Agenda and minutes
Venue: Ashburton Hall - HCC. View directions
Contact: Email: members.services@hant.gov.uk
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Apologies for absence To receive any apologies for absence. Minutes: Apologies were received from Cllrs Jan Warwick, Pal Hayre, Mike Thornton and Alan Dowden. Deputies Graham Burgess, Lance Quantrill, Martin Tod, Dominick Hiscock were present. The Chairman welcomed new co-opted member, Cllr Diane Andrews. |
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Declarations of interest 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.
Minutes: 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.
Cllr Tod declared a personal, non-prejudicial interest for all NHS-related items and all Public Health related items, as the Chief Executive of the Men's Health Forum - which receives funding from the Department of Health & Social Care, NHS England & NHS Improvement and Public Health England and is a health research and campaign charity. Cllr Burgess declared a personal, non-prejudicial interest as Deputy Leader at Gosport Borough Council for Item 8.
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Minutes of previous meeting PDF 124 KB To confirm the minutes of the previous meeting. Minutes: The Minutes of the meeting of the Health and Adult Social Care Select Committee (HASC) held on 9th July 2019 were confirmed as a correct record and signed by the Chairman. It was noted that due to matters arising from minutes, subsequent changes had taken place in dates of items returning to HASC.
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Deputations To receive any deputations notified under Standing Order 12. Minutes: The Committee did not receive any deputations.
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Chairman's Announcements To receive any announcements the Chairman may wish to make. Minutes: The Chairman made the following announcements and briefing: A. Young Persons’ Mental Health Cllr Tonia Craig recently shared her concern about young people unable to access mental health services and not meeting the criteria for care if they have not had a crisis event. Long wait times further exacerbate the mental health of at-risk young people and loved-ones struggle to help. The Children and Young People Select Committee is expecting a CAHMS update in November, the HASC will receive one in January, and these concerns have been shared with Executive Lead Member for Children and Young People, Cllr Stallard. B. CQC Local System Review Please note that the CQC Local System Review for Hampshire has been moved from the September HASC to the October meeting. Briefings updates on the following items were circulated via email prior to the meeting: A. Southern Health Update on Organisational Restructure B. Southern Health’s New 17-bedded CAMHS Unit at Tatchbury Mount in Calmore Dr Nick Broughton, Chief Executive from Southern Health was present to answer any questions about the two written updates. There were no questions from members.
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Proposals to Vary Services PDF 230 KB 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
a) Out of Area Beds and Divisional Bed Management System (Southern Health) b) Spinal Surgery Service Implementation Update (University Hospital Southampton) c) Beggarwood and Rooksdown Surgeries Update (NHS North Hampshire CCG) d) Orthopaedic Trauma Modernization Pilot (NHS Hampshire Hospitals Foundation Trust) e) Andover Hospital Minor Injuries Unit Update (NHS Hampshire Hospitals Foundation Trust)
Additional documents:
Minutes: Items for Monitoring a) Out-of-Area Beds and Divisional Bed Management System (Southern Health) Representatives from Southern Health provided an overview of one of their most significant organizational challenges - managing out of area beds. Managing demand of inpatient services within capacity has led to moving patients out of county and into private care. Having a variety of inpatient facilities and in keeping with the reorganization, there are 4 divisions that are managed together. More local ownership and a new approach has led to fewer patients in out-of-area beds, and more capacity is being created to address demand. A crisis lounge will assist with demand and relocation of facilities to allow more accessibility to patients, including a new OPMH ward. This will be a complicated series of moves but will allow for refurbishment and accommodating needs in a dementia-friendly environment. While currently in the early stages of proposals and commissioning beds, eventually purchasing additional beds will no longer be necessary. In response to questions, Members heard:
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Issues Relating to the Planning, Provision and/or Operation of Health Services 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.
No issues to consider. Minutes: None to consider.
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Adults' Health and Care - Transformation to 2021 PDF 108 KB Additional documents: Minutes: The Director of Adults’ Health and Care, alongside the Interim Director of Public Health, spoke to the report and presentation, which set out the departmental transformation to 2021 savings proposals and public consultation feedback (see Item 8 in the Minute Book). Members heard an overview of the key findings of the balancing the budget consultation held by the County Council in summer 2019, and noted that all of departments in the Council had been asked to proportionately contribute a further 13% saving of their budget as part of the next ‘Transformation to 2021’ (Tt2021) programme. For Adults’ Health and Care, this resulted in an overall requirement of £43.1m (Adult Social Care £36.3m and Public Health £6.8m). With the proposed savings, this would bring the cumulative total to £242.4m by the end of 2022. It was also identified that not only were savings being achieved, but also that Hampshire County Council continues to invest in adult social care service provision. It was noted that Tt2019 was significantly more challenging than previous programmes and Tt2021 will be even more difficult with extended delivery and overlapping programmes with increasing risk and complexity. There has been greater than anticipated demographic and service level challenges for an aging population and support needs increasing in terms of their complexity and impact on people’s lives. £41m has been delivered of the challenge and 15m yet to deliver into this year and next. The delivery of Tt2019 will be happening in parallel to Tt2021 savings. There is continued uncertainty beyond 2020-21and pressure of quality and safety, workforce fit to deliver, and dual challenges due to increase in demand, complexity, and inflated costs of providing services. The key issues for the County Council have largely neutral implications and any additional funding for Adults Health and Care will offset the recently emerging pressure. These five principles are the foundation for the departmental approach to Tt2021:
Within these principles were five main blocks, which centred on:
All of these were underpinned by the theme of demand management and prevention. Cllr Burgess left for another meeting at 12:38pm. For Public Health, a range of significant savings proposals across commissioned spend, will include mandated and non-mandated service areas such as:
Increased focus will be ... view the full minutes text for item 157. |
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To consider and approve the Health and Adult Social Care Select Committee Work Programme.
Minutes: A suggestion was made regarding a joint scrutiny committee and would be followed up by email. RESOLVED: That the Committee’s work programme be approved, subject to any amendments agreed at this meeting.
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