Agenda and minutes

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

Contact: Andrea Brown  Democratic Services Officer

Items
No. Item

99.

Apologies for Absence/Replacement Members

Minutes:

Apologies for absence were received from Councillors Miss E L Ransome (Lincolnshire County Council) and Councillor G Gregory (Boston Borough Council).

 

The Chief Executive reported that under the Local Government (Committee and Political Groups) Regulations 1990, he had appointed Councillor C E D Mair to the Committee in place of Councillor Miss E L Ransome.

 

Councillor Mrs P F Watson offered apologies for the afternoon session of the Committee.

 

The Chairman welcomed Tracy Johnson, Senior Scrutiny Officer, in attendance on behalf of Simon Evans, Health Scrutiny Officer, who was hoped to join the meeting in due course.

100.

Declarations of Members' Interests

Minutes:

There were no declarations of Members' interests at this stage of the proceedings.

 

Dr B Wookey, Healthwatch, asked that it be noted that he was currently undergoing treatment at Boston West Hospital.

101.

Chairman's Announcements

Minutes:

The Chairman welcomed everyone to the Committee and made the following announcements:-

i)          GP Vacancies

At the last meeting, the Committee requested information on the number of GP vacancies in Lincolnshire.  Dr Kieran Sharrock, Medical Director of the Lincolnshire Local Medical Committee (LMC), advised that (as of 24 March 2016) there were 40 vacancies for GPs known to the Lincolnshire LMC.  Dr Sharrock also agreed to attend the meeting of the Committee on Wednesday 15 June 2016 to provide further information and to explore the topic in greater detail. 

The Chairman advised that a reply had been received in response to the letter sent to the Secretary of State for Health and co-signed by MPs, CCGs, Trusts and the Chairman of the Health Scrutiny Committee for Lincolnshire.  The content of the response was unknown at the time of the Committee meeting but it was hoped a clearer picture would be available when Dr Sharrock attended.

ii)         Dental Procurement Programme

A briefing paper had been issued by NHS England Central Midlands on the dental procurement programme, which affected Lincolnshire.  The procurement programme had been paused awaiting further guidance.  The pause affected twenty contracts for provision of General Dental Services across Leicester, Leicestershire, Rutland and Lincolnshire; and two contracts for provision of Special Care Dentistry Services for Leicester, Leicestershire, Rutland and Lincolnshire.  The briefing paper would be circulated to the Committee following the meeting in addition to which the Chairman sought to add this item to the Committee Work Programme for later in the year.

iii)       Burton Road Surgery – Care Quality Commission Rating

The Committee had taken a particular interest in the Burton Road Surgery, following the intention of NHS England, in 2014, to close it.  On 7 April 2016, the Care Quality Commission published its inspection report on the surgery, which had 2200 patients on its list and now managed by Universal Health, and found that the surgery "required improvement".

Whilst disappointing, context was given that 47 of the GP practices in Lincolnshire had now received a rating from the CQC under the new inspection arrangements following their introduction in October 2014.  To date, one practice had been rated as "outstanding"; thirty practices had been given a "good" rating; thirteen practices "required improvement"; and three practices were "inadequate".

iv)       East Midlands Ambulance Service – Future Management Arrangements

Following the recent departure of its Chief Executive, the East Midlands Ambulance Service had confirmed that it was seeking the expertise of the Chief Executive of the West Midlands Ambulance Service as it developed its future management arrangements.  The announcement had been construed by the local media as a proposal to merge the two organisations but the Chairman reported that this was not the case.  It was confirmed that each organisation had issued statements indicating that a merger was not being considered.

v)         Adults Scrutiny Committee – Delayed Transfers of Care

On 6 April 2016, the Adult Scrutiny Committee carried out the request of the Health Scrutiny Committee for Lincolnshire to  ...  view the full minutes text for item 101.

102.

Minutes of the meeting of the Committee held on 16 March 2016 pdf icon PDF 195 KB

Minutes:

The Chairman noted the following amendments to the minutes:-

 

·       Under Minute Number 90 Councillor S Weller had been noted in the attendance as a County Councillor rather than a District Councillor; and

·       Dr Kakoli Choudhury (Consultant in Public Health) was omitted from the attendance list of Officers.

