OPPB Agenda 18 08 11

Bedford Borough Council, Borough Hall, Cauldwell Street, Bedford, Beds, MK42 9AP

Agenda Title of Meeting: Bedford Older People’s Partnership Board

Date: 18th August 2011

Time: 10.00 – 12.00 noon

Venue: Committee Room 1 , Borough Hall, Cauldwell Street, Bedford

Contact: Claire Minney – 01234 228205 Ext 42204

No Item Please tick box below if there is an attachment

Time Lead Person

1. Apologies & Welcome

2. Minutes of Last Meeting & Matters Arising

15

JB / All

3. Aragon – Independent Living Questions from Presentation Assistive Technology & Telecare Strategy

30 Debbie Stuart All JB

4. Care Standards Review Team Standards the Council looks for when an

inspection is carried out at a residential home.

15 Glynis Blackman

5. Excess Winter Deaths 5 Jackie Golding

6. Service User News and Views Future East Forum

10 All Stephanie Randolph

7. Carer News and Views 10 All

8. Transport Forum Update Changes to Bus services

5 Ted Bowen

9. Safeguarding 5 All

10. Advocacy Services & Carers Services Re-Tender 5 JB

11. Appointment of Co-Chair 5 JB

12. OOlder Person’s Accommodation Strategy Update 10 Andrew Kyle

13. AOB Consultation Letter – review of polling districts &

places Consultation letter – licensed vehicle standards Bedford LINk Annual Report

www.bedfordlink.org.uk

5 All

14. Date of next meeting:- 6th October 2011 - 10.00 am – 12.00 noon Committee Room 1, Borough Hall

All to note

G:\Adult Services Bedford Borough\Older People - Physical & Sensory Needs\Older People's Partnership Board\110818\OPPB Minutes 07 07 11.doc Page 1 of 3

Minutes

Title of Meeting: Older People’s Partnership Board

Date of Meeting: Thursday 7th July 2011

Attendees: John Bruynseels (BBC), Thomas Warner (Bedfordshire and Luton Fire and Rescue Service), Ian Pettit (Bedfordshire Association of Senior Citizens), Jean Ceiriog-Jones, Pat Horn (MCAG), Ted Bowen (Federation for Occupational Pensioners (N.F.O.P)), Chris Bradley-Rushe (SEPT), Kuldip Rupra (MENTER), Pauline Readman & Robert Cunningham (Carers In Bedfordshire), Arthur Hoggard (Bedford LINk), Jackie Golding (NHS Beds), Steve Tomlin (BBC), Stephanie Randolph & Eiri Jones (Bedford Hospital). Apologies: Jodi Simpson (Chair - BBC), Andrew Kyle (BBC), Sonia Minney (Bedford Guild House), Alison Shepherd (BBC), Gillian Turrell (Vice-Chair - NHS Bedfordshire), Frances Darlow (BBC & CBC), Jenny Poad (BBC), Vanessa Connolly (BCHA), Max Coleman (Bedford Ménière’s Support Group), Karen Perry (Age Concern), Yvonne Clarke (Carers In Bedfordshire), Adrian Wareing (DSD Leisure), Gail Shanahan (Advocacy for Older People) and Paulette Rennie (Race Equality, SEPT) No. Item Actions 1. Apologies and Welcome

John welcomed all members to the meeting and introductions followed.

2. Minutes of the last meeting & Matters Arising The minutes of the last meeting were agreed.

i. Housing Strategy for older people is being finalised. ii. Mental health presentation agreed for a future meeting (Howard

Shoebridge or Chris Bradley-Rushe). iii. Average occupancy of the Council’s block contracts over 10/11

was 92.1%

3.

Care & Compassion Presentation – Eiri Jones (Director of Nursing and Patient Services at Bedford Hospital) Presentation slides attached.

Eiri gave a presentation on how the Hospital is managing patient care in the light of the Dignity Campaign, the Health Ombudsman’s recent report, the CQC review of dignity and prevention and dementia care within an


acute setting. Questions from the Board included how the Trust was managing to instil quality in the service in challenging circumstances. Eiri stated that performance is maintained regularly at all levels. This monitoring is carried out by senior staff attending ward meetings and getting direct feedback. Additional feedback is gained from compliments, complaints, patient forum feedback, matrons and from the outcome performance measures that the NHS collects. Some of this generates additional income to invest in front line services. Eiri stated she would be happy to return to give a presentation on nutrition in the hospital. Dignity In Care Campaign John stated that part of the remit of this partnership is to promote Dignity and Care and a larger section of the Boards next meeting should be devoted to exploring what this means.

