Agenda and minutes

Health Overview and Scrutiny Panel
Thursday, 28th June, 2018 6.00 pm

Venue: Conference Room 3 - Civic Centre

Contact: Ed Grimshaw, Democratic Support Officer  Tel:- 023 8083 2390

Items
No. Item

1.

Apologies and Changes in Membership (if any)

To note any changes in membership of the Panel made in accordance with Council Procedure Rule 4.3.

 

Minutes:

It was noted that following receipt of the temporary resignation of Councillor White from the Panel the Service Director, Legal and Governance acting under delegated powers, had appointed Councillor P Baillie to replace him for the purposes of this meeting.

 

 

2.

Election of Vice-Chair

To elect Vice Chair for the Municipal Year 2018/19.

Minutes:

RESOLVED that the Panel, in his absence and with his consent, elected Councillor White as Vice Chair for the Municipal Year.   

3.

Minutes of the Previous Meeting (including matters arising) pdf icon PDF 64 KB

To approve and sign as a correct record the minutes of the meeting 26 April 2018 and to deal with any matters arising, attached.

Minutes:

RESOLVED: that the minutes for the Panel meeting on 26 April 2018 be approved and signed as a correct record.

4.

Winter Pressures 2017/18 pdf icon PDF 61 KB

Report of the Director of System Delivery at Southampton City CCG providing the Panel with a summary of winter pressures in 2017/18 and the work of the South West Hampshire Operational Resilience Group.

Additional documents:

Minutes:

The Panel considered the report of the Director of System Delivery at Southampton City CCG providing the Panel with a summary of winter pressures in 2017/18 and the work of the South West Hampshire Operational Resilience Group

 

John Richards and Peter Horne (NHS Southampton Clinical Commissioning Group) and Joe Hannigan (Southampton Patients Forum) were in attendance and, with the consent of the Chair, addressed the meeting.

 

Peter Horne Director of System Delivery for the CCG outlined for the Panel how the CCG and its Partners drew together resources to plan for periods within the year.  It was explained to the Panel that the idea was to support colleagues to be able to do their jobs and to avoid unnecessary escalation of tasks to others. 

 

It was explained that this method of working reduced the need for senior officers to engage in tasks that distracted them from their own roles and enabled a fuller overview of the system as a whole. The Panel understood that the planning was evidence based and that the evidence was assessed to ensure that the right level of intervention was available if required. 

 

It was further explained that the data gathered was shared on the basis that it would be used only for the purposes of planning and not to hold each of the partner organisations to account. The Panel were told that this enabled organisations to address periods of high demand without apportioning blame. 

 

The Panel questioned whether the figures indicated that the performance against winter pressures had improved or whether the relatively mild winter had skewed the figures.  It was explained that there was an underlying improvement to the overall performance. 

 

It was understood that the system came under additional pressure shortly after the Christmas period.  It was explained that people often put off going into hospital over this period and that as a result their conditions worsened resulting in a longer stay in hospital.

 

Panel Members questioned whether inappropriate referrals to the A&E department was a factor in the ability of the system to cope.  Members were informed that the necessarily cautious nature of some areas with the system perhaps did contribute to demand but, that efforts were being made to reduce any incorrect referral, including using doctors within the call centre. 

 

 

RESOLVED:

(i)  That the Panel noted the report and welcomed the overall improvements made in performance and the steps taken to change the culture with the systems partners toward a more collaborative and effective system; and

(ii)  That the matter of overall performance with the system to combat winter pressure would return to a future meeting. 

5.

Commissioning of Intergrated Urgent Care (IUC) Services for Southampton pdf icon PDF 68 KB

Report of the Head of Primary Care, Southampton City CCG, providing the Panel with an update with regards to the commissioning of integrated urgent care services in Southampton.

Minutes:

The Panel considered the report of the Head of Primary Care, NHS Southampton CCG, providing the Panel with an update with regards to the commissioning of integrated urgent care services in Southampton

 

John Richards and Peter Horne (NHS Southampton Clinical Commissioning Group) were in attendance and, with the consent of the Chair, addressed the meeting.

 

The Panel noted the requirement for local health systems to commission new Integrated Urgent Care services and the decision to co-produce the service over the next 12-18 months with the current providers, South Central Ambulance Service (111 service provider) and Partnering for Health (provider of GP out of hours in Southern Hampshire).

 

The Panel welcomed proposals to for the new service to include an enhanced clinical assessment service whereby a higher proportion of patients will speak directly to a clinician.

 

RESOLVED that the Panel noted the progress and plans for developing a new Integrated Urgent Care service for Southampton residents.