Agenda and draft minutes

Policy Overview Committee
Tuesday 11 December 2018 7.00 pm

Venue: B12

Contact: Email: memberservices@dartford.gov.uk 

Items
Note No. Item

27.

Apologies for Absence

Minutes:

Apologies for absence were submitted on behalf of Councillors J Burrell, Mrs D Page and Mrs M Kelly, and for lateness on behalf of Councillors J Jones and R Lee.

28.

Declarations of Interest

To receive declarations of interest from Members including the terms(s) of the Grant of Dispensation (if any) by the Audit Board or Managing Director.

Minutes:

There were no declarations of interest made, including by Councillors Jones and Lee on subsequently joining the proceedings.

29.

Confirmation of the minutes of the Policy Overview meeting held on 11 September 2018 pdf icon PDF 114 KB

Minutes:

A Member noted that the Committee had yet to be advised of an implementation date for the Council’s New Air Quality Plan [Min. No. 24 page 7 – Action Point refers].

 

The Chairman noted the oversight and asked the Committee Co-ordinator to confirm the details with the Council’s Scientific Officer and advise Members accordingly.     

 

RESOLVED:

 

That the minutes of the meeting of the Policy Overview Committee held on 11 September 2018 be confirmed as accurate.

30.

Urgent Items

The Chairman will announce his decision as to whether there are any urgent items and their position on the agenda.

Minutes:

The Chairman confirmed that there were no items of urgency for the Committee to consider.

31.

To consider references from other Committees (IF ANY)

Minutes:

The Chairman confirmed that there were no references from other Committees for Members to consider.

32.

Regulation 9 Notice pdf icon PDF 75 KB

To consider any issues arising from the Regulation 9 Notice for the period 15 November 2018 to 31 March 2019.

Minutes:

                        RESOLVED:

 

1.    That the Regulation 9 Notice for the period 15 November 2018 to 31 March 2019 be noted.

33.

Change to Agenda Item Order

Minutes:

In a change to the published agenda order, Members agreed to consider Items 9 and 10 before 7 and 8 to enable guest speakers and presenting Officers time to attend further commitments that evening.

 

34.

Kent Public Health Service Update

To receive an update from Andrew Scott-Clark, Director of Public Health KCC, regarding ongoing and planned public health initiatives and links with district councils and other partners.

Minutes:

The Chairman welcomed Mr Andrew Scott-Clark, Director of Public Health (DPH) Kent County Council to the proceedings, and thanked him for agreeing to update Members regarding ongoing and planned public health initiatives by KCC and the linkage to Kent district councils and other partners.

 

The DPH welcomed the opportunity to update Dartford Members on the progress made by KCC in the dissemination of public health services since his previous briefing of the Committee in 2016. He explained that his Update presentation retained the key information from his 2016 document and compared it with the current 2018 position for each service and category under the following principal headings:

 

Adult Health Improvement Transformation

 

Members were referred to the diagram for the existing [2016] model for delivery of Community Resources and Support based on specialist silo elements for Healthy Weight and exercise services, a Stop Smoking Service and Health Trainers which was being transformed into a more holistic Healthy Lifestyle Service, based on healthy lifestyle support and advice for Exercise, weight management, healthy eating, stop smoking and alcohol consumption, underpinned by mental wellbeing. The transformed model for the delivery of Community Resources and Support was being delivered via a three tiered approach:

 

·         A digital offer of self-help via ‘ONEYOUKENT’ apps by phone plus an online option;

·         A Universal Service offer;

·         A Specialist services offer

 

The new model had been created with Kent Community Healthcare Foundation Trust [KCHFT] as the lead provider, dovetailed with the District offer, plus a more recent agreement to enter a same partnership model with Maidstone Tunbridge Wells NHS Trust, for the delivery of genitourinary medicine (GUM) services. KCC’s eventual aim was to have an East and West Kent model footprint for the delivery of public health services.

 

KCHFT was the major provider of services with £38M spent on the provision of public health measures to some 1.8M residents across Kent.  As a non-profit making organisation NHS services provided a more cost effective service option to Kent and other local authorities than external procurement, and significant economies had been achieved using NHS services. The next NHS 10 Year Plan had yet to be published, but was hoped that an increase in funding to local authority partnerships would form part of the new Plan to provide a more cost-effective health care infrastructure going forward, delivered through the KCHFT and District partnership footprint wherever possible.

 

Health and Diet were recognised as the top two categories to be addressed to improve public health, with a reduction in refined and processed sugar content in food and drink products identified by Public Health England as the No. 1 target to improve dietary balance, especially for children but across all age categories. This particular target had been ‘badged’ up by KCC Public Health in the ‘ONEYOUKENT’ dietary app, with Dartford linked to the Sevenoaks and West Kent model.

 

Work undertaken by the Stop Smoking Service showed that smoking continued to be a significant contributor to the continuing gap between rich and poor  ...  view the full minutes text for item 34.

35.

