Agenda and minutes

The Chair made the following statements:-

• as the Chair had received a deputation request from “38 Degrees” relating to Item 9 on the agenda and members were present, this item would be moved to the first item of business;

• members were welcome to participate in “Movember”, a way of raising money to fight prostate and testicular cancer, by growing a moustache;  and
• as there had been problems and delays with updating equipment used by the Southampton breast screening service, it was AGREED that officers would arrange a meeting with UHS, the CCG and the Chair and Vice-Chair of HOSP to discuss the issues.

Report of the Senior Manager, Customer and Business Improvement for members to note the background to the new ambulance service clinical quality indicators and an update on current developments, attached.

The Panel received and noted the report of the Senior Manager Customer and Business Improvement providing members with the background to the new ambulance service clinical quality indicators to enable understanding and monitoring in the future.   (Copy of the report circulated with the agenda and appended to the signed minutes).

The Panel received a presentation from South Central Ambulance Service (SCAS) and the following was noted:-

• that Southampton’s performance was good and above the national average;
• that all vehicles were issued with a full set of keys, enabling them to access areas that were barricaded or were in sheltered accommodation;
• that a campaign had been  launched in a bid to reduce the number of hoax/inappropriate calls being received;
• that ambulance turnaround times were being delayed by  hospitals’ inability to manage queues to free up ambulance crews;  and
• that an update on when the 111 service would come into operation would be provided after the meeting.

Report of the Executive Director of Health and Social Care, summarising some of the key issues set out in the draft Care and Support Bill, for the Scrutiny Panel to comment and raise concerns in response to the consultation process being undertaken by the Department of Health, attached.

The Panel considered the report of the Executive Director of Health and Social Care summarising key issues set out in the draft Care and Support Bill and requesting that they identify any comments they wished to make in response to the consultation.  (Copy of the report circulated with the agenda and appended to the signed minutes).

RESOLVED that the Panel would respond to the draft bill stating their concerns regarding the lack of progress on the future funding of adult social care.

Report of the Director of Nursing, SHIP PCT Cluster, providing an update on actions taken since the Vascular Services seminar held on 11 June 2012 for the Panel to note the arrangements for monitoring of vascular services and advise when a further update is required, attached.

The Panel considered the report of the Director of Nursing, SHIP PCT Cluster providing an update on actions taken since the Vascular Services seminar held on 11 June 2012.  (Copy of the report circulated with the agenda and appended to the signed minutes).

The following was noted:-

• that a meeting had been held on 3^rd October between Portsmouth and Southampton clinicians.  It had been positive and progress had been made as the Trusts had agreed to work together in the following areas:-

*  training;

*  research;

*  joint weekend working rota;  and

*  that complex aorta surgery would be handled at Southampton;

• no deadlines had been set for the integration and delivery of the services;
• that officers felt it was important not to jeopardise the current position and if the Panel used their powers and referred this issue to the Secretary of  State it  would delay the situation for a further period and would not be in the interests of the local people;  and
• it was imperative that the HOSP receive a written agreement of commitment between the parties;

Upon putting to the vote, the following was resolved:-

RESOLVED

(i)  that the Chair would write to both Chief Executives informing them that the issue would be referred to the Secretary of State if the HOSP  had not received a written agreement of commitment between the parties signed by both Chief Executives by 26^th October 2012;  and

(ii)  that the PCT Cluster provided the Chair with details of the Portsmouth Hospitals NHS Trust in relation to the Clinical Governance Framework for the provision of Vascular Surgery.

Report of the Director of Communications and Engagement, SHIP PCT Cluster, providing an update on changes to local NHS commissioning organisations as a result of Government reforms, attached.

The Panel considered the report and received a presentation from the Director of Communications and Engagement, SHIP PCT Cluster, providing an update on the changes to local NHS commissioning organisations as a result of the Government reforms.  (Copy of the report circulated with the agenda and appended to the signed minutes).

The following points were noted:-

• the over-arching National Commissioning Board would be a single, nationwide organisation, with matrix-working at its heart to provide simplicity, aid and efficiency to ensure a consistent approach and would take up its full statutory duties and responsibilities on 1 April 2013;
• there would be 27 Local Area Teams,(LAT’s), each having the same core functions which would take on direct commissioning of GP services, dental services, pharmacy and certain optical services;
• there would be 4 regions providing clinical and professional leadership at a sub-national level and Southampton was part of the Wessex Local Area Team which included SHIP, Dorset Bournemouth and Poole.  This area comprised 7 Local Authorities, 9 CCGs and 6 Health & Wellbeing Boards;
• CCG’s were groups of GPs and other key health professionals responsible for 80% of the healthcare budget in their area and would buy in services.  All GPs would be a member of the  CCG in their area and each CCG would have a governing body and would be responsible for engaging with local people to ensure that services met their needs;
• authorisation would be the process by which CCGs would be assessed as ready to take on responsibility for health care budgets for their local communities and Southampton was timetabled in Wave 4, with the authorisation decision due in January 2013;
• CCG’s were public bodies/statutory NHS organisations under the umbrella of the National Commissioning Board.
• CCG members and the local care team were represented on the Health & Wellbeing Board, which was a statutory Board and was a crucial vehicle for setting the strategic direction of the new Health and Social Care Act;
• the Southampton CCG and Local  Area Team was based in Oakley Road;

The Chair had received a deputation from 38 Degrees who had asked that they be permitted to ask officers a few questions in relation to the above item.  The following questions were answered by officers.  Members of the organisation had also been given contact details for the Southampton CCG and Link who would be able to assist them if they had any further queries/questions:-

• Structure of Consultation  - the consultation structure being adopted by Southampton CCG to enable concerned individuals to engage with them would be the same consultation process as previously used and there were robust mechanisms in place to engage with the public.

• Election of Lay Members/CCG Board - Lay members/representatives had been appointed and were qualified persons who had applied for the positions.  The current 5 members of the CCG Board had been voted in by GP’s by way of an internal election.

• Externalisation/Privatisation - The proposed model constitution was set by statutory guidelines and would eventually become a public  ...  view the full minutes text for item 26.

Visit to Royal South Hants Hospital – 10^th October – Transfer of Elderly Care Beds

Councillor Parnell provided the panel with a brief update on his recent visit to Royal South Hants Hospital, stating that a lot of work was being undertaken in relation to the bed transfer including the ambulance service and talking with patients – as a result  there were less reservations about the changes.  Some equipment was already on site at the hospital and recruitment for a consultant was underway  The transfer should be completed in approximately 6 weeks and there was a big improvement in the patients’ environment at Royal South Hants.