Councillor Mrs Bucknor asked for more information on the reablement project, and the Community Navigators, as these are both good ideas, but she stated that she has not heard of them before, and information about them would help her to help local residents. She explained that previously she had made a lot of phone calls to find answers. She stated that this is very important and can make such a difference to people lives, but is concerned that older people will not make use of the online approach, and stated that if she did not know how to find this type of information and to obtain access to health facilities, how would an older person. Sandie Smith agreed that this is a very important issue, the Community Navigators are new in post and you will be getting more information about them and their work. Richard Cassidy stated that the Community Navigators scheme presented an opportunity to strengthen information and access to service for older people and compliment existing Fenland initiatives such as Golden Age. A meeting had recently been held with the local organiser for the Community Navigator scheme and the important role FDC members can bring to help to work with local volunteers was emphasised by officers, as members know their residents and areas well;
Councillor Booth stated that the report refers to action plans, he confirmed that he was not aware of the action plans and felt that there should be just one action plan, so that it is clear who is doing what, as partnership working should be joined up more. Councillor Butcher agreed. Richard Cassidy stated that it is the areas that we can work together that will work well in the partnership. The County Health and Wellbeing Board has adopted a plan that will bring an action plan next year, one of the 5 areas targeted will be older people, and this will be the key piece of work for this area. That will be adopted by April 2013, and members might want to programme this in to review next year;
Councillor Cornwell asked once the Health and Wellbeing Board have developed the main action plan how will Fenland fit into that, members need to understand how Fenland fits into the overall picture. Councillor Butcher stated that the County Council are responsible for many of the actions that we cannot take control of. It is important that our local partners feed into the main board so that Fenland has input;
Councillor Cotterell stated that he is concerned that there is a huge difference between rural and urban living, the difference between living in a village compared to living in Wisbech needs to be carefully considered when looking at the needs of Fenland as a whole. He stated that we are an aging population and he is concerned that people are not going to understand the changes;
Councillor Mrs Bucknor stated that we should be encouraging partners to play their part. She stated that an area in Wisbech was in the top 20% of the most deprived areas, and this is now in the top 10%, we need to encourage partners to look at health in the wider context, to look at the problems in this area with access to health, this must be acknowledged and recognised to move forward. Councillor Butcher stated that there are projects in place to help people to get to doctor and hospital appointments including the FACT bus and Car Share Schemes, Fenland are always looking at ways to improve access to health issues. There is currently a pilot scheme working with the NHS Ambulance Trust looking at access from March and Wimblington to Doddington. There are also difficulties for families who need to visit people who are inpatients in hospital, these issues are being worked on all the time;
Councillor Mrs Bucknor asked how is this being looked at. Councillor Butcher stated that it is a difficult situation and although help and assistance is offered to patients, their visitors are another issue altogether, Community Car Schemes are good but expensive if used often, officers talk to bus companies to ensure that they understand the needs of the people, Fenland are constantly working on these issues;
Councillor Mrs Bucknor asked if officers are aware how many people are travelling from Wisbech to Addenbrooke's Hospital, as without statistics like this there is no argument that we need better provision. Transport and access to health are so closely linked, if we are going to be talking to bus companies we need to back up our requests with figures that show that there is a need. Councillor Mrs Bucknor stated that it would be easy to arrange for a group of students to ask people as they entered the hospital where they had travelled from. Councillor Butcher stated that as far as he is aware there are no statistics, and would be happy for students to assist with the collection of this data. Councillor Cotterell stated that the hospital themselves can provide these statistics, they know where everybody is travelling in from. He added that even if people have their own transport and are able to get to hospital appointments, they then have the issue of paying for parking, and for people who have to make regular trips this is a major issue too;
Councillor Stebbing agreed that transport is an issue when looking at access to health, he stated that a family who lived in Outwell could not get to hospital and back on the same day using public transport to visit a child who was an inpatient, these are issues that need to be taken very seriously;
Councillor Cornwell stated that this debate is confirming what was said earlier, not one part of the system can solve the issues, there needs to be an over-arching action plan. He agreed that information is available about patient flow, GP's can also be asked for this type of data. GP's know what is going on locally, they will be part of the process and will feed into the health and wellbeing boards. He stated that he believes that we need to go through the first stages of the new boards and take the elements from the action plan section by section, looking at it from a Fenland point of view;
