Agenda and minutes

Venue: Conference Room 3 - Civic Centre

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

Items
No. Item

9.

Minutes of the Previous Meeting (including matters arising) pdf icon PDF 200 KB

To approve and sign as a correct record the minutes of the meeting held on 29 August 2019 and to deal with any matters arising, attached.

Minutes:

RESOLVED: that the minutes for the Panel meeting on 29 August 2019 be approved and signed as a correct record.

10.

Hampshire Hospitals Foundation Trust - Proposed Orthopaedic Transformation pdf icon PDF 110 KB

Report of the Chair of the Health Overview and Scrutiny Panel requesting that the Panel review and comment on the draft service proposals for Trauma and Orthopaedic services at Hampshire Hospitals.

Additional documents:

Minutes:

The Panel considered the report of the Chair of the Health Overview and Scrutiny Panel requesting that the Panel review and comment on the draft service proposals for Trauma and Orthopaedic services at Hampshire Hospitals.

 

Alex Whitfield (Chief Executive of Hampshire Hospitals Foundation Trust (HHFT)), Dr Lara Alloway (Chief Medical Officer – HHFT), Jane Hayward (Director of Transformation and Improvement - University Hospitals Southampton (UHS)), Jacqui McAfee (Divisional Director of Operations - Trauma and Specialist Services UHS) and Peter Horne (Director of System Delivery Southampton City Clinical Commissioning Group (CCG)) were in attendance and, with the consent of the Chair, addressed the meeting.

 

Officers outlined the rationale for the proposed changes to orthopaedic services in Hampshire.  It was explained that the changes would make the service more efficient and result in the cancelation of fewer planned orthopaedic surgical procedures whilst freeing up beds to respond to trauma cases.  It was noted that the proposed changes had been drawn up with the support of national NHS experts.

 

The Panel heard that there were concerns that the proposals would place an increased burden on Southampton General Hospital and the local system.  During the meeting it was announced that the principal stakeholders had met following the publication of the report and had agreed amendments that would see the ambulance service continuing to transport patients to Winchester.  HHFT would then convey patients via private ambulance to Basingstoke if required, in line with their proposal for patients to be seen at Basingstoke.  It was noted that the situation would be monitored daily by both hospital trusts and that the plan can be paused at 24 hours’ notice should there be an untoward effect on the system in Southampton. 

 

RESOLVED that the Panel

(i)  considered and noted the priorities detailed within the plan, attached as Appendix 1 to the report and the modifications announced at the meeting;

(ii)  requested that HHFT circulate the next scheduled update to Hampshire’s Health and Adult Social Care Committee on the proposals for Trauma and Orthopaedic services to the Panel.

11.

Adult Social Care Update pdf icon PDF 401 KB

Joint report of the Service Director for Adults, Housing and Communities and the Director of Quality and Integration providing an update for the Panel on the transformation journey being undertaken by Adult Social Care in Southampton.

Additional documents:

Minutes:

The Panel considered the joint report of the Service Director for Adults, Housing and Communities and the Director of Quality and Integration providing an update for the Panel on the transformation journey being undertaken by Adult Social Care in Southampton

 

Councillor Fielker (Cabinet Member for Adult Care), Paul Juan (SCC Service Director for Adults, Housing and Communities), Stephanie Ramsey (SCC Director of Quality and Assurance) and Sharon Stewart (SCC Service Lead, Adult Social Care) were in attendance and, with the consent of the Chair, addressed the meeting.

 

The Panel discussed a number of points including:

 

·  The Council’s response to the recommendations from the Peer Challenge, including the creation of the Making Social Care Work Board.

·  The focus on four key aspect of the service: Prevention and early intervention; maximising recovery and promoting independence; improving quality of life for people with care and support needs; and providing choice and control for people who have care needs;

·  The priorities for a future effective service;

·  The ten identified projects that are being developed for delivery over the next three years that will enhance and improve service outcomes;

·  The recruitment process for the independent chair of the Local Safeguarding Adults Board;

·  Concern raised about the Director of Public Health reporting to the Executive Director - Wellbeing (DASS) in the new Council structure, and the need for Public Health to have a much broader remit than Adult Social Services;

·  The need to include within the performance metrics measures that reflect enablers of change;

·  Opportunities to reduce costs and duplication by working with other local organisations on developing new technological solutions.

