Agenda and draft minutes

Health in Dacorum - Wednesday, 11th March, 2020 7.30 pm

Venue: Conference Room 2 - The Forum. View directions

Contact: Corporate and Democratic Support  01442 228209

No. Item


Apologies for absence

To receive any apologies for absence


Apologies for absence were submitted on behalf of Councillor Bhinder and Councillor Sinha and Edie Glatter.




To confirm the minutes from the previous meeting


The Minutes of the previous meeting were review and agreed.



Declarations of Interest

To receive any declarations of interest


A member with a disclosable pecuniary interest or a personal interest in a matter who attends a meeting of the authority at which the matter is considered -


(i)            must disclose the interest at the start of the meeting or when the interest becomes apparent


and, if the interest is a disclosable pecuniary interest, or a personal interest which is also prejudicial


(ii)           may not participate in any discussion or vote on the matter (and must withdraw to the public seating area) unless they have been granted a dispensation.


A member who discloses at a meeting a disclosable pecuniary interest which is not registered in the Members’ Register of Interests, or is not the subject of a pending notification, must notify the Monitoring Officer of the interest within 28 days of the disclosure.


Disclosable pecuniary interests, personal and prejudicial interests are defined in Part 2 of the Code of Conduct For Members


[If a member is in any doubt as to whether they have an interest which should be declared they should seek the advice of the Monitoring Officer before the start of the meeting]



Councillor England has recently been appointed as the Public engagement manager for the east of England ambulance NHS Trust.


Councillor Maddern is a member of the new hospital campaign who are involved with the judicial review. Mark Brookes advised that she must not participate in item 6.



Public Participation

An opportunity for members of the public to make statements or ask questions in accordance with the rules as to public participation


There was no public Participation.



Coronavirus update


Prof Jim McManus and County Councillor Tim Hutchings presented to the Committee.


All the information provided this evening is in the public domain and is taken from official sources.


On December 31 2019 the world health organisation was notified of a novel outbreak of a new form of pneumonia in Wuhan in China, the cases started escalating and it was identified as a CoronaVirus and was eventually call Covid-19.


Today the world Health organisation declared a pandemic, this essentially means there is a global epidemic. This information has a tendency to cause panic however for the UK very little will change. The technical declaration of a pandemic by the world health organisation means states have a legal requirement to coordinate actions and follow certain guidelines, a global epidemic was expected and it is the view of the chief medical officer that the UK are roughly 2 weeks behind where Italy is now. We should bear in mind that Italy has a much older population than the UK and we still have time to start social distancing.


There are 4 main priorities for Government


Contain      - identify cases, contact trace those effected and try and stop the spread

Delay          - asking everyone with symptoms of a cough and fever to self-isolate for 7  

                      days, social distancing

Research    - to identify a possible treatment plan or cure.  

Mitigate     - to treat those who require medical intervention


These are the standard fazes of any response to a pandemic.


We are currently moving from containment to delay.


The common symptoms are a fever, a dry cough and fatigue. Less common symptoms are headache, nasal congestion, sore throat, coughing up sputum and a shortness of breath. Very rarely you get a high fever, coughing up blood, the white blood cells decrease and you can get kidney failure.


One of the reasons the death rate appeared so high in China was due to the fact you were only tested if you were hospitalised and those were the most server cases, there could be thousands of people who contracted the virus and recovered but those people were never tested. The full picture still isn’t really known.


The assumption is that 81% of people that contract this virus will have mild symptoms, 14% sever, 5% critical and will require hospitalisation and 1 – 2% will die. What is not know is how many people have already contracted the virus or are asymptomatic.


The aim is to flatten the curve and delay the number of people who require hospitalisation, this will ensure the NHS are not overwhelmed and are able to care for those requiring assistance


For DBC there are several things that need to be done:


·         Public reassurance, Elected Members are in a great position to help with this

·         Business continuity plans need to be in place, it is thought that the peak will be 12 weeks from now, at its worse this could see 80% of people infected with 21% off sick and plans need to be  ...  view the full minutes text for item 5.


West Herts Hospital Estates Update


Councillor Maddern is welcome to ask questions as a member of the public but cannot vote.


David Evans from the CCG presented to the committee


As the judicial review is still ongoing David is unable to make comment therefore has nothing to report to the committee. Updates will be provided as and when they can be.


Councillor England would like to know if there is a risk to the funds from the Government if the process doesn’t move on. David Evans reassures the committee that at this stage there is no issues, they are awaiting a court date and the process is moving forward.


The Chair requested that this item be kept as a standing item on the agenda.



Patient Transport


Avni Shah presented to the committee


The East of England’s ambulance service NHS trust came in as an emergency contingency in 2017 and was awarded the contract for a period of 2 years from January 1 2019.


They are responsible for relevant care and support such as escorting frail and vulnerable patients to and from the location at which their care is delivered.


To ensure a safe and effective service is being provided some of the journeys have be outsources on an ad-hoc basis.


Key Highlights


  • Number of complaints have reduced
  • 2019 patient survey showed that 89% of patients would recommend the service.
  • Staff turnover was a huge issue but as of January 2020 all vacancies have been filled and the retention rate has increased significantly.


It is acknowledged that there are still challenges within the service, delays in transport arrivals and collection times, this is still something that is being looked into and work continues to try and improve these issues.


Looking ahead to 20 / 21 a positive relationship is still being built between HVCCG and EE NHS trust, working with the consortium partners and all the other commissioners.


Councillor Johnson would like to know how many staff are employed by EE NHS trust, A.Shah doesn’t have the information to hand but will come back to the group with the answer.



Financial Report of WHHT


This information cannot be provided.


This item will be added to the next agenda



WHHT CQC Inspection


As the interviews are ongoing no comment can be made.


This item will be added to the next agenda.


County Council Health Scrutiny Committee Report


A report pack has been distributed to the Group.



County Council Adult Care Services Report pdf icon PDF 45 KB



A report pack has been distributed to the Group.



Ward Issues



Councillor Hollinghurst raised the issue that in the male toilets on the first floor there was no soap or hand sanitizer, this was checked directly after the meeting and it was found there was soap in all the dispensers.


Councillor Beauchamp has not received an answer from the CCG regarding the hearing aid battery issue which was raised at the last meeting, a follow up email will be sent to David Evans.


Work Programme


FINANCIAL REPORT OF WHHT and WHHT CQC INSPECTION are to be added to the work programme for the next meting.