Agenda and draft minutes

To receive any apologies for absence.

Apologies received from Cllr Craig, Cllr Hiscox deputising.

Apologies were received from Cllr Craig, with Cllr Hiscox deputising and from Cllr Curnow-Ford with Cllr M Ford deputising. The Chairman had offered the Committee’s condolences to Cllr Curnow-Ford.

All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to Part 3 Paragraph 1.5 of the County Council's Members’ Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code.  Furthermore all Members with a Personal Interest in a matter being considered at the meeting should consider, having regard to Part 5, Paragraph 4 of the Code, whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.

All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to Part 3 Paragraph 1.5 of the County Council's Members’ Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Personal Interest in a matter being considered at the meeting should consider, having regard to Part 5, Paragraph 4 of the Code, whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.

To confirm the minutes of the previous meeting held on 16 January.

The Committee approved the draft minutes of the meeting held on 19 January as a correct record.

To receive any deputations notified under Standing Order 12.

There were no deputations.

To receive any announcements the Chairman may wish to make.

Well-being Centres

Following proposals for removal of adult social care funding for Wellbeing Centres discussed at HASC in September and approved by Cabinet and subsequently Full Council, as part of the Savings Programme 2025, work has been progressing with the organisations to review and remodel services in the future. This provision is discretionary and not subject to any eligible social care needs.

Subject to a proposal to the Executive Member in May 2024 if adult social care funding ceases, six months’ notice would be given. Funding from Hampshire and Isle of Wight ICB and Public Health, Hampshire County Council, will continue.

Early Support mental health hubs

As part of a national roll-out of 24 mental health hubs announced recently, it was pleasing to note that Isle of Wight and Southampton are among those where funding has been provided to develop these new services. 

Adults’ Health and Care SP25 Savings Programme - HASC Working Group

The established SP25 Savings Proposals Task and Finish Working Group met for a second time on the 7^th February. A detailed briefing was provided on the current Charging policy for adult social care, including the financial assessment process and calculations. The briefing also used examples to show how the savings proposal would change the calculation and the impact that could have on service users in receipt of social care services. The group was also given an overview of the approach being taken for the consultation. This included an outline of the engagement that has been led and undertaken corporately to date, as well as the additional tailored engagement that has taken place with stakeholders who would be impacted by the Adults’ Health and Care proposals, to ensure groups/individuals are aware, and can have their say, via the formal public consultation process.  

At the time of the meeting the formal consultation had been running for just shy of a month, the consultation started on Monday 8^th January.

Therefore the Working Group were also provided with an overview of the responses that had been received to date on the 3 AHC savings proposals currently being consulted on.

The next Working Group meeting is due to take place on 21^st March and will have a focus on Social Inclusion Services including the duties of District and Borough Councils, and Hampshire County Council’s duties under the Care Act 2014, alongside an update on the consultation findings to date.

Hampshire, IoW, Portsmouth and Southampton (HIPS) Integrated Sexual and Reproductive Health Service

From 1st April 2024 the Hampshire and Isle of Wight Healthcare NHS Foundation Trust (the merged Southern and Solent NHS trusts) will be providing the HIPS Integrated Sexual and Reproductive Health Service.

Hampshire will be moving to a new agile service delivery model which is part of a longer term nine year programme of transformation to ensure that Sexual and Reproductive Health Services are fit for the future: This will involve:

·         A new clinical front door where residents’ needs will be met in a single consultation with  ...  view the full minutes text for item 173.

To consider a report on issues brought to the attention of the Committee which impact upon the planning, provision and/or operation of health services within Hampshire, or the Hampshire population.

The Committee received a report (item 6 in the minute book) which provided Members with information about the issues brought to the attention of the Committee which impacted upon the planning, provision and/or operation of health services within Hampshire, or the Hampshire population as follows:

Proposal to create an Elective Hub – Hampshire Hospitals

GP Access and Patient Participation

Performance of NHS 111

Ambulance emergency handover performance

Elective Hub – Hampshire Hospitals

The Chairman welcomed Alex Whitfield and Julie Maskery from Hampshire Hospitals to present the report.

It was noted that approval to proceed with building the Hub had been given by the Trust Board in February.  £40m of funding had been confirmed in June. Operating 6 days per week, the facility would be used jointly by Hampshire Hospitals NHS Foundation Trust and University Hospital Southampton NHS Foundation Trust to treat appropriate patients.

It was planned to open the unit in early summer 2025. The focus would be patients requiring hip and knee replacements. The need to address lifestyle changes to reduce the needs for this type of surgery while meeting current needs was acknowledged.  There was greater use of prehabilitation and patients did not always need a general anasthetic so could be discharged quicker. 