Councillor Miscandlon stated that people living in Turves have no public transport services at all. Councillor Butcher stated that Turves residents get a better service from FACT than they did from the previous public transport providers;
Councillor Booth stated that looking at the Older Person Action Plan he does not think that the targets are challenging enough. He stated that there has been more than 1 Golden Age Fair, the report does not represent what we are achieving. Councillor Cotterell stated that Councillor Booth is referring to Golden Age Surgeries not Fairs, he stated that Fairs are much bigger events that are supported by 40 or 50 outside bodies. Councillor Booth thanked Councillor Cotterell for this clarification, and stated that if this is the case we should have a target around Golden Age Surgeries too as this is not being reflected in the action plan;
Councillor Mrs Bucknor stated that the Older People Action Plan refers to 'getting from A to B' case studies and asked if officers have an update on these case studies. Alan Pain stated that these case studies were launched in September 2012 and the outcomes will be looked at in the early part of 2013;
Councillor Mrs Bucknor asked if there are any plans of action following this project. Councillor Butcher stated that the plan of action was to implement the A to B case studies, initial public feedback has been good but if it is not working we will need develop another action plan. Councillor Mrs Bucknor asked if the panel can be updated with the progress of this action plan before the end of the financial year. Councillor Butcher agreed;
Councillor Stebbing stated that he did not think that providing a transport booklet would provide solutions to local issues. Councillor Butcher stated that he was not involved in the development of the booklet, but fully supported the project. The booklet was developed so that people can see the options available and how to make contact;
Councillor Chambers asked how the transport project is coordinated. Alan Pain stated that Councillor Owen has been heavily involved in the working group which involves partnership working from County Council, bus companies and health representatives;
Councillor Cornwell asked if patients are represented on the working group. Councillor Butcher stated that that he did not think that patients were represented, but that this would be a good idea. Alan Pain agreed to feedback comments from this meeting to the working group;
Councillor Chambers asked for clarification of an isolated older person as referred to in the action plan. Councillor Butcher stated that rural living can feel isolated, some people move into rural areas because they choose to be isolated, but when their family have grown and moved away, that isolation brings issues for older people. Sandie Smith stated that the issues of isolation often come up, Community Navigators will use information that is already known about people like assisted bin collection lists, they will knock on doors and talk to people and get to know the residents and the situations that they are in. Councillor Butcher stated that District Councillors know their wards and the people living there very well and should feed into this project;
Councillor Booth stated that the action plan refers the disabled facilities grant target of 90% of residents who feel that the help we have given has helped to improve their health or wellbeing ,currently the figures are 89% so this target is not being met. The target of 70 homes adapted to assist vulnerable disabled residents was at 39 at the end of October 2012. He asked how confident we are of meeting this target. Dan Horn stated that he takes the point made by Councillor Booth, these programmes are currently in progress and are overall officers feel that they are inline to meet the targets set;
Councillor Booth asked if we are on target to recruit 28 timebank volunteers. Dan Horn stated that we are hopeful that this target will be met and due to a delay with personnel the contract has been extended to the end of June 2013;
Councillor Booth stated that the action plan does not reflect the fact that there is a delay. Dan Horn stated that the project progress box is shaded orange to reflect the delay, but takes the point onboard that the facts might not be clear;
Councillor Mrs Bucknor stated that with the older persons health and wellbeing at the forefront of the Core Strategy she is surprised that there are not many targets set for next year, and asked if it comes down to funding. Alain Pain stated that with so much partnership working we need to take into account their stages of resourcing and budgets. He explained that much of the work for next year will take place when partners have a clearer picture of their budgets in the new year;
Councillor Booth stated that the Warm Homes target of 100% of residents who feel the help we have given has helped to improve their health or well-being has been met, but feels that in practice there will be one or two people who will not be satisfied with this service in the future for some reason;
Councillor Booth stated that he recently received a complaint with regards to assisted collection of refuse. It seems that when the crews change this service suffers, and this is an important service to residents. He suggested that we should have a target in place to monitor the service. Councillor Mrs Bucknor agreed. Richard Cassidy stated that there is an Assisted Collections Policy, we monitor complaints and our response to those complaints and this is reported on by Street Scene. He confirmed that he is happy to look at issues that have been reported directly to members if they pass the details on to him.
(Councillor Sutton declared a non-pecuniary interest in this item, by virtue of the fact that his wife works as part of a multidisciplinary team in the NHS)