Agenda and minutes

Venue: Committee Room One, County Offices, Newland, Lincoln LN1 1YL

Contact: Katrina Cope  Senior Democratic Services Officer

Items
No. Item

106.

Apologies for Absence/Replacement Members pdf icon PDF 144 KB

Minutes:

Apologies for absence were received from Councillors K Cook, M A Whittington and Mrs R Kaberry-Brown (South Kesteven District Council).

 

It was noted that the Chief Executive, having received notice under Regulation 13 of the Local Government (Committee and Political Groups) Regulations 1990, had appointed Councillor L Wootten to replace Councillor M A Whittington for this meeting only.

 

An apology for absence was also received from Councillor Mrs S Woolley (Executive Councillor for NHS Liaison & Community Engagement).

107.

Declarations of Members' Interest

Minutes:

No members' interest were declared at this stage of the meeting.

108.

Minutes of the Health Scrutiny Committee for Lincolnshire meeting held on 17 April 2019 pdf icon PDF 238 KB

Minutes:

RESOLVED

 

That the minutes of the Health Scrutiny Committee for Lincolnshire meeting held on 17 April 2019 be agreed and signed by the Chairman as a correct record.

109.

Chairman's Announcements pdf icon PDF 281 KB

Minutes:

Further to the Chairman's announcements circulated with the agenda, the Chairman brought to the Committee's attention the Supplementary Chairman's announcements circulated at the meeting.

 

The Supplementary Chairman's announcements made reference to the Renal Dialysis Services; United Lincolnshire Hospitals NHS Trust – Members' Forum – 9 May 2019; Membership of the Committee and Training for New Members; and the Quality Accounts Working Group.

 

During a short discussion, members highlighted the following:

 

·         The ULHT Member Forums – Councillor R Wootten agreed to send notes from the meeting he had attended to the Health Scrutiny Officer to circulate to members of the Committee; and

·         The possible closure of the Skellingthorpe Health Centre – Reassurance was given that this matter would be monitored and would receive further consideration by the Committee.  The Committee was advised that the matter was due to be considered by the Lincolnshire West Clinical Commissioning Group Primary Care Commissioning Committee on Friday 17 May 2019.

 

RESOLVED

 

That the Chairman's Announcements presented as part of the agenda on pages 13 and 14; and the supplementary announcements circulated at the meeting be noted.

110.

Lincolnshire NHS Healthy Conversation 2019 - General Progress Update pdf icon PDF 569 KB

(To receive a report from John Turner, Accountable Officer, Lincolnshire Clinical Commissioning Groups, which provides the Committee with a general update on Healthy Conversation 2019.  Charley Blyth, Director of Communications and Engagement, Lincolnshire Sustainability and Transformation Partnership will be in attendance for this item)

Minutes:

The Chairman welcomed to the meeting John Turner, Senior Responsible Officer, Lincolnshire Sustainability & Transformation Partnership (LSTP) and Charley Blyth, Director of Communications and Engagement LSTP.

 

The Senior Responsible Officer LSTP reminded the Committee that the Healthy Conversation 2019 campaign had gone live on 5 March 2019.  The Committee was advised that during March 2019 four engagement events had been held at Boston, Louth, Skegness and Grantham and that these events had been attended by 233 people.  Details of the main themes and issues raised at these events were shown on pages 20 and 21 of the report.  It was highlighted that a further five events were planned and that these would be held at Sleaford, Gainsborough, Lincoln, Stamford and Spalding (a schedule of dates for these meeting was shown on page 21 of the report).  It was highlighted that further waves of county-wide engagement activities were being planned, and that  details of these were still being finalised.

 

The Committee noted that in addition to the public events work was also on-going on with The People Partnership to help obtain the views of hard to reach groups.

 

Page 19 of the report provided the Committee with an info graphic which captured the volume of activity up to the end of April 2019.  It was highlighted that a monthly version of the information had been published on the website for the public to view.

 

Appendix A to the report provided details relating to the media coverage in the days following the 'Press Call'.

 

It was reported that a communication and engagement plan was in place as Healthy Conversation 2019 progressed into the autumn, which incorporated key learning from the first stage of activity.  This feedback included:  having more partners present at the engagement events, such as EMAS; promoting positive healthy lifestyle activities;  and the need to develop and promote good news stories which focussed more on the patient point of view.

 

In conclusion, the Committee noted that the Healthy Conversation 2019 so far had been successful and had been an effective platform, at which key stakeholders had been able to share feedback with Lincolnshire's NHS.

 

The Committee was advised that the priorities moving forward were:-

 

·         To ensure that the importance of prevention and self-care, community care, and mental health remained highlighted throughout the campaign;

·         To engage with a broader and deeper section of Lincolnshire's public to ensure delivery of a fully representative engagement piece; and

·         To provide evidence regarding the impact of public feedback upon continued transformation planning.

 

The Committee was advised that a further update would be provided later in the year.

 

During discussion, the Committee raised the following points:-

 

·         One member enquired how many people were in the engagement team and what their budget for the exercise was. The Committee was advised that there was no additional team, as skilled professionals within the organisation were giving their time to make the events happen; and that this was in addition to their day job.  It was noted further that staff with  ...  view the full minutes text for item 110.

111.

