Agenda and minutes

County Councillor L Collinge replaced County Councillor M Iqbal;

County Councillor B Dawson replaced County Councillor N Hennessy;

County Councillor A Schofield replaced County Councillor D Stansfield; and

Councillor J Oakes replaced Councillor B Ashworth as Rossendale Borough Council's representative at the meeting.

The following speakers were welcomed to the Health Scrutiny Committee meeting:

·  Sam Nicol, Director of the Healthier Lancashire and South Cumbria Change Programme;

·  Andrew Bennett, Lancashire North Clinical Commissioning Group (CCG);

·  Sally McIvor, Pennine Lancashire Health and Care; and

·  Mark Youlton, East Lancashire CCG.

The Chair also welcomed Sakthi Karunanithi, Director of Public Health and Well Being to the meeting.

Apologies for absence were presented on behalf of County Councillor F Craig-Wilson and from District Councillors S Green (Fylde Borough Council) and R Leeming (Preston City Council).

Members are asked to consider any Pecuniary and Non-Pecuniary Interests they may have to disclose to the meeting in relation to matters under consideration on the Agenda.

County Councillor Lizzie Collinge, declared a general interest in relation to item 4 on the agenda in that her job at Lancaster University was funded by the Lancashire Care NHS Foundation Trust under an honorary contract arrangement and that her partner was an employee of NHS England.

Resolved: Minutes from the meeting held on 22 November 2016 be confirmed and signed by the Chair.

Sam Nicol, Andrew Bennett, Sally McIvor and Mark Youlton provided a joint presentation on the STP for Lancashire and South Cumbria, sections of which were created to inform the Committee to the development of the Local Delivery Plan (LDP) with particular reference to the Morecambe Bay and Pennine Lancashire areas.

It was reported that the demand for services continued to grow and that there was a requirement to redesign the complex system of health and social care that had accumulated over the years. The STP would therefore provide the impetus for change by developing new models of care through the widest possible level of engagement and the appropriate use of financial resources. The Committee was informed that there was one STP plan for Lancashire and South Cumbria with five individual LDPs. Sam Nicol reported that three major gaps had been identified in the system of care for the area, these being; health and wellbeing, care and quality and finance and efficiency. In addition, eight priority workstreams or working groups had also been identified in line with national guidance and based on knowledge, local need and challenges in the Lancashire and South Cumbria area. The eight priorities were:

1.  Prevention;

2.  Primary Care Transformation;

3.  Regulated Care Sector;

4.  Urgent and Emergency Care;

5.  Acute and Specialised;

6.  Children and Young People Mental Health;

7.  Learning Disabilities; and

8.  Mental Health Transformation.

Andrew Bennett gave a presentation on the Morecambe Bay LDP. It was explained that patients did not want breaks in communication and that there was a considerable amount of work to be done with integrating services particularly around local communities and mental health. The Committee was informed that there had been some good engagement with Lancashire Police in relation to the demand on NHS services from patients with dementia.

It was reported that the LDP for Morecambe Bay would also concentrate on building a common platform through the sharing of resources such as information technology, human resources, finance and estates. Furthermore, there was a clear requirement for accountability in delivering and developing care through a single leadership team, shared decision making and the involvement of the public.

It was highlighted that there were eleven partners in delivering health care to the people of the Morecambe Bay area and that the premise of the LDP would require a significant change for staff in providing services in new ways. However, it was noted that the public felt they were not being listened to or acknowledged.

Mark Youlton, provided a presentation on the Pennine Lancashire LDP. The Committee was informed that work on the LDP started around 18 months ago with partners and that their approach was largely driven by issues with hospital services at that time. However, since September 2016, a series of public engagement events had taken place to review the case for change and emerging models of care. In addition staff were attending a combination of public meetings and targeted groups in order to raise public awareness. Furthermore,  ...  view the full minutes text for item 4.

No verbal report was given on the recent meetings held by the Health Scrutiny Committee Steering Group.

Resolved: That an update on the work of the Health Scrutiny Committee Steering Group since December 2016 be presented at the next scheduled meeting in February 2017.

The work plan for both the Health Scrutiny Committee and its Steering Group, including current Task Group reviews was presented to the Committee for information. It was reported that the Care in the home and suitability of housing item planned for the scheduled meeting in February 2017 would be replaced with an item from the Lancashire Teaching Hospitals Trust.

Resolved: That subject to the above change to the work plan, the report be noted.

An item of urgent business may only be considered under this heading where, by reason of special circumstances to be recorded in the Minutes, the Chair of the meeting is of the opinion that the item should be considered at the meeting as a matter of urgency.  Wherever possible, the Chief Executive should be given advance warning of any Member’s intention to raise a matter under this heading.

There were no items of urgent business.

The next meeting of the Health Scrutiny Committee will be held on Tuesday 28 February 2017 at 10.30am at County Hall, Preston.

The next meeting of the Health Scrutiny Committee will be held on Tuesday 28 February 2017 at 10.30am in Cabinet Room C – The Duke of Lancaster Room, County Hall, Preston.