Agenda and minutes

Venue: Online Meeting via Microsoft Teams

Contact: Richard Woodford - Committee Administrator  Email: richard.woodford@reading.gov.uk

Media

Items
No. Item

15.

Declarations of Interest

Councillors to declare any disclosable pecuniary interests they may have in relation to the items for consideration.

Minutes:

Councillor White declared a personal interest in Item 22, on the basis that his wife worked in the Council’s Adult Social Care Service.

16.

Minutes pdf icon PDF 162 KB

Minutes:

The Minutes of the meeting held on 22 October 2020 were confirmed as a correct record and would be signed by the Chair in due course.

17.

Questions from Members of the Public and Councillors pdf icon PDF 13 KB

Questions submitted pursuant to Standing Order 36 in relation to matters falling within the Committee’s Powers & Duties which have been submitted in writing and received by the Head of Legal & Democratic Services no later than four clear working days before the meeting.

Minutes:

A question on the following matter was submitted:

Questioner

Subject

Reply

Councillor White

Weekly Food Hampers for School Children

Councillor Pearce

(The full text of the question and reply was made available on the Reading Borough Council website).

 

18.

An Update on the Redevelopment of the Royal Berkshire Hospital

A presentation by the Royal Berkshire NHS Foundation Trust providing the Committee with an update on the Redevelopment of the Royal Berkshire Hospital.

Minutes:

Nicky Lloyd, Acting Chief Executive of the Royal Berkshire NHS Foundation Trust, introduced John Underwood, Communications and Engagement Lead, Freshwater Communications, who gave a presentation on the redevelopment of the Royal Berkshire Hospital, and Andrew Statham, Director of Strategy Transformation and Partnership, who answered questions raised by the Committee.  She also thanked the Council for setting up beds in the Holiday Inn for patients who were recovering from Covid-19 and were unable to return home, this had had a huge impact on the flow of patients in the hospital and on staff.  The support and goodwill had been hugely appreciated and, although the hospital was under a lot of pressure, everyone who had an appointment at the hospital was being asked to attend.

The presentation explained that the Government’s Health Infrastructure Plan (HIP) had provided funding for new hospital projects over the next ten years and the Royal Berkshire Foundation Trust was one of 21 Trusts to receive funding to develop ideas for new hospital facilities.  A Strategic Outline Case had been developed for the Treasury and all redevelopment possibilities were being considered, this was seen as a major opportunity for the NHS and for the local community to improve services, patient experience and the environment.  The case for change had been based on the 5 C’s: Condition, Capacity, Capability, Climate and Catalyst and six possible scenarios had been developed as follows:

·         Do Nothing - Only the most high risk backlog maintenance would be addressed;

·         Do the Minimum – Address more backlog maintenance;

·         New Emergency Care Block – Expanded A&E, new ICU and new theatres;

·         New Emergency Care Block plus new Elective Care Block and new women’s and children’s facility – Grow clinical services, better address developing local needs;

·         Substantially new hospital on the current site – To support growing demand, greater integration of health and care services, medical school and research centre;

·         Completely new hospital on a greenfield site – Could address all local needs and provide the blank canvas for a zero carbon health facility.

The pros and cons of the redevelopment were being considered in the following terms:

·         Adjacencies – Ensuring the services that needed to be near each other were co-located;

·         Environment – Developing an environment which was green and low carbon;

·         Economy – Developing a hospital which supported the local economy and created jobs;

·         Compliance – Considering which scenario ensured the greatest compliance with modern safety guidelines;

·         Cost – Developing the most cost-effective scenario;

·         Convenience – Considering which scenario could be easily and conveniently delivered.

Critical features of the case included the Thames Valley being home to one of the world’s largest life sciences clusters, crucial in the fight against coronavirus and future pandemics, and the hospital being an anchor institution.

The next steps in the process had seen the Strategic Outline Case being submitted to the Treasury in December 2020, continuing engagement with stakeholders, the production of an Outline Business Case and then finally submitting a Full Business Case to the  ...  view the full minutes text for item 18.

19.

Future Commissioning of NHS Hydrotherapy Services in Berkshire West pdf icon PDF 176 KB

A report on the approval by NHS Berkshire West Clinical Commissioning Group on revised future arrangements for the commissioning of NHS Hydrotherapy Services in Berkshire West.

