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Agenda and minutes

Venue: The Council Chamber, County Hall, The Rhadyr, Usk, NP15 1GA

Contact: Democratic Services 

Items
No. Item

1.

Election of Chair

Minutes:

We elected County Councillor P. Pavia as Chair for today’s meeting.

2.

Declarations of interest

Minutes:

County Councillor D. Evans declared a personal, non-prejudicial interest pursuant to the Members’ Code of Conduct in respect of agenda item 3 – Update by Aneurin Bevan University Health Board, as he is a Member of the Community Health Council.

 

County Councillor P. Pavia declared a personal, non-prejudicial interest pursuant to the Members’ Code of Conduct in respect of agenda item 3 – Update by Aneurin Bevan University Health Board, as he is a policy advisor to ADSS Cymru.

 

County Councillor J. Pratt declared a personal, non-prejudicial interest pursuant to the Members’ Code of Conduct in respect of agenda item 3 – Update by Aneurin Bevan University Health Board, as her brother works for NHS England and is delivering a lecture to the Welsh Health Board in the autumn of 2019.

3.

Aneurin Bevan University Health Board - Update regarding Chepstow Hopital and the position for Nevill Hall and Royal Gwent Hospitals in line with the future services that will be provided by Llanfrechfa Grange

Minutes:

Context:

 

To receive an update by Aneurin Bevan University Health Board (ABUHB) regarding Chepstow Hospital. In particular, dementia services, inpatient and outpatient services, capacity in terms of wards and beds. Similarly, the position for Nevill Hall and Royal Gwent Hospitals in line with the future services that will be provided by Llanfrechfa Grange.

 

Key Issues:

 

To provide updates in respect of:

 

·         The provision of health services within the Chepstow area.

 

·         Service provision for Older Adult Mental Health.

 

·         The Clinical Futures Programme and the development of the Grange University Hospital, which is within budget and on schedule to open in March 2021.

 

The Chepstow Site

 

·         The shop at the main entrance has been converted into a multi-use information / discussion area.  The facility will be co-ordinated by Monmouthshire County Council’s Community Wellbeing Coordinator. This facility will open in May 2019. The following organisations have committed to having a presence in the information point, namely: Gwent Association of Voluntary Organisations (GAVO), MIND, the Community Connections Befriending and Community Car Scheme, Pace, Volunteering for Wellbeing, Building Bridges, Monmouthshire Housing Association, Social Inclusion and Housing and Wellbeing.

 

·         A series of enabling works to allow the two wards on the ground floor to move upstairs are being undertaken. The idea being to move the in-patients upstairs which will create a private environment with the wards being linked via a centralised nursing station allowing the wards to operate as one unit whilst still being two separate areas. There will be no bed closures.  The transfer of the services will allow for more capacity on the ground floor for the creation of the wellbeing hub.

 

·         With regard to the ward move, a section of the ward will be converted to create a six bed frailty assessment area.

 

·         Aneurin Bevan University Health Board (ABUHB) has sought further funding from this year’s Integrated Care fund allocation.  In order to create the new wards upstairs, the older Adults CMHT base needs to be relocated to the ground floor. Alterations to the IT infrastructure is being undertaken before the move can be undertaken.

 

·         The outpatients department is almost full which has resulted in expansion into the former minor injuries unit.  Health visitor and midwifery clinics have been moved to the former MIU which is a more suitable environment for them. The Older Adult Mental Health Clinic has been moved to the former Day Hospital.

 

·         When the capacity has been created on the ground floor, it is proposed that a Children’s unit be created.

 

·         Increased space will be required on the site to accommodate the Integrated Health and Social Care Team.

 

·         The alteration will provide capacity on the ground floor to provide a fully integrated Health and Wellbeing Hub.

 

·         A new Perinatal and Mental Health Clinic had commenced in November 2018 and is operating from the new unit.

 

·         Patient education group sessions are being held to manage osteoarthritis of the knee and low back pain which takes place every six weeks at Chepstow Hospital.

 

·         Adult weight management clinics commenced in March 2019.  ...  view the full minutes text for item 3.