EJ JB

5. Falls Data Jackie gave information on Quarter 3 (Sept – Dec 10). There were 110 emergency admissions due to falls. East of England Ambulance Trust have instigated a Falls Register. Bedford Borough Council / Primary Care Trust are looking to appoint a Falls Coordinator and develop training for care home staff and support groups for people who have fallen. A range of options for getting information to the public was discussed.

6.

Service User News Stephanie Randolph informed the Board of her involvement with Future East. It was agreed that she should have a standing item on the agenda so that she was able to feed back to the Board and take the concerns of the Board to the Future East forum. More information can be found on the web www.futureeast.org.uk .

7. Carer News Robert Cunningham reported that Carers In Bedfordshire had been working within Sainsbury to develop means of identifying carers. Awareness raising for carers had taken place on local radio and they are hoping to get a regular slot for carers. GP Carers packs have been launched – Yvonne Clarke / Leanne should come to talk about it at a future board meeting.


8. Transport Forum Update Ted informed the Board of the plans for the contract for Bus shelters to be planned for later this year and the design of bus shelters was considered. All comments to be passed to Ted.

All to action

9.

Safeguarding Discussion regarding junk mail (leaflets), telephone calls and scam mail becoming a major problem in this area. This network needs to distribute information. Action fraud information attached to these minutes.

10. (i) (ii)

AOB Executive summary of the Dilnot Commission into the future funding of Adult Social Care will be available on http://www.dilnotcommission.dh.gov.uk/2011/07/04/commission-report/. New Changing Places toilet has opened in River Street Car Park on the 1st floor.

11. Date and Time of Next Meeting 18th August 2011 (10 – 12noon) Committee Room 1, Borough Hall 6th October 2011 (10 – 12noon) 10th November 2011 (10 – 12noon) 15th December 2011 (10 – 12noon)

All to note

1

www.aragon-housing.co.uk

Retirement Housing Service

Deborah Stuart

Assistant Director - Housing and Support Services

Part of


Context Aragon HA LSVT was formed in

1994 and changed its name in 1999

Retirement housing accounts for a third of the stock (6,400 total stock)

Service aims to meet both needs and aspirations of existing and future customers

Challenge is to offer older people choice in how and where they live

⅓⅓

2


Aragon HA – recognised the need for change

Service transformed as a result of a change in revenue funding

Role of scheme/visiting support reviewed

Tenants at heart of process

A partnership approach


Customers

Established performance monitoring framework

Identify: Key Areas for improvement

Agree:

Benchmarks Targets

MonitoringReportingReviewing

Review:Improvements

TargetsProcess

Litmus tests Tenants’experience, views and opinions

3


Proposed Targets

Series of meetings established Took on board issues raised Lack of understanding regarding

revenue funding Communication inconsistent Tenant representatives –reviewed

their roles Reviewed approach to dispersed

accommodation


Key to service delivery

Review service expectations with tenants – Code of Practice

Develop standards in partnership

Promote feedback and complaints process

Link service standards to performance targets – outcomes versus outputs

Report on progress to retirement scrutiny panel

4


Customer Perspective

Tenants didn’t always know what to expect

Level of service differed scheme to scheme

Tenants reluctant to complain

Historical issues lingered on


Customer Perspective

Tenants now feel more consulted

Universal standards developed across the service

Open forum created for tenants

Tenants’ expectations of service quality explored

Open culture for service improvement

5


The future

Ensuring accommodation and services fit for the future

Choice with regard to levels of support available

Meeting the demands of an ageing population

Personalisation Expanding service to

customers within the local community


The Key

Listening - to current and future customers Adapting services to meet a range of needs A community resource – heart of services Success comprises of many components Joined up partnerships Outcome:Good quality housingFlexible supportDiversity

Excess Winter DeathsBedford Borough

Anthony Scanlon

Public Health Intelligence

Department of Health Profile 2011…….

