Agenda and minutes

To note any changes in membership of the Committee made in accordance with Part 4B paragraph 5 of the Constitution.

Cllr Vanessa Churchman was in attendance as a substitute for Cllr Clare Mosdell. Cllr Joe Lever was in attendance as a substitute for Cllr David Adams. Apologies were received from Cllr Michael Lilley.

To confirm as true record the Minutes of the meeting held on 6 June 2022.

RESOLVED:

THAT the minutes of the meeting held on 6 June 2022 be approved.

To invite Members to declare any interest they might have in the matters on the agenda.

No declarations were received at this stage.

Members of the public are invited to make representations to the Committee regarding its workplan. Questions may be asked without notice but to guarantee a full reply, a question must be put (including the name and address of the questioner) in writing or by email democratic.services@iow.gov.uk, no later than two clear working days before the meeting. The deadline for submitting written questions is Wednesday, 30 November 2022.

No written public questions were received.

To receive an update on the progress against the outcomes arising from previous meetings, and to provide an update on any outstanding actions.

The chairman presented the report which provided an overview of the progress against outcomes and recommendations from previous meetings.

No comments or questions were received at this stage.

RESOLVED:

THAT the progress report be noted.

The committee received the notes of the informal meeting of the committee held on 12 September 2022, which took place in lieu of the formal meeting which was cancelled as a result of the official period of national mourning following the death of Her Majesty the Queen. No comments or questions were raised at this stage.

RESOLVED:

THAT the notes of the informal meeting held on 12 September 2022 be noted.

To consider an update from the Hampshire and Isle of Wight Integrated Care Partnership.

The Managing Director of the Hampshire and the Isle of Wight Integrated Care Board presented an update on the current pressures on the health and social care system across the Island, particularly as they related to hospital and emergency ambulance services, urgent and primary care, adult social care, paediatric services, adult social care, and the winter plan. Questions were raised regarding funding, workforce pressures, hospital bed occupancy, discharge arrangements, population health data, and primary care capacity.

RESOLVED:

THAT the update be noted.

To consider the outcomes of the LGA Peer Review of Public Health.

Consideration was given to the outcomes of the LGA peer review which was undertaken to ensure that the formal partnership agreement between the Isle of Wight Council and Hampshire County Council continued to meet the needs of the Island. The Director of Public Health presented an update from the LGA which outlined the process, scope, and feedback of the review.  Discussion took place regarding the areas identified for further consideration, and the implementation of the recommendations. Questions were raised in relation to preventative services and collaboration with the community and voluntary sector.

RESOLVED:

THAT the outcome of the LGA peer review be welcomed, the report to Cabinet on the future of the public health partnership be supported, and the committee receives and monitors the delivery of the action plan arising from the areas identified for consideration in the review.

To consider and note the reports of the Isle of Wight Safeguarding Adults Board:

Consideration was given to the Isle of Wight Safeguarding Adults Board’s annual report for 2021-22, and business plan for 2022-24. The Independent Chair and the Board Manager were thanked for their work. No comments or questions were raised at this stage, and the reports were noted.

RESOLVED:

THAT the reports be noted.

To consider an update from the Hampshire and Isle of Wight Integrated Care Partnership.

The committee received an update on dentistry from the Hampshire and the Isle of Wight Integrated Care Partnership (following its take-over of dental services from NHS England). This included an overview of new procurement and contracting arrangements, and routine and urgent care provisions. Questions and concerns were raised in relation to capacity, workforce, and contracts. The committee requested copies of the action plan and timetable for improvement and requested a future report on oral health promotions activities.

RESOLVED:

THAT the committee requested that the Island’s MP asks that the newly appointed Secretary of State for Health make changes to the leadership of those responsible at a national level in the NHS for the planning, provision, and delivery, of NHS dental services due to the complete collapse of the existing structure for both patients and dentists under their tenure.

To consider the progress with establishing a task and finish group to look at patient transport.

Consideration was given to the progress with establishing a working group to look at patient transport. The committee expressed concern as to the lack of progress on this matter and were assured that the Integrated Care Partnership would make patient transport for Island residents (in terms of the cost, ease of use, and impact on clinical outcomes) a key priority. It was agreed that the scope of the work would be circulated to the committee and a formal report would be presented to the next meeting in March 2023.

RESOLVED:

THAT the update be noted.

To be advised of progress with the following proposals:

The committee received an update on the progress with the construction of a dedicated ‘elective hub’ facility to allow more operations to take place in order to address the backlog and reduce waiting times for patients requiring non-urgent surgery. Questions were raised in relation to the timeline, and it was confirmed that construction was on track to start from January 2024 with the facility anticipated to be fully operational by June 2025. The proposals were supported, and the committee were reassured that clear consideration would be given to the transport needs of patients travelling to the hub from the Isle of Wight.

RESOLVED:

THAT the update be noted.

The committee received a progress update on the review of community and mental health services, including the scope of the review, future strategic priorities, and future recommendations. The proposed establishment of a new Trust to be created for all community and mental health services across Hampshire and Isle of Wight was accepted.

RESOLVED:

THAT the proposals be supported.

To consider any amendments to the current workplan.

Consideration was given to the future workplan, and the committee and health partners were invited to identify any key issues that should be included. The Cabinet Member for Adult Social Care and Public Health suggested that the committee reviews the impact on adult social care after the budget has been set in February 2023.

RESOLVED:

THAT the workplan be noted.

A question may be asked at the meeting without prior notice but in these circumstances there is no guarantee that a full reply will be given. To guarantee a reply, a question  must be submitted in writing or by email to democratic.services@iow.gov.uk no later than 5pm on Thursday, 1 December 2022.

Cllr Churchman asked a question in relation to free school meals and it was confirmed that the matter would be passed to the Policy and Scrutiny Committee for Children’s Services, Education and Skills.

Cllr Churchman asked a question in relation road safety campaigns and it was confirmed that the matter would be passed to the Policy and Scrutiny Committee for Neighbourhoods and Regeneration.

Cllr Quigley ask a question regarding a resident accessing referrals and it was confirmed that the details would be shared outside of the meeting.

The Cabinet Member for Adult Social Care and Public Health requested that the committee write to the Local Government Association, Health Secretary and Chancellor of the Exchequer regarding the lack of reform and funding for Adult Social Care.