Venue: Council Chamber - County Hall. View directions
Contact: Lisa Richards
To receive apologies for absence.
Apologies for absence were received from County Councillors G Morgan and D Rowland and from Portfolio Holder R Powell.
C Shillabeer (Chief Executive Powys Teaching Health Board), J Marchant (Director of Primary Care, Community and Mental Health)
County Councillor M Alexander (Portfolio Holder for Adult Social Care)
N Young (Corporate Director - Transformation), A Bulman (Corporate Director – Children and Adults), D Owen (Head of Commissioning Children and Adults) and E Patterson (Scrutiny Officer).
Declarations of Interest
To receive declarations of interest from Members.
No declarations of interest were received.
Disclosure of Party Whips
To receive disclosures of prohibited party whips which a Member has been given in relation to the meeting in accordance with Section 78(3) of the Local Government Measure 2011.
(NB: Members are reminded that, under Section 78, Members having been given a prohibited party whip cannot vote on a matter before the Committee.)
No declarations of party whips were received.
Scrutiny briefing on lines of enquiry attached.
The Chief Executive of Powys Teaching Health Board (PTHB) had that morning provided a response to questions asked prior to the meeting which had been circulated to Members. She introduced the Director of Primary Care, Community and Mental Health) who had joined PTHB three months ago and has extensive experience of the NHS in Wales.
The briefing explained that of the £300million/year budget approximately 25% is spent on directly provided services, 25% on primary care and 50% on secondary and tertiary type care. The focus of this session is largely on the directly provided care. PTHB does not have a District General Hospital (DGH) within the area but is able to access approximately 250 beds from neighbouring DGHs.
How can Community Hospitals be used more effectively as a step-down facility and how can the PTHB and local authority work together to achieve this?
It is unusual to have as many Community Hospitals as Powys has, elsewhere Community Hospitals have generally disappeared. However, in Powys outpatient clinics are extremely important so patients do not have to travel long distances. A number of services are provided from Community Hospitals including; outpatient clinics, therapy services, maternity services (including day assessment services and birthing centres), mental health services (including inpatients, outpatients, community intensive support), inpatient beds (rehabilitations beds and some specialist stroke rehabilitation), day surgery (laminar flow theatres in Llandrindod and Brecon), endoscopy (in Llandrindod and Brecon), renal dialysis (in Llandrindod and Welshpool), Minor Injury Units (some in Community Hospitals, some in GP practices) and some dental services.
What is the position regarding improving the estate, for example the planned extension at Ystradgynlais?
The PTHB estate has a high number of buildings dating from before the creation of the NHS in 1948 and has the lowest level of investment largely because other Health Boards have within their estate DGHs. Close working with Welsh Government has resulted in investment for example £6million in Llandrindod Wells for Phase 1 and discussions are in the early stages for Phase 2 of this project. Developments in Machynlleth and Ystradgynlais are planned but it is necessary for capacity reasons to phase projects.
The endoscopy and laminar flow theatres are all located in south Powys. Are there any plans to introduce these services in north Powys?
PTHB and the local authority are working jointly to ascertain if these services can be provided more locally. At present patients travel for endoscopy and there is an increasing demand for this service. Although the exact demand hasn’t been ascertained it appears to support a case for locating endoscopy and theatre provision in north Powys. Work is ongoing to produce an outline business case for the North Powys Well-being Project for submission to Welsh Government.
What is the timeframe for this project?
It is difficult to give a timescale, work is taking place to submit an outline business case and there is an ambition it would be within 5 years but it is necessary to be realistic about how long it will take Welsh ... view the full minutes text for item 4.