Additional documents:

Minutes:

The Executive Director of Social Care and Health submitted a report informing the Committee that NHS Berkshire West Clinical Commissioning Group (CCG) had approved revised arrangements for the commissioning of NHS hydrotherapy services in Berkshire West.  This would mean that hydrotherapy would only be funded when exceptionality could be demonstrated via an individual request.  Given the operational challenges of providing this service currently due to stringent control policies, the CCG would be working with the Royal Berkshire Foundation Trust to determine the best way to provide this service.  The hydrotherapy facility at the Royal Berkshire Hospital had in fact been closed since March 2020 as part of the Trust’s Covid-19 Infection Control Policy.  A copy of a report by Shairoz Claridge, Director of Operations Planned Care and Long-Term Conditions, Newbury Locality, and Caroline Tack, Head of Planning and Transformation, entitled ‘Future Commissioning of NHS Hydrotherapy Services in Berkshire West’ that had been presented to the NHS Berkshire West CCG Governing Body on 8 December 2020 was attached to the report.  Copies of the Stage 1 and 2 Integrated Impact Assessment Tools were also appended to the report.

Shairoz Claridge and Dr Kajal Patel, Milman and Kennet Surgery and GP Locality Lead South Reading CCG, were present at the meeting and addressed the Committee on the revised arrangements for the commissioning of NHS hydrotherapy services in Berkshire West.  They informed the Committee that the CCG had a duty to ensure that limited NHS resources were spent prudently and that the services it commissioned were evidence based and they offered clinical benefit to the maximum number of people.  The CCG would regularly review procedures of limited clinical value, procedures where the clinical value was either absent or evidence showed week efficacy.  A consultation had taken place to understand the future provision of the service and was the first time a public consultation had taken place about this issue.  The scope of the consultation had related solely to hydrotherapy services for NHS funded patients and those referred by a physiotherapist or a consultant from the Royal Berkshire Foundation Trust using the NHS funding from the CCG.  The consultation had begun on 10 August 2020 and had concluded on 2 November 2020, around 498 individual responses had been received and nine written responses from organisations.  Of the responses received, 217 identified as having used the NHS service and 279 had not; only 59 were NHS patients who had been prescribed hydrotherapy.  The majority of the comments had been about the pool at the hospital rather than about hydrotherapy and it was clear that these comments were from people who used the pool in a private capacity.  Other views were that hydrotherapy did not have to be provided at a hospital site, a better pool was needed and that hydrotherapy was good at aiding pain relief.  There was a limited amount of good quality evidence on the effectiveness of hydrotherapy compared to land-based therapy and therefore considering the clinical effectiveness and analysis of  ...  view the full minutes text for item 19.

20.

School Admission Arrangement 2022 - 2023 pdf icon PDF 1 MB

A report asking the Committee to determine the School Admission Arrangement for 2022 to 2023.

Minutes:

The Director of Children’s Services, Brighter Futures for Children, submitted a report that invited the Committee to agree the determination of school admission arrangements for September 2022 as follows:

  • The admissions arrangements for Community Primary Schools in Reading for the school year 2022/23.
  • The coordinated scheme for primary and junior schools for the 2022/23 school year.
  • The coordinated scheme for secondary schools for the 2022/23 school year.
  • The Relevant Areas.
  • Maps of the catchment areas.

Copies of the schemes, policies, relevant area and maps were appended to the report.

The report explained that a new admissions code for local authorities would be laid before Parliament in early 2021 and a further report would be submitted to a future meeting once the code had been published if any amendments to existing arrangement were required.  It was anticipated that there was likely to be changes in the areas of domestic violence and children in need. In addition, BFfC was reviewing the admission arrangement for children and young people with SEND and a report on the outcomes of the review would be submitted to the Committee in March 2021.

Resolved –

(1)     That the scheme attached to the report at Annexes A, B and C as the admissions arrangements for 2022/23 for community schools in Reading and the local arrangements for complying with the national coordinated primary school admission procedures for the allocation of primary school places for residents of Reading Borough be agreed;

(2)     That the scheme attached to the report at Annex D as the local arrangements for complying with the national coordinated secondary admissions procedure for the allocation of secondary school places for 2022/23 for residents of Reading Borough be agreed;

(3)     That the relevant area attached to the report in Annex E which sets out the organisations that must be consulted for any admissions arrangements for schools in Reading be agreed;

(4)     That a further report be submitted to a future meeting once the new admissions code has been laid before Parliament in early 2021;

(5)     That a report be submitted to the Committee in March 2021 following a review of SEND admissions policies and arrangements.

21.

Adult Social Care - Response to the Covid-19 Pandemic

A presentation providing the Committee with the response by Adult Social Care to the Covid-19 Pandemic.

Minutes:

Melissa Wise, Assistant Director of Commissioning, Transformation and Performance, gave a presentation on the response by Adult Social Care to the Covid-19 Pandemic.

