Agenda and minutes

To receive any apologies for absence.

No apologies for absence had been received.

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 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.

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 Jonathan Canty declared that he worked for the charity ‘Versus Arthritis’ which seeks to influence health policy.

Cllr Julie Butler declared that she was Chair of ‘Friends of Ticehurst’ (a nursing and residential home).

To confirm the minutes of the previous meeting (10 November).

The Minutes of the meeting of the Health and Adult Social Care Select Committee held on 10 November 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 made the following announcement:

Joint Committee on Hampshire Together

At the last meeting in November the Committee determined that the ‘Hampshire Together’ proposals by Hampshire Hospitals constituted a potential substantial change in services. At the County Council meeting on 3rd December a Joint Scrutiny Committee was established to scrutinise this proposal, including representation from Southampton City Council who also consider the change substantial. The membership of the joint committee was: Councillors Ann Briggs, Fran Carpenter, Rod Cooper, David Harrison, Roger Huxstep, David Keast, and Mike Thornton from Hampshire County Council and Councillor Professor Barrie Margetts from Southampton. The first meeting of the Joint Committee was held on Friday 18 December and Cllr Huxstep was voted in as Chairman. The Joint Committee had a useful initial discussion of the Trusts plans for consultation and would be holding further meetings in 2021 as the programme developed. It was now anticipated that the public consultation would start in May after the local elections.

To receive an update on the HIOW NHS system approach to COVID.  

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 6 in the Minute Book).

The Hampshire and Isle of Wight NHS Covid-19 Clinical Medical Acute Lead (and Interim HIOW Clinical Transformation Director) gave a verbal update on the latest position. It was reported that hospitals in the county were coming under pressure due to the numbers of Covid patients and elective services had been suspended unless life saving. Capacity was being utilised in the independent sector and mutual aid arrangements were in place to enable hospitals to work together to manage bed demand.

A verbal update on the vaccination programme was also provided by a representative of the Clinical Commissioning Groups. Members heard that the focus of the vaccination programme was to avoid hospital admissions resulting from Covid and therefore was initially targeting vulnerable groups in four categories. This included care home residents and staff, the over 80s and frontline health and social care staff, then the over 75s, followed by the over 70s and the clinically extremely vulnerable over 18.

Primary Care Networks were working together to form vaccination hubs, of which there were 39 sites across Hampshire and Isle of Wight for administering the vaccines. Larger Vaccination Centres were also being established of which there would be 4 in Hampshire; one on the Isle of Wight, one in Portsmouth, one in Southampton and one in Basingstoke. 39,000 doses had been given out locally to date, out of a total population of around 1.7 million. 

The Chief Operating Officer of Frimley Health NHS Foundation Trust provided an update on the position of the Trust, as part of the population in the north of Hampshire used their services. It was reported that cases had increased in the area covered by Frimley Health more quickly than in the rest of Hampshire in the weeks leading up to the meeting, including as a result of the new more infectious strain.

Members asked questions of all the speakers for clarification and further information.

RESOLVED:

To note the updates received.

To receive a presentation from the Director of Public Health providing the latest update on Covid 19.

The Committee received a presentation from the Director of Public Health (see Item 7 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. Members asked questions for clarification, and commented on the importance of getting the message through to people about the importance of social distancing.

RESOLVED:

To note the update.

To receive a presentation from the Director of Adults’ Health and Care providing the latest update on social care issues related to Covid-19.

The Committee received a presentation from the Director of Adults’ Health and Care (see Item 8 in the Minute Book) providing an update on the Covid-19 response by Adults’ Health and Care. Members heard that in the national lockdown day services had been closed, however one to one outreach was being maintained where it was considered necessary. Advice had been provided to care homes regarding arrangements to support safe visits, with staff being mindful to seek to facilitate in end of life situations. At the time of the meeting 20% of care home residents had received a first dose of the vaccination and 23% of care home staff. Members asked questions for clarification.   

RESOLVED:

The Committee note the update.

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.

a)    Southern Health NHS Foundation Trust: Becton Centre Closure

b)    Southern Health NHS Foundation Trust: Out of Area Beds Update

a)    Southern Health NHS Foundation Trust: Becton Centre Closure

The Chief Executive of Southern Health NHS Foundation Trust gave a verbal summary of the written report provided (see Item 9 in the Minute Book) regarding the proposed closure of the Becton Centre. It was reported that the Trust planned to move the services and teams currently based at the Becton Centre to other locations, as the building was no longer fit for purpose.

RESOLVED:

The Health and Adult Social Care Select Committee support the planned closure of the Becton Centre.

b)    Southern Health NHS Foundation Trust: Out of Area Beds Update

The Chief Executive of Southern Health NHS Foundation Trust gave a verbal summary of the written report provided (see Item 9 in the Minute Book) regarding the development of additional inpatient mental health bed capacity. It was noted that the Trust would be opening a new 10 bed female PICU at Antelope House in Southampton, and a new 18 bed female acute mental health ward at Parklands Hospital in Basingstoke, later in 2021.

RESOLVED:

The Health and Adult Social Care Select Committee note the update.

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.

a)    NHS 111 Performance

a)    NHS 111 Performance

This item was deferred for consideration at the next meeting.

To pre-scrutinise the proposed revenue budget for 2021/22 for the Adults Health and Care Department prior to decision by the Executive Member for Adult Social Care and Health and the Executive Member for Public Health on 11 January 2021.

The Committee considered a report of the Director of Adults’ Health and Care, Director of Public Health and Deputy Chief Executive and Director of Corporate Resources regarding the proposed revenue budget for 2021/22 for the Adults Health and Care Department, prior to decision by the Executive Member for Adult Social Care and Health and the Executive Member for Public Health on 11 January 2021 (see item 11 in the Minute Book).

A presentation was provided to summarise the reports. Members asked questions for clarification and debated the proposed budget.

RESOLVED:

The Health and Adult Social Care Select Committee:

1.    Support the recommendations being proposed to the Executive Member for Adult Social Care and Health (see Appendix A to the report at item 11, paragraphs 2,3,4)

2.    Support the recommendations being proposed to the Executive Member for Public Health (see Appendix B to the report at item 11, paragraphs 2 and 3)

To pre-scrutinise the proposed capital programme for Adults Health and Care prior to decision by the Executive Member for Adult Social Care and Health on 11 January 2021.

The Committee considered a report of the Director of Adults’ Health and Care and Deputy Chief Executive and Director of Corporate Resources regarding the proposed capital programme for Adults Health and Care, prior to decision by the Executive Member for Adult Social Care and Health on 11 January 2021 (see Item 12 in the Minute Book).

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 (see paragraphs 2 and 3 in the report at Item 12).

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 13 in the Minute Book).

Cllr Carew requested an update on the Chase Community Hospital and proposed new health hub be scheduled for the next meeting.

Cllr Craig requested the Select Committee have a future item on the impact of the pandemic on patients with non Covid conditions. The Director of Adults Health and Care suggested that the Committee could consider covering such issues under a regular ‘recovery update’ item in future, once the crisis period had abated.

RESOLVED:

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