Dartford Preventative Health Projects - Annual Report 2017/18 pdf icon PDF 62 KB

This report and Appendices updates the Committee regarding progress made on Dartford Preventative Health Projects, as measured against the priorities identified in the Health Inequalities Action Plan for the 2017/18 financial year, as set out in Appendix A to the report.

Additional documents:

Minutes:

The covering report from the Head of Housing & Health, Sevenoaks District Council, enclosed as Appendix A the Dartford Health Inequalities Action Plan Progress Report 2017/18, which updated Members on the progress made against the priorities identified in the Health Inequalities Action Plan for the 2017/18 financial year. An Evidence and Case Studies document was attached at Appendix B to the covering report.

 

The Committee had agreed and adopted a new three year Dartford Health Inequalities Action Plan (DHIAP) 2015-2018 in December 2015 with local priorities developed by the Dartford Health Inequalities Group partners, to deliver targeted action to meet local needs, in support of the Kent Health Inequalities Strategy, and the emerging Kent and Medway Sustainable Transformation Partnership/Plan (STP).

 

The DHIAP set out six overarching objectives to reduce health inequalities across the Borough. The local priorities identified under each objective were to:

 

·         Promote Healthy Weight for Children;

·         Support older people to keep safe, independent and living fulfilled lives;

·         Support businesses to have healthy workplaces;

·         Reduce the gap in health inequalities across the social gradients.

 

The preventative health projects delivered by the Council, as detailed in the Progress Report 2017/18 (Appendix A to the report) formed part of the HIAP. The projects undertaken in Dartford under the supervision of the Council’s Healthy Living Co-ordinator, included healthy weight programmes and the promotion of mental wellbeing, and were monitored on a quarterly basis via outcome monitoring submissions to Kent County Council.

 

In response to specific questions from Members regarding Appendix A to the report, Officers confirmed the following points:

 

·         ‘Targets’ would be added to the 2018/19 Progress Report for each Objective to better gauge outcomes achieved, e.g.  75 families had been engaged on the ‘Don’t Sit, Get Fit (DSGF) Family Weight Management Programme [Appendix A agenda p. 21 refers] against a target of 50 families;

·         A possible area for increased activities if more KCC Public Health funding was available, would be to engage more Dartford G.P.s to refer children and adults to the DSGF Family Weight Management Programme. The Family Weight Management Programmes are now delivered as part of the KCC School Nursing Contract, and this Council is working closely with them to deliver this work through a pilot scheme with KCC funding;

·         Academy Schools were not funded separately but also came under the School Nurse Contract. A targeted programme for individual families was not possible;

·         The current 2015-2018 DHIAP had come to an end [report para 3.8 agenda p.18] but KCC had undertaken to finance existing Plan activities until the end of the current 2018/19 financial year. A new Plan for Dartford was being formulated in line with STP and Dartford Health Inequalities Group objectives, with input from Councillor Ann Allen MBE, Cabinet Portfolio Holder for Community Development and the Healthy Living Co-ordinator. The new Plan will identify priorities and positive outcomes for the Borough going forward, through continued partnership working;

·         It was proposed that the Healthy Living Co-ordinator would again operate a stand at the Dartford Festival in 2019 to engage  ...  view the full minutes text for item 35.

SD (IS)

36.

Action Points Arising from the Policy Overview Committee Meeting held on 11 September 2018 pdf icon PDF 68 KB

To note the list of action points arising from the Policy Overview Committee meeting held on 11 September 2018.

Minutes:

Members had earlier agreed [Min. No. 33 refers] to consider this standard report from the Committee Co-ordinator later in the published agenda proceedings,  to allow guest speakers and presenting Officers to depart following their presentations, to meet further commitments that evening.

 

The Chairman and Members agreed the following action with regard to the Action Points from the Committee’s meeting held on 11 September 2018 as recorded in the report:

 

Item 1 Health Funding: Members noted the action taken as recorded in the report.

 

Item 2 Charging for GP Referral Letters: It was noted that G.P. Surgeries effectively ran as their own businesses, under the overall auspices of their Clinical Commissioning Group (CCG). Charging for referral letters was therefore a business decision taken by each Surgery which the Council could not influence directly. Members agreed to draw a line under the matter on that basis, but also agreed that the Chairman, with advice from Officers, write to the Dartford, Gravesham and Swanley CCG, to record the Committee’s concern that Summerhouse and Orchard Surgeries in Dartford continued to charge for referral letters: a practice which disadvantaged the most vulnerable in the community who could least afford such a cost.

 

Item 3 RELATE Medway & North Kent: The Chairman expressed his severe frustration that Dan McDonald, the Chief Executive of RELATE Medway & North Kent (including Dartford) had yet again failed to attend the Committee proceedings despite several renewed invitations [Agenda Item 8 refers].

