Agenda and minutes

Venue: Council Chamber, County Offices, Newland, Lincoln LN1 1YL. View directions

Contact: Andrea Brown  Democratic Services Officer

Items
No. Item

79.

Welcome

Minutes:

The Chairman opened the meeting and confirmed that this was the final meeting of the Health Scrutiny Committee for Lincolnshire in this four year term of the County Council.

 

The Chairman gave thanks as noted below:-

 

To the Vice-Chairman for his continued support during the term and wished him well in the forthcoming election.

 

Andrea Brown, Democratic Services Officer, for her support over the last 17 months, as the Clerk to the Committee.

 

To Simon Evans, Health Scrutiny Officer, who had worked tirelessly to provide clear information for the Committee and who had given so much support to the Chairman.

 

The Chairman went on to offer best wishes to three members of the existing Committee who were not seeking re-election.  Councillors Mrs J M Renshaw, T M Trollope-Bellew and Mrs S M Wray were thanked for their huge contribution to the Committee over the last four years, in particular Councillor T M Trollope-Bellew who had been the first Chairman of the Health Scrutiny Committee for Lincolnshire when it was established in 2003.

80.

Apologies for Absence/Replacement Members

Minutes:

Apologies for absence were received from Dr B Wookey and Councillors R C Kirk, T Boston and Miss E L Ransome. 

 

The Chief Executive reported that under the Local Government (Committee and Political Groups) Regulations 1990, he had appointed Councillor R A Renshaw and Councillor Mrs K Cook to the Committee in place of Councillor R C Kirk and Councillor T Boston respectively, for this meeting only.

 

Councillor Mrs R Kaberry-Brown provided apologies as she would join the meeting late.

81.

Declarations of Members' Interests

Minutes:

Councillor Mrs K Cook advised the Committee that she was a patient of Lincolnshire Partnership NHS Foundation Trust which may be discussed under item 10 – Annual Report of the Director of Public Health.

 

Councillor Mrs C A Talbot advised the Committee that she continued to be a patient of Nottingham University Hospitals NHS Trust but also remained under the care of a team at United Lincolnshire Hospitals NHS Trust.

 

Councillor Mrs P F Watson advised the Committee that she continued to be a patient of United Lincolnshire Hospitals NHS Trust.

82.

Chairman's Announcements

Minutes:

The Chairman made the following announcements:-

i)          Grantham Accident and Emergency – Temporary Overnight Closure

On 22 February 2017, a letter from the Secretary of State for Health was received by the Chairman which indicated that he had passed the Committee's referral on the temporary overnight closure of Grantham Accident and Emergency Department to the Independent Reconfiguration Panel (IRP) for initial advice.  The IRP was asked to submit its initial advice to the Secretary of State by 22 March 2017.  Two courses of action may be open to the IRP:  it could make a recommendation to the Secretary of State for a full IRP review or recommend that the matter be resolved locally, thereby requiring no further action on the IRP's part.  It was reported that full IRP reviews involved a wider invitation for evidence which was then tested at IRP hearings.  A decision was awaited.

 

ii)         Community Pharmacies

A response had been received from David Mowat, the Parliamentary of Under Secretary of State for Community Health and Care, dated 20 February 2017, to the Chairman's letter raising concerns on the impact of Community Pharmacy 2016/17 and Beyond.  Mr Mowat referred to the Pharmacy Access Scheme, which provided support to 17 pharmacies in Lincolnshire, who met the criteria of the Pharmacy Access Scheme.  Pharmacies not on the Pharmacy Access Scheme list, which was published in October 2017, were able to submit an appeal to the Department of Health by 28 February 2017.  At this stage, it was not known how many pharmacies had submitted an appeal.

 

iii)       Motor Neurone Disease Charter

On 24 February 2017, Lincolnshire County Council adopted the Motor Neurone Disease Charter which was promoted by the Motor Neurone Disease Association.  Motor Neurone Disease affected up to 5000 adults in the UK at any one time and the Motor Neurone Disease Association was aware of 43 people in Lincolnshire living with the disease.

 

iv)       United Lincolnshire Hospitals NHS Trust – Financial Position

On 7 March 2017, the Board of Directors of United Lincolnshire Hospitals NHS Trust (ULHT) considered the monthly report on ULHT's financial position.  The Board of Directors was advised that ULHT would not attain its agreed deficit target of £47.9m for the current financial year and was now forecasting a deficit of £54.9m for the year.