 

RESOLVED that:

 

(i)  That the Panel noted the current performance in Adult Social Care and the progress being made towards improving services in line with the findings of the Local Government Association peer challenge;

(ii)  That the Panel noted the Council’s response to the Local Authority Data Profile: Older People’s Pathway, published by the Care Quality Commission.

(iii)  That the Panel noted the arrangements in place for the interim Chair of the Local Safeguarding Adults Board and steps being taken to recruit a permanent Chair;

(iv)  In response to concerns raised about the Director of Public Health reporting to the Executive Director - Wellbeing (DASS) in the new Council structure, and the need for Public Health to have a much broader remit than Adult Social Services, the Panel are provided with assurance from the Chief Executive that the Director of Public Health would continue to have senior level influence across the full range of their accountabilities within the new structure;

(v)  The Panel are provided with the current ratio of adult social care workers per 1,000 of the Southampton population that are aged over 65;

(vi)  The enablers of change, particularly staff engagement and satisfaction, are measured and incorporated into the Adult Care performance dataset;

(vii)  In recognition that most local authorities responsible for adult care services are seeking to develop technological solutions to transform how services are delivered, it is recommended that the Council  ...  view the full minutes text for item 11.

12.

Hampshire and Isle of Wight Long Term Plan pdf icon PDF 22 KB

Report of the Senior Responsible Officer for the Hampshire and Isle of Wight Sustainability and Transformation Partnership requesting that the Panel consider the priorities detailed in the draft long term plan.

Additional documents:

Minutes:

The Panel considered the report of the Senior Responsible Officer for the Hampshire and Isle of Wight Sustainability and Transformation Partnership requesting that the Panel consider the priorities detailed in the draft long term plan.

 

Richard Samuels (Hampshire and Isle of Wight STP Senior Responsible Officer) and James Rimmer (Managing Director, NHS Southampton City Clinical Commissioning Group) were in attendance and, with the consent of the Chair, addressed the meeting.

 

The Panel noted that the final version of the Plan was due to be submitted shortly.  It was explained that the plan would respond to the targets included within the NHS England Long Term plan published in January 2019.  The Panel discussed various matters including:

·  How the plan sought to address the priorities set out in Appendix 1 of the report;

·  The importance of prevention and children’s health in improving long term health outcomes;

·  The need for all key agencies to continue their collaborative approach to ensure that the most effective and efficient services are available.

 

RESOLVED that the Panel

(i)  noted and considered the priorities detailed in the plan, attached as Appendix 1 to the report;

(ii)  noted the collaborative development process for the Plan across the region and the timescales for the submission of the final version to Government.

13.

Southampton City Five Year Health and Care Strategy 2020-2025 Update pdf icon PDF 222 KB

Report of the Managing Director, NHS Southampton City CCG, updating the Panel of the progress being made to complete the five year strategic plan.

Additional documents:

Minutes:

The Panel considered the report of the Managing Director, NHS Southampton City CCG, updating the Panel of the progress being made to develop and implement the five year strategic plan.

 

Richard Samuels (Hampshire and Isle of Wight STP Senior Responsible Officer) and James Rimmer (Managing Director, NHS Southampton City Clinical Commissioning Group) were in attendance and, with the consent of the Chair, addressed the meeting.

 

The Panel discussed a number of points including:

 

·  How the five year strategy supported the draft Hampshire and Isle of Wight Long Term Plan;

·  Public engagement in the development of the strategy; and

·  The importance of the Start Well work stream and focussing on the health of children and young people in Southampton.

 

RESOLVED that the update be noted. 

14.

Monitoring Scrutiny Recommendations pdf icon PDF 211 KB

Report of the Director, Legal and Governance enabling the Health Overview and Scrutiny Panel to monitor and track progress on recommendations made at previous meetings.

Additional documents:

Minutes:

The Panel considered the report of the Director, Legal and Governance enabling the Health Overview and Scrutiny Panel to monitor and track progress on recommendations made at previous meetings. 

 

Stephanie Ramsey was in attendance and, with the consent of the Chair, addressed the meeting. 

 

The Panel noted that information requested by the Panel in regard to Continuing Healthcare had been attached to the report as Appendix 2.  The Panel expressed a desire to more fully explore the issues relating to Continuing Healthcare at a future meeting. 

 

RESOLVED that the Panel delegated responsibility to the Scrutiny Manager, in consultation with the Panel’s Chair, to commission a report for a future meeting that will enable the Panel to explore in more detail the Continuing Health Care provision within the City.