Wrthi'n llwytho
Y penderfyniadau fel y mae cofnodion y cyngor yn eu cofnodi. Bydd crynodeb mewn iaith glir yn dilyn pan fydd wedi'i ysgrifennu.
RESOLVED- That the minutes of the previous meeting of the Social Care and Health Overview and Scrutiny Committee held on 17 January, 2024 be approved and signed as a correct record.
RESOLVED- That the Social Care and Health Overview and Scrutiny Committee Forward Work Plan (FWP), together with the combined FWP be approved.
Apologies for absence were received from Councillors Louise Emery and Cathy Augustine.
None.
None.
Y penderfyniad fel y'i cofnodwyd
RESOLVED- That the minutes of the previous meeting of the Social Care and Health Overview and Scrutiny Committee held on 17 January, 2024 be approved and signed as a correct record.
The minutes of the previous meeting of the Social Care and Health Overview and Scrutiny Committee held on 17 January, 2024 were submitted for approval. RESOLVED- That the minutes of the previous meeting of the Social Care and Health Overview and Scrutiny Committee held on 17 January, 2024 be approved and signed as a correct record.
A warm welcome was extended to Mr Robert Caine (Orthopaedic and Musculoskeletal Network Manager), who had been invited to provide Members with an update on Betsi Cadwaladr University Health Board’s (BCUHB) Orthopaedic Services across North Wales. Reference was made to the following: • Waiting list and the need for change. Pre-covid BCUHB had up to a 2 year orthopaedic wait for elective procedures. Post-covid, the wait had increased to up to 5 years. • Service reviews. • Orthopaedic initiatives. • BCUHB plans (short, medium and long term) including: - Maximising the use of Abergele (short term). - On time completion of the Llandudno Orthopaedic Unit (medium term). - Continued focus on waiting time reduction (medium term). - Further development of Llandudno Hospital into a full spectrum orthopaedic centre (long term). The presentation was well received and the following discussed: • The BCUHB initiatives and plans (short, medium and long term) and further detail of the Llandudno phases/timetable, which included: - Phase 1, which was a mirror image of Abergele Hospital, but with additions to make it more inclusive to the wider patient cohort. - Phase 2, which was currently in modelling stage and the options appraisal would determine the speciality, followed by further consultation and the submission of a business plan to Welsh Government. - Phase 3 and 4 would largely depend upon the outcome of phase 2. · The National Exercise Referral Scheme and how it was supporting/changing the outcome of those patients awaiting orthopaedic surgery. In order to understand more in terms of the benefits /improvements of the service and integrated health community work, the Cabinet Member for Children, Families and Safeguarding extended an invitation to the Orthopaedic and Musculoskeletal Network Manager to meet with herself and the Principal Leisure Manager: Leisure Services to discuss further. · Developments in terms of the robotics navigational surgery, which was still heavily reliant upon the surgeon and was currently taking place to the west of the Health Board and at present, used mainly for hip implants. · Reference was made to the reduction in waiting time figures and whilst in part this was as a result of a reduction in patient numbers, it was also due to solutions put in place in terms of changing the modelling of clinics to get more patients through, seen and treated. The levels of cancellations within orthopaedic appointments e.g. once, twice or three times was also queried. · On behalf of a local resident, the Chair of the Committee raised the following question: Could Llandudno Hospital have a fracture clinic in situ, or if not, was there any possibility that one could be planned for the future? In response, the Orthopaedic and Musculoskeletal Network Manager advised that, whilst it wasn’t outside the realms of possibility, phase 1 did not include any works to the Outpatients Department, therefore capacity would be an issue and one that would require further consideration. However, he would take the question back to the BCUHB for further consideration. • The possibility of reallocating theatres to different specialities in order to reduce waiting lists and what other specialities could phase 2 provide, if located in Llandudno. Reference was made to the Get it Right First Time (GIRFT) review, conducted in February 2022, which identified five other surgery specialities, which could form part of the Options Appraisal, if phase 2 progressed. Thanks was extended to Mr Robert Caine (Orthopaedic and Musculoskeletal Network Manager) and an invitation extended to provide a further update to the Social Care and Health Overview and Scrutiny Committee in 12 months’ time.