The reasons for missing the target included:  ULHT would not receive £3.9m in sustainability and transformational funding from NHS Improvement; and ULHT's expenditure on agency staff remained high, as it had prioritised safety over finance this winter.  Like many acute hospitals, ULHT had stated that it had experienced unprecedented pressures and had needed to open more escalation beds during times when demand for beds was high.

 

v)         St Barnabas Hospice

On 7 March 2017, the Chairman met with Chris Wheway, Chief Executive, and Michelle Webb, Director of Patient Care, from St Barnabas Hospice Trust, both of whom would be addressing the Committee during the afternoon session of the meeting.

 

vi)       East Midlands Health Scrutiny Network  ...  view the full minutes text for item 82.

83.

Minutes of the Meeting of the Health Scrutiny Committee for Lincolnshire held on 15 February 2017 pdf icon PDF 233 KB

Minutes:

RESOLVED

 

          That the minutes of the meeting of the Health Scrutiny Committee for Lincolnshire held on 15 February 2017 be approved and signed by the Chairman as a correct record.

 

Councillors T M Trollope-Bellew and Mrs K Cook asked that their abstention from the vote be recorded as they were not in attendance at the last meeting.

84.

Congenital Heart Disease Services - NHS England Consultation pdf icon PDF 106 KB

(To receive a report by Simon Evans (Health Scrutiny Officer) which provides information on a consultation of Congenital Heart Disease Services for children and adults launched by NHS England on 9 February 2017.  Will Huxter (Regional Director of Specialised Commissioning (London), NHS England) and Dr Geraldine Linehan (Regional Clinical Director of Specialised Commissioning (Midlands and East), NHS England) will be in attendance for this item)

Additional documents:

Minutes:

Consideration was given to a report by Simon Evans, Health Scrutiny Officer, which provided information on a consultation of Congenital Heart Disease Services for children and adults launched by NHS England on 9 February 2017. 

 

Will Huxter (Regional Director of Specialised Commissioning (London)) and Dr Geraldine Linehan (Regional Clinical Director of Specialised Commissioning (Midlands and East)) were in attendance to present information on the consultation content and process.

 

Background of the consultation was provided for the Committee.  On 9 February 2017, NHS England launched its consultation on Congenital Heart Disease Services for children and adults.  Six documents had been published on the NHS England website as part of the consultation process and could be found on the NHS England website (www.engage.england.nhs.uk/consultation/chd).

 

The proposals for consultation were outlined within the consultation summary document which included the following statement:-

 

          "Surgery and interventional cardiology for children and adults would cease at University Hospitals of Leicester NHS Trust, and patients requiring such procedures would be most likely to receive their care at either Birmingham Children's Hospital NHS Foundation Trust, University Hospitals Birmingham NHS Foundation Trust or Leeds Teaching Hospitals NHS Trust, as closer for some patients than Birmingham.  There is a possibility that the hospital trust might continue to provide CHD services for children and adults other than surgery and interventional cardiology.  This option remains open for discussion"

 

In relation to patients in Lincolnshire, NHS England suggested by reference to maps in Congenital Heart Disease Equality and Health Inequalities Analysis – Draft for Consultation that most Lincolnshire patients would be expected to be treated in Leeds General Infirmary.

 

A list of initial consultation events was published on 9 February 2017 and included an event on Monday 8 May 2017 4.00pm – 6.00pm.  It was confirmed that this event would take place in the lecture theatre at Lincoln County Hospital.  Unlike other events, this event would not be ticketed.

 

Other events listed by NHS England included meetings of health overview and scrutiny committees. As a result of the meetings held in the East Midlands, consideration would be given to the consultation by seven of the nine upper tier authorities in the East Midlands.

 

On 24 January 2017 the Chairman wrote to the Secretary of State for Health to raise concerns that NHS England had indicated that they had received clearance for the consultation period to run through the local government purdah period.  Philip Dunne MP, the Minister of State for Health replied on 21 February 2017 to advise that NHS England had consulted the Cabinet Office regarding this and had acted on it by extending the consultation to 5 June 2017.

 

Mr Huxter thanked the Committee for the opportunity to address the Committee again now that the consultation had been launched.  It was confirmed that the proposals for discussion related to a national consultation on Congenital Heart Disease Services which included events and discussion at a local level. 

