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Contact: Janet Mulligan Tel: 01772 533361, Email: janet.mulligan@lancashire.gov.uk
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Apologies Minutes: *County Councillor M Skilling replaced County Councillor J Mein for this meeting.
Apologies for absence were presented on behalf of County Councillor R Bailey, Councillor M Law-Riding from Blackburn with Darwen, and Councillor A Stansfield from Blackpool.
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Appointment of Chair The Chair and the Vice Chair shall be elected by the Joint Committee from among the Committee’s voting membership (excluding Cumbria representatives if present) on the basis of the elected Chair and Vice Chair being Members of different local authorities.
Minutes: It was moved and seconded that County Councillor Keith Bailey be appointed Chair of the Committee for the remainder of the 2011/12 municipal year.
Resolved: That County Councillor Keith Bailey be appointed Chair of the Committee for the remainder of the 2011/12 municipal year.
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Appointment of Deputy Chair Minutes: It was moved and seconded that Councillor Sylvia Taylor be appointed Deputy Chair of the Committee for the remainder of the 2011/12 municipal year.
Resolved: That Councillor Sylvia Taylor be appointed Deputy Chair of the Committee for the remainder of the 2011/12 municipal year.
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Constitution, Membership and Terms of Reference Additional documents: Minutes: A report was presented on the Constitution, Membership and Terms of Reference of the Committee.
Resolved: That the Membership and Terms of Reference of the Committee, as now reported, be noted.
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Disclosure of Personal / Prejudicial Interests Minutes: County Councillor Michael Welsh disclosed a personal, non-prejudicial interest in item 4 (Mental Health Inpatient Reconfiguration) on the grounds that he was a Governor of Lancashire Teaching Hospitals NHS Trust, Preston.
County Councillor Fabian Craig-Wilson also disclosed a personal, non-prejudicial interest in item 4 on the grounds that her husband suffered from Dementia, however his care was not provided by Lancashire County Council.
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Mental Health Inpatient Reconfiguration Additional documents:
Minutes: The Chair welcomed representatives from the Health Service:
At the table:
In attendance
The report explained that in July 2011 Lancashire Care NHS Foundation Trust (LCFT), supported by its PCT partners had presented to the Overview and Scrutiny Committees at Lancashire County Council, Blackburn with Darwen Council and Blackpool Council the first year (phase one) of its five year transitional arrangements.
The purpose of the report now presented was to provide assurance that the first phase of transition had been achieved and to share future transitional arrangements. This included details of the phase two plan until October 2013.
LCFT would be in the process of transition for the next four years, until 2016. This involved the de-commissioning of existing mental health inpatient facilities, which were being replaced with alternative community provision and a superior standard of accommodation to be provided from four specialist sites across Lancashire. Further details of the transitional arrangements can be found at Appendix A to the report presented with the agenda papers.
A PowerPoint presentation was used to summarise the: context, vision, case for change, range of services across Lancashire, future plans and the consultation timeline. A copy of the presentation is appended to these minutes.
In making the presentation Debbie Nixon acknowledged that dementia care was a very important part of mental health care. She welcomed the work ongoing by the Dementia Pathway Task Group at the County Council and also a relevant piece of work by Blackburn with Darwen Scrutiny.
It was intended to come back to this Committee with more detail about the proposals to strengthen community services. It was recognised that travel to specialist facilities was an area of great concern and the Committee was assured that measures would be put in place to provide appropriate support.
Consultation proposals, which would be brought to this Committee, would need to be signed off by NHS North and it was envisaged that it would be the summer before the consultation could begin.
Members raised a number of comments and questions, the main points of which are summarised below:
· There was some concern about funding in view of the intention to increasingly keep people out of hospital and to provide support and care in community settings; social care costs to the County Council were already substantial. · It was suggested that the numbers of people currently in hospital with Dementia indicated a weakness in a system which was currently incapable of providing care outside of hospital, and there was concern about the lack of resources and skills currently available to 'take up the slack'. In response it was acknowledged that there needed to be an extension of skills to help manage a range of differing ... view the full minutes text for item 6. |
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Date of Next Meeting To be arranged |
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Urgent Business Minutes: No urgent business was reported. |
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Date of Next Meeting Minutes: A further meeting of the Joint health Scrutiny Committee would be arranged as and when required.
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