Agenda and minutes

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

Contact: Gary Halsall  Email:  gary.halsall@lancashire.gov.uk, Tel: 01772 536989

Media

Webcast: View the webcast

Items
No. Item

County Councillors S Clarke, B Dawson, J Eaton, A Schofield replaced County Councillors C Towneley, N Hennessey, P Britcliffe and J Burrows respectively.

 

1.

Apologies

Additional documents:

Minutes:

Apologies were received from Councillor B Hilton (Ribble Valley Borough Council) and Councillor G Hodson (West Lancs Borough Council).

2.

Constitution: Chair and Deputy Chair; Membership; Terms of Reference of the Health Scrutiny Committee and its Steering Group pdf icon PDF 128 KB

Additional documents:

Minutes:

Resolved: That:

 

  1. The appointment of County Councillors Peter Britcliffe and Stuart Morris as Chair and Deputy Chair of the committee for the remainder of the 2019/20 municipal year be noted;

 

  1. The new membership of the committee following the County Council’s Annual Meeting on 23 May 2019 be noted; and

 

  1. The terms of reference of the committee be noted.

 

3.

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.

Additional documents:

Minutes:

Councillor Margaret France declared a non-pecuniary interest as a publically elected governor for Lancashire Teaching Hospitals Trusts.

 

4.

Minutes of the Meetings Held on 14 May 2019 and 26 June 2019 pdf icon PDF 187 KB

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Minutes:

Resolved: That the minutes from the meetings held on 14 May 2019 and 26 June 2019 be confirmed as an accurate record and signed by the Chair.

5.

Lancashire and South Cumbria Integrated Care System - Update on the five year strategy pdf icon PDF 22 KB

Additional documents:

Minutes:

The Chair welcomed the following officers from the Healthier Lancashire and South Cumbria Integrated Care System (ICS): Andrew Bennett, Executive Director for Commissioning, Peter Tinson, Chief Operating Officer for Fylde Coast Clinical Commissioning Groups (CCGs) and Neil Greaves, Head of Communication and Engagement.

 

Andrew Bennett presented a report proving a high-level overview of the partnerships in the Lancashire and South Cumbria Integrated Care System and the progress toward developing a five year strategy in response to the NHS Long Term Plan.

 

Jenny Hurley, representing Protect Chorley and South Ribble Hospital from Cuts and Privatisation campaign group made deputations to the committee in response to the report. The deputations raised concerns expressed by the campaign group regarding the potential merger of eight Clinical Commissioning Groups (CCGs) to one and requested that detailed plans and the result of a public consultation be presented to a future meeting of the committee.

 

Mary Whitby, representing Save Ormskirk and Southport Hospital campaign group also made deputations to the committee in response to the report. The deputation requested that the committee rejected the five year plan and merger of the eight CCGs in favour of a public consultation.

 

Members requested clarification on a number of issues as detailed below:

 

·  Concerns were expressed regarding the wide ranging implications of the plan and lack of specific detail regarding the direction of the strategy and its local impact.

 

In response NHS colleagues stated that a series of NHS reforms from 2012, had highlighted the requirement for NHS bodies to work closer together. In addition ongoing feedback from patients had described that they received fragmented care. The strategy aimed to form partnerships and working relationships to improve the patient experience. It was emphasised that the strategy was not designed to centralise services, but to support the planning of healthcare at a neighbourhood level and high level expenditure at a strategic level. It was emphasised that 41 primary care networks had been successfully established and were engaging with the strategy.

 

·  With regard to the proposed merger of eight Clinical Commissioning Groups (CCGs) into one, members raised the issue of the practicality of addressing constituents' concerns to one single commissioning body for 1.7 million people in the ICS and asked how local accountability could be assured. It was maintained that this was already difficult with the current arrangement. Members also suggested that NHS reforms had frequently changed direction and it would be beneficial for the residents of Lancashire if decision making remained closer to home to allow for the specific priorities for individual areas to be developed.

 

NHS officers stated that there would be a plan to develop a case for change that was likely to recommend a single CCG, which would support work in the neighbourhoods/primary care networks to engage local people and address individual needs. This process included the submission of a formal request and a consultation to identify and address risks. The case for change had yet to be set out and local voice and representations would have  ...  view the full minutes text for item 5.

