Agenda and draft minutes
Venue: Conference Room 1A, County Hall, Ruthin
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APOLOGIES Minutes: Councillors Hugh Irving and Andrew Thomas Councillor Bobby Feeley – Lead Cabinet Member for Well-being and Independence Nicola Stubbins – Corporate Director Communities |
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DECLARATION OF INTERESTS PDF 116 KB Members to declare any personal or prejudicial interests in any business identified to be considered at this meeting. Minutes: Councillor Gareth Davies declared a personal interest in
agenda items 5 and 6 because he was an employee of Betsi
Cadwaladr University Health Board |
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URGENT MATTERS AS AGREED BY THE CHAIR Notice of items which, in the opinion of the Chair, should be considered at the meeting as a matter of urgency pursuant to Section 100B(4) of the Local Government Act 1972. Minutes: No urgent matters had been raised. |
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MINUTES OF THE LAST MEETING PDF 474 KB To receive the minutes of Partnerships Scrutiny Committee held on 14 February 2019 (copy enclosed). Minutes: The minutes of the Partnerships Scrutiny Committee held on
14 February 2019 were submitted. Matters Arising – Page
9, Item 5 Environmental Enforcement Provision – The Chair pointed out that a
link to the report presented to Cabinet in September 2018 on ‘Options for
Delivering the Enforcement of Environmental Crime’ had been included in the
Committee’s Information Brief (previously circulated to members). RESOLVED that the minutes
of the Partnerships Scrutiny Committee held on 14 February 2019 be received and
confirmed as a correct record. |
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DENBIGH INFIRMARY To receive a presentation from Betsi Cadwaladr University Health Board representatives regarding future plans for the provision of services at Denbigh Infirmary. 10.10 a.m. – 10.45 a.m. Minutes: The Chair welcomed Betsi
Cadwaladr University Health Board’s (BCUHB) Director
of Clinical Services – Therapies and Assistant Director of Community Services
to the meeting to discuss the future provision of services at Denbigh
Infirmary. Apologies had been received
from the Area Director: Centre BCUHB (Bethan Jones). Introducing the presentation the Health Board’s
Assistant Director of Community Services provided the Committee with a brief
overview of the background to the closure of the ward at Denbigh Infirmary,
including information on the detailed fire surveys and inspections undertaken
and their findings which had resulted in work being commissioned to establish
the costs and timescales for making the ward fit for purpose again. This work had identified eight potential
options for future re-provision of services at the Infirmary. These were the – ·
refurbishment
of the existing first and ground floor areas to re-provide 14 beds at an
estimated cost of £10m to £11m, within an anticipated timescale of 3 years ·
demolition
and rebuilding of the ground and first floor area to re-provide 16 beds at an estimated
cost of £11m to £12m, within an anticipated timescale of 3 years ·
relocation
of the Physiotherapy Department to another part of the hospital to enable the
creation of a 4 bed bay at an estimated cost of between £1.2m to £1.4m, within
an anticipated timescale of 2 years ·
construction
of a new 5 bed ward between the current MacMillan Suite and the Clinic building
at an estimated cost of between £1.2m and £1.3m, within an anticipated
timescale of 2 years ·
construction
of a new 6 bedroom ward at an estimated cost of between £4.5m and £5m, within
an anticipated timescale of 3 years ·
demolition
of the kitchen area and ward area above and the rebuilding of a 6 bed ward at
an estimated cost of between £3.5m and £4m, within an anticipated timescale of
3 years ·
conversion
of the conservatory adjacent to the MacMillan ward into a single bedroom unit
without a bathroom at an estimated cost of £100k, within an anticipated 12
month timescale ·
relocation of the
maternity room to a ground floor location at an estimated cost of between £350k
and £400k within an anticipated 12 month timescale. Further work was currently being undertaken in
relation to the identified options. If following detailed analysis a decision was
taken to proceed to re-provide the whole ward this would necessitate the
closure of the entire hospital site while the work was being undertaken. To ensure that there was sufficient community
beds available within the area whilst the re-provision work was underway the
work could not be commenced until such time as the new North Denbighshire
Hospital was open. Nevertheless, some
work on the site could be undertaken in the meantime. Local county councillors and the Infirmary’s
League of Friends were keen that the ward was not left empty in the meantime as
they felt that it sent out the wrong message about the site’s future, therefore
the Health Board and the County Council had recently agreed that members of the
joint health and social care Community Resources Team (CRT) for the Denbigh
area should be based at the former Lleweni Ward at
the Infirmary until any refurbishment and re-provision work was ready to be
commenced. The CRT would relocate
elsewhere when the refurbishment work was due to begin. Members were advised by the Assistant Director of Community Services that Health Board officials had recently met with members of the Denbigh Member Area Group (MAG) to discuss the future of the Infirmary. At that meeting MAG members had asked the Health Board to consider wider options for ... view the full minutes text for item 5. |
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HEALTH BOARD CAPITAL PROJECTS UPDATE To receive a presentation from Betsi Cadwaladr University Health Board representatives regarding progress with capital projects in Denbighshire relating to North Denbighshire Community Hospital Project, Corwen Health Centre, Ruthin Clinic and the development of the Community Resources Teams. 10.45 a.m. – 11.30 a.m. Minutes: Betsi Cadwaladr University Health Board officials had been invited to the meeting to update the Committee regarding progress with capital projects in Denbighshire. The Health Board’s Director Clinical Services – Therapies gave the Committee a presentation on the progress made with respect of the work to develop a Health and Well-being Campus for the north Denbighshire area on and around the site of the former Royal Alexandra Hospital in Rhyl. He advised that the WG had approved the Health Board’s Outline Business Case (OBC) for the campus in January 2019 and consequently the Board was now in the final stages of developing the Full Business Case (FBC) for the project. This entailed checking its robustness and the building and service models’ design and tendering arrangements, with a view to submitting the FBC to WG by March 2020. During the presentation he described the proposed service model and its benefits for the area and its residents which would include – ·
