Councillors and committees
Agenda and minutes
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Venue: Guildhall, Kingston upon Thames
Contact: Marian Morrison 020 8547 4623 email: firstname.lastname@example.org
To consider questions from the gallery on items which are not on the agenda
The following questions were asked during question time:
Lynne Finnerty stated that she had asked questions about the change to the Care Contributions Policy made a year ago and subsequent call-in, at the meeting of Adults and Children’s Committee on 1 February 2018 and was awaiting responses. She asked the following questions of the Panel:
· Equality and Human Rights Commission Guidance on the equality duty states “assessing the impact on equality is an ongoing process that does not end once a policy has been agreed or implemented”. Why has a report not been requested to ensure the mitigating actions of the Care Contributions Policy were put in place and for an update on these?
· Why have you not investigated the impact of the increase on charging on the uptake of social care in Kingston i.e. people who are assessed as needing services but do not take them up due to cost.
· Why have you not asked for an evaluation of whether there has been an adverse effect on health services? eg people being admitted to hospital or requiring more health interventions due to a lack of preventative services?
· The Council’s Our Kingston programme’s outcome based budgeting approach was based around a set of community outcomes. Guidance issued by the Department of Health and Social Care for Local Authorities states that health scrutiny should be outcome focussed. Why have you not requested evidence to demonstrate the policy changes fulfilled the ambition of Outcome 1, i.e. for people to “achieve wellbeing, independence and live healthy lives”?
The Chair responded that she had spoken to various directors, portfolio holders and members of the Panel’s own working group plus the Panel’s Advisory Members seeking suggestions for the Panel’s Work Programme. A long list of items was considered and items were prioritised for inclusion. The Chair added that it was not possible to include everything but the work programme takes a fluid approach and items for the following meeting are agreed by the Panel. The programme has been amended during the year to include suggestions made by the Panel and the public. The Chair noted Ms Finnerty’s suggestions for future consideration.
Julie Reay asked whether the Panel was aware of its powers to make referrals to the Secretary of State and whether any referrals had been made. The Chair answered that the panel was aware of its powers and had not made any referrals.
Apologies for absence and attendance of substitute members
Apologies were received from Councillors Geoff Austin, Sheila Griffin, Shiraz Mirza, Rachel Reid and Kate Dudley, Advisory Member, Kingston Carers Network. Councillor Malcolm Self attended as substitute for Councillor Rachel Reid.
Declarations of Interest
The following declarations of personal interests were made in relation to agenda item 5, Appendix A, New Blue Badge Parking Arrangements at Kingston Hospital:
Councillor Rowena Bass as she had set up the conservative petition
Councillor Maria Netley as she had signed the petition
Councillor Mary Clark as she had signed a petition and is a blue badge holder
Councillor David Fraser as his wife is a blue badge holder.
To approve the minutes of the meeting held on 7 December 2017
Agreed that: the minutes of the meeting held on 7 December 2017 be approved as a correct record.
To consider the report, scrutinise and make any recommendations
A request was made by three members of the Panel under the Council’s Standing Order 24 for an additional meeting of the Health Overview Panel to consider the introduction of parking charges for Blue Badge Holders at Kingston Hospital on 22 January 2018.
The report to the Panel set out information from a parliamentary report on the provision of blue badge and disabled parking, and current NHS guidance on parking. NHS guidance is advisory and hospitals have authority to set their own arrangements but it states that there should be concessions for people with long term conditions and their relatives and for disabled parking. The report also provided comparative information from other nearby hospitals and details of charges.
Kingston Hospital submitted a report (Annex 1) detailing the new parking arrangements and the leaflets about the new parking arrangements and blue badge holder parking (Annexes 2 and 3).
The Hospital’s report stated that the decision to charge for blue badge parking was made by the Hospital’s Executive Management Committee on 5 April 2017 and this was in line with many NHS Trusts. The basis of the decision was stated as:
a) the health travel cost scheme can support people who have difficulties in covering the cost
b) there is a need to increase the disabled space provision on site (from 30 to 60 spaces), to police this and costs need to be met
c) It is not possible to divert funds to parking provision from other NHS needs.
