Agenda and draft minutes

Venue: Grey Room - York House - Windsor

Contact: Laurence Ellis  Email: Laurence.Ellis@RBWM.gov.uk

Video Stream: Click here to watch this meeting on YouTube

Items
No. Item

104.

Apologies for Absence

To receive any apologies for absence.

Minutes:

Apologies received from Mark Jervis, Hilary Hall, Lin Ferguson and Derek Moss.

 

105.

Declarations of Interest pdf icon PDF 108 KB

To receive any declarations of interest.

Minutes:

Mid-meeting, Councillor Bateson declared that she was a trustee at Ascot Day Centre.

106.

Minutes pdf icon PDF 321 KB

To approve the minutes of the previous meeting.

Minutes:

RESOLVED UNANIMOUSLY: That the minutes from the meeting held on 20 January 2022 were approved as a true and accurate record.

 

107.

Recommendations from the Domiciliary Care Re-Commissioning Task and Finish Group

To receive a verbal update.

Minutes:

The Chairman updated the panel. Following a Task-and-Finish Group on the Adults Domiciliary Care Tender, the Panel approved officers’ recommendations to award the contracts to the providers which met the criteria of the tender; as well as that at the start of the care package and during each review, people can request a change of provider at any point and for any reason.

 

The Chairman asked the Panel if they approved these officers’ recommendations for the procurement of new Domiciliary Care Service for Adults to be presented to Cabinet on the following day (Thursday 28 April 2022).

 

RESOLVED UNANIMOUSLY: The panel noted the updated and approved the report being forwarded to Cabinet.

108.

Update on the Re-Commissioning of Day Opportunities

To receive an update.

Minutes:

RESOLVED UNANIMOUSLY: That the order of agenda items was changed, so that the Update on the Re-Commissioning of Day Opportunities was considered second.

 

Lynne Lidster, Head of Commissioning, introduced the item with a presentation to give an update on the changes to day opportunities for both older people and people with a learning disability following the consultation and decision by Cabinet in November 2021.

 

In summary, day opportunities were changing to provide people wider activity options as well as further develop their independence. A formal consultation process on the Council’s proposal to close Windsor Day Centre (older people) and Oakbridge Day Centre (people with a learning disability) whilst retaining Boyn Grove. Over a hundred survey submissions were received from a various range of people who use Day Services.

 

The responses conveyed that most people wanted the services to change so that it was better for everyone whereby people could access a day centre and could day activities. In general, people wanted a blended approach.

 

Responses also stated a desire for a smaller, building-based day centre for people with learning disabilities in Windsor. Therefore, as part of the consultation, this proposal was taken on board.

 

A Cabinet report was written and presented to Cabinet. On 25th November 2021, the Council made the following changes to day services:

·       Boyn Grove Day Centre would stay open;

·       A smaller day centre in Windsor at the Mencap Hub building for people who need to be supported in a building so Oakbridge would be closed

·       Windsor Day Centre would be closed and older people will be referred to Boyn Grove, Old Windsor Day Centre and Spencer Denny Day Centre

·       “Out and About” services would be put in place so that older people and people with a learning disability have more choice about what they want to do.

 

At this point, Councillor Bateson announced that she was a trustee for Ascot Day Centre.

 

Victoria Holt, Community Development Manager, continued the presentation. She showed the panel the Windsor MENCAP. Work needed to be done to ensure it was fit for everyone, namely improve the personal care facilities with plans to extend the accessible bathroom.

 

Moving on, Victoria Holt explained that customers who use Oakbridge Centre would form a ‘Moving On’ group to ensure they were involved in the planning of the move. Customers would start to use The HUB for some activities as part of the transition.

 

Optalis had built partnership with organisations, such as Leisure Focus, Maidenhead Magpies and Norden Farm, to provide a range of activities for people in care. Optalis’ Supported Employment Service had also opened up opportunities for paid employment, voluntary and work experience with an Employment Coach.

 

Belinda Dixon, Senior Dementia Care Advisor, continued the presentation. She explained that Dementia Service were a point of contact which provided support, advice and information for those with dementia living across RBWM. The service provided a range of dementia-friendly activities, including themed small group activity sessions, CST Cognitive stimulation therapy courses, and delivering monthly activity  ...  view the full minutes text for item 108.

109.

Family Hub Implementation - One Year On

To receive an update.

Minutes:

RESOLVED UNANIMOUSLY: That the order of agenda items was changed, so that Family Hub Implementation – One Year On was considered third.

 

Kevin McDaniel, Executive Director of Children's Services, introduced the item. He reminded the panel that during 2020 there was an extensive discussion as well as decisions around transforming how to provide health services for young people. The decision was made to move to a family hub model which added some flexibility, such as developing multi-skilled teams to respond to emerging needs. Kevin McDaniel added that Danny Gomm, Family Hub Manager, and his team had been organising these teams from 2020 to early-2021.

 

Danny Gomm gave a presentation, updating the panel on the status of the Family Hub services and future objectives. The Family Hub Service was launched on 1 May 2021 which brought Children's Centres, the Youth Service, the Family Resilience Service and Parenting Support under one umbrella. The Family Hub supported children, young people and families on statutory plans including children in care and care leavers.

 

The Hub was split into three – the Maidenhead Area, the Windsor Area and Boroughwide (which worked anywhere in the Borough) – and offered a wide range of interventions and support. Over the past year (2021-22), 903 children were supported on a 1-1 basis.

 

Councillor Sharpe asked if there was a breakdown of the areas where the children who were using service came from. While the area breakdown was not added to the presentation, Danny Gomm responded he would provide one after the meeting. He added that families came from all over the Borough.

