To receive and consider a presentation by Nigel Brinn (Executive Director Economy and Environment) and Carly Skitt (Strategic Planning Manager – Powys Teaching Health Board)
Minutes:
· Presentation by Sali Campbell from PTHB.
Issues Discussed:
· Based on the data showing the greatest need and distance to services Newtown was selected as a hub for the North of the county.
· This is a health and well-being hub which will provide more day services than are currently available. It also aims to reduce travelling for customers who otherwise would have to go to hospitals in Shropshire.
· This would integrate health and social care and introduce a new model of care which is being developed.
· This is not a new hospital but will provide an enhanced level of diagnostic services than currently available, more day facilities for treatment than is currently possible.
· Other facilities are planned to be on the same site such as the primary school. A new library will also be built as part of the new facility. Supported living was to have been provided but that is available now elsewhere in Newtown.
· Questions:
Question |
Response |
What are the Powys Together sessions focussed on. |
They are focussed on early help and low level intervention. The focus is on reducing the need for statutory services. |
One question raised previously about the site is how safeguarding will be assured in terms of the location of the school and also services. |
The school will be designed in accordance with normal practice with safeguarding built into the project so will be fully secured with fencing in place. This will be incorporated into the wider planning proposal. |
Dafydd Llwyd is shown on the plan but the school moved some years ago |
Yes it is correct that Dafydd Llwyd moved to a new building some years ago. The building has been used recently for the integrated family centre for Newtown and also partially for Childrens Services. |
What is the purpose and scope of the Academy and what’s going to happen to the library, as it’s Powys’ best library. |
In relation to the Academy, the Academy seeks to ‘grow our own’ workforce and offer in house, education, support and training to upskill and recruit staff. Ongoing conversations are being held with the college about how the Academy can complement what the college is providing. There is an Academy just opened in Bronllys and this is about development of the future workforce. This will be a satellite to Bronllys in Newtown and we are looking how we further train staff with Aberystwyth University. |
What will happen to the library. Will it remain as it is or will it provide books for this learning. |
The current library will be replaced by a new facility which is more integrated with the school and the Academy. |
This is a really inspiring project. How might this project be linked or connected to the Regional Skills Partnership. |
The RSP will be involved with the Academy as the project progresses and the Academy will also link in with the wider skills programme in the region. |
How does the health and care provision proposed for this site compare to those delivered at Glan Irfon in Builth Wells. Some individuals in the area are not impressed with the services offered from Glan Irfon. |
There is a focus on learning from elsewhere both internally and externally, which is going through an approval mechanism focussing on the external. We have also been focussed on internal learning looking at examples such as Glan Irfon and the integrated care teams in Ystradgynlais and what can be learned from those projects.
What is proposed for Newtown by comparison to Glan Irfon is focussing on getting the service delivery right before anything is built and people brought together for the facility. Also learning lessons from the past. |
When we deliver new or integrated services they are fine when you have the expertise to deliver them. The problem arises when you lose some of those skills and those services cannot be re-delivered. Is skills enhancements and succession planning being considered for the future by the council and PTHB. |
The workforce futures programme operating between the Council and PTHB is trying to address these issues and trying to address issues about recruitment and retention currently by removing barriers and in the future.
There are also good examples of integrated health care facilities in the UK and Wales such as the ones in Aberaeron and Cardigan. |
As this grows how will this be the North Powys Hub and not just the Newtown hub and how services reach into North Powys. Have there been discussions in terms of working streams. |
If we are bringing services to Newtown rather than people have to travel out of the county for services that will be good. Transport will feature in discussions in the future as well.
A travel times analysis is to be undertaken by PTHB, which will show the distance individuals currently travel to access services and the cost of that. Then we need to look at where people need to travel to access the service quicker such as Aberystwyth from Machynlleth or go to Newtown. The offer is about delivering services for all of North Powys not just Newtown. The Newtown element is the third sector community hub aspect where the community helped to shape that. The campus is a North Powys offer. |
It is important that people do not have to travel long distances to see consultants. The concern is that services delivered locally at community hospitals will not be relocated to Newtown once the facility opens. |
The fine detail has not been agreed as yet and what services are to be provided from Newtown and when services are determined that is when engagement needs to occur. |
Outcomes:
· Presentation Noted.
· The Committee will need to focus on where it can have the best focus such as on collaborative work.
· The Committee could also consider establishing a Working Group to look at this work in future.
· Add the scrutiny of the Health Academy to the Committee’s Forward Work Programme.
· If the lessons learned exercise has been completed can this be included in an future presentation to the Committee.