 

RESOLVED

 

          That the minutes of the Health Scrutiny Committee for Lincolnshire, held on 16 March 2016, with the amendments noted above, be approved and signed by the Chairman as a correct record.

 

The Committee confirmed their request to attend the Adult Scrutiny Committee during their consideration of the Better Care Fund.  Simon Evans, Health Scrutiny Officer, would be asked to raise this request with the Chairman of the Adults Scrutiny Committee.

103.

Boston West Hospital pdf icon PDF 120 KB

(To receive a report from Simon Evans (Health Scrutiny Officer) which provides the Committee with relevant information to enable completion of the draft statement for the 2016 Quality Account on Boston West Hospital.  Carl Cottam, General Manager, Boston West Hospital, will be in attendance for this item)

Minutes:

Consideration was given to a report from the Health Scrutiny Officer which provided the Committee with relevant information to enable completion of the draft statement for the 2016 Quality Account on Boston West Hospital.

 

Carl Cottam (General Manager, Boston West Hospital) was in attendance for this item.

 

Members were given the background of Boston West Hospital, part of Ramsay Health Care UK, which undertook a significant proportion of NHS-funded activity.  The information presented to the Committee had been compiled from the 2014/15 Quality Account of Boston West Hospital and the Care Quality Commission inspection report. 

 

The hospital was a purpose built facility which provided services for the assessment, diagnosis and treatment of medical conditions with a suite of outpatient and treatment rooms.  A theatre also undertook a range of surgical procedures and endoscopic (diagnostic) investigations.

 

The Hospital provided a wide range of services, covering NHS and private day-case facilities, for the following specialities:-

·       Orthopaedic;

·       Ophthalmology;

·       General Surgery;

·       Pain Management;

·       Gynaecology;

·       Gastroenterology;

·       Urology;

·       Physiotherapy;

·       Cosmetic Surgery; and

·       ENT.

 

Treatment was provided for adult patients (excluding children below 18 years of age) whether NHS-funded, privately insured or self-pay.  A high percentage of patients were through the NHS with patients choosing to use the facility through the NHS "Choose and Book" system.

 

It was confirmed that the hospital received the standard NHS tariff for NHS-funded patients which helped to ease the pressure on other NHS facilities, including Lincoln County Hospital and Pilgrim Hospital.

 

2980 (95%) patients admitted during 2014/15 were NHS-funded with an additional 590 patients seen through the Hospital's outpatient department.  The Hospital offered consultant led care which meant that all patients were seen by a consultant during their patient care pathway.

 

The Care Quality Commission had published the most recent inspection report on Boston West Hospital in October 2015.  The overall rating was 'good' but several areas of outstanding practice were highlighted as below:-

·       100% of staff had completed all mandatory training and appraisals in 2014/15;

·       The hospital had been awarded accreditation by the Joint Advisory Group (JAG) on gastrointestinal endoscopy and was the first independent hospital to achieve this; and

·       The hospital operated a 24 hour telephone helpline run by hospital staff which was available to all patients post procedure or operation.

 

In addition to the areas of outstanding practice, two areas of poor practice requiring improvement were highlighted:-

·       Ensure specialist personal protective equipment (PPE) in radiology, including lead aprons, was checked regularly; and

·       Ensure requests to repair equipment were made, recorded and completed using standard processes and procedures.

 

The 2014/15 Quality Accounts for Boston West Hospital had included the following priorities for 2015/16:-

·       Patient Experience;

·       Clinical Effectiveness; and

·       Patient Safety.

 

Members were given the opportunity to ask questions, following which the following points were noted:-

·       Although one of the issues highlighted by the CQC was in relation to the regular checks of the Personal Protective Equipment (PPE) in radiology, it was explained that all checks were undertaken but that incomplete record keeping had resulted in the observation;

·       Any negative  ...  view the full minutes text for item 103.

104.

Urgent Care Update pdf icon PDF 112 KB

(To receive a report from Sarah Furley (Urgent Care Programme Director – Lincolnshire East Clinical Commissioning Group) which provides the Committee with an update on urgent care in Lincolnshire.  Gary James (Accountable Officer – Lincolnshire East Clinical Commissioning Group) will be in attendance for this item)

Minutes:

A report by Sarah Furley (Urgent Care Programme Director – Lincolnshire East Clinical Commissioning Group) was considered which provided an update on urgent care in Lincolnshire.