The Trust could not create any further car parking on the site and was looking at patient drop-off areas and recommended the use of park & ride where possible. The new facility was closer to X-ray than was the case currently.

Urgent Care

The Chairman welcomed Emma Boswell, Frimley ICB, Sara Tiller, Place Director, Darren Cattell, senior lead on urgent and emergency care at H&IoW ICB, and Paul Jeffries, South Central Ambulance.

Sara Tiller reflected on the challenges of winter 2023/24 which included rises in demand and periods of industrial action.  Providers had put in actions to speed up processes and manage high levels of occupancy.  Recovery from the pandemic continued to be a factor.  Also of note was managing discharge with re-starting packages of care and availability of step-down beds.

The information on ambulance delays at hospital was cause for concern in relation to Queen Alexander Hospital, Portsmouth.  This was considered to be a whole system issue which the IBC continued to address.

Primary Care: access and public participation – Frimley and H&IoW ICBs

The Chairman additionally welcomed James Roach, Director of Primary Care, H&IoW ICB to address the package of reports received in this connection.  Slides were shown in support of this topic. 

Primary care continued to evolve and the ICB was developing a workforce strategy to develop GPs and keep them in role.  There was a trend towards individuals wanting to train in specialisms, rather than be responsible for a business as a GP partner. The configuration and packaging of local health services in localities was continually being reviewed as patients needed to access a range of health care services including pharmacy and community services.

A further update on the reconfiguration of north Hampshire primary care networks and an action  ...  view the full minutes text for item 174.

To receive an update on progress from Frimley ICB/Frimley Park NHS FT and to review draft terms of reference for a Joint Health Overview & Scrutiny Committee

The Committee received a report (item 7 in the minute book) setting out the two items presented to the Committee in this regard.  Information was received about (i) the findings of a public engagement carried out by Frimley ICB about selection criteria for a new hospital site and (ii) arrangements to establish a new Joint Health Overview & Scrutiny Committee.

The Chairman welcomed Carol Deans from Frimley ICB, who along with Emma Boswell addressed the first aspect of the report.  The public engagement had run from November to January and had attracted a good response.  There was little dissent from the original proposals including around the closeness of the new site to the existing, expansion potential and accessibility.

As Frimley ICB was consulting Hampshire CC, Surrey CC and Bracknell Forest BC about the proposed hospital, there was a requirement for those authorities to establish a Joint Health Overview & Scrutiny Committee to lead on the scrutiny of the hospital consultation.

The draft terms of reference previously agreed at officer level with Bracknell Forest BC and Surrey CC for adoption were circulated.  Seats on the Joint Committee had been proposed in line with the proportion of each authority’s residents using Frimley Park Hospital.  The arrangements allowed for other interested members to attend the Joint Committee’s meetings.

It was noted that each authority was currently reviewing the draft terms of reference at its Health Overview & Scrutiny Committees and would be ratifying them at Council meetings later this month. It was noted that each authority needed to apply proportionality to its appointments.

Because of Council meeting timings, delegated authority would need to be used to effect the approval of the terms of reference on the Council’s behalf, and to confirm the Council’s four nominations.  The issue would be the subject of a Part II report to the Council meeting in May, which would include a routine review of the overall political proportionality table.

To respond to a request from Children & Young People’s Overview & Scrutiny Committee to discuss the service provided to adults.

The Committee received a report (item 8 in the minute book) setting out the current status and waiting times for these assessments and the steps being taken.

Councillor Penman had written to the Chairman of HASC in November 2023, following a review carried out by the Children & Young People’s Overview & Scrutiny Committee of autism assessment services commissioning.  The Committee was invited to review the adult aspect today and he welcomed Catherine Barnard and Anthony Harper from Hampshire ICB to present the report. Autism was a serious concern which could affect an individual’s access to education, and ability to retain friendships and employment.

The main concern for the service was the management of 3,000 patients on waiting list for autism assessments. The situation was reviewed by a clinical reference group. Recovery actions were in place through to 2026.  Referrals were made for other conditions such as ADHC – the funding arrangements of these were clarified. The Council had an autism strategy.  

The assessment service was focusing on engagement with patients to provide support and to prioritise.  There was support available to primary school aged children through the Autism in Schools project. The ICB would look to support the Owl Centre within the resources available – this new provider would provide a better patient experience.

To consider and approve the Health and Adult Social Care Select Committee Work Programme.

The Committee received the updated Work Programme (agenda item 9 in the minute book) for information.

RESOLVED

The Health and Adult Social Care Select Committee discussed and agreed

potential items for the work programme to be prioritised and allocated by the

Chairman of the Health and Adult Social Care Select Committee in consultation with the Director of Adult’s Health and Care.