Agenda and minutes

To receive any apologies for absence.

Apologies were received from Councillor Steve Forster and Councillor Pal Hayre. Councillors Lance Quantrill and Graham Burgess, as the Conservative standing deputies, were in attendance in their place. 

Apologies were also received from Councillors Martin Boiles, Tonia Craig, and co-opted members Councillors Tina Campbell and Alison Finlay.

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 the circumstances described in 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 Non-Pecuniary interest in a matter being considered at the meeting should consider whether such interest should be declared, and having regard to Part 5, Paragraph 2 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.

Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Non-Pecuniary interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.

No declarations were made.

To confirm the minutes of the previous meeting

The Minutes of the meeting of the Health and Adult Social Care Select Committee (HASC) held on 20 November 2018 were confirmed as a correct record and signed by the Chairman.

To receive any deputations notified under Standing Order 12.

The Committee did not receive any deputations at this meeting.

To receive any announcements the Chairman may wish to make.

The Chairman made three announcements:

Respite service at Orchard Close, Hayling Island

The Chairman reported that Hampshire County Council had undertaken a public consultation to seek the views of service users, the public, and other interested stakeholders on proposals to close Orchard Close Respite Service, Hayling Island, with a view to providing more personalised and tailored respite solutions to those people who currently use the service. The Chairman thanked those members of the HASC that attended a workshop on the subject on 4 December as part of the consultation. At the request of Members that attended that workshop, a further session for HASC members had been arranged for 21 January. Members were reminded that the decision about Orchard Close was due to be considered by the Executive Member for Adult Social Care and Health on Wednesday 27 February, and an additional HASC meeting was scheduled for 11 February so that the Select Committee could pre scrutinise the decision.

The Chairman announced that he was planning to visit Orchard Close with the Vice Chairman, before the HASC meeting in February, to see the facility in question for himself before the Committee considered the matter. He also intended to visit one of the other newer respite centres for comparison.

Gosport Independent Panel

The Chairman reported that since the last HASC meeting, the Government had published it’s response to the report of the Gosport Independent Panel. The Gosport Independent Panel reviewed what happened at Gosport War Memorial Hospital between the late 80’s and 2001, where nurses and families raised concerns about the care given to patients who died and were not listened to. The HASC will wish to monitor the response of the health bodies now in place in Hampshire, in order to assure itself that should any serious concerns about practice within providers now or in the future be raised, the system has improved processes in place to recognise and respond to such concerns.

NHS 10 Year Plan

The Chairman noted that in early January the Government published a 10 year plan for the NHS that set out long term plans to improve the quality of patient care and health outcomes. The HASC would wish to monitor how the aims of the Plan would be taken forward locally.

To consider the report of the Director of Transformation and Governance on proposals from the NHS or providers of health services to vary or develop health services in the area of the Committee.

Items for Monitoring

·         Hampshire Hospitals NHS FT: North and Mid Hampshire Clinical Services Review Update

·         Southern Health NHS FT: Update on temporary closure of Beaulieu Older People’s Mental Health ward

Hampshire Hospitals NHS Foundation Trust: North and Mid Hampshire

Clinical Services Review Update

Representatives from Hampshire Hospitals NHS Foundation Trust and West Hampshire Clinical Commissioning Group presented a report providing an update on the latest position regarding the North and Mid Hampshire Clinical Services Review (see report appended to Item 6 in the Minute Book).

Members heard that:

·         Following the decision not to pursue the creation of a new Critical Treatment Centre, the Trust had reviewed the sustainability of continuing to provide services from both the Winchester and Basingstoke hospital sites

·         Funding had been received to make improvements to both Emergency Departments (ED), and the Trust was creating a separate children’s pathway in ED

·         Women’s services had been considered and no areas of concern identified. There was no compelling reason to centralise services over the next 3 to 5 years

·         For surgery, it had been identified that there may be a benefit to consolidating certain procedures at one site, subject to further review

·         Maps had been provided showing the outcomes of a review of the maintenance need of the existing estate. This indicated that a significant proportion of the buildings were deemed poor quality

·         A clinical strategy for the next 3 to 5 years was in development

·         The Clinical Commissioning Group continued to work on new care models that focused on preventing hospital admission and provision of some services in the community

In response to questions, Members heard:

·      The Trust had not ruled out the possibility of centralising services to one site in future, but was currently focused on provision from the current sites

·      An estates plan was being developed, to plan how maintenance works could be carried out while protecting service provision

RESOLVED

That the Health and Adult Social Care Select Committee:

a) Note the latest position following the clinical services review.

b) Request the Trust and commissioners keep the HASC informed of developments to Emergency Departments.

c) Request the Trust and commissioners return to the HASC, should any proposals to change service provision at Hampshire Hospitals sites arise in the future.

