Agenda and minutes

Health Overview and Scrutiny Committee - Wednesday, 1st June, 2016 7.00 pm

Venue: Civic Offices, Shute End, Wokingham, RG40 1BN

Contact: Madeleine Shopland  Principal Democratic Services Officer

No. Item



To receive any apologies for absence


Apologies for absence were submitted from Councillors Kate Haines and Abdul Loyes.


Minutes of Previous Meeting pdf icon PDF 225 KB

To confirm the Minutes of the Meeting held on 23 March 2016.



The Minutes of the meeting of the Committee held on 23 March 2016 were confirmed as a correct record and signed by the Chairman.


Declaration of Interest

To receive any declarations of interest


There were no declarations of interest received.



Public Question Time

To answer any public questions


A period of 30 minutes will be allowed for members of the public to ask questions submitted under notice.


The Council welcomes questions from members of the public about the work of this committee.


Subject to meeting certain timescales, questions can relate to general issues concerned with the work of the Committee or an item which is on the Agenda for this meeting.  For full details of the procedure for submitting questions please contact the Democratic Services Section on the numbers given below or go to


There were no public questions received.


Member Question Time

To answer any member questions


There were no Member questions received.


Berkshire Healthcare NHS Foundation Trust pdf icon PDF 79 KB

To receive an update on the performance of Berkshire Healthcare NHS Foundation Trust and the outcome of the Trust wide CQC inspection.(30 mins)

Additional documents:


Julian Emms, Chief Executive, Berkshire Healthcare NHS Foundation Trust and David Cahill, Locality Director – Wokingham, Berkshire Healthcare NHS Foundation Trust, updated the Committee on the performance of the Trust and the outcome of the Trust wide Care Quality Commission (CQC) inspection.


During the discussion of this item the following points were made:


·         Berkshire Healthcare NHS Foundation Trust were the main providers of mental health services and community physical health services across Berkshire.

·         Following a Trust wide inspection by the CQC the Trust had been rated ‘Good’ overall.  Only 20% of Trusts had been rated ‘Good’ and no other combined Trust, or Mental Health Trust had been rated ‘Good’ in South East England.

·         Older People’s Mental Health Services (community) had achieved an ‘Outstanding’ rating and the End of Life Care Service had received an ‘Outstanding’ rating for caring.  All community physical health services had been rated ‘Good.’  The Community Mental Health Services and the Community Learning Disability Team, some of which were jointly provided with the six Berkshire local authorities had received ‘Good’ ratings.  All services located within the Borough had received a ‘Good’ rating, including WestCall.

·         Three core services had received compliance notices.  Learning Disability Inpatient wards had been rated ‘Requires Improvement’ overall and had been rated ‘Inadequate’ for Effectiveness.  Older People’s Inpatient Mental Health Services had been rated ‘Requires Improvement’ for Safety and Effectiveness.  The Child and Adolescent Mental Health inpatient ward (Berkshire Adolescent Unit) had been rated ‘Good’ overall but had been rated ‘Requires Improvement’ for Safety.

·         Before the report had been published immediate action had been taken when possible which had been agreed by the CQC:

  • Ligature risks had been removed as far as possible;
  • Mixed Sex Accommodation concerns had been addressed;
  • Privacy and dignity concerns on Campion Ward (Learning Disability inpatients) had been addressed;
  • GP service commissioned for Campion unit.  Visiting took place twice a month;
  • The seclusion room on Campion now met Mental Health Act requirements.

·         Action plans were in place for all three services.  Staff development in progress included:

  • Management of ligature risks;
  • Management of patient observations;
  • Risk assessment;
  • Communication skills;
  • Leadership

·         Consistency was integral to the success of the Trust.  Those services which had been rated ‘Outstanding’ had good clinical leadership and management in place. 

·         The plan was for compliance to be achieved by September 2016.  Many of the concerns raised were the responsibility of the Trust to develop.  However there were three areas where system support was needed to facilitate improvements:

  • Delivery of the Learning Disability Transformation Plan;
  • CAMHS waiting times;
  • CAMH inpatient services and providing a building fit for purpose for the Berkshire Adolescent Unit.

·         Julian Emms outlined how the Trust planned to move to ‘Outstanding.’ 

·         Councillor Blumenthal asked whether the CQC inspection report had produced any surprises.  Julian Emms commented that on the whole results were as anticipated although the Learning Disability Service had not performed as well as expected.

·         In response to a Member question regarding safeguarding and child protection, Julian Emms indicated that these were  ...  view the full minutes text for item 6.


Health Overview and Scrutiny Committee - Draft Work Programme 2016/17 pdf icon PDF 98 KB

To discuss the Work Programme of the Health Overview and Scrutiny Committee for 2016/17.(20 mins)

Additional documents:


The Committee discussed the work programme for the forthcoming 2016/17 municipal year. 


During the discussion of this item the following points were made:


·         Members considered suggestions for possible topics submitted by the Executive Member for Health and Wellbeing, Healthwatch Wokingham Borough and the Committee, as set out in the report within the agenda.

·         Councillor Smith proposed that the Committee be updated at its November meeting on how the work regarding the 21st Century Council project would affect the health and social care services.

·         Councillor Blumenthal proposed that the Committee receive an update on dementia care provision and in particular that provided to younger dementia sufferers. 

·         It was suggested that the Committee request a briefing on Pandemic Planning and consider whether further information was required.

·         It was noted that Members had previously requested an update on the transfer of the Independent Living Fund.  This was scheduled for the Committee’s July meeting.

·         The following timetable was agreed.  It was noted that the work programme was an evolving document and that items could be added and removed as required:

o   11 July 2016 –

o   Care Homes;

o   Carers

o   8 September 2016 –

o   Community Hubs;

o   Maternity Services

o   8 November 2016 –

o   Community mental health services and accessing mental health services;

o   Step up, step down hospital;

o   Impact of the 21st century council on health and social care services

o   16 January 2017–

o   Adults with learning difficulties who require support with their day to day living – accessing health services in a timely manner and engaging with the health and social care system;

o   8 March 2017 –

o   Accessing GP appointments




1)         the report be noted;


2)         the list of suggested topics detailed in the report be considered.



Healthwatch Update pdf icon PDF 522 KB

To receive an update on the work of Healthwatch Wokingham Borough. (15 mins)


The Committee considered the Healthwatch Wokingham Borough Intelligence and Engagement Report 1 January-31 March 2016.


Councillor Miall asked if further detail could be sought as to the origin of the mental health enquiries, i.e. via telephone or face to face contact.


RESOLVED:  That the Healthwatch Wokingham Borough Intelligence and Engagement Report 1 January-31 March 2016 be noted and further information sought as to the origin of the mental health enquiries.


Health Consultation pdf icon PDF 132 KB

To consider the current “live” health consultation set out in the report. (5 mins)


The Committee noted the consultation identified in the report, Carers Strategy: Call for evidence.


RESOLVED:  That the Committee note the current live consultation detailed in the report.