The presentation explained that the weekly rate of confirmed cases of Covid-19 per 100,000 of the population had increased significantly in Reading during December 2020 and January 2021 and in fact the numbers for Reading had gone slightly beyond what had been seen in south east England and nationally.  On 7 January 2021 there had been 1219 new cases during the previous seven days, with 1040 in the week to 3 January 2021 and 775 in the week to 27 December 2020.  During the first wave of the virus from April to May 2020 deaths had been above what was normal, this had settled to fairly normal levels until recent weeks when it had again increased above the average.  For the period from 1 March 2020 to 1 January 2021 there had been 218 deaths due to Covid-19, which was 27% higher than would be expected for the year to date, 60% of deaths had occurred in hospital and 32% in care homes. 

Adult Social Care had played a key role during the pandemic and had provided support for service users, hospitals, the provider market and staff.  Currently, the service was supporting 1,800 people with services and 570 carers and dealt with 600 pieces of work a month and during the pandemic it continued to provide support such as the overnight service, day services and other services that had re-opened once guidelines allowed.  Support was also provided for a new cohort of people, those who were deemed to be Clinically Extremely Vulnerable, there were 6,000 people in this group, 350 of whom were know to the service.  The team had worked proactively with providers to help services users and had worked with officers in Housing to help people remain safely in their homes; 1,000 pieces of equipment had been installed in homes to allow this to happen.  To support hospitals work had been carried out to avoid hospital admissions, hospital discharges had been fast-tracked and new packages of care had been organised to get people home.  With regard to discharges, a block of 10 beds had been provided for those who needed nursing services so could not return home or were waiting for a place in a care home; 67 people had been supported by this service.  In addition, a block of 20 rooms had been provided in a dedicated section of the Holiday Inn for people who were ready to leave hospital but who could not return home.  This had provided support for 19 people and had saved 90 bed days in hospital in the current wave and 162 days in the first wave of the pandemic.  The service had been contacted by a number of authorities across the country wishing to duplicate this model.

Providers had also been supported with regular communications, particularly at the beginning of the pandemic when changes were happening on a  ...  view the full minutes text for item 21.

22.

Safeguarding Adults Board (SAB) Annual Report 2019/20 pdf icon PDF 286 KB

A report presenting the Committee with the West of Berkshire Safeguarding Adults Board Annual Report 2019/20.

Additional documents:

Minutes:

The Executive Director of Social Care and Health submitted a report with attached a copy of the Safeguarding Adults Board (SAB) Annual Report 2019/20.  The following appendices were attached to the Annual Report:

Appendix A

Board Member Organisation

Appendix B

Achievements by Partner Agencies

Appendix C

Completed 2019-20 Business Plan

Appendix D

2020-21 Business Plan

Appendix E

Annual Safeguarding Performance Reports for:

 

·         Reading Borough Council

 

·        Berkshire Healthcare Foundation Trust

 

·        West Berkshire Council

 

·        Wokingham Borough Council

 

·        Royal Berkshire Foundation Trust

The report explained that the Annual Report 2019/20 presented what SAB had aimed to achieve on behalf of the residents of Reading, West Berkshire and Wokingham during 2019/20, both as a partnership and through the work of its participating partners.  It provided a picture of who was safeguarded across the area, in what circumstances and why.  It also outlined the role and values of the SAB, its ongoing work and future priorities.

The report noted that in terms of the Council’s Safeguarding Performance Data:

·         There had been a 13.4% reduction in the number of safeguarding concerns in 2019/20 compared to 2018/19;

·         In 2019/20 57% of safeguarding concerns had led to a section 42 enquiry;

·         In 2019/20 58% of section 42 enquiries that had been reported related to older people over 65 years;

·         More women were the subject of safeguarding enquires than men as in previous years;

·         85.2% of section 42 enquiries were for individuals whose ethnicity was White.  There had been a slight decrease of 2.5% in section 42 enquires for individuals whose ethnicity was Mixed, Asian, Black or Other. This continued to be the focus of work for all partners in view of the demographic makeup of the Borough;

·         As in previous years the most common type of abuse for concluded section 42 enquiries were for Neglect and Acts of Omission;

·         For most section 42 enquiries the primary support reason was physical support;

·         As in previous years, the most common location where alleged abuse had taken place were in a person’s own home or in a care home;

·         86% of services users had been asked about the outcomes they desired as part of the Making Safeguarding Personal agenda and engagement of the service user throughout the whole process.

In response to the SAB report 2019/20 the Council had considered the wider safeguarding agenda for the residents of the Borough and had supported the implementation of the following services which supported the statutory work of the Safeguarding Team:

·         The Serious Concerns and Standards of Care Provider framework had been implemented, carried out by the Commissioning Service;

·         The Conversation Counts Model, that had been implemented in 2018, had been delivered and had been continually evaluated and developed as a result of the initial feedback from services uses, staff and external professionals;

·         The use of Direct Payments had been increased as an alternative to the traditional models of care and for Direct Payments to be offered to service users for purchasing support packages;

·         A project had been in initiated to understand how Technology  ...  view the full minutes text for item 22.