 

Gary James (Accountable Officer – Lincolnshire East Clinical Commissioning Group) was in attendance for this item of business.

 

The Committee was advised that the NHS Constitution set out a minimum target of 95% for the "four hour A&E standard" for patients attending an A&E Department in England.  The CCGs had seen the worst month since the implementation of the target in 2004, reaching 88.7% although it was suggested that this was also the picture nationally.

 

The local context was provided for the Committee:-

·       The standard had continued to fall since the winter of 2014/15.  Lincolnshire experienced 10% increase in A&E attendance during March 2016, which mirrored the national picture.  A&E attendances throughout 2015/16 had, however, increased by only 2.7% overall which was equivalent to approximately 4500 additional attendances in 2015/16 compared against 2014/15.

·       Emergency admissions had reduced by nearly 1.5% in Lincolnshire which equated to approximately 900 less people being admitted to hospital in 2015/16 compared to 2014/15.

·       It was acknowledged that bed occupancy rates of higher than 90% could increase the risk of problems such as infections and quality of care.  This also continued to be high in ULHT and, since January 2016, bed occupancy rates had been between 92% and 95%.  The actual numbers of beds available in acute hospitals varied daily as a result of beds opening and closing to meet surge in demand, staffing levels and infection control.  In February 2016, ULHT had an average of 1010 beds open throughout that month;

·       Delayed Transfers of Care (DTOC) continued to have a negative impact on patients being delayed as this may result in significant implications for their independence.  This also impacted on wider service delivery and performance across the whole health and care system. 

·       The national target for DTOC was 3.5% of available bed days lost to delays.  In January 2016, Lincolnshire Community Health Services reported 929 lost bed days (16.75%) which reduced to 600 in January 2016.  ULHT reported a loss of 50 beds in February 2016 from an average of 1010 open beds that month.  The Committee was asked to note that the way in which each organisation measured these figures was different and could not, therefore, be compared;

·       The NHS 111 contract, effective from 1 October 2016, had been awarded to a joint provision between East Midlands Ambulance Service (EMAS) and Derbyshire Health United (DHU) with the call centre based at the EMAS Call Centre in Bracebridge Heath, Lincoln.  This was a welcome development as work continued to merge the 111 and 999 services; and

·       The Walk-In Centre, Urgent Care Centres and Minor Injury Units consistently achieved in excess of 95% for the four hour standard to see, treat and admit or discharge in under four hours.

 

The urgent care recovery plan had been focussed on two distinct areas – a 30 day rolling  ...  view the full minutes text for item 104.

105.

Pharmacy and Medicines Optimisation Services at United Lincolnshire Hospitals NHS Trust pdf icon PDF 74 KB

(To receive a report from Colin Costello (Director of Pharmacy and Medicines Optimisation – United Lincolnshire Hospitals NHS Trust (ULHT)) which provides the Committee with details of the processes in place to ensure the delivery of the Hospital Pharmacy Transformation Programme (HPTP) and the commitment of ULHT to redesign infrastructure through the planned implementation of electronic prescribing systems by 2020.  Colin Costello (Director of Pharmacy and Medicines Optimisation – United Lincolnshire Hospitals NHS Trust) will be in attendance for this item)

Minutes:

A report by Colin Costello (Director of Pharmacy and Medicines Optimisation – United Lincolnshire Hospitals NHS Trust (ULHT)) was considered which provided details of the processes in place to ensure the delivery of the Hospital Pharmacy Transformation Programme (HPTP) and the commitment of ULHT to redesign infrastructure through the planned implementation of electronic prescribing systems by 2020.

 

Colin Costello (Director of Pharmacy and Medicines Optimisation – United Lincolnshire Hospitals NHS Trust (ULHT) was in attendance for this item of business.

 

The Chairman also welcomed Simon Priestley (Deputy Chief Pharmacists (Clinical Development and Governance) – United Lincolnshire Hospitals NHS Trust (ULHT)) who was in attendance for this item as an observer.

 

The Committee was advised that robust processes were in place at ULHT to ensure the delivery of the Hospital Pharmacy Transformation Programme (HPTP) which, following The Lord Carter Review, was a requirement of all acute Trusts to have in place by 2017.

