Agenda and minutes

Venue: Cabinet Room 'C' - The Duke of Lancaster Room, County Hall, Preston

Contact: Gary Halsall  Email:, Tel: 01772 536989


Webcast: View the webcast

No. Item

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


From Healthier Lancashire and South Cumbria (STP Team):

  • Dr Amanda Doyle OBE, GP and STP Lead;
  • Neil Greaves, Communications and Engagement Manager
  • Gary Raphael, Finance Director; and


From Morecambe Bay CCG:

·  Andrew Bennett, Chief Officer





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Apologies were received from Councillors Roy Leeming and Matthew Tomlinson.


Disclosure of Pecuniary and Non-Pecuniary Interests

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.

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County Councillor Lizzi Collinge disclosed a non-pecuniary interest for Item 4 as her post was funded by Lancashire Care Foundation Trust and her husband worked for NHS England.


Minutes of the Meeting held on 24 July 2017 pdf icon PDF 77 KB

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Regarding Item 6 on the minutes – 'Lancashire and South Cumbria Sustainability and Transformation Partnership – Update on the work of the Local Workforce Action Board (LWAB)', Members enquired if a letter had been sent to the Secretary of State for Health and the Chairs of Health Education England and Health Education North West formally inviting appropriate representatives to attend a future meeting of the Committee to address the inequity of funding for medical under-graduate and post-graduate training in Lancashire and South Cumbria. The letter had not yet been sent as advice was being sought at an upcoming Health Scrutiny Steering Group meeting from Heather Tierney-Moore, Chief Executive of Lancashire Care Foundation Trust (LCFT).


Councillor Julie Robinson, Wyre Borough Council, informed the Committee her apologies had been omitted from the minutes of the Health Scrutiny Committee on 24th July 2017.


Resolved: That; subject to the above amendment, the minutes from the meeting held on 24 July 2017 be confirmed as an accurate record and signed by the Chair.


Next Steps on the NHS Five Year Forward View: Integrating Care Locally pdf icon PDF 86 KB

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A presentation was given on progress made since the Next Steps on the NHS Five Year Forward View was published on 31 March 2017 and the Sustainability Transformation Partnership (STP) for Lancashire and South Cumbria. A copy of the presentation is set out in the minutes.


In July 2017, Lancashire and South Cumbria was identified as advanced when NHS England compared STPs nationally. This demonstrated the strength of the collective efforts of organisations in the region to maintain and improve performance, and, provided a strong platform to build on.


There were key national priority areas for immediate delivery by the STP and the Accountable Care System (ACS). These were:


·  Urgent & Emergency Care

·  Mental Health

·  Learning Disabilities


On transformation, priority areas to be looked at were:


·  Primary Care

·  Community Care

·  Social Care

·  Prevention

·  Voluntary, Community and Faith Organisations


It was reported that growth monies would be used on all the above priority areas. However, on income for acute and specialised care, where most of the costs were incurred it was reported that this would remain the same.


It was noted that Lancashire and South Cumbria were not expecting a funding cut in health and care but were expecting around £345m in funding growth. It was projected that by 2020/21, Clinical Commissioning Groups would have a combined budget of £3.1bn and Upper Tier Councils would have a budget of £0.6bn for social care.


The STP would adopt the NHS RightCare approach looking at the best way to use resources with a focus on what was best for patients. RightCare benchmarked our health economies issues against places in similar economic areas and similar demographics. Delivery of efficiency savings within NHS providers was also being reviewed. Prioritised savings would be in areas such as surgical supplies and drugs, as well as reductions in the use of agency staff and staff sickness levels.


Involvement with Councillors, Voluntary, Community and Faith Sector and wider partners were a priority for the STP team. There was strong emphasis on developing the Communications and Engagement network. Local people would be involved through the Local Delivery Partnerships. There would be targeted public and patient engagement events taking place as the programme developed.


The Committee was informed that the STP Board was not a statutory body but the organisations within it were statutory. Whilst no organisation had a place on the Board as of right, all statutory organisations had signed up to it. The STP Board had an assurance role dealing with the sustainability of finances and performance against key targets as well as approving transformation plans. It was reported that a refresh of the STP would take place in approximately two months' time.


Members were informed that Partnership Board Engagement had representation from Health Education England and universities on it and dealt mainly with the transformation agenda.


Resolved: That;


  i.  The report be noted; and

  ii.  The Sustainability and Transformation Partnership Refresh be presented to a future meeting of the Health Scrutiny Committee in the New Year.



Health Scrutiny Committee Work Plan 2017/18 pdf icon PDF 82 KB

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The Work Plans for both the Health Scrutiny Committee and the Health Scrutiny Committee Steering Group were presented to the Committee. The topics included were identified at the work planning workshop held on 20 June 2017.


In the October meeting of the Committee the topic of Winter pressures and preparations was to be discussed. It was suggested that this topic be reviewed after the winter season. This would be discussed at the Health Scrutiny Steering Group in March/April 2018.


Regarding the January 2018 meeting it was suggested that the topic of Adult Social Care, and, Public Health Budget Proposals be reviewed by the Steering Group. Members requested that these proposals come to the full Health Scrutiny Committee instead with the appropriate Cabinet Members invited.


Resolved: That the report and comments be noted.


Urgent Business

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.


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There were no items of Urgent Business


Date of Next Meeting

The next meeting of the Health Scrutiny Committee will be held on Tuesday 31 October 2017 at 10.30am at County Hall, Preston.

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The next meeting of the Health Scrutiny Committee will take place on Tuesday 31 October at 10.30am in Cabinet Room C (The Duke of Lancaster Room) at the County Hall, Preston.