 

It was emphasised that the consultation was on proposals by NHS England for these services  ...  view the full minutes text for item 84.

85.

Update on Developments at Peterborough and Stamford Hospitals NHS Foundation Trust pdf icon PDF 93 KB

(To receive a report from Caroline Walker (Deputy Chief Executive and Director of Finance, Peterborough and Stamford Hospitals NHS Foundation Trust) which provides an update on three key areas of development at Peterborough and Stamford Hospitals NHS Foundation Trust.  Caroline Walker (Deputy Chief Executive and Director of Finance) will be in attendance for this item)

Minutes:

Consideration was given to a report by Caroline Walker (Deputy Chief Executive and Director of Finance, Peterborough and Stamford Hospitals NHS Foundation Trust) which provided an update on three key areas of development at Peterborough and Stamford Hospitals NHS Foundation Trust.

 

Caroline Walker (Deputy Chief Executive and Director of Finance, Peterborough and Stamford Hospitals NHS Foundation Trust) was in attendance for this item.

 

The Trust had installed its third MRI scanner in a purpose-built unit at Stamford and Rutland Hospital in early January 2017.  This was the third scanner for the Trust, two of which were at Peterborough City Hospital, but this was the first scanner at Stamford and Rutland Hospital.  The first full list of patients for the scanner was booked for Monday 6 February 2017 and the scanner had been in full use since.  The imaging team within the Trust was delivering this service Monday to Friday 7.30am to 8.00pm and would move a seven-day service in coming months. 

 

The Trust was also on track to complete the first phase of redevelopment work at the hospital, on 17 March 2017.  This would include the creation of a new phlebotomy, lymphoedema and chemotherapy suite, relocation of the pain management team to a new department and the relocation of Therapy Services to a newly upgraded department.

 

Stamford Hospital treated 116,680 patients in 2016 which was an increase of 6,000 from 2015.  It was expected, following the completion of the redevelopment programme in July 2017, that even more patients from Stamford and South Lincolnshire communities would be able to undergo treatment closer to home.

 

In relation to the merger with Hinchingbrooke Health Care NHS Trust, the Boards of both Trusts had agreed a Full Business Case to merge the two organisations in November 2016.  Since the agreement to combine the organisations into North West Anglia NHS Foundation Trust on 1 April 2017, a detailed implementation plan was being followed which included the following:-

·       Staff consultations;

·       Recruitment of Governors;

·       Focus on the readiness for 'day one'; and

·       Members Meetings.

 

In response to a national requirement to recover the costs of non-emergency hospital treatment from non-resident patients, introduced in 2013, the Trust had devised a process for recovering money for the NHS from the treatment of liable patients.  In May 2013, the Trust implemented a requirement for all patients to provide two proofs of identity prior to undergoing planned treatment in their hospitals.

 

All new appointments letters included clear instructions for patients to bring two forms of identification to prove that they were an ordinary UK resident and either their passport or birth certificate to the first appointment.  Visa details and any surcharge paid for free NHS treatment, if visiting the UK was also required.

 

Should a patient be unable to provide this identification who did not require urgent care they would be informed that any treatment received would be chargeable and the decision to proceed was then left with the patient.  Should the treatment be urgent, the Trust would provide immediate care  ...  view the full minutes text for item 85.

86.

Arrangements for the Quality Accounts 2016-2017 pdf icon PDF 117 KB

(To receive a report by Simon Evans (Health Scrutiny Officer) which invites the Committee to make arrangements for the Quality Accounts process for 2017)

Minutes:

Consideration was given to a report by the Health Scrutiny Officer which invited the Committee to make arrangements for the Quality Accounts process for 2017.

 

Simon Evans, Health Scrutiny Officer, introduced the report and explained that, in January 2017, NHS England confirmed the arrangements for 2017 which followed the pattern of last year.  In 2016, statements were prepared on behalf of the Committee on the Quality Accounts of nine providers of NHS-funded services.  Three of those statements were jointly prepared with Healthwatch Lincolnshire.

 

The legal framework for Quality Accounts came into effect on 1 April 2010 and had been amended since to reflect changes in NHS organisational structures and to further prescribe the content of each Quality Account.  NHS-funded services were required to submit Draft Quality Accounts to their local Health Overview and Scrutiny Committee; local Healthwatch organisation; and the relevant Clinical Commissioning Group.