Southern Health NHS Foundation Trust: Update on temporary closure of Beaulieu Older People’s Mental Health ward

The Select Committee received a report from Southern Health NHS Foundation Trust providing an update on the temporary closure of Beaulieu Older People’s Mental Health ward (see report appended to Item 6 in the Minute Book).

RESOLVED

That the Health and Adult Social Care Select Committee:

a) Note the update on the position regarding the temporary closure of the Beaulieu Older People’s Mental Health ward.

b) Request a further update on the position for the May 2019 meeting.

To pre scrutinise a report on procurement of health visiting and school nursing, due to go for decision to the Executive Member for Public Health at her 22 January 2019 Decision Day.  

Representatives of the Director of Public Health gave a presentation in support of a report regarding procurement of a new contract for health visiting and school nursing services (see Item 7 in the Minute Book). The proposals were brought to the Select Committee to pre scrutinise, prior to a decision of the Executive Member for Public Health due to take place on 22 January.

Members heard that:

·         Service innovations were planned as part of the new contract e.g. having a single nurse cohort in future rather than separate school nurses and health visitors

·         This procurement was part of three phased procurements taking place up to 2023 that would build integrated working between the County Council and health

·         The contract covered mandated services including immunisation programmes run through schools, health assessments of children at year R and year 6 and the national child measurement programme

RESOLVED:

That the Health and Adult Social Care Select Committee:

Support the recommendations being proposed to the Executive Member for Public Health in Section 1 of the report.

To consider the report of the Director of Corporate Resources and Director of Public Health prior to the decision of the Executive Member for Public Health.

The Director of Adults’ Health and Care, the Director of Public Health and a representative of the Director of Corporate Resources attended before the Committee in order to present the revenue budget for Public Health for 2019/20 (see report and presentation, Item 8 in the Minute Book).

The presentation considered by the Committee covered Items 8 to 10 on the

agenda.

It was noted that the Public Health grant was currently ring fenced, so was not included in the transformation savings required by the Adults Health and Care Department. However, savings were still required from this budget as grant funding had reduced. Funds from public health reserves were planned to be used to make up the budget in 2019/20, to allow time to deliver savings smoothly.

RESOLVED:

That the Health and Adult Social Care Select Committee support the recommendations being proposed to the Executive Member for Public Health in section 1 of the report.

To consider the report of the Director of Corporate Resources and Director of Adults' Health and Care prior to the decision of the Executive Member for Adult Social Care and Health.

The Director of Adults’ Health and Care and a representative of the Director of Corporate Resources attended before the Committee in order to present the revenue budget for Adult Social Care for 2019/20 (see report and presentation, Item 9 in the Minute Book).

A summary was provided of the latest position regarding the Transformation to 2019 savings programme. It was noted that in some cases, delivery of savings would be later than March 2019, and provision had been made in the 2019/20 budget proposals to smooth the budget position until they could be achieved. The Adult’s Health and Care Department were required to remove £55.9m from their budget for 2019/20 under the agreed transformation programme, and the budget reports being considered contained no new savings proposals. This equated to 19% of the overall budget for the department; each department was expected to make the same % reductions under the agreed budget strategy. Provision had been made corporately to reflect pressures arising from demand increase.  

RESOLVED:

That the Health and Adult Social Care Select Committee support the recommendations being proposed to the Executive Member for Adult Social Care and Health in section 1 of the report.

To consider the report of the Director of Corporate Resources and Director of Adults' Health and Care prior to the decision of the Executive Member for Adult Social Care and Health.

The Director of Adults’ Health and Care and a representative of the Director of

Corporate Resources attended before the Committee in order to present the

capital programme for Adult Social Care for 2019/20 – 2021/22 (see report and presentation, Item 10 in the Minute Book).

The Select Committee were shown a video on the County Council’s investment in ‘extra care’ facilities. It was intended to continue building such facilities to provide good coverage across Hampshire.

RESOLVED:

That the Health and Adult Social Care Select Committee support the recommendations being proposed to the Executive Member for Adult Social Care and Health in section 1 of the report.

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

The Director of Transformation and Governance presented the Committee’s work programme (see Item 11 in the Minute Book).

RESOLVED:

That the Committee’s work programme be approved, subject to any amendments agreed at this meeting.