Agenda and minutes

Venue: Committee Room 'C' - The Duke of Lancaster Room, County Hall, Preston. View directions

Contact: Janet Mulligan  Tel: 01772 533361, Email:  janet.mulligan@lancashire.gov.uk

Media

Webcast: View the webcast

Items
No. Item

Replacements

* Councillor Chris Henig replaced Councillor Kevin Ellard for this meeting

 

 

Additional documents:

1.

Apologies

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Minutes:

Apologies for absence were presented on behalf of Councillor Mrs J Slater from Blackburn with Darwen Council.

2.

Appointment of Chair and Vice Chair

The Chair and 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.

 

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Minutes:

Appointment of Chair

 

It was moved and seconded that County Councillor Alyson Barnes be appointed Chair of the Committee for the remainder of the 2013/14 municipal year.

 

Resolved:  That County Councillor Alyson Barnes be appointed Chair of the Committee for the remainder of the 2013/14 municipal year.

 

Appointment of Vice Chair

 

It was moved and seconded that Councillor Ron O'Keeffe be appointed Vice Chair of the Committee for the remainder of the 2013/14 municipal year.

 

Resolved:  That Councillor Ron O'Keeffe be appointed Vice Chair of the Committee for the remainder of the 2013/14 municipal year.

 

3.

Constitution, Membership and Terms of Reference pdf icon PDF 57 KB

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Minutes:

A report was presented on the Constitution, Membership and Terms of Reference of the Committee.

 

It was reported that since the agenda had been produced Councillor J Boughton (Blackpool Borough Council) had resigned as a councillor and that Blackpool was yet to nominate a replacement.  County Councillor S Perkins was not a member of this Committee as stated and her name should be replaced with County Councillor V Taylor. The membership of the Committee as now confirmed by the relevant authorities was:

 

Lancashire County Council:

County Councillor A Barnes

County Councillor F Craig-Wilson

County Councillor K Ellard

County Councillor G Gooch

County Councillor R Newman-Thompson

County Councillor C Pritchard

County Councillor D Smith

County Councillor V Taylor

County Councillor B Winlow

 

Blackburn with Darwen Council:

Councillor R O'Keeffe

Councillor P Riley

Councillor Mrs J Slater

 

Blackpool Council:

Councillor M Mitchell

Councillor A Stansfield

Vacancy

 

Non-voting co-opted members:

Councillor B Stringer (Burnley)

Councillor J Robinson (Wyre)

Councillor D Wilson (Preston)

 

Resolved:  That the Membership and Terms of Reference of the Committee, as now reported, be noted.

 

4.

Disclosure of Pecuniary and Non-Pecuniary Interests

Members are asked to consider any disclosable Pecuniary and Non-Pecuniary interests they may have to disclose to the meeting in relation to matters under consideration on the agenda.

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Minutes:

None disclosed.

5.

Confirmation of Minutes from the meeting held on 22 January 2013 pdf icon PDF 58 KB

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Minutes:

The minutes of the Joint Lancashire Health Scrutiny Committee meeting held on the 22 January 2013 were presented and agreed.

 

In receiving the minutes, it was noted that this Committee had convened on 14 November 2013, but the scheduled meeting had not gone ahead as it had not been quorate; no representatives from Blackpool Council were present.

 

Resolved: That the minutes of the Joint Lancashire Health Scrutiny Committee held on the 22 January 2013 be confirmed and signed by the Chair.

 

6.

Dementia Care Services Consultation - Update pdf icon PDF 72 KB

Additional documents:

Minutes:

 

Joe Slater, Chair of the Joint Clinical Commissioning Group Specialist Dementia Committee and Debbie Nixon, Chief Operating Officer, Blackburn with Darwen Clinical Commissioning Group (as lead CCG for mental health commissioning, acting on behalf of all CCGs in Lancashire) attended the meeting to provide members with an update on the current position regarding the outcome of the dementia care services consultation which took place in 2013. A number of appendices were attached to the report:

 

  • Appendix A – Recommendations of the NHS Lancashire Cluster Board following the analysis of the consultation responses.
  • Appendix B – Option Appraisal Report of the Joint CCG Specialist Dementia Committee.
  • Appendix C – Press release from Blackburn with Darwen CCG stating the recommendations of the Lancashire CCG Network.

 

Dr John Knapp, Consultant Psychiatrist and Dr Amanda Thornton, Clinical Director for Adult Community Network also attended the meeting to provide information from a clinical perspective.

 

A PowerPoint was used to give some background to the current position. It included a brief summary of the reasons behind the proposed changes to dementia care services, the consultation options, action following the consultation and the final outcome, which was to proceed with the construction of 'The Harbour' – a 30 bed dementia inpatient unit at Blackpool. The presentation also set out details of the number of patients expected to receive care at each of five different layers. This was intended to illustrate the relatively small proportion of dementia sufferers expected to be admitted to The Harbour:

 

·  specialist dementia unit (The Harbour) – 159

·  specialist community services – 6,700

·  nursing and care homes – 6,824

·  general hospital, - 9,493

·  living in the community – 18,679

 

The presentation also listed possible solutions to concerns raised about travel difficulties to the single site at Blackpool (see below). A copy of the presentation is appended to these minutes.

 

Members raised a number of comments and questions and the main points arising from the discussion are summarised below:

 

·  Concern was expressed about the methodology used to determine the preferred site and in particular that there was no weighting applied to the different categories of voters; it was suggested that if votes from 'advisory groups' had been weighted the scores under the heading 'access' would have been considerably lower.

·  In response members were assured that the methodology used had mirrored that used previously by the Technical Appraisal Group and that the Joint Clinical Commissioning Group had agreed by consensus that The Harbour be progressed as the site for specialist inpatient dementia services. There had been no sense that anyone involved with the decision had been uncomfortable with the outcome.

·  The Committee was reminded that expectations were that fewer than 1% of dementia sufferers would require the type of specialist inpatient care that was to be provided at The Harbour and that people generally accepted there was a need to travel to receive such specialist care. The majority of people would receive care locally through a developing raft of community services.

·  Debbie Nixon agreed to provide  ...  view the full minutes text for item 6.

7.

Urgent Business

An item of urgent business may only be considered under this item where, by reason of special circumstances to be recorded in the minutes, the Chair of the meeting is of the opinion that the item should be considered at the meeting as a matter of urgency. Wherever possible, the Chief Executive should be given advance warning of any Member's intention to raise a matter under this heading.

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Minutes:

No urgent business was reported.

 

8.

Date of Next Meeting

To be arranged as and when required.

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Minutes:

A further meeting of the Joint Lancashire Health Scrutiny Committee would be arranged as and when required.

 

Presentation pdf icon PDF 896 KB

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