integrated working between primary and community
care to support urgent/same day care, which would reduce the impact on the
Emergency Department (ED) at Ysbyty Glan Clwyd; · providing capacity for cluster practices to manage demand in primary care; · increasing the provision of services open after 5pm in the area; · enhancing collaboration between health partners, the local authority, third sector and the community by optimising the use of resources through the integration and co-location of multi-agency or multi professional teams and improving the recruitment and retention of staff; · a 21st Century health and well-being campus that provided a range of care pathways through from self-management to in-patient care beds; · education, information and preventative services; · a range of ambulatory outpatient services with an emphasis on care closer to the home that should deliver a better experience for the patient and reduce the number of conveyances to the district general hospital; · an integrated approach to meeting the physical and mental health needs of older people with a view to reducing the impact on wards at Ysbyty Glan Clwyd and maximising recovery and reablement to aid independence and the reduce the need for institutional type care; and · the retention and refurbishment of the original Royal Alexandra Hospital building. Whilst this had increased the cost of the project and had complexities attached to it, its inclusion in the project plans was in itself an acknowledgement of the building’s historic and cultural importance to the town. Of the £40m awarded by WG for the development of the entire campus, approximately £7m to £8m would be invested in the original building to completely overhaul its electrical and heating systems, restore its exterior and to undertake some light internal refurbishment to accommodate support staff and multi-agency teams, such as the Single Point of Access (SPoA) Service and the Child and Adolescent Mental Health (CAMHS) Service. The building’s listed status restricted the options for any major refurbishment work to be undertaken to enable modern healthcare services to be delivered from the building. The Committee was advised that the focus of the new campus would be to provide – ·
a same day care centre; · outpatient clinics; · inpatient beds; · intravenous therapy suite (IV suite); · diagnostics; · therapy services; · Community Dental Services; · Sexual Health Services; · Older Persons Mental Health Outpatient Service; and · a community hub to include a café, third sector provision and meeting rooms to support the local community It was proposed that the Project Board would re-form in the near future to progress and refine the final business case for submission to WG by March 2020, with a view to it being approved during June 2020 to enable the new building to ... view the full minutes text for item 6. |
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SCRUTINY WORK PROGRAMME PDF 135 KB To consider a report by the Scrutiny Coordinator (copy enclosed) seeking a review of the committee’s forward work programme and updating members on relevant issues. 11.45 a.m. – 12 noon Additional documents:
Minutes: The
Scrutiny Coordinator submitted a report (previously circulated) seeking
members’ review of the Committee’s work programme and
provided an update on relevant issues. During the
ensuing discussion – ·
it
was noted that the Committee’s next scheduled meeting on 23 May coincided with
the European Parliamentary Elections and would need to be rescheduled in the
event that they were held in the UK ·
items
on the work programme for the May meeting were
reaffirmed and it was agreed to invite the relevant Lead Cabinet Members to
attend; it was also confirmed that a representative from Betsi
Cadwaladr University Health Board would attend for
the item on Children and Adolescent Mental Health Services (CAMHS) ·
the
Scrutiny Coordinator asked that completed member proposal forms on potential
scrutiny topics be submitted approximately one week before the next meeting of
the Scrutiny Chairs and Vice Chairs Group scheduled for 25 April – it was
suggested that the Police be invited to a future scrutiny meeting to discuss policing
in the county and Councillor Gareth Davies agreed to submit a member proposal
form in that regard ·
it was confirmed that the update on Denbigh
Infirmary and other Health Board Capital Projects requested by the Committee
under the previous agenda items would be added to the work programme
for December. RESOLVED that, subject to the above, the forward work programme as detailed in Appendix 1 to the report be
approved. |
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FEEDBACK FROM COMMITTEE REPRESENTATIVES To receive any
updates from Committee representatives on various Council Boards and Groups. 12 noon Minutes: Councillor Rhys Thomas
reported upon the Education and Children’s Services Service Challenge held the
previous day which had been a good meeting with lots of searching
questions. Discussion focused on the budget,
looked after children and the Council’s parenting responsibilities,
safeguarding issues and school places.
Further detailed notes of the meeting would be circulated to members in
the usual manner in due course. In
response to a question from Councillor Joan Butterfield, Councillor Thomas
confirmed the 2% savings required from schools had been discussed at the lines
of inquiry meeting with the challenge meeting focusing largely on the service
responsibilities. The Chief Executive
added that assurances had been provided regarding the robust financial
management of schools’ budgets with financial recovery plans in place for those
schools in deficit. RESOLVED that the verbal report be received and noted. The meeting concluded at
12.12 p.m. |