The Chairman advised Members that in his appointed position as the Council’s representative to RELATE for the past three plus years, he had never been invited to attend any of their meetings: a continued omission which had prompted his initial (and repeated) invitations for Dan McDonald to attend POC proceedings and appraise Members of the services RELATE offered to Dartford residents. He appreciated that the Committee could not insist that a representative from RELATE appear before the Committee, but he believed that there was a moral obligation for the outside body to do so, that their continued lack of any response to the Committee’s invitations was disrespectful in the extreme, and that the Committee should make their disquiet known to RELATE.

Members agreed that the Chairman, with the advice of Officers, would write to Dan McDonald at RELATE Medway & North Kent expressing their disappointment over his continued non-attendance or even a response, and that the Chairman’s letter be copied to RELATE’s funding body [Officers to obtain details].

Item 4 Local Community Pharmacy Services: Members noted the written response from the DGS CCG circulated to Members on 11 September 2018.

Item 5 Welfare Reform Update: Members noted the proposal for a presentation by Officers in June 2019.

Item 6 Presentation by Virgin Care: The Strategic Director (External Services) advised Members that she had spoken to Virgin Care representatives who had agreed that they would make a presentation to the Committee in March 2019. The Committee Co-ordinator would confirm the exact arrangements with Virgin Care in January 2019.

                        RESOLVED:

1.    That the list  ...  view the full minutes text for item 36.

37.

Corporate Plan - Key Actions and Performance Indicators Monitoring Report, Quarter 2 of 2018/19 Municipal Year pdf icon PDF 54 KB

This report updates Members on the progress made with meeting the key actions and performance indicators for the Corporate Plan, in the second quarter of the 2018/19 municipal cycle, as set out in Appendices A and B.

Additional documents:

Minutes:

The Chairman noted that the standard report recording progress on the latest set of Corporate Plan Key Actions and Performance Indicators for Quarter 2 of 2018/19 (attached as Appendix A and B to the report) had been noted by Cabinet Advisory Panel B on 3 December 2018.

 

The following points were confirmed/noted for action, in response to specific questions from Members:

 

·         The reference to the number of households taking part in the green (garden waste) service referred to the brown bin service. This would be  clarified in future Quarterly reports [Appendix B agenda p.59 refers];

 

·         The Committee Co-ordinator undertook to check the value figure of 183 for businesses supporting Dartford Town Against Crime (DTAC) with the DTAC Intelligence Manager [Appendix B agenda p.57refers];

 

·         Crime figures by Ward in Dartford were available from the Kent Police website by typing in the relevant post code or using the KP app [Appendix B second PI listed on agenda p. 58 refers];

 

·         Members noted that the explanations provided by Officers in Appendix B in support of the status of individual PIs, especially those with a red ‘alert’ status, continued to be useful and comprehensive. It was noted that the ‘traffic light’ status system for PIs had been initiated by the Committee. 

 

                        RESOLVED:

 

1.    That Members note the contents of the report and the detail set out in Appendices A and B respectively.

38.

Policy Overview Committee Work Plan pdf icon PDF 62 KB

This report and Appendix A sets out the Committee’s current rolling Work Plan.

Additional documents:

Minutes:

The report from the Committee Co-ordinator set out the Committee’s existing Rolling Work Plan on a quarterly basis until September 2019 as detailed in the attached Appendix A. The report also listed (para 4.5) details of additional work areas agreed for consideration by the Committee, but yet to scheduled.

 

The Chairman asked that a further update presentation from the Director for Public Health KCC be added to the Work Plan for consideration by Members in December 2019 and that an invitation issue on his behalf to Healthwatch to attend the Committee’s meeting in March 2019 in an observer capacity, given the scheduled presentations by the Dartford & Gravesham NHS Trust, the DGS CCG and Virgin Care.

 

He also noted, in the context of the forthcoming Borough elections in May 2019; that the incoming Committee would have capacity in the current Work Plan to add further agenda items for consideration in June and September 2019 if/as desired.

 

                        RESOLVED:

 

1.    That Members note the contents of the published Rolling Work Plan attached as Appendix A to the report;

2.    That Healthwatch be invited to the March 2019 meeting of the Committee in an observer capacity for the presentations due to be delivered by the D&G NHS Trust, the DGS CCG and Virgin Care respectively;

3.    That the Director for Public Health, KCC be invited to update Members again in December 2019. 

 

 

Councillor Jones expressed his thanks to the Chairman on behalf of the Labour Group for his conduct of proceedings that evening and throughout the year and wished all Members an enjoyable festive season. He also offered his commiserations to the citizens of Strasbourg, France following the suspected terrorist shooting incident at the Strasbourg Christmas Market earlier in the evening.

 

The Chairman echoed the thoughts, concerns and best wishes of the Labour Group for the citizens of Strasbourg, and thanked all Committee Members for their contributions to the effective working of the Committee throughout 2018.

 

He also thanked Trish Chapman for representing Dartford’s Residents Forum throughout 2018, and the Strategic Director (External Services), the Committee Co-ordinator (and his predecessor) and all participating Council Officers for their reports and presentations throughout the year and wished all present the very best for the ensuing festive season.