Agenda and minutes

Members are asked to declare any interests in the items under consideration and in doing so state:

(1) the type of interest concerned either a

(a)   personal interest

(b)   prejudicial interest

(c)    disclosable pecuniary interest (DPI)

and

(2) the nature of the interest concerned

If any member requires advice on declarations of interests, they are advised to contact the Head of Democratic Governance in advance of the meeting.

There were no declarations of interest on this occasion.

To agree the minutes of the last meeting held on 10 November 2022 as a true and correct record.

The Committee agreed that the minutes of the last meeting held on 10 November 2022 be signed by the Chairman as a true and correct record.

To consider any requests from members of the public to speak at the meeting.

There were no requests from members of the public to speak on this occasion.

To consider the Executive and Cabinet Member decisions within the portfolios of the Cabinet Member for Adult Social Care and Community Health and Wellbeing taken since the last meeting of the Committee.

The Committee noted the decisions taken since its previous meeting.

To update the Committee on the improvements made to Stroke Services and the proposed models of care.

Ms Hayley Michell, Interim Programme Director, Ms Elaine Day, Lancashire and South Cumbria Integrated Stroke and Neurorehabilitation Delivery Network (ISNDN) Manager, Ms Sharon Walken, Programme Manager and Mr Mark XXXXXX provided a presentation to update the Committee on the progress made in implementing the change in whole system approach to stroke services across the Lancashire and South Cumbria Integrated Care System (LSC).

It was reported that 6,409 people attended a hospital emergency department in LSC with either stroke or stroke mimic symptoms in 2020/2021. There had been 2,575 patient admissions for acute stroke care and 442 deaths due to stroke in 2020/21. Thrombolysis and thrombectomy rates, both treatment types for stroke, were well below national averages. In order to address concerns regarding stroke treatment in the area, a series of priorities had been established for implementation over a three year period.

A business case had been produced at the outset of the programme which had made a number of assumptions regarding the number of patients to be expected, however, in reality the number of presentations at the emergency department had been much higher with a 15% increase in the number of strokes in addition to an increase in stroke ‘mimics’. It had therefore been determined that a review of the business case was required which would be refreshed to reflect changes and the implementation plan updated with new timescales.

Members raised concerns regarding the wait times at the emergency department and in particular the length of time some ambulances were waiting outside the hospital before patients were able to be triaged. In response, it was reported that suspected stroke and heart attack continued to be prioritized and that ambulances could alert the emergency department in advance of their arrival that a patient was presenting with stroke symptoms. The importance of quick treatment was highlighted and it was noted that the stroke team was in attendance to meet patients that presented at the emergency department with symptoms for immediate triage. The same pathway was available for those self-presenting at the emergency department.

Further concern was raised by those in attendance that in Blackpool people appeared to present themselves later than in other areas and whether stronger messaging could be used in order to encourage them to attend the emergency department as quickly as possible after experiencing symptoms. It was agreed that a new set of messaging would be developed and presented to the Committee for comment and input.

The Committee also requested that data specific to Blackpool be presented so the immediate local picture of stroke could be understood. It was noted that the improvements continued to be a work in progress and Members requested that a further update be provided in due course.

The Committee agreed:

1.      To receive the material developed to encourage members of the public to seek help immediately following experiencing stroke symtoms.

2.      To receive a further update on the implementation of the programme in due course.

3.      To receive stroke data specific  ...  view the full minutes text for item 5.

The purpose of this report is to provide the Adult Social Care and Health Scrutiny Committee with an update on the actions taken in response to the Maternity Services CQC inspection, carried out in June 2022 at Blackpool Teaching Hospital, as requested by the Committee following the Maternity Update report presented in October 2022.

Mr Michael Chew, Divisional Director, Blackpool Teaching Hospitals NHS Foundation Trust presented the update report to the Committee following the Care Quality Commission’s inspection of Maternity Services. He highlighted the development of the action plan to the Committee and the progress made to date on the actions noting that actions would only be described as completed/’green’ once they could be considered embedded.

Ms Lynne Eastham, XXX highlighted key areas of improvement including in the number of staff and senior leaders recruited, additional work on retention, the open and transparent mechanisms in place to allow staff to raise concerns, regular Executive Team walk-arounds and the introduction of safety champions. The aim was create a positive and open culture.

The Committee noted the progress made to date and the Trust’s confidence that all actions would be completed and fully embedded before the action plan was considered completed. Members agreed to receive a further report on progress from the Trust in due course and requested that it include patient feedback.

To update the Committee on the progress of Drug Related Deaths Scrutiny Review Panel recommendations.

Ms Judith Mills, Consultant in Public Health presented an update on the recommendations approved through the Drug Related Death Scrutiny Review. She highlighted that a new Harm Reduction Board had been established which was a partnership of the Council, Police, Probation and Prison Services amongst others to oversee all harm reduction work and that the recommendations of the scrutiny review were being implemented by that Board. She added that Lived Experience continued to inform all work in this area.

An update was provided on each of the review’s recommendations and it was noted that significant progress had been made in a number of areas. In particular the use of naloxone as set out in recommendation 2 had increased and the lives saved had been recorded. Also highlighted was the response to recommendation 7, with it noted that the homeless healthcare provision had been increased with a holistic healthcare intervention now in place which would also include dental care.

The Committee praised the work undertaken to implement the recommendations and considered the review to have been a worthwhile undertaking due to the changes the review had brought about. It was agreed that the new scrutiny impact assessment developed be carried out on this review.

To inform scrutiny of the progress against the recommendations from the Supported Housing Scrutiny Review report, and the ongoing work in this area.

Ms Vikki Piper, Head of Housing and Ms Kate Aldridge, Head of Corporate Delivery, Performance and Commissioning presented an update on the implementation of the Support Housing Scrutiny Review Recommendations. It was noted that the standards developed with and approved by the Committee had been approved by the Executive and were now available on the Council’s website and that the Council continued to work with the Government regarding the development of regulations for the sector. The key role of scrutiny in the supported housing work was highlighted and the impact that it had had on real people and lives was noted.

The Committee agreed that the Supported Housing Scrutiny Review could be considered as completed and requested that future updates on continued progress be provided to the Committee as appropriate.

To report back the outcomes of the scrutiny meeting held to feed into the development of the Oral Health Strategy.

The Committee considered the report of the Oral Health Strategy Scrutiny meeting and approved the comments for inclusion in the Strategy.

To consider the final report of the scrutiny review of Mental Health Provision for Young Men.

The Committee considered the final report of the Mental Health Provision for Young Men Scrutiny Review and approved it for consideration by the Executive.

To review the work of the Committee, the implementation of recommendations and identify any additional topics requiring scrutiny.

The Committee considered its workplan and agreed to include the additional items identified during the meeting on Maternity Services, Stroke and Supported Housing.

In regards to the table of recommendations, Members noted that the Meals on Wheels leaflet had been developed to be more colourful and it was considered to be an excellent leaflet ready to be circulated.

To note the date and time of the next meeting as 23 February 2023, commencing at 6pm.

The date and time of the next meeting was noted as Thursday 23 February 2023, commencing at 6pm.