6.

Our Health Our Care Programme - Update on the future of acute services in central Lancashire pdf icon PDF 22 KB

Additional documents:

Minutes:

The Chair welcomed Karen Partington, Chief Executive, Lancashire Teaching Hospitals; Dr Gerry Skailes, Medical Director, Lancashire Teaching Hospitals; Denis Gizzi, Chief Officer, Greater Preston and Chorley and South Ribble CCGs; Helen Curtis, Director of Nursing and Quality for the CCGs, Jayne Mellor, Director of Transformation for the CCGs, Dr. Sumantra Mukerji, Chair of Greater Preston CCG and Jason Pawluk, Our Health Our Care Programme Director, NHS Transformation Unit.

 

Jason Pawluk presented a report which provided an update from the Our Health Our Care programme on the future of acute services in Central Lancashire. This update described the progress made relating to the formal assurance process required by NHS England with regard to proposals for significant service change (stage 2).

 

The 13 options for service change for emergency care services for the residents of Chorley and South Ribble and Greater Preston CCGs being considered were distributed and are attached to these minutes.

 

Jenny Hurley, representing Protect Chorley and South Ribble Hospital from Cuts and Privatisation campaign group made deputations to the committee in response to the report. Jenny stated that the report didn't address downgraded services in other areas of Lancashire and didn’t take into account growing populations in the area. A question was also raised as to why other Hospital Trusts (Blackburn and Wigan) were getting new staff for their A&E departments and Lancashire Teaching Hospitals was not. The deputation requested a full analysis of the impact that a reduction of services would have and full public engagement at all stages of the process.

 

Members requested clarification on the areas detailed below:

 

·  In response to a question it was confirmed that the first 'do nothing option' would leave services as they were now; the second option would leave services as they were in conjunction with a transformation of the acute services to improve efficiencies and the third option would increase accident and emergency provision at Chorley and South Ribble hospital to the requirements of a type 1 facility.

 

·  Members requested assurance that the Our Health Our Care Programme would assimilate with the Integrated Care System (ICS) five year strategy. It was confirmed that the strategy was a set of proposals coming from the Integrated Care System and not a decision from it. However, the Committee was informed that Clinical Commissioning Groups (CCGs) were GP membership organisations and any constitutional proposals or request for change (including proposals to merge CGGs) would have to be endorsed by members. It was noted that a proposal to merge the two CCGs (Greater Preston and Chorley and South Ribble) in the central Lancashire area had been recently rejected by the respective CCG boards.

 

·  Members asked what work was underway to engage with neighbouring health care services and hospitals, outside the central Lancashire area. It was confirmed that the Our Health Our Care Programme maintained a close working relationship with neighbouring CCGs and hospitals and were keen to work closely with them as with all the statutory consultees. NHS  ...  view the full minutes text for item 6.

7.

Report of the Health Scrutiny Steering Group pdf icon PDF 237 KB

Additional documents:

Minutes:

The report presented provided an overview of matters presented and considered by the Health Scrutiny Steering Group at its meetings held on 14 May 2019, 11 July 2019 and 11 September 2019.

 

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

 

8.

Health Scrutiny Work Programme 2019/20 pdf icon PDF 20 KB

Additional documents:

Minutes:

The Work Programmes for both the Health Scrutiny Committee and its Steering Group were presented to the Committee.

 

Resolved that the report be noted.

 

9.

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.

 

Additional documents:

Minutes:

There were no items of urgent business.

 

10.

Date of Next Meeting and Future Meetings

The next meeting of the Health Scrutiny Committee will be held on Tuesday 5 November 2019 at 10.30am at County Hall, Preston.

 

Subsequent meetings will be held at 10:30am on Tuesdays as follows:

·  3 Dec 2019

·  4 Feb 2020

·  31 Mar 2020

·  12 May 2020

 

Additional documents:

Minutes:

The next meeting of the Health Scrutiny Committee will be held on Tuesday 5 November 2019 at 10.30am in Cabinet Room C – The Duke of Lancaster Room, County Hall, Preston.