The report also noted that changes to the car parking system were also being made as there had been complaints and negative feedback about the previous system.
Communications about the new arrangements were made public on 5th January 2018.
A review of the first three months’ implementation of the new parking arrangements will be led by the Director of Nursing and Quality and the proposed terms of reference were appended. The review will consider results of the regular spot checks on cars parked in Galsworthy Road.
The report referred to brief discussions on parking at the last Panel meeting which was attended by Ann Radmore, Chief Executive. An apology was given for not referring to the proposed changes for blue badge holders.
Sally Brittain, Director of Nursing and Quality, introduced the report and reiterated the apology about not providing information about the proposals to the last meeting. She requested comments and suggestions on the review terms of reference.
Nathan Vear, Head of Shared Environmental Services (Kingston & Sutton), gave a presentation from the perspective of the council highways authority on the traffic safety implication for Galsworthy Road. He explained that the authority’s prime concern is road safety. The Panel saw photographs from google maps dated May 2017 showing vehicles parked on double yellow lines. He explained that whilst this is a contravention and is enforceable for those who do not have blue badges, blue badge holders are allowed to park on double yellow lines for up to 3 hours except ... view the full minutes text for item 35.
To consider the report on the draft PNA ahead of approval of the PNA by the Health and Wellbeing Board on 15 March 2018 and make any comments or recommendations
A request was made by three members of the Panel under the Council’s Standing Order 24 for an additional meeting of the Health Overview Panel to consider the Kingston Pharmaceutical Needs Assessment prior to approval by the Health and Wellbeing board at its next meeting on 15 March 2018.
The report to the Panel explained that the Pharmaceutical Needs Assessment (PNA) is an assessment of the current needs for community-based pharmaceutical services which are commissioned by NHS England. The PNA is used by NHS England to make decisions on new pharmacy applications, changes to pharmaceutical services provided, identification of any gaps in the market and relocation of current pharmacy providers. It is also used by local commissioners reviewing the health needs and services for the local population. The Health and Wellbeing Board has a statutory responsibility to produce one at least every three years.
The full draft PNA was appended to the report. The PNA includes a large amount of contextual information covering population characteristics, health needs of Kingston across a range of conditions and needs and a summary of population characteristics by locality. Also included are detailed information about the current pharmacies, their locations and services, and other relevant services which relate to pharmaceutical services such as GP out of hours, hospital pharmacies and services commissioned by Public Health.
The overall conclusion of the PNA is that “there is good provision of choice and spread across the four Kingston localities of essential and advanced pharmaceutical services commissioned by NHS England, and of locally commissioned services commissioned byKingston Council, providing residents with services which lead to health improvement and better care and prevent ill health. These services are relevant and bring about improvement to patient health”.
Dr Helen Raison, Consultant in Public Health and Karen Titterington also from Public Health introduced the report. They explained that community pharmacies may provide three levels of services:
· Essential services – negotiated nationally and provided by all pharmacies (include dispensing, waste medicines, health promotion and signposting)
· Advanced services – negotiated nationally and provided by those pharmacies which are specifically accredited
· Enhanced services – negotiated locally by Public Health to address local health needs, and provided by pharmacies who are trained and accredited and specifically commissioned e.g. stop smoking, alcohol screening, needle and syringe exchange chlamydia screening and treatment. 14 Kingston pharmacies provide the flu enhanced service.
Further details of the services provided, locations and opening hours were presented in the PNA on pages B15-17, B59 and B67-69 respectively and Appendices E and F. There are 34 pharmacies on the pharmaceutical list in Kingston. Overall there is good geographic spread, access and service provision. Two localities have slightly less but access still considered good.
The methodology for refreshing the PNA was to set up a steering group with representatives from Richmond & Kingston CCGs, Public Health, the Local Pharmaceutical Committee, the Local Medical Committee, Healthwatch and the GP Alliance. A consultation on the draft PNA ran from 24 November 2017 to 26 January 2018 and this ... view the full minutes text for item 36.