 

The regulations did not include a formal role for health and wellbeing boards, although providers were able to share the draft Quality Accounts with local health and wellbeing boards for comments, should they wish to do so.   This was emphasised by NHS England who indicated that this involvement was discretionary.

 

The contents of a Quality Account were prescribed by regulations and must include three or more priorities for improvement in the forthcoming year; and an account of the progress with the priorities for improvement in the previous year.  It must also include details of the types of NHS funded services provided; any CQC inspections; national clinical audits; Commissioning for Quality and Innovation (CQUIN) activities and mortality-indicator information.

 

Foundation trusts were required by NHS Improvement to prepare a Quality Report which must also incorporate all the required elements of a Quality Account.

 

Guidance from the Department of Health encouraged organisations to focus on the following statements when completing a Quality Account:-

·       Do the priorities included in the Quality Account reflect the priorities of the local population?

·       Have any major issues been omitted from the Quality Account?

·       Has the provider demonstrated that they have involved patients and the public in the production of the Quality Account?

·       Is the Quality Account clearly presented for patients and the public?

·       Are there any comments on specific local issues, which Healthwatch/the Health Scrutiny Committee have been involved with?

 

A working group arrangement had always been adopted whereby representatives of the provider organisation presented their draft Quality Account to a working group of Committee members and representatives from Healthwatch Lincolnshire.  The output from the working group was a statement (up to 1000 words) which was required to be included within the final published version of the Quality Account.

 

The regulations also enabled the "relevant overview and scrutiny committee" to make a statement on the Quality Account of a local provider.  The following providers had headquarters in Lincolnshire and would, therefore, be required to include a statement on their Quality Account:-

·       Boston West Hospital (Ramsay Healthcare)

·       Lincolnshire Community Health Services NHS Trust

·       Lincolnshire Partnership NHS Foundation Trust

·       St Barnabas Hospice

·       United Lincolnshire Hospitals  ...  view the full minutes text for item 86.

87.

St Barnabas Lincolnshire Hospice pdf icon PDF 844 KB

(To receive a report from Michelle Webb (Director of Patient Care, St Barnabas Hospice) which provides an update on the work of the Hospice to improve and develop palliative and end of life care services for the people of Lincolnshire in partnership with other health and social care providers.  Chris Wheway (Chief Executive) and Michelle Webb (Director of Patient Care) will be in attendance for this item)

Minutes:

Consideration was given to a report by Michelle Webb (Director of Patient Care, St Barnabas Hospice) which provided an update on the work of the Hospice to improve and develop palliative and end of life care services for the people of Lincolnshire in partnership with other health and social care providers.

 

Chris Wheway (Chief Executive, St Barnabas Hospice) and Michelle Webb (Director of Patient Care, St Barnabas Hospice) were both in attendance for this item.

 

A five year clinical strategy had been developed to continue to support new and innovative ways of working which would service the needs of patients and also the communities served.  The strategy would also support the hospice in delivering exemplary palliative and end of life care; manage the predicted increase in demand on services; and ensure the hospice remained sustainable in a complex and ever changing healthcare economy.

 

The organisation continued to be engaged in the Sustainability and Transformation Plan for Lincolnshire and Neighbourhood Teams locally.  The strategy developed by the hospice would support collaborative and cohesive working to support a system leadership approach to high quality end of life care.

 

Since April 2016, the numbers of patients accessing services from St Barnabas Hospice had increased to:-

·       Hospice at Home – 1692;

·       Palliative Care Coordination Centre – 1465;

·       Day Therapy Service – 1251;

·       Allied Health Care Professional Support – 648;

·       Lymphoedema – 105;

·       Specialist Palliative Care Inpatient Unit – 134; and

·       Hospice in the Hospital – 141.

 

In addition, 1686 new referrals had been received by the Family Support Service with a current caseload of 514 clients.


The Welfare Service had also opened 3608 new benefit claims with a current live caseload of 75 clients.  Monetary gain from this service since the 1 April 2016 was £726,876.83.

