Agenda item

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 Foundation Trust: Outpatient and X-ray services in Whitehill and Bordon (Chase) – Reprovision of services from alternative locations or by an alternative provider

• NHS Guildford and Waverley CCG and Hampshire Partnership CCG: West Surrey Stroke Services – Update on Implementation; once the new service model has been fully embedded, to include monitoring information on the ambulance response times in the affected Hampshire area, and treatment times once patients have reached Frimley Park Hospital

·         Hampshire Hospitals NHS Foundation Trust: Andover Hospital Minor Injuries Unit

Items for Information

·         Southern Health NHS Foundation Trust: Staffing Issues affecting Beaulieu and Poppy Older People’s Mental Health wards

Hampshire Hospitals NHS Foundation Trust: Outpatient and X-ray services in Whitehill and Bordon (Chase) – Re-provision of services from alternative locations or by an alternative provider

Representatives from Hampshire and Isle of Wight Partnership of Clinical Commissioning Groups and Hampshire Hospitals NHS Foundation Trust (HHFT) presented a report on the re-provision of services (see report, Item 6 in the Minute Book).

Members heard that the latest position regarding proposals for a new health hub in Whitehill and Bordon as part of the ‘healthy new town’ programme was that a planning application was due to be submitted in December 2018. Members attention was drawn to section 3.5 in the report, which outlined the services currently provided by HHFT at Chase Community Hospital; where the services could be accessed in future; and the outcomes of approaches to alternative providers who had been invited to provide those services at Chase instead. 

In response to questions, Members heard:

·      That Sustainability and Transformation Partnership Capital funding had been applied for to fund the new health hub.

·      It was intended to take an outline business case for the new health hub to the CCG governing body in December

Members expressed disappointment that for the majority of services HHFT was ceasing to provide from Chase, other providers deemed the levels of activity too low to provide the service from Chase. However Members thanked CCG staff for their efforts in approaching alternative providers. Members expressed concern that the changes were not in the interest of the service users affected, as they would have to travel further to alternative locations to access those services in future, and the local member indicated that public transport links serving the area were poor.

RESOLVED:

a. The Committee concluded that the changes proposed are not in the interest of the service users affected, due to concerns over transport to alternative locations.

b. The Committee requested a further update be provided for the February 2019 meeting of the HASC, including regarding the development of proposals for the Health Hub.

NHS Guildford and Waverley CCG and Hampshire and Isle of Wight Partnership CCG: West Surrey Stroke Services

The Committee received an update on implementation of changes to stroke services affecting patients in north east Hampshire (see report, Item 6 in the Minute Book).

RESOLVED:

That the Committee:

a.    Note the update on implementation of the new service model.

Hampshire Hospitals NHS Foundation Trust: Andover Hospital Minor Injuries Unit

A representative from Hampshire Hospitals NHS Foundation Trust presented an update on the Minor Injuries Unit at Andover Hospital (see report, Item 6 in the Minute Book).

Members heard that the Minor Injuries Unit continued to close at 6:00pm, due to difficulties recruiting sufficient staff to run the service for longer hours. The current agreement on opening hours, agreed with the Clinical Commissioning Group, ran until December. There was no evidence of impact of displaced need on other emergency departments. The Trust had tendered for a provider for an Urgent Treatment Centre (which would provide GP services alongside minor injuries services) however it hadn’t received any bids. Work was ongoing with the CCG to stabilise the service.

RESOLVED:

That the Committee:

a. Note the progress on managing the opening hours of the MIU at Andover War Memorial Hospital.

b. Request a further update for the March 2019 meeting, including developments for an Urgent Treatment Centre. That this update be presented jointly with West Hampshire Clinical Commissioning Group.

Southern Health NHS Foundation Trust: Staffing Issues affecting Beaulieu and Poppy Older People’s Mental Health wards

Representatives from Southern Health NHS Foundation Trust presented a report on staffing issues affecting two older people’s mental health wards (see report, Item 6 in the Minute Book).

Members heard that the Poppy ward in Gosport had been temporarily closed to admissions in October 2018 due to shortages of registered mental health nurses. However, it had since been possible to re-open this ward to admissions in November. The Beaulieu ward at the Western Community Hospital in Southampton had also been temporarily closed to admissions, and it was anticipated this would remain the case for up to six months while additional staff were recruited. The ward had been closed and the patients on the ward at the time had been transferred to other locations or discharged when appropriate. The staff that had been working on the ward were being offered opportunities to re-locate to other parts of the Trust. Where patients were admitted to ward’s further from home as a result of this closure, the Trust were offering to support families to travel to visit.

RESOLVED:

That the Committee:

a. Note the update on the position regarding staffing the Poppy and Beaulieu Older People’s Mental Health wards.

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