Councillor David Carr had submitted a question to the Cabinet Member for Integrated Adult and Community Services relating to the price of the Telecare Service in Conwy County: The price of the Telecare Service for the elderly, disabled and vulnerable in Conwy, that provided vital lifesaving assistance in an emergency, was set to increase again in April after an extortionate 70% rise only a few months ago last September. It was disappointing that yet again there had been no meaningful consultation and very little notice given to vulnerable people, who were dependent on this lifeline, which for many could make the difference between life and death. After the last price hike, the most vulnerable residents were left paying the highest Telecare costs in Wales. To impose a further increase may be seen as inconsiderate, unsympathetic and very mean spirited. What would you need to know in order to see this issue differently and cancel the increase in the cost of Telecare for the most vulnerable residents? The Cabinet Member provided the following response: The Cabinet Member had been in discussion regarding the whole financial position of Social Care, since her appointment as Cabinet Member and was very clear about the direction of travel to ensure sustainable services and least harm to Conwy’s vulnerable residents. In total, to meet the budgetary challenge, Social Care had 13 areas of budget reductions to deliver in the financial year, one of these areas included the viability of the Telecare Service. This was not in effect a service cut, but a proposal recently agreed at Council, to ensure the service could continue to be offered at a competitive and cost effective rate. In order to do this, an increase in the charge, by a modest 18p per day, which equated to a total of £1.26 per week extra, would be required. Therefore, a total cost of £7.21 per week. Sadly, Conwy was no longer able to subsidise chargeable services owing to the financial challenge as suggested. As a team, this was monitored carefully and where individuals made a case for hardship, a review of the charge, in accordance with the policy took place. Approximately 2000 people used the service, when the charge was increased last year, very little impact was seen and a small number were supported with either a reduced, or no charge. In line with the protocol, Councillor Carr responded and stated the Council’s own report indicated that such an increase would have an adverse impact. Having worked in the sector, Councillor Carr stated that he had experienced how vulnerable people struggled and strongly believed the extra charge would impact on the elderly and/or disabled and should therefore be cancelled. In addition, reference was made to profiting from the vulnerable, limited day care facilities and transport in the County. In response, the Cabinet Member advised that the proposal was recently agreed at Council and the charge was non-profit making. The service was constantly being reviewed and Llys Elian offered day care, together with many other community run venues for the elderly across the County.
Y penderfyniad fel y'i cofnodwyd
RESOLVED- That the Social Care and Health Overview and Scrutiny Committee Forward Work Plan (FWP), together with the combined FWP be approved.
The Scrutiny and Committee Services Officer presented the Social Care and Health Overview and Scrutiny Committee Forward Work Plan (FWP), together with the combined FWP. Members were advised of the following: • Annual reports in relation to the Corporate Parenting Board and the Strategic Multi-Agency Panel Board were scheduled for the next meeting on 11 April, 2024. • All Members were encouraged to attend the Self-Assessment of Scrutiny on-line session on 14 March, 2024. RESOLVED- That the Social Care and Health Overview and Scrutiny Committee Forward Work Plan (FWP), together with the combined FWP be approved.
Rhaid i gynghorwyr ddweud pan fydd ganddyn nhw gysylltiad personol â rhywbeth sy'n cael ei drafod, fel swydd, eiddo neu aelod o'r teulu. Mae buddiant sy'n rhagfarnu yn ddigon cryf i'r cynghorydd adael yr ystafell fel arfer a pheidio â chymryd rhan.
Caiff datganiadau eu darllen o'r cofnodion unwaith y byddan nhw wedi'u cyhoeddi.
Yn rhestru cynghorwyr presennol y cyngor yn unig. Nid yw aelodau cyfetholedig, swyddogion a chyn-gynghorwyr yn cael eu dangos.