 

A project to deliver the Trust's Constitutional Standards was initiated to improve the way in which discharge prescriptions were managed and to prevent delays in discharge.  This was to change the process to ensure that prescription products were labelled as discharge prescriptions from the point of patient admission, thereby taking the emphasis from supplying patients with prescriptions to take home at the point of discharge.

 

These products would be held in patient bedside lockers rather than on drug trolleys with any new prescriptions updated ready for discharge at the point of inpatient supply.  The Committee was advised that patient lockers would be locked at all times.  This scheme was referred to as "dispensing for discharge" and was embedded within the HPTP and was to be rolled out across all beds in the Trust, following a successful pilot on ward on Level 6 at Pilgrim Hospital, Boston.

 

The Trust was investing in new roles for clinical pharmacy technicians to optimise patient medication on the medical admissions wards.  As part of the redesign of roles, clinical pharmacy technicians would administer medication to patients on the ward and help them self-administer, as inpatients.

 

Further investment was to be made in employing more pharmacist prescribers who would be able to apply expertise in therapeutics and prescribing to optimise evidence-based therapeutic decisions, reduce prescribing errors and reduce delays with discharge prescriptions.  These changes and delivery of further efficiencies within the prescribing process would be supported by a business case, submitted to the Trust, for electronic prescribing and medicines administration (ePMA).  The business case had also been included in the Trust's digital strategy and it was envisaged that the case would be funded and implemented in the 2017/18 funding in line with the requirements of the Carter Review, to ensure implementation by April 2020.

 

A separate and bespoke ePMA system for cancer patients had been successfully implemented in 2015/16, which enabled improved scheduling of patients, more cost-efficient management of high cost dose-banded cytotoxic chemotherapy and monoclonal antibodies for the treatment of cancers, thereby leading to fewer delays for patients during their treatment  ...  view the full minutes text for item 105.

106.

Emergency Planning - Exercise Black Swan pdf icon PDF 71 KB

(To receive a report from Cheryl Thomson (Public Health Programme Officer, Health Protection – Lincolnshire County Council) which provides the Committee with feedback on the lessons learnt following Exercise Black Swan, an annual multi-agency exercise run by the Local Resilience Forum (LRF).  Cheryl Thomson (Public Health Programme Officer – Lincolnshire County Council) and David Powell (Head of Emergency Planning – Lincolnshire County Council) will be in attendance for this item)

Additional documents:

Minutes:

A report by Dr Tony Hill (Executive Director of Public Health) was considered which provided the Committee with feedback on the lessons learned following Exercise Black Swan, an annual multi-agency exercise run by the Local Resilience Forum (LRF).

 

Cheryl Thomson (Public Health Programme Officer – Health Protection) was in attendance for this item.

 

The Committee received a presentation which covered the following areas:-

·       Exercise Aim;

·       Exercise Objectives;

·       Participating Organisations;

·       Exercise Evaluation;

·       Key Learning;

·       Exercise Assurance;

·       Governance Arrangements; and

·       Conclusion.

 

Exercise Black Swan had allowed participants to explore the response to a severe pandemic influenza within the Local Resilience Forum (LRF) command structure which acknowledged both the regional and national implications of such an incident.  The exercise also provided an opportunity to test the LRF Multi-Agency Pandemic Influenza Contingency Framework, rewritten in 2014, reflecting guidance from the World Health Organisation (WHO) and the Department of Health (DoH).

 

An evaluation of the exercise had resulted in an assurance opinion of 'some improvement needed' being delivered to the LRF on the preparedness of the County to respond to a pandemic of influenza.  The rationale for assigning this level of assurance related to the main finding of the exercise to undertake a comprehensive review and rewrite of the LRFs Multi-agency Pandemic Influenza Contingency Framework.  In response, a task and finish group had been set up with a deadline for completion of September 2016.

 

Despite this feedback, the response to the scenario was robust, addressing both health and social care needs in addition to the wider consequences associated with the scenario.

 

Councillors Mrs C A Talbot, C J T H Brewis, J Kirk, Mrs R Kaberry-Brown and Mrs S Ransome attended the event as observers, on behalf of the Committee.

 

Members were given the opportunity to ask questions, during which the following points were noted:-

·       Members of the Committee who had attended the event indicated that it had been a particularly interesting day and a good opportunity to witness the level of multi-agency working;