Clinical Commissioning Groups - Developing Management Arrangements pdf icon PDF 229 KB

(To receive a report from John Turner, Accountable Officer, Lincolnshire Clinical Commissioning Groups, which provides the Committee with an update on Clinical Commissioning Groups Management arrangements)

Minutes:

The Committee gave consideration to a report from John Turner, Accountable Officer, Clinical Commissioning Groups, which enabled the Committee to consider the developing management and staffing arrangements for the four clinical commissioning groups in Lincolnshire.

 

The Committee noted that John Turner had been successfully recruited to the post of Accountable Officer for the four Clinical Commissioning Groups, from 1 April 2019.

 

The Accountable Officer advised the Committee that a single combined executive had been created from the existing executive; and that the team were meeting on a weekly basis.  It was also noted that staff from both the Lincoln and Sleaford sites were being brought together.

 

The Committee was advised that it was the right time for joint management arrangements as CCGs were required to reduce their administration costs by 20% by April 2020.  It was highlighted there was still lots or work to be done to become an Integrated Care System by April 2021.

 

The Committee welcomed the proposed changes and requested a further update for April 2020.

 

RESOLVED

 

That the update on the Clinical Commissioning Groups development of Management Arrangements be received, and that a further progress report be received at the 22 April 2020 meeting.

112.

Healthy Conversation 2019 - Urgent and Emergency Care pdf icon PDF 274 KB

(To receive a report from representatives from the Lincolnshire Sustainability and Transformation Partnership, which provides the Committee with the opportunity to consider proposals for Urgent and Emergency Care.  Dr David Baker, Chair, South West Lincolnshire Clinical Commissioning Group, Dr Yvonne Owen, Medical Director, Lincolnshire Community Health Services NHS Trust and Ruth Cumbers, Urgent Care Programme Director, Lincolnshire Sustainability and Transformation Partnership will be in attendance for this item)

Additional documents:

Minutes:

The Chairman welcomed to the meeting the following representatives from the Lincolnshire Sustainability and Transformation Partnership:-

 

·         Dr David Baker, Chair, South West Lincolnshire Clinical Group;

·         Dr Yvonne Owen, Medical Director, Lincolnshire Community Health Services NHS Trust;

·         Ruth Cumbers, Urgent Care Programme Director, Lincolnshire Sustainability and Transformation Partnership; and

·         John Turner, Senior Responsible Officer, Lincolnshire Sustainability and Transformation Partnership.

 

The Committee was reminded of its decision from the 20 March 2019 meeting to focus over the coming months on items from the Healthy Conversation 2019.

 

The report presented provided the Committee with the national and local context regarding the vision and strategy to deliver an effective and accessible Urgent and Emergency Care System in Lincolnshire.  It was noted that it had been estimated that between 1.5 and 3 million people nationally who arrived at A & E each year could have had their needs addressed elsewhere, for instance by contacting NHS111, visiting a local pharmacy or by visiting their GP.

 

Attached at Appendix A to the report was a copy of the Healthy Conversation 2019 leaflet; and Appendix B provided details relating to Accident and Emergency Department Classification.

 

The Committee was advised of the milestones for Urgent and Emergency Care in the Long Term Plan. Page 27 of the report provided details as what all hospitals with a major A & E department would provide.

 

The Committee was advised of the role of the Urgent Care Treatment Centres (UTCs); that the centres would be typically GP led; and that the development of UTCs was a logical step, as they would reduce duplication of provision, confusion and simplify access for members of the public, and provide a more consistent approach across the county.  It was noted that the centres would be accessible at least twelve hours a day 365 days a year offering appointments that could be booked through NHS111, or via GP referral.  It was noted further that the Urgent Treatment Centres had been designed to ease pressure on hospitals to allow Emergency Departments to treat the most serious cases,  and that the UTCs would be staffed by multi-disciplinary teams of doctors, nurses, therapists and other professionals, with at least one person being trained in advanced life support for adults and children. 

 

It was highlighted there had been a dedicated section in the Healthy Conversation 2019 on urgent and emergency care, including a description 'as is' and proposed 'to be'.  Appendix A to the report provided the Committee with details of what was currently available in Lincolnshire; and like the rest of England what was proposed to simplify urgent and emergency care with the introduction of Urgent Treatment Centres and GP Extended Access Hubs. 

 

The Committee was advised that the main concerns raised so far by the public were: transport to services for patients and family; NHS 111 and its effectiveness; East Midlands Ambulance Service; and issues of overburden on Lincoln County Hospital. Some of the comments raised from the events were shown on pages 30 to 32 of the report.

 

It was  ...  view the full minutes text for item 112.

113.

Health Scrutiny Committee for Lincolnshire - Work Programme pdf icon PDF 614 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which invites the Committee to consider and comments on its work programme)

Minutes:

Consideration was given to a report from Simon Evans, Health Scrutiny Officer, which enabled the Committee to consider and comment on the content of its work programme, to ensure scrutiny activity was focussed where it could be of greatest benefit.

 

The Committee gave consideration to the work programme as detailed on pages 44 to 46 of the report presented.

 

The Chairman invited members of the Committee to volunteer for the Quality Accounts Working Group due to take place on 23 May 2019 at 10.00am.  The Health Scrutiny Officer agreed to circulate details relating to the working group to volunteers following the meeting.

 

RESOLVED

 

That the work programme presented be agreed subject to the inclusion of the items highlighted in minute numbers: 110(2) and 111.

 

 
 
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