Allerdale Borough Council:

Minutes for Community Overview and Scrutiny Committee meeting, Mar 27 2009, 9.30AM official page

Other committee documents for Allerdale Borough Council :: Community Overview and Scrutiny Committee details

Venue: Derwent Room, Allerdale House, Workington

Contact: Jane Murray  01900 702559

Items No. Item

732.

Minutes of meeting Friday 27th February, 2009 of Community Overview and Scrutiny Committee PDF 17 KB

To agree the minutes held of the meeting held on Friday, 27th February 2009, and to sign as a correct record.

Minutes:

The minutes of the meeting held on Friday 27th February 2009 were agreed and signed as a correct record.

733.

Declaration of interests

Councillors/Staff to give notice of any personal or prejudicial interest and the nature of that interest relating to any item on the agenda in accordance with the adopted Code of Conduct.

Minutes:

5.         Changes to Regeneration Delivery in West Cumbria.

Councillor Anthony Markley; Personal; Due to his membership of Cumbria County Council.

 

5.         Changes to Regeneration Delivery in West Cumbria.

Councillor Trevor Fee; Personal; Due to his Membership of Cumbria County Council.

 

6.         Locality Health Commissioning.

Councillor Anthony Markley; Personal; Due to his Membership of Cumbria County Council.

 

6.         Locality Health Commissioning.

Councillor Carole Armstrong; Personal; Due to a close relative being employed at the West Cumberland Infirmary.

 

6.         Locality Health Commissioning.

Councillor Trevor Fee; Personal; Due to his membership of Cumbria County Council.

 

734.

Questions

To answer questions from members of the public – 2 days notice of which must have been given in writing or by electronic mail.

Minutes:

None received.

735.

Changes to Regeneration Delivery in West Cumbria PDF 13 KB

To receive a briefing from the Head of Regeneration on changes proposed to structures for delivering regeneration projects in West Cumbria, and to consider whether there might be further interest from the Committee for the 2009/10 work plan.

Minutes:

The Head of Regeneration explained that the West Cumbria Vision Board was to be one of four Boards set up in Cumbria to assist in streamlining regeneration delivery. It was noted by Members that the North West Development Agency had requested a more co-ordinated approach to regeneration delivery.

 

In West Cumbria, the focus of the Board would be to deliver the Energy Coast Masterplan, and it was to be headed by a private sector partner – interviews were currently taking place according to Nolan principles. The Board was currently being set up as sub-division of West Lakes Renaissance and would be serviced by existing staff.

 

It was expected that funding would be similar to the existing position, however there were more discussions to be had, and it was not yet clear whether additional funding would be required from the Local Authorities.

 

As Westlakes Renaissance was an ‘urban regeneration company’, it was  currently felt important not to lose that status, although research was continuing into the effect that it might have.

 

In response to questioning, it was added that the West Cumbria Development Agency would ideally be brought into the framework, providing further co-ordination and strengthening the urban regeneration company.

 

The three main issues for the Council at the moment were:

 

1)     To maintain the existing Maryport office as an outreach office

2)     To keep the regeneration status of ‘urban regeneration company’

3)     To evaluate any potential requests for Allerdale’s regeneration staff to be seconded to the delivery agency.

 

Agreed – that the Head of Regeneration be requested to return to the Committee for further updates at key milestones and that more information be circulated on the benefits of ‘urban regeneration company’ status.

 

 

 

 

 

736.

Locality Health Commissioning

To receive a briefing from Anita Barker, Allerdale Commissioning Manager, Cumbria Primary Care Trust, and from John Howarth, Lead GP for Cockermouth Community Hospital, on progress to date on implementing the ‘Closer to Home’ commitments in Allerdale.

Minutes:

As part of the Committee’s remit to carry out scrutiny of locality commissioning in the Cumbria, Dr John Howarth, Lead GP for Cockermouth Community Hospital, and Anita Barker, Commissioning Manager for Allerdale were welcomed to the meeting.

 

Dr Howarth drew the Committee’s attention to the financially robust position now of Cumbria Primary Care Trust, performing extremely well for both the North West region and throughout England.

 

The health model for Allerdale included centring services on the five Community hospitals of Workington, Maryport, Cockermouth, Wigton and Keswick, or ‘sub-localities’.

