website at the link here.

 

At Appendix 1 of the report, members were asked to consider a Memorandum of Understanding, (MOU), relating to a proposed service variation for the transfer of Lung Cancer clinics to the new Quayside Community Diagnostic Centre in Gloucester.

 

The Lung Cancer service currently delivers clinics across both acute hospital sites, Gloucester Royal Hospital (GRH) and Cheltenham General Hospital (CGH), utilising clinical rooms in each sites’ Outpatient’s Department.

 

The proposal put forward was to permanently move the two lung cancer clinics from GRH to Quayside CDC, as well as undertake a temporary move of two clinics from CGH also to Quayside CDC. It was noted that the service would maintain some Lung Cancer clinics at CGH, to offer patient choice and to cater for those service users unable to access Quayside CDC. The number of clinic appointments at CGH would, however, reduce from those currently available. The proposed move to coincide with the opening of the new Community Diagnostic Centre at Quayside House in February 2024. The committee noted the Memorandum of Understanding and supported the proposal.  

 

At the HOSC meeting in November 2023, members were invited to take a tour of the new £15m Gloucestershire Community Diagnostic Centre at Quayside House, Gloucester. A tour was undertaken at the end of today’s meeting.

 

The report was noted.

 

 

 

 

8.

Work Plan pdf icon PDF 105 KB

The combined work plan of the Adult Social Care and Communities Scrutiny Committee and Health Overview and Scrutiny Committee to be circulated to members in advance of the meeting. Members to suggest items for consideration at the respective future meetings of each committee via email to jo.moore@gloucestershire.gov.uk. The suggestions to be noted at the joint meeting.

Minutes:

The combined work plan of the Adult Social Care and Communities Scrutiny Committee (ASCC) and Health Overview and Scrutiny Committee (HOSC) was circulated to members in advance of the meeting. Members noted the work plan and invited to suggest items for consideration at the respective future meetings of each committee via email to jo.moore@gloucestershire.gov.uk.

 

The following items to be considered at the HOSC meeting on 12 March 2024

 

Ø  Review of the NHS Gloucestershire Winter Sustainability Plan 2023/24

Ø  Gloucestershire Local Medical Committee Overview Nic Wright Operations Manager from Gloucestershire LMC invited to the meeting.

Ø  John Martin, Interim Chief Executive of the South West Ambulance NHS Foundation Trust, to be invited to the meeting (via remote access) to provide an update on current performance and to respond to questions.

Ø  Maternity Services Update – NHS Gloucestershire Update Report

Ø  NHS Gloucestershire Briefing on the support provided to veterans – NHS Gloucestershire Update Report

 

The following items to be considered at the ASCC meeting on 05 March 2024

 

Ø  Behavioural Science Update (briefing note to be circulated as information in advance of the meeting)

Ø  Rough Sleeping Briefing (Gloucestershire Strategic Housing invited to give a presentation)

Ø  Director of Public Health Annual Report (Alcohol) Update and an opportunity to meet the new drug and alcohol service providers.