Agenda and minutes

Apologies for absence were received from Councillor Fower.  Councillor Sandford was in attendance as substitute for Councillor Fower.

At this point Members must declare whether they have an interest, whether personal or prejudicial, in any of the items on the agenda. Members must also declare if they are subject to their party group whip in relation to any items under consideration.

No declarations of interest were made.

3.1 The Commission agreed to note the comments received from NHS Peterborough on minutes from meetings held on 14 June and 27 June 2011.

3.2 Minutes of the meeting held on 14 June 2011 were approved as an accurate record.

3.3 Minutes of the meeting held on 27 June 2011 were approved as an accurate record.

3.4 Minutes of the meeting held on 19 July 2011 were approved as an accurate record.

The decision notice for each decision will bear the date on which it is published and will specify that the decision may then be implemented on the expiry of 3 working days after the publication of the decision (not including the date of publication), unless a request for call-in of the decision is received from any two Members of a Scrutiny Committee or Scrutiny Commissions.  If a request for call-in of a decision is received, implementation of the decision remains suspended for consideration by the relevant Scrutiny Committee or Commission.

There were no requests for call-in to consider.

The report informed the Committee on the progress of the implementation of the teenage pregnancy strategy over the past ten years and the outcomes of the evaluation of the young men’s project.  Strong supporting evidence and an independent review had indicated that the work had a positive impact on young men.  The evaluation contained evidence that the project has been successful in that:

o       Young men were interested in sexual health where they needed to protect their own or sexual partners

o       The service appealed to young men since it offered what they wanted, not what service providers wanted or choose to offer

o       The numbers of young men attending the service represented good value for money

o       Young men were demonstrating a change in behaviour 

o       65% were already c card registered and they informed the project that they did use it. 

o       Interviews undertaken in March 2011 with young men during the project evaluation indicated that 75% of the young men regularly use condoms as a direct result of the information they had received through the project confirming that the project has had a positive impact in terms of the uptake of condom use.

As a result the learning from the project had been used to re-commission the project but with a wider remit including targeting young women with risky behaviour.  The current project was being delivered by NACRO.  The teenage pregnancy figures had remained static.

Observations and questions were raised and discussed including:

·         What age is sex education taught in schools?  The officer could not confirm the age but believed it was between the ages of 13 and 16 years old.  Young men had commented that the sex education received at schools was more from a biological approach.  What had been taught at NACRO had been more about emotional and risky behaviours.  Young people were being trained to peer educate.

·         Will this project show us returns in the near future?  The project would target hard core young men and would challenge their behaviour.  It was difficult to say if this would change behaviours in the short term.

·         The teenage pregnancy rates in Peterborough were still one of the highest in the country. Members felt that young men and young women should be targeted together. The Youth Council could be used to get the message across.  When the project was re-commissioned the brief had included young women as well as young men.  Young people were also being used to deliver the message to their peers through the youth inspectors programme.

·         Had the programme looked at focusing on young peoples aspirations?  The early intervention programme was being refocused to include looking at the aspirations of young people and would also include alcohol and substance misuse.  Evidence had shown that there was a link between inappropriate sexual behaviour and lack of aspiration.

·         The report had mentioned ‘the success of the implementation of the Teenage Pregnancy strategy over the past ten years’.  The figures for teenage pregnancy had not  ...  view the full minutes text for item 5.

The report informed the Commission of the proposal to set up a Joint Health Scrutiny Committee to respond to a forthcoming consultation on proposals for the redesign of mental health services in Cambridgeshire and Peterborough.  The Commission were asked to agree to:

·         The setting up of a Joint Health Scrutiny Committee between Cambridgeshire County Council and Peterborough for the purpose of scrutinising the proposals for the redesign of mental health services.

·         Nominate up to five members plus substitutes to the Joint Health Scrutiny Committee.

RECOMMENDATION

The Commission recommended that a Joint Health Committee between Cambridgeshire County Council and Peterborough be set up for the purpose of scrutinising the proposals for the redesign of mental health services.

ACTION

The Senior Governance Officer to receive nominations for membership of the Joint Health Committee from the membership of the Scrutiny Commission for Health Issues.

The full detailed report will be published on 9 September 2011

The report informed the Commission of the NHS Peterborough’s Primary and Urgent Care Strategy consultation and responses received.  The report detailed:

• Full details of the consultation process
• Consultation responses, including the full report from MRUK Research
• Key themes from the formal responses, meetings and petitions
• NHS Peterborough’s responses to the key themes and questions raised
• Urgent Care analysis and conclusions
• Primary Care analysis and conclusions
• Provisional recommendations to the Board following consultation
• Provisional implementation timetable

Responses to the consultation had been as follows:

• PCT Questionnaire submissions 384
• E-mails 34
• Telephone calls 71
• Letters 15
• Formal responses from organisations or groups 26
• Petitions and local campaigns 9

The results from the consultation had shown that:

• there was a  strong majority of support (87%) for NHSP’s vision for urgent care
• there was a  strong majority of support (78%) for NHSP’s vision for primary care
• there was a  majority support for option 3 (77%) to fully implement the vision.
• there was significant minority support for option 1 (39%) to do nothing.

Two changes highlighted from the original option three for Urgent Care provision that had been put forward was:

1.      The proposal for a telephone triage via a three digit 111 local number from March 2013 to improve patient experience and the efficiency of the urgent care system.

2. Integration of urgent care functions in one provider (i.e. call handling and triage services; GP out of hours; Minor Injury Unit services).

Primary Care

Seven practices in Peterborough were in the lowest 10% nationally for patient satisfaction levels.  Recovery plans for those surgeries had been put in place and the Thomas Walker Surgery had already seen satisfaction levels improve.  It was therefore proposed to implement the Primary Care Access plan.

GP practices had the physical capacity and access to workforce to supply double the capacity needed to meet the need for additional registrations at practices in the North, Central and Park areas should Burghley Road and/or Alma Road close. There was also sufficient capacity in Orton should Orton Medical Practice close.

Further proposals from the following practices had been received:

North Street and 63 Lincoln Road described what they could provide from the new premises in terms of additional services and additional opening hours (8am to 8pm weekdays and Saturday mornings). The outline business case met the PCT’s criteria, potential sites were available and could proceed to Full Business Case if funding were available.

East and Dogsthorpe – the two practices running services at Parnwell, Welland and Dogsthorpe had described a proposal to merge and provide services from new premises based on the border of Dogsthorpe and East ward (with formal merger under one contract by March 2013). The provider had formed an implementation group, which included patient representatives from Welland, Parnwell and Dogsthorpe and proposed working with the group to define the satellite services it could deliver. Stagecoach had indicated a willingness to consider changes to bus routes to ensure the Parnwell bus stopped outside the new surgery. Getting confirmation  ...  view the full minutes text for item 7.

              The Commission received the latest version of the Council’s Forward Plan, containing key decisions that the Leader of the Council anticipated the Cabinet or individual Cabinet Members would make during the course of the following four months.  Members were invited to comment on the Plan and, where appropriate, identify any relevant areas for inclusion in the Committee’s work programme. 

ACTION AGREED

             The Commission noted the Forward Plan

Members noted the Commissions Work Programme for 2011/12.

Tuesday, 15 November 2011

Tuesday, 15 November 2011