 

Work was taking account of the demographics which would see Cumbria have one of the oldest populations in the world.

 

Plans for the community hospitals included the rebuild of all the hospitals with the exception of Workington which had already been rebuilt and was providing enhanced services.

 

In Cockermouth, there were already detailed plans to co-locate the three GP practices with a rebuild of the community hospital on the existing site, which was owned by the Friends of Cockermouth Community Hospital.

 

Work was continuing to develop lean, efficient models of care, and at Cockermouth to additionally integrate further services such as NHS dentistry, children’s and community services.

 

They were looking to integrate nurse and administration teams, and to increase the number of tests provided at the hospital, developing the diagnostic side of the community hospitals, and to carry out more minor operations on site. This meant carrying out operations to at least the same level of expertise as in the acute hospital setting.

 

In addition to Community Hospital beds, consideration was also being given to developing a ‘virtual’ ward of anything up to 100 people, whose enhanced care package would be co-ordinated by the Community Hospital team. The locality team was hoping to submit a research bid of £1/4 million to secure advanced technology equipment to assist the process.

 

An audit and analysis of travel times had recently been carried out to seek greater efficiencies through better co-ordination of home-based care.

 

Applications were going in to the Department of Health for both Cockermouth and Maryport to be included in the Care Demonstrator pilots.

 

The rebuild of the Cockermouth Community Hospital was originally to have been financed through capital funding, however it was now proposed to proceed with the latest financial model of public/private partnership, through a ‘lift company’.

 

In response to questioning, it was acknowledged that while through-put at the Community Hospital was much improved, more work needed to be done to increase the numbers of people being cared for at home. It was recognised that more investment in therapy services was required. 

 

The third sector was being included in the network care, with Age Concern in receipt of £600k to offer a bridge-building and befriending service. The variety of third sector care in a rural area was raised and acknowledged as a potential issue.

 

Two new services were being introduced in Wigton – a urology service at the community hospital and an ophthalmology service at the Wigton Group practice.

 

The issue of delayed discharges owing to delays in ensuring that home assessments are carried out as early as possible was raised, and it was acknowledged that 9% of bed days were owing to delayed discharges, equating to £1m. However, work was progressing, and there was, for example, now a process in place for the matrons of the community hospitals to walks the wards with the matron of the acute hospital to stay on top of administrative issues and better anticipate need.

 

It was also acknowledged that some patients and their families were reluctant to discharge, despite evidence that complete recovery is better at home. A shift of emphasis to better educate people about health issues and the virtual ward concept, previously explained, should help to provide better confidence.

 

The issue of the need to recruit, train and retain quality domiciliary care staff was raised by Members and acknowledged, particularly in the light of the demographics’ trends already identified.

 

In response to the briefing which Members had received it was

 

Agreed – to invite the Allerdale Locality Team back to the Committee in six month’s time and to invite the Mental Health Trust to the committee to discuss their locality plans.

 

 

 

 

737.

Appointment to the Cumbria Health and Well-being Scrutiny Committee Task and Finish Group PDF 8 KB

To appoint to a task group being set up by the Health and Well-being Scrutiny Committee to monitor developments during a new hospital build.  

Minutes:

It was proposed, seconded and

 

Agreed – that Cllr Carni McCarron-Holmes be appointed to the Cumbria Health and Well-being Scrutiny Committee’s task and finish group

738.

Change of Dates for Community Scrutiny PDF 8 KB

To note the proposed changes to the dates of committee meetings owing to elections and work planning.

Minutes:

Agreed –that the dates proposed be accepted.

739.

Forward Plan PDF 24 KB

To consider the forward plan of key decisions to be taken by the Executive.

Minutes:

The Forward Plan of key decisions to be taken by the Executive was received and noted, and Members requested sight of the Replacement Regional Spatial Strategy at the appropriate moment.

740.

Work Plan PDF 25 KB

To consider the Committee’s current workplan and a potential work plan item in advance of the work planning sessions.

Additional documents:

Minutes:

Members noted that the work plan for 2008/09 was almost complete, and that the sessions for April and May would focus on building the work plan for 2009/10.

741.

Executive Minutes PDF 18 KB

To consider the draft minutes of the Executive held on 4th March 2009.

Minutes:

The Executive minutes of the meeting held on 4th March were received and noted.

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