 

Ambitions of the hospice for 2016 had been:-

·       To support better access to palliative care services closer to home – good progress had been made to support people's choice of dying closer to home.  Work with other providers to support End of Life Care in care homes with a specific project "Hospice in your Care Home" had been developed with five care homes engaging in the project.  Work was also ongoing with Professor Kirsty Boyd of the University of Edinburgh to develop a tool to support lay people in identifying palliative care needs earlier;

·       Education and training for staff – A clinical practice educator had been recruited to support education and training of the clinical workforce.  Senior clinical staff had begun to embark widely on non-medical prescribing to support the ambitions of the strategy.  All nurses would undertake the additional qualification also.  As part of the Commissioning Quality and Improvement Scheme (CQUIN) supported training for all clinical staff and clinical volunteers was ongoing to give a greater understanding of the Palliative Care needs for those living with a learning disability;

·       Development of emotional and spiritual and psychological support for patients and families– an integrated spiritual and wellbeing assessment tool determined on the need of patients and families  ...  view the full minutes text for item 87.

88.

Joint Health and Wellbeing Strategy 2018-2023 - Engagement Plan pdf icon PDF 88 KB

(To receive a report by David Stacey (Programme Manager (Strategy and Performance), Lincolnshire County Council) which provides details on how the Lincolnshire Health and Wellbeing Board (LHWB) will engage with stakeholders, service users and the public to identify the priorities for the next Joint Health and Wellbeing Strategy (JWHS).  Councillor Mrs S Woolley (Portfolio Holder for NHS Liaison and Community Engagement), David Stacey (Programme Manager (Strategy and Performance)) and Alison Christie (Programme Manager (Health and Wellbeing)) will be in attendance for this item)

Minutes:

Consideration was given to a report by David Stacey (Programme Manager (Strategy and Performance)) which provided details on how the Lincolnshire Health and Wellbeing Board (LHWB) would engage with stakeholders, service users and the public to identify the priorities for the next Joint Health and Wellbeing Strategy (JHWS).

 

David Stacey (Programme Manager (Strategy and Performance)) and Alison Christie (Programme Manager (Health and Wellbeing)) were in attendance for this item.

 

The Committee was reminded that Local Authorities and Clinical Commissioning Groups (CCGs) had an equal and joint duty under the Health and Care Act 2012 to prepare a Joint Strategic Needs Assessment (JSNA) and Joint Health and Wellbeing Strategy (JHWS) through the Lincolnshire Health and Wellbeing Board.

 

The JSNA was an assessment of the current and future health and care needs of local populations and used by the LHWB to inform the development of the JHWS.  It also provided a shared evidence base to support the planning and commissioning of health and care services.

 

The Committee had been involved in the development of the JSNA by providing a response to the JSNA, following consideration by a working group on the rationale for the development of the 35 JSNA topics, on 16 December 2015. 

 

All stakeholder feedback was then reviewed by the LHWB and had instigated a fundamental review which began in April 2016.  Expert panels, which comprised of representatives from Lincolnshire County Council, CCGs, health providers, District Councils, voluntary and community sectors were set up to support Topic Leads to refresh each of these topics.  In May 2017, the JSNA was published by the Lincolnshire Research Observatory as a web-based resource with a scheduled update annually.

 

The JSNA was also the shared evidence utilised by the LHWB to inform the priority setting for the development of the JHWS 2018-2023. 

 

Guidance from the Department of Health identified partners who 'must be involved' in the production of the JSNA and JHWS as well as partners who 'should' be involved.  The LHWB had taken account of this guidance and agreed to approach this by holding a series of engagement events to identify health and wellbeing priorities based on the evidence within the JSNA.  This engagement was to be grouped into three stages:-

1.    Initial work to review all the evidence against the 35 topics in the JSNA and to prioritise the topics using the scoring criteria and framework agreed by the LHWB in September 2016;

2.    A number of public engagement events would take place across the county in order to ensure the inclusion and engagement of wider stakeholders in the prioritisation process.  Evidence from the JSNA would then be thematically presented.  A progress report would also be presented to the Health Scrutiny Committee for Lincolnshire to enable review of the initial prioritisation work and to feedback their response to the LHWB; and

3.    Discussion and moderation of the prioritisation would take place by LHWB members and other invited stakeholders at an informal session of the LWHB.

 

It was recognised that engagement mechanisms needed  ...  view the full minutes text for item 88.

89.

