Agenda item

To receive an overview of the Hampshire Together: Modernising our Hospitals and Health Services programme in relation to the impact on population health.

Representatives from Hampshire Hospitals NHS Trust and Hampshire and Isle of Wight Partnership of CCGs provided an overview of the Hampshire Together: Modernising our Hospitals and Health Services programme in relation to the impact on population health.

Councillor Jackie Porter spoke on this item to raise points about the calendar of the consultation and the impact, alongside adults, especially on children and young people aged 0-19.  It would be useful to clarify and explain the choices in the consultations and separate the site options from the clinical options, which can be confusing to the public. While the physical architecture and child friendly buildings are appreciated, the specifics of how Hampshire Together will support children’s physical and mental health and provide support and flexibility for families is critical.  For those needed specialized care, children and families should not need to travel long distances.  Need based support for the family’s other children impacted and care for the children of NHS staff should also be considered.

Members heard:

The Modernizing Our Hospitals programme aligns with the Health and Wellbeing Board Strategy will include a combination of programmes and some of the transformation pillars in north and mid Hampshire, measuring local impact and collecting community led responses.  

As part of the Integrated Care Partnership, the focus will be on services but also culture and relationships.  A single point access will shape how people utilize services considering data, information, understanding population data packs, root causes of poor health, procurement, need-based help for frequent users, etc.  Emerging discussion has shown the potential for real community led opportunities.  Potential impacts and key considerations (such as patient outcomes, health inequalities, workforce, sustainability, service delivery, effect on other providers, and accessibility) alongside statutory responsibilities are considered in developing the business case.

The integrated impact assessment is by an external organization at Stage 2, mindful that the study area encompasses approximately a million people, including all protected characteristics and ages in the new model of care. Options are being finalized to be taken forward to public consultations.  Collaboration continues with South Coast Ambulance Service to address mitigations, as well as considering transport accessibility by private vehicles, public transport, blue light ambulance, etc. to ascertain timings and identifying affected residents for mitigations.  There can also be changes in infrastructure over a period of time.  

Two possible locations have been announced and consulting on both options, as well as clinical models.  The real drive is to provide as much care as possible close to where people live, especially children who are often visited at their local GPs.  Provisions for a helipad will be included in location considerations and would be easier on a green field site.

Programmes should consider tackling prevention and health inequalities as pre-planned goals.  Similarly, it would be useful to consider idea transport situations and analyse benefits and disadvantages, rather than simply compare them to current problematic scenarios.  For those not arriving by ambulance, can patients’ concerns be addressed and for better outcomes, possible subsidies, and opportunities.

Changes in consultation information has been confusing for the public and it would be helpful to simplify the language to exclude health jargon and reviewed by the patient panel to ensure it is accessible and clear.  Transport remains a fundamental consideration for people utilizing services and it’s critical to be mindful of traffic, parking, children and family members, limitations for those taking public transportation, and similar case reviews or real experiences when analysing the data, journey times, and accessibility.  The analysis of travel time is broken down by depravation, public and private transport, travel times, ethnic minorities and protected groups affected, and vast amount of data and maps explored and considered.

GPs, elected representatives, and Public Health colleagues have engaged in conversations providing feedback to ensure that access to services extends to all communities and there are effective links with GPs and Public Health for a joint up approach to services, e.g. alcohol and substance abuse, for a positive impact.  While infrastructure and other unknowns remain a challenge, having the right framework and assurances for adequate resources and staff, is good approach for accessibility and affordability of care.  The public will need to understand that the new consultation is a different one and separate from the planning application.

While access and infrastructure will support people closer to people where they live, for some people travel time will be longer.  There are distinct advantages to centralized services and the vision is that there would be alternate closer GPs or digital services for those affected.  The County Council continues working alongside colleagues to provide infrastructure support.  Residents would benefit from more community and outpatient care and clinicians would then be able to deliver better specialized care.

A Joint Health and Social Care committee has been formed with the Southampton City Council with robust interest and engagement in the project in order to scrutinize and oversee the process.  The next meeting with take place on 18 January and will be accepting representations.

It was noted that local government elections and the pre-election period may overlap with consultations and resulting delays.  Following the CCG led consultation opening to the public, the Board would appreciate having sight of plans and progress as this is an incredible opportunity to take on board and value feedback and comments to benefit the population.

RESOLVED: 

That the Health and Wellbeing Board--

·         Will be updated regarding and following the consultation for sight of plans and progress