August 2005 to July 2008Source: Health Profile 2011, ERPHO

Excess Winter Deaths (EWD) EWD Index (EWDI)

Excess winter deaths is calculated as winter deaths (deaths occurring in December to March) minus the average of non-winter deaths (April to July of the current year and August to November of the previous year).

EWM = winter deaths – average non-winter deaths

The excess winter deaths index (EWDI) is the number of excess winter deaths expressed as a percentage of the average of the non winter deaths.

EWM Index = (EWM/average non-winter deaths)*100

How is excess winter deaths measured?

Method

Example….

Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun July

-------- 2009 ------- ------------------------ 2010 --------------------------

Non – Winter Winter Months Non – Winter

Number of deaths per month

5 5 5 5 6 6 6 6 5 5 5 5

Calculation

Excess winter deaths = winter deaths – average of non winter deaths= ( 24 - 20)

Excess winter deaths = 4

Excess winter deaths index= 4 / 20 * 100 = 20%

20 24 20

Seasonal variation in all cause mortality in Bedford Borough, mean number of deaths by calendar year & monthly max temperature

Source: ONS Annual Deaths Table 2011, Metoffice.gov.uk, Cambridge NIAB

Underlying Cause of death by ICD10 Classification, All ages, 2002/03 – 2009/10

Source: ONS Annual Deaths Table, 2011

Excess winter mortality index, Yearly comparison to England and East of England, All ages.

Source: ONS Annual Deaths Table, 2011

Facts

• Effective protection can eliminate winter variations in respiratory mortality - EXPOSURE

• Conditions directly relating to cold such as hypothermia are not the main cause of excess winter deaths

• Research has shown that most of EWDs can be attributed to either respiratory or cardiovascular conditions – primarily ischaemic heart disease and stroke.

• The tendency for people to congregate together in confined and poorly ventilated spaces in cold weather increases the opportunities for cross infection

• Low temperatures and relative humidity have been linked to the rapid spread of influenza

Conclusions

• There is some evidence to suggest that pre-existing disease can increase the risk of an excess winter death.

• Fuel poverty alone is not the only cause of EWD

• Excess winter deaths are not significantly different from the England average

• Due to improved uptake of flu vaccination the impact of influenza on winter mortality is thought to be decreasing

• Mosaic - Classifies all households and postcodes in the UK, plan to use this year

• Difficult to find a correlation/link between from any of the causes previously mentioned and EWD

Any Questions?

Contact Details:Anthony Scanlon

Tel: 01234 897155 (7155)Fax: 01234 316740 (Merton Centre)Email: [email protected] or

[email protected] (For data use only)

BEDFORD BOROUGH COUNCIL

Chief Executive: P. Simpkins

INVESTOR IN PEOPLE

M.J.Gough, Assistant Chief Executive (Governance) (Solicitor to the Council) Borough Hall, Cauldwell Street, Bedford, MK42 9AP

Telephone (01234) 267422 Fax (01234) 221606 DX 117105 Bedford 4 Text (01234) 221827 Web: www.bedford.gov.uk

Our ref: KRS/LIC/3/14B

Contact: Fiona McCabe 3rd Floor, Borough Hall

Bedford MK42 9AP

Email: Tel:

[email protected] (01234) 276983

19 July 2011

Stakeholders in relation to Hackney Carriage and Private Hire Matters

Dear Colleague Licensed Vehicle Standards Consultation The Council, as Licensing Authority for Private Hire and Hackney Carriage Services in the Borough is presently consulting on the future content of the Manual of Inspection for licensed vehicles. The Manual of Inspection sets out the standards of the Authority for licensed vehicles. The current Manual is available at http://www.bedford.gov.uk/business/licences_and_street_trading/idoc.ashx?docid=80f34b1d-419b-4ea6-adb0-9e4f5c03dc9c&version=-1 Many of the standards in the Manual are based on the standard MoT. However, the overriding requirement on the Authority is that it must ensure, amongst other things, that the vehicles it licences are: (i) suitable in type, size and design (ii) suitable in mechanical condition (iii) safe (iv) comfortable As such, the Authority can set standards other than those in the MoT. The Manual of Inspection has the following sections which set out the standards in these areas:

Brakes Steering Tyres and Wheels Chassis and underparts

2

Engine compartment Lighting Drivers compartment Body and paintwork Carriage compartment Taximeter and roadtest Wheelchair facilities

In reviewing the standards for licensed vehicles the Authority is aware of representations from licensees in the following areas over the past few years:

The current standard for licensed vehicles to be fitted with glass that permits a minimum of 45% visual light to be transmitted through it.

