Agenda and minutes

To receive any apologies for absence.

Apologies were received from Councillor Fran Carpenter. Councillor Graham Burgess, as the Conservative standing deputy, was in attendance in her place. 

Apologies were also received from Councillor Tonia Craig. Councillor Dominic Hiscock, as the Liberal Democrat standing deputy, was in attendance in her place. 

Apologies were also received from Councillor Ann Briggs.  It was noted that Councillor Pal Hayre would join the meeting late. 

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 Personal interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 5 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 22 October 2020 were confirmed as a correct record.

To receive any deputations notified under Standing Order 12.

The Committee did not receive any deputations.

To receive any announcements the Chairman may wish to make.

The Chairman had no announcements on this occasion.

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 which NHS colleagues will attend:

a) Hampshire Together: Modernising our Hospitals and Health Services – Hampshire Hospitals NHS Foundation Trust and Commissioners

b) Building Better Emergency Care Programme – Portsmouth Hospitals University NHS Trust and Commissioners

Hampshire Together: Modernising Our Hospitals and Health Services - Hampshire Hospitals NHS Foundation Trust and Commissioners

Representatives from Hampshire Hospitals NHS Foundation Trust and the Hampshire Clinical Commissioning Group Partnership gave a presentation to summarise the written report provided (see Item 6 in the Minute Book) regarding the ‘Hampshire Together – Modernising our Hospitals and Health Services’ programme.

Members heard that there was funding available under the governments ‘Health Infrastructure Plan’ for building a new hospital.  This proposal was under the second round with construction aimed for 2025 to 2030.  Options to continue with services in their current locations, or consolidate all down to one location had been ruled out.  The options that remained under consideration involved having one Acute Centralised Hospital and a Main Local Hospital.  There were five options that varied the split of services across the two types.

A process had been undertaken to identify possible sites for building a new hospital.  This had resulted in two possible options being short listed, one near junction 7 of the M3 and one on a piece of land adjacent to the current hospital in Basingstoke.  The public consultation would invite feedback on both options.

Analysis had been undertaken of the home addresses of patients using Hampshire Hospitals services which found that around 90% of patients came from Hampshire.  The Local Authorities serving the areas where the other 10% of patients came from had been approached to identify how they would like to scrutinise the proposals.  Southampton City Council determined the proposals a substantial change, which would require forming a joint health scrutiny committee if other local authorities also determine the proposals a substantial change.  Surrey County Council expressed interest in sending a standing observer to attend any joint committee meetings.  The other neighbouring Local Authorities did not wish to take part.

The future timeline for the proposals was for public consultation on the shortlisted options in early 2021 and a final decision on service configuration and locations in late 2021.  Building work would be likely to start around 2024/25 and a new hospital open around 2026 to 2030.

In response to questions, Members heard:

·      It was planned to produce a plain English document describing the options for the public consultation, including case studies of example patient journeys. It was likely given the pandemic that public meetings would be held virtually as part of the consultation

·      The estimated cost of each option would be assessed and included in the consultation materials

·      If patients currently use other services e.g. Frimley hospital, it was not anticipated that these proposals would affect them. Patients would be free to continue accessing services elsewhere

·      Discussions were taking place with University Hospital Southampton regarding any potential shift in demand from patients south of Winchester. Some services would remain at the hospital in Winchester under the proposals. The ambulance service had been engaged on the plans and were supportive of centralising elements of critical care

It was noted that if the Committee determined the proposals to be  ...  view the full minutes text for item 237.

To consider a report of the Director of Transformation and Governance 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.

·         NHS 111 First Programme 

·         Estates Update from Southern Health NHS Foundation Trust

NHS 111 First Programme

Representatives from South Central Ambulance Service NHS Trust and the Sustainability and Transformation Partnership presented a report on the NHS 111 First Programme (see report, Item 7 in the Minute Book).

Members heard that a programme had been developed to react to the impact of coronavirus on access to healthcare.  There had been a fivefold increase in use of NHS 111 in the previous lockdown.  The support surrounding the 111 service had been increased, including the ability of call handlers to book patients in to other services.  Portsmouth Hospitals University Trust had been an early adopter, and other areas were required to adopt the approach by December.  Additional staff had been recruited to help manage the additional demand.  NHS 111 could book appointments including at Emergency Departments. 

RESOLVED

That the Committee:

1.    Note the briefing on the NHS 111 First programme.

2.    Request an update on the impact of the approach in Summer 2021.

Estates Update from Southern Health NHS Foundation Trust

The Committee received a written update from Southern Health NHS Foundation Trust regarding developments with their estate to provide additional bed capacity and make improvements (see report, Item 7 in the Minute Book).

RESOLVED

That the Committee:

1.    Note the briefing provided on Southern Health NHS Trust’s estates developments.

To receive a presentation from the Director of Public Health, providing an update on any developments in the Covid-19 public health response in Hampshire since the last meeting on 22 October.

The Committee received a presentation from the Director of Public Health (see Item 8 in the Minute Book) providing an update on the public health response in Hampshire to the Covid-19 pandemic.  The Director provided the latest figures on the state of coronavirus in Hampshire.  It was noted that a programme of vaccination would be coming soon, however it would be challenging to deliver at scale and the impact would be months away.

Members were encouraged to promote to residents the importance of maintaining isolation if instructed, to help stop the spread.  Also to provide reassurance that hospital appointments were being managed safely so people should attend when invited.  

The Chairman thanked the Director for the update.

RESOLVED:

1. To note the current COVID-19 situation.

To receive a presentation from the Director of Adults Health and Care, providing an update on any developments in the Covid-19 adult social care response in Hampshire since the last meeting on 22 October.

The Committee received a presentation from the Director of Adults’ Health and Care (see Item 9 in the Minute Book) providing an update on the Covid-19 response by Adults’ Health and Care.  The committee heard that response structures had been re-established for the second lockdown including contacting vulnerable residents to check if they needed any assistance.  Well managed visits at care homes were being encouraged to avoid isolation.

The Chairman thanked the Director for the update.

RESOLVED:

The Committee note the update.

To receive an update from the NHS commissioners in Hampshire, providing an update on any developments in the Covid-19 NHS response in Hampshire since the last meeting on 22 October.

Including updates from the following Trusts:

·         University Hospital Southampton NHS Foundation Trust

·         Southern Health NHS Foundation Trust

·         Portsmouth Hospitals University NHS Trust

·         Solent NHS Trust

The Committee received a report from the Clinical Commissioning Groups covering Hampshire and the Isle of Wight providing an update on the response of the NHS in Hampshire to the Covid-19 pandemic (see Item 10 in the Minute Book).  It was reported that planned care was not being suspended in this lockdown, as there were already over 4000 patients waiting over a year for treatment.

The Chairman thanked NHS colleagues for the update.

RESOLVED:

To note the update on the current COVID-19 situation in the NHS.

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).  It was noted that an item on NHS 111 had been added to the work programme, following the issue being raised at the last HASC meeting.

RESOLVED:

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