Agenda and minutes

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

Contact: Gary Halsall  Email:, Tel: 01772 536989


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No. Item

County Councillor Bernard Dawson replaced County Councillor Margaret Pattison and Councillor Jean Cronshaw replaced Councillor Hasina Khan.


The Chair welcomed Councillor Viv Willder from Fylde Council who permanently replaced Councillor Shirley Green on the Committee.



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Apologies were received from Councillors Gail Hodson and Julie Robinson.


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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None were disclosed.


Minutes of the Meeting Held on 5 March 2018 pdf icon PDF 76 KB

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Resolved: That the minutes from the meeting held on 5 March 2018 be confirmed as an accurate record and signed by the Chair.



Sustainability and Transformation Partnership (STP) - Update pdf icon PDF 83 KB

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 The Chair welcomed Neil Greaves and Gary Raphael from Healthier Lancashire and South Cumbria; and Mark Youlton from East Lancashire Clinical Commissioning Group, to the meeting.


The report presented provided an update from the Lancashire and South Cumbria Sustainability and Transformation Partnership (STP) including progress of working to become an Integrated Care System (ICS) and the development of a strategic framework for delivery of activity. The presentation detailed progress, activity and milestones for 2018/19.


Lancashire and South Cumbria was working to become a shadow integrated care system made up of five Integrated Care Partnerships. A strategic framework had been developed to coordinate activity across the whole system.


Twelve refreshed portfolio areas were being adopted to design, mobilise and lead the work across the whole system. Each portfolio would have identifiable leadership and resource and would report through the ICS Strategic Framework to the shadow ICS Board. The portfolios were set out across three key areas:


·  Strategic Portfolios – how services would be commissioned in the future

·  Clinical Change Portfolios – what was being done with Mental Health services, Out of Hospital services, and Acute and Specialised services

·  Enabling Portfolios – finance, IT, workforce, and communication


There were detailed implementation plans in place for all portfolios and a future overall design had been agreed.


On short term objectives, members were informed that the Better Care Fund had provided for significant improvements in reducing delayed transfers of care. However, it was acknowledged that on the transformation of health and social care, a significant level of pooled budget would be needed to manage the process.


It was reported that Healthier Lancashire and South Cumbria was hoping to hold engagement events on stroke during the summer of 2018, and was establishing a network for communication and engagement. Whilst resources were now in place to ensure more robust consultations would take place with the public, members stressed the importance of communication and engagement with residents in rural areas.


On decisions taken by clinical commissioning groups (CCGs) and the Joint Committee of CCGs, a request was made for information on accountability of those organisations that had been commissioned to provide services on behalf of the NHS.


Resolved: That;


1.  The report be noted and progress made to date be supported;

2.  Information on how those organisations providing services on behalf of the NHS are held to account be provided to the Committee;

3.  Any further engagement and communication should take account of the rural parts of Lancashire

4.  The principle of any new funding or available budgets continuing to be invested in the population health and the prevention and early intervention be supported; and

5.  Financial information in relation to the transformation of the health and social care system in Lancashire be presented at a future meeting of the Committee.



Report of the Health Scrutiny Steering Group pdf icon PDF 108 KB

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The report provided an overview of the matters presented and considered by the Health Scrutiny Steering Group at its meeting held on 14 March 2018.


Resolved: That the report of the Steering Group be received.



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 its Steering Group were presented to the Committee. The topics included were identified at the work planning workshop held on 20 June 2017.


A request was made for the North West Ambulance Service (NWAS) to present to the Health Scrutiny Steering Group on their performance in relation to the new government reporting standards.


Resolved: That;


  i.  The report be noted; and

  ii.  An update from the North West Ambulance Service on their performance in relation to the new government reporting standards be added to the work plan.



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 3 July 2018 at 10.30am, County Hall, Preston.

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The next meeting of the Health Scrutiny Committee will be held on Tuesday 3 July 2018 at 10.30am in Cabinet Room C – The Duke of Lancaster Room, County Hall, Preston.