The current standard whereby a spare tyre must be present and that this must meet the minimum legal requirements for fitted tyres.

The seating capacity for vehicles which must permit passengers access to an external opening door without obstruction by other seats.

The Council would appreciate any comments you may have on what should be included in the future content of the Manual. The timetable for this current phase of the consultation is as follows: 19 July 2011 Consultees provided with details of

existing Manual of Inspection and requested to provide comments on what should be included in the future content of the Manual

06 September 2011 Deadline for responses from consultees

07 September 2011 Circulation to Borough Councillors of comments received and proposals for changes to the Authority’s Manual of Inspection for licensed vehicles

15 September 2011 General Licensing Committee considers proposals and determines preferred options

A second phase of consultation will then take place on the preferred options.

3

A proforma to reply to this phase of the consultation is available on the Authority’s website. Please visit www.bedford.gov.uk/licensing and follow the link on the left hand side to ‘Licensing Consultations’. Alternatively you may choose to reply by email to [email protected] or by post to the address at the top of this letter. If you would like to receive a paper copy of the current Manual of Inspection and/or the consultative proforma, please contact me using the same details. Yours sincerely

Keith Simmons Head of Registration & Records

BEDFORD BOROUGH COUNCIL

Chief Executive: P. Simpkins

INVESTOR IN PEOPLE

M.J.Gough, Assistant Chief Executive (Governance) (Solicitor to the Council) Borough Hall, Cauldwell Street, Bedford, MK42 9AP

Telephone (01234) 267422 Fax (01234) 221606 DX 117105 Bedford 4 Text (01234) 221827 Web: www.bedford.gov.uk

Our ref: KRS/FGP/9/11

Contact: Fiona McCabe 3rd Floor, Borough Hall

Bedford MK42 9AP

Email: Tel:

[email protected] (01234) 276983

29 July 2011

Stakeholders in relation to Polling Districts and Places

Dear Colleague Review of Polling Districts and Places Under the Review of Polling Districts and Polling Places (Parliamentary Elections) Regulations 2006, all local authorities are required to carry out a review of polling districts and polling places on a regular four-yearly cycle. The review concerns the basic arrangements for determining the geographical areas that will define the polling arrangements for elections. These are the Polling Districts. In considering these, the Authority must respect existing boundaries such as Constituencies, Wards and Parishes and so cannot change these boundaries even if people disagree with them. However, within these constraints, the review must: a) Seek to ensure that all the electors have such reasonable facilities for voting as are practicable in the circumstances; b) Seek to ensure that so far as is reasonable and practicable, the polling places are accessible to all electors, including those who are disabled, and when considering the designation of a polling place, must have regard to the accessibility needs of disabled persons. Bedford Borough Council is now undertaking this review and welcomes any comments you may have on the existing Polling Districts and Places which you can view at www.bedford.gov.uk/pollingreview .

2

The timescale for this current phase of the review is as follows: Provide consultees with details of existing Polling Districts and Places and request to provide comments on those Polling Districts and Places

By 29/07/2011

Deadline for responses from consultees

By 16/09/2011

Circulation to Borough Councillors of comments received and proposals for changes to the Polling Districts and Places in the Borough

By 26/09/2011

General Purposes Committee considers proposals and determines preferred options. These then re-circulated to consultees for further views

By 04/10/2011

A proforma to reply to this phase of the consultation is available at www.forms.bedford.gov.uk/pollingreview. Alternatively you may choose to reply by email to [email protected] or by post to the address at the top of this letter. If you would like to receive a paper copy of the existing Polling Districts and Places and/or the consultative proforma, please contact me using the same details. Yours sincerely

Keith Simmons Head of Registration & Records

Documents

OPPB Agenda 18 08 11