Agenda item

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 would not take place until after the election period in May 2019, subject to scrutiny, the assurance process with the Clinical Senate, and NHS England approval.

A recommendation was proposed by County Councillor Holgate and seconded by County Councillor Collinge that; "Health Scrutiny believe the Our Health Our Care document needs to be revised prior to consultation to include the option of there being 24/7 provision on both the Preston and Chorley sites." A recorded vote was requested in accordance with procedural Standing Order D20 (3). The names of the County Councillors who voted for or against the recommendation and those who abstained are set out below:

For (3)

L Collinge, N Hennessy, S Holgate

Against (6)

P Britcliffe, J Burrows, C Edwards, S Morris, E Pope, J Rear

Abstain (1)

G Dowding

The proposed recommendation was therefore lost.

In considering all the information received, the Committee concurred with the need for change and welcomed the point that the programme was clinically led. It was also interested to receive information on other health economies that the programme had benchmarked itself against.

Resolved: That;

1.  The report be noted; and

2.  An update on the Our Health Our Care programme be presented at a future scheduled meeting of the Committee.