Annual Report of the Director of Public Health on the Health of the People of Lincolnshire 2016 pdf icon PDF 68 KB

(To receive a report by Tony McGinty (Interim Director of Public Health) which provides an independent statutory report raising the issues of importance to the health of the population of Lincolnshire.  Tony McGinty (Interim Director of Public Health will be in attendance for this item)

Additional documents:

Minutes:

Consideration was given to a report from Tony McGinty (Interim Director of Public Health) which provided an independent statutory report to raise the issues of important to the health of the population of Lincolnshire.

 

Tony McGinty (Interim Director of Public Health) was in attendance for this item.

 

NOTE:       The Chairman declared a pecuniary interest in this item as she provided financial support to the Lincolnshire Rural Support Network (LRSN) and had also lobbied Lincolnshire Partnership NHS Foundation Trust and the Clinical Commissioning Groups to continue financial support to the LRSN for mental health services.

 

It was a statutory duty of the Director of Public Health to produce an annual report on the health of the people of the area in which they serve and was the statutory duty of the local authority to publish that report. 

 

The report was not an annual account of the work of the Public Health Team but an independent, professional, view of the state of health of the people of Lincolnshire including recommendations on the action required by a range of organisations and partnerships.

 

The focus of the report for 2016 was mental health and the mental illness profile of local people.  This decision had been taken based on the principle "no health without mental health" which led to a definition of mental health as a resource rather than a state involving the absence of illness or distress.

 

Good mental health was a valid goal for individuals and communities to pursue and was also a prerequisite for people to achieve their goals and potential in life; support their ability to make good choices and protect themselves from harm.  A number of different factors could support or challenge the mental health of individuals and communities and, due to this, the report presented a series of points along the average life-course and highlighted risk and opportunities to mental health at each stage of life.

 

The Interim Director of Public Health gave a presentation to the Committee which covered the following areas:-

·       Director of Public Health (DPH) Annual Report 2016

o   Reported on progress against the 2015 DPH Annual report recommendations;

o   Explored social and environmental risk factors associated with mental health;

o   Described the impact of mental health on children and young people, adults, families and wider society;

o   Provided recommendations to improve the mental health of the people of Lincolnshire;

·       Mental Health across the life-course – a framework for the Annual DPH Report 2016/17 chart;

·       Scale of the Problem

o   It had been estimated that over 3000 Lincolnshire women, each year, had mental health problems during pregnancy and after childbirth;

o   Over 9% of Lincolnshire children aged 5 to 16 were estimated to have a diagnosed condition which was similar to national rates;

o   Over 100k adults in Lincolnshire were estimated to have a diagnosed common mental disorder, such as depression or anxiety;

o   Every year since 1999, there had been at least 60 deaths from suicide in Lincolnshire;

·       Risk Factors

o   Clear evidence linking negative  ...  view the full minutes text for item 89.

90.

Congenital Heart Disease Services - Arrangements for Responding to the NHS England Consultation pdf icon PDF 65 KB

(To receive a report by Simon Evans (Health Scrutiny Officer) which invites the Committee to consider the arrangements, to enable a response to be made to the consultation on Congenital Heart Disease Services for children and adults.  A working group met on 1 March 2017 and 7 March 2017 to consider the details of the consultation, the outcomes of which will be circulated to the Committee in advance of the meeting)

Minutes:

Consideration was given to a report by the Health Scrutiny Officer which invited the Committee to consider the response to the consultation on Congenital Heart Disease Services for children and adults following the consideration of the consultation by the working group, on 1 March 2017 and 7 March 2017.

 

The Chairman commended the Health Scrutiny Officer for the work involved in drafting a response from the comments made during the Working Group meetings.  The Council's legal team were also thanked for the legal advice provided in relation to the status of the consultation, and confirmation that making the response fell within the remit of the Health Scrutiny Committee.  The Chairman thanked the Clerk for coordinating the meeting in such a way to allow the protestors to attend, despite the conduct during the lunch break.

 

The draft response was circulated to the Committee in addition to a slight amendment to Question 1 of the consultation.   Following the attendance of NHS England during the morning session of the meeting, the Committee was asked to make any additional comments which may also be included.

 

During discussion, the following points were noted:-

·       The Committee again expressed disappointment that the consultation would run through the Purdah period, which affected all district councils as well as the county council;

·       Dissatisfaction at the lack of a decision date by NHS England following the consultation was noted;

 

At 4.25pm, Councillor Mrs K Cook left the meeting and did not return.

