Agenda and minutes

To approve and sign as a correct record the minutes of the meeting held on 27^th October 2016 and to deal with any matters arising, attached.

RESOLVED: that the minutes for the Panel meeting on 27 October 2016 be approved and signed as a correct record.

The Panel considered a report detailing the delivery plan for the Hampshire and the Isle of Wight (HIOW) Sustainability and Transformation Plan (STP) that was submitted to NHS England and NHS Improvement for consideration.

Richard Samuel (Chief Officer of the Fareham and Gosport Clinical Commissioning Group (CCG) and lead on the development of the Sustainable Transformation Plan), John Richards (Chief Executive Officer, NHS Southampton City CCG) and Councillor Shields (Cabinet Member for Health and Sustainable Living) Jane Freeland (Southampton Keep Our NHS Public) were in attendance and, with the consent of the Chair, addressed the meeting.

The Panel discussed a number of matters and concerns including:

·  the range and scope of the plan;

o  it was noted that the Plan was a for a period of five years and had been brought together with all of the partners within the local health system. The Plan would build upon best practice developed across the area such as Better Care Southampton.

·  the developing consultation process;

o  it was recognised that as the plan was still being developed and that there would be a need for consultation with a range of groups and organisations such as health and wellbeing boards and local healthwatch groups. 

·  the decision making process;

o  in response to questions it was noted that there were no formal decision making powers being assigned to one body in the development of Sustainable Transformation Plan.  It was noted that the aims and goals of the Plan were being developed in dialogue with the stakeholders and that each of the individual organisations.  It was noted that each of the organisations involved had been asked to develop their own local operating plan that would feed into the aims and goals of the Plan as a whole.

·  the flexibility of the Plan to cope with future demands on the local health system;

o  it was noted that the Plan was aimed to alleviate pressures that were growing both nationally and locally within the health system.  However, it was acknowledged that there were considerable demands on both the recruitment of staff and in relation to the demands on adult social care.

RESOLVED that the Panel noted the challenges and aspirations of the Sustainable Transformation Plan set out in the report and would continue review and monitor the development of the Plan. 

The Panel considered the report of Chief Executive – Solent NHS Trust providing a summary of the key findings from the inspection and outlines the approach the Trust will follow to address the issues raised in the Care Quality Commission reports.

Mandy Rayani (Chief Nurse) and Alex Whitfield (Chief Operating Officer) were in attendance and, with the consent of the Chair, addressed the meeting.

The Panel discussed a number of matters and concerns including:

·  that the Trust had been rated as requiring improvement by the Care Quality Commission (CQC);

o  it was noted that the CQC report had indicated that there were areas of the Trust, including some of the services in Southampton, that had been rated as outstanding. That the result was an overall judgement of the Trust. It was also noted that action had commenced to address the concerns raised by the CQC following the inspection.

·  why some services in the Portsmouth area had outperformed the same services in the Southampton area;

o  It was noted that the management of the children and adolescent mental health services (CAMHS) had been structured in different ways and that this led to information being recorded differently.  It was explained that steps had been implemented to resolve this including the redesign of various templates to more clearly indicate that the required information had been considered and recorded.  In addition it was noted that the Trust had also reviewed its staff structure within this area in order to ensure consistency of care.

·  concern was raised that the Trust was not learning from serious incidents;

o  assurance was given by the Trust that the CQC had found no issues in the Trust’s ability to learn from serious incident or its leadership.   

RESOLVED that the Panel noted the report and would continue to monitor the performance of the Trust and that the item would return at a future meeting.

The Panel considered the report of the Director of Quality and Integration updating the Panel on the progress of the Mental Health Matters programme following the briefing in March 2016.

Katy Bartolomeo (Senior Commissioner - Mental Health, Integrated Commissioning Unit) , John Richards (Chief Executive Officer, NHS Southampton City CCG) Jo Hannigan and Penny Turpin (members of the public) were in attendance and, with the consent of the Chair, addressed the meeting.

The Panel discussed a number of matters and concerns including:

·  Why the plan for children and young people and adults within the City were at different stages;

o  It was noted that the scope for adult mental health matters had been broadened and further developed to include a wider patient group.  It was noted that additional funding had been received for the provision of care for children and young people to enable certain actions to be expedited.

·  The potential effects of the Sustainable Transport Plan (STP) on the development of the Mental Health Matters plan;

o  It was noted that both plans shared the same aims and goals and that the Mental Health Matters plan had been developed alongside partner organisations and would therefore fit into the STP.

·  Concerns were raised by members of the public relating to appropriate care pathways for young people with autism and the recently published green paper that indicated potential changes were forthcoming to who was directly responsible for the care of young people withcare needs;

o  The Panel noted that officers were reviewing the green paper.  It was also noted that officers recognised the importance of early identification of autism and that the Plan would reflect this. 

RESOLVED that the Panel noted the report and welcomed the extra investment into the area requesting that the matter be brought back to Panel at future meeting.