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 Councillors Lizzi Collinge and Jayne Rear replaced County Councillors Hasina Khan and Peter Steen respectively.



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Apologies were received from Councillors Bridget Hilton, Ribble Valley Borough Council; Gail Hodson, West Lancs Borough Council; and Alistair Morwood, Chorley Council.


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 as her post was funded by Lancashire Care Foundation Trust and her husband worked for NHS England.


Minutes of the Meeting Held on 3 July 2018 pdf icon PDF 75 KB

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Resolved: That the minutes from the meeting held on 3 July 2018 be confirmed as an accurate record and signed by the Chair.



Our Health Our Care Programme – Update on the future of acute services in central Lancashire pdf icon PDF 93 KB

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The Chair welcomed Denis Gizzi, Senior Responsible Officer; Anne Kirkham, Lancashire Teaching Hospitals; Dr Sumantra Mukerji, Chair of Greater Preston Clinical Commissioning Group (CCG); Professor Mark Pugh, Lancashire Teaching Hospitals; and Lee Hay, Director of Programme and Project Management, NHS Transformation Unit, to the meeting.


The report presented gave a further update from the Our Health Our Care Programme on the future of acute services in central Lancashire. It was reported that a revised version of the presentation was received after the agenda was despatched for this meeting. A copy of the revised presentation is set out in the minutes.


The Committee was informed that the Acute Hospital Trust (Lancashire Teaching Hospitals Foundation Trust) was a vital part of the health economy. It was the only Trust within Lancashire and South Cumbria rated as requiring improvement by the Care Quality Commission. The Trust was also not delivering on some of the statutory standards. The model of care currently provided in central Lancashire relied on traditional methods. It was not a model that was being used in other areas/health economies. Models of care being delivered in other health economies had transformed their services and had integrated far more services into their communities. International and national evidence was reviewed through the systems management reform work stream to determine where integration had worked elsewhere and why. Areas where there were good outcomes of health and social care had a common feature of professionals working as teams in communities reaching out to large populations.


On the prevention and wellbeing strategy the programme's key focuses were to ensure the population had good skills and access to training, education and employment. Improved community activity and engagement. Increased physical activity and promoting wellness and healthy lifestyles. Improved homes and physical environment to enable wellbeing. Councillors felt that early intervention was vital and for people to lead healthy lifestyles. The Committee was assured that the County Council's Public Health team would be working closely with the CCGs to deliver these key focuses.


The question of engagement with the North West Ambulance Service (NWAS) and community transport providers was raised. It was confirmed that NWAS had been a part of the programme from the start.

The Committee also sought assurance on the provision of mental health services in the model of care. It was acknowledged that mental health services should be integrated at population level.


Members asked what key issues had been raised at the public engagement events. There were concerns around changes to urgent and emergency care and how it was going to work. There were also concerns around privatisation. However, it was noted that there was no intention to increase private sector involvement beyond what was already in place across Lancashire.


Whilst options for urgent and emergency care were still being considered, no decision had been made yet. It was acknowledged that the system would not work without adequate prevention and locality care. Members were informed that the public consultation on a range of options  ...  view the full minutes text for item 4.


Health Scrutiny Committee Work Programme 2018/19 pdf icon PDF 81 KB

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The Work Programmes for both the Health Scrutiny Committee and its Steering Group were presented to the Committee. The topics included were identified by the Steering Group at its meeting held on 16 May 2018.


Resolved: That the report 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 6 November 2018 at 10.30am at County Hall, Preston.

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The next meeting of the Health Scrutiny Committee will be held on Tuesday 6 November 2018 at 10.30am in Cabinet Room C – The Duke of Lancaster Room, County Hall, Preston.