Venue: Committee Rooms A/B - Neath Civic Centre. View directions
Contact: Stacy Curran 01639 763194 Email: s.curran@npt.gov.uk
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Minutes of Previous Meeting PDF 61 KB Minutes: That
the Minutes of the previous meeting held on the 2 May, 2019, be approved. |
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Forward Work Programme 2019/2020 PDF 65 KB Minutes: The
Committee was noted that the Forward Work Programme for 2019/20 would be
subject to consideration at a future meeting.
Date to be confirmed. The Committee would have the opportunity to
develop the programme for the next 12 months. |
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Presentation from Swansea Bay University Health Board PDF 1 MB Minutes: Members
received a presentation from Swansea Bay University Health Board (SBUHB) on the
key health board developments, a recap and update on the quality improvements
and service transformation work, health services in valley communities and the
joint working priorities. Health
Board colleagues thanked Members for the opportunity to attend today’s
meeting. The
Committee heard that there had been no impact on services to patients as a
result of the Bridgend boundary change which took place on the 1 April,
2019. Discussion
took place on the impact of population and economic changes on communities that
influences peoples’ health. People were living longer but people in deprived
communities lived 9.7 years less than more affluent areas. In addition, there was a
18/20 year gap in healthy life expectancy.
Swansea Bay footprint had over a quarter of its communities categorised
as deprived which was higher than the Welsh average. Also, the Health Board had
the highest rate of suicide in Wales particularly in Neath Port Talbot. Information
was received on the vision for the Swansea Bay University Health Board and the
quality improvements and service transformation being implemented by the Health
Board. The aim of this work was to have
the best outcomes for people within the resources available. In
addition, work was being undertaken to improve the health outcomes for frail
older people who were the highest re-presentations at Accident and Emergency
Units. Also, they were prone to the
longest lengths of stay in hospital. Work was taking place with Neath Port
Talbot Social Services, Health and Housing Directorate to enable patients to be
discharged from hospital with the appropriate care packages in place at
home. Community based services were also
being developed to support older people with mental health problems to reduce
the need for admission to hospital. Discussion
took place on the issues within some valley areas in accessing General
Practitioner Services. It was noted that
there were challenges in these areas in regard to recruitment and there were
surgeries that overlaped two health board areas. A
clinical review was undertaken in one particular area in the Amman Valley which
confirmed the surgery was operating a safe model for patient care. A triage
system was operating to ensure that patients were directed to the appropriate
specialist in a speedy manner. In
addition, both health boards worked together to achieve the correct outcomes
for their patients. Confirmation
was given as previously discussed that the Bridgend boundary changes did not
impact on patients. If Members had any information that was contradicting this
please forward to Health Board colleagues. Following
on, clarification was given that the outcome of a recent review in regard to
the future of a surgery in the Cymllynfech area was
not completed and the process was not finished. A request had been made by the G.P
Practice to the Health Board to consolidate their Practice to a reduced number
of sites. The Community Health Council
has undertaken public engagement and concerns had been identified. Members noted that the additional ... view the full minutes text for item 3. |
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Pre-Decision Scrutiny Minutes: The
Committee chose to scrutinise the following Cabinet Board items: Revised
Adult Services Respite Allocation Policy The
Committee received an overview of the revised Adult Services Respite Allocation
Policy which was subject to a 90 day public consultation. Members
asked that the focus of the policy should not solely be for the benefit of
Carers receiving respite, but to give the opportunity for services users to use
the respite as a holiday. Members
queried whether there was an opportunity to re-look at other respite provisions
eg day centres.
It was explained that all avenues would be considered but would depend
on the availability of budgets. Concern
was expressed at the emphasis in the policy of seeking family, friends to
undertake the respite caring duties. What happened if this was not an option? In addition, what safeguarding measures were
in place. Currently family/friends were the main carers and respite breaks took
place on an informal basis. There was no
register held on family/friends who were also carers. In addition, the Council was not made aware
of all cases where care was undertaken.
Also, if this was not an option the service user would be able to access
the existing commissioned services. Members
asked for assurances as the suitability of a carer
was paramount in these situations.
Officers explained that if there were any safeguarding issues they would
be acted on. Not all carers or people
receiving care were known to the Council.
These would be undertaken on an informal basis by family and friends
which was encouraged by the implementation of Direct Payments by the Welsh
Government. Clarification
was given that service users in receipt of Direct Payments were able to access
commissioned respite beds if the beds were available. Figures would be circulated on the number of
respite beds available to Neath Port Talbot. In
response to Members queries, it was explained that the policy was developed to
ensure that all who required respite were treated fairly and consistently. Also, respite care was not just residential
care. A report would be brought to a
future meeting of the Social Care, Health and Wellbeing Scrutiny Committee
identifying the variety of respite care available. Following
scrutiny, the Committee was supportive of the proposals to be considered by the
Cabinet Board. West
Glamorgan Regional Strategic Framework for Mental Health The
Committee received an overview of the West Glamorgan Regional Strategic
Framework for Mental Health Services for Adults as detailed in the circulated
report. It
was explained that West Glamorgan was previously known as the Western Bay
Partnership. Confirmation
was received that a six monthly report would be brought back to Committee
detailing how the model had progressed and what impact it had had on the
negative feedback contained within the feedback report. Concern was expressed at how Valley Communities would not be impacted by the proposal as detailed in the circulated report. Officers were asked to consider fully the impact on Valley Communities when drafting reports and to ensure that there was an ... view the full minutes text for item 4. |