Agenda and minutes

There were no declarations made at the meeting.

RESOLVED that the minutes of the Health and Adult Social Care Overview and Scrutiny Panel held on the 16^th March, 2016 be approved as a true record and signed by the Chair.

[A period not exceeding 20 minutes for

Statements from up to 5 members of the public on

matters within the Panel’s remit, proposing action(s)

which may be considered or contribute towards the

future development of the Panel’s work programme].

There were no public statements

The Panel received a report and presentation which provided Members with an overview of the changes to current service provided by Intermediate Care. A copy of the slide presentation was handed out to Members at the meeting.

The report advised that Local Intermediate Care services had evolved over time with funding from a number of sources. Although individual services and providers had reported good outcomes, no single organisation had had a comprehensive overview of how the care system worked together as a whole. It was agreed that to better understand this, the Intermediate Care Review was initiated in June 2014, led by the Intermediate Care Team based within the Clinical Commissioning Group (CCG).

To understand the needs of Doncaster residents, the Intermediate Care Team had spent time talking to patients and those involved with their care. Within this work, the team had also conducted detailed reviews of the care pathways of 30 patients, assessed the records of over 1,000 people and asked panels of local experts to identify what services needed to be offered in the future to best meet the needs of the borough’s population.

The following issues were identified:-

·         Our services were too complicated and difficult to navigate.

·         Services were not as coordinated as they could be.

·         Current services were not personalised to the individual

·         There needed to be emphasis on proactive services, helping residents keep their independence at home.

·         Challenges in the future would mean the whole of the workforce would have to work differently in supporting people living with dementia and cognitive impairments.

Following the update and presentation, Members were afforded the opportunity to make comments and ask questions. The following comments and responses were made:-

·         Councillor Cynthia Ransome welcomed the report and was pleased with the progress made so far but expressed the need for the service to made simpler.

·         Councillor Pat Haith made reference to data sharing and highlighted her attendance at the Fire Authority Health Conference where data sharing was discussed. She emphasised the importance of collaborative IT systems. It was reported that a digital road map for Doncaster had recently been developed, which all organisations had signed up to. This would see the development of integrated IT systems, moving towards full interoperability of all health and social care systems.

·         Councillor Linda Curran asked whether it was taken into consideration if a patient had family support and in relation to assessments, particularly 75 year old patients that had complex needs, would these be carried out in hospital. It was advised that each patient would be assessed according to their need. For instance a patient may not need to be admitted to hospital for an assessment as the procedure could be carried out safely in a home environment. It had also been evidenced that admission to hospitals can sometimes cause unnecessary stress on a patient

·         In addition, Councillor Linda Curran, asked whether a summary of patients notes detailing their needs would be kept at their home to ensure professionals visiting understood the patients  ...  view the full minutes text for item 4.

The Panel received an report updating the Members on the Panels work plan for 2016/17. A copy of the work plan was attached at Appendix A to the report which took into account the issues considered at the informal Health and Adult Social Care Overview and Scrutiny planning meeting held on the 6th June, 2016 and was agreed by OSMC on the 10th June, 2016.

Members were also presented with details of the Joint Health Overview and Scrutiny Committees that had been established, these were highlighted within paragraphs 8 to 14 of the report. It was also noted that the appointment of the Health and Adults Social Care Overview and Scrutiny Panels representative on the Joint Committees was agreed as Councillor Rachael Blake who was appointment at Full Council on the 13th May.

            RESOLVED that the Panel noted:-

(1)        the Health and Adults Social Care Overview and Scrutiny work        plan for 2016/17;

(2)        the work plan was a living document and would be reviewed and    updated at each meeting of the Panel to include any relevant           correspondence, updates, new issues and resources available       to meet additional requests; and

(3)        the appointment of the Health and Adult Social Care Overview        and Scrutiny Committee (Yorkshire & Humber) and the Joint      Health Overview and Scrutiny Committee (Health Service Change in South and Mid Yorkshire, Bassetlaw and North    Derbyshire).