 

·       Although the Committee was initially disappointed that the public events were ticketed events, it was understood why given the behaviour following the morning session of the meeting.  However, the Committee also understood the frustrations of the protestors when public meetings had been limited to a certain number of attendees which further limited the opportunity to speak;

 

At 4.35pm, Councillors J Kirk and C J T H Brewis left the meeting and did not return.  Both Councillors indicated their agreement with the submission of the Committee to NHS England in response to the Consultation.

 

RESOLVED

1.    That the draft response to the Consultation on the Proposals to Implement Standards for Congenital Heart Disease Services for Children and Adults in England be agreed, with the suggested amendments and the inclusion of the disappointment of both running the consultation throughout the purdah period and the omission of the date for making the decision on the outcome; and

2.    That authority be delegated to the Chairman and Vice-Chairman of the Health Scrutiny Committee for Lincolnshire for final sign off and submission of the consultation response to NHS England.

91.

Work Programme and New Overview and Scrutiny Arrangements at Lincolnshire County Council pdf icon PDF 131 KB

(To receive a report from Simon Evans (Health Scrutiny Officer) which invites the Committee to consider and comment on its work programme and also advises on the changes to the overview and scrutiny arrangements at Lincolnshire County Council)

Minutes:

Consideration was given to a report by the Health Scrutiny Officer which gave the Committee the opportunity to consider its work programme and also advised on the changes to the overview and scrutiny arrangements at Lincolnshire County Council.

 

On 16 December 2016, Lincolnshire County Council approved the outcomes of a review of overview and scrutiny which would lead to the establishment of the following overview and scrutiny committees from May 2017:-

·       Overview and Scrutiny Management Board;

·       Adult Care and Public Health Scrutiny Committee;

·       Children and Young People Scrutiny Committee;

·       Communities and Public Protection Scrutiny Committee;

·       Environment, Economy and Transport Scrutiny Committee;

·       Flood and Drainage Management Scrutiny Committee; and

·       Health Scrutiny Committee for Lincolnshire

 

The agreed Terms of Reference for the Health Scrutiny Committee for Lincolnshire were reported, following approval by Full Council on 24 February 2017.  The Health Scrutiny Committee would continue with the same membership arrangements as at present (eight County Councillors; seven District Councillors; and one non-voting Healthwatch Lincolnshire representative).  The Committee would continue to meet on a monthly basis, with the exception of August, and meetings would be held on Wednesdays. 

 

The Chairman and Vice-Chairman of the Health Scrutiny Committee would continue to be appointed at the first meeting in each municipal year. 

 

The Adult Care and Public Health Scrutiny Committee and the Children and Young People Scrutiny Committee had remits which also embraced health matters.  The responsibility of the Adult Care and Public Health Scrutiny Committee would include scrutiny of wellbeing services, including health improvement, prevention and self-management; and the prevention, treatment and recovery elements of the substance misuse services as well as the statutory public health services.  The Adult Care and Public Health Scrutiny Committee would also continue to undertake the lead role in scrutinising the Better Care Fund (BCF) and activities supporting the integration of health and social care.

 

The responsibility of the Children and Young People Scrutiny Committee would include scrutiny of the school nursing service; the healthy schools and healthy child programmes; and Child and Adolescent Mental Health Services (CAMHS), which were commissioned by the County Council on behalf of the Lincolnshire Clinical Commissioning Groups.

 

It was noted that the Health Scrutiny Committee for Lincolnshire would continue as the statutory health overview and scrutiny committee to fulfil all the functions outlined in the Local Authority (Public Health, Health and Wellbeing Boards and Health Scrutiny) Regulations 2013.  This included all the powers relating to consultation by the commissioners of NHS-funded health care as set out in Regulation 23.

 

There would be circumstances where the remits of these committees would overlap and, in the first instance, resolved by the respective chairmen or more formally by the Overview and Scrutiny Management Board, which would seek to avoid duplication of activity.

 

The County Council would also establish two scrutiny panels to undertake in-depth scrutiny review activity on behalf of the overview and scrutiny committees.  Should the Health Scrutiny Committee wish to undertake an in-depth review, a scrutiny panel would undertake that review on its behalf.  The  ...  view the full minutes text for item 91.

 

 
 
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