 

Most interventions took place within the home or the school of the family or young person, and rarely for the family or young person to travel to a Family Hub building.

 

Danny Gomm showcased positive feedback from the families who benefited from Family Hub Support, highlighting the appreciation of support from the families who used the service.

 

7 different parenting groups were offered by the service based on needs, with 2 additional groups being recently created. These included ‘Freedom’, ‘Incredible Years’ and ‘EFA/Space’. New groups would be created based on the needs of parents.

 

The Family Hub Service continued to provide workshops for young people in schools, with approximately 2860 attendances after the easing of COVID lockdowns in November 2021. Professionals’ workshops were also provided by Family Hub. Internal apprenticeships and job vacancies were also provided by the Family Hub.

 

Young people were given opportunities to be involved in local decision making and peer mentoring, including the Youth Council, Girls Forum (empowering girls/young women in RBWM), Kickback (Children In Care Council) and Care Leavers Forum.

 

During 2021/22 there were two large consultations organised with young people, one was in partnership with Thames Valley Police, and another one which sought to gain young people's views and concerns around youth violence. The Family Hub also the Young Health Champions which sought to upskill young people to provide peer support through an understanding healthy and unhealthy behaviours.

 

The challenges included  ...  view the full minutes text for item 109.

110.

Update on Heatherwood Hospital Opening

To receive an update.

Minutes:

RESOLVED UNANIMOUSLY: That the order of agenda items was changed, so that Update on Heatherwood Hospital Opening was considered fourth.

 

Carol Deans, Director of Communications and Engagement, NHS Frimley, Dan Bradbury, Chief Operating Officer, NHS Frimley, and Nigel Foster, Chief Finance Officer, NHS Frimley, introduced the item with a presentation. Nigel Foster gave the background and progress to the development of the new Heatherwood hospital. Dan Bradbury then gave a summary of the facilities, services, layout and infrastructure. And finally, Carol Deans gave an overview on the new hospital’s impact and future aspirations.

 

The Chairman asked about the parking spaces at Heatherwood. Carol Deans answered that there were 151 patient spaces, 16 disabled patient spaces as well as 240 staff and six disabled staff spaces.

 

Councillor Sharpe raised the question of bicycle parking spaces. Carol Deans answered that there were bicycle parking spots at the hospital but added that they would investigate on how clear they were located and may consider signposting. Nigel Foster reiterated that the signposts for parking should be investigated.

 

Councillor Da Costa asked if it was still going to be low risk elective surgery, and whether Heatherwood has a HDU (High Dependency Unit) and a maximum BMI. Dan Bradbury replied that there was not an HDU, but there was elevated post-operative support which was designed to chunk the 80% of surgery at high volumes. He added that there would always be about 15–20% which would require a greater level of support, which would then be maintained.

 

Councillor Da Costa asked if the new electronic system would enable practitioners to test results by using a patient number rather than needing to go through multiple systems and then cross-reference. Dan Bradbury answered that a system called ‘Open Epic’ allowed care practitioners to access and review patient records. There was also Connected Care, a hub and interface which allowed people to see patients records and it linked disparate systems. Nigel Foster confirmed Councillor Da Costa’s answer.

 

Councillor Tisi asked to what extent did the specialisms which were chosen reflected the aging population and the changes in future proofing for what was being seeing going forward. In regards to future proofing, Dan Bradbury replied that they would monitor this over the next 12 months. Within the NHS, two of the specialties which had increased the most in terms of patient waiting times and patient waiting lists were ophthalmology and orthopaedics. The main reason was because they tended to not be life-threatening.

 

Councillor Bateson asked whether the Heatherwood building could be expanded in the future. Nigel Foster replied that the possibility of expansion was considered during the planning to ensure there was an open possibility to add additional buildings or expand the current building. However, if there was a decision to expand, there would be questions on funding for this expansion. Also, while expansion was possible, NHS Frimley would seek to make use of its current sites first to meet demand.

 

Discussing the length of time of the meeting,  ...  view the full minutes text for item 110.

111.

Implementation of Health and Care White Paper

To receive a report.

Minutes:

The Panel discussed and decided to move this agenda item to the next meeting.

 

RESOLVED UNANIMOUSLY: To have the Implementation of Health and Care White Paper moved to the next meeting agenda.

112.

Update on Current Transformation Projects pdf icon PDF 210 KB

To receive an update.

Minutes:

Katharine Willmette (Director of Statutory Services and Deputy DASS) introduced the item by conveying the updates of various transformation projects. She went through the item in the agenda document and gave a summary of each project, then explained the progress in the last quarter and the actions for the next quarter. The projects included the relaunch of Shared Lives Schemes, Review resourcing and Transitions.

 

The Chairman asked if the Transitions activity included integrating Family Hubs with the children services. Katharine Willmette replied that there was no formal plan to integrate the Family Hub but were nevertheless open to collaborating with them as part of the work to support families.

 

Councillor Tisi asked if the transformation in other areas would be done in the same way. Kevin McDaniel said he would check on that.

113.

Annual Scrutiny Report pdf icon PDF 355 KB

To receive the Annual Scrutiny Report.

Minutes:

The Chairman introduced the Annual Scrutiny Report.

 

RESOLVED UNANIMOUSLY: Approve the Annual Scrutiny Report.

 

114.

Work Programme pdf icon PDF 117 KB

To review the ongoing work programme.

Minutes:

The Chairman introduced the item, and the Panel discussed what agenda items could be added to future meetings.

 

The Chairman wanted the Implementation of Health and Care White Paper to be a standing item for future agendas.

 

ACTION: Implementation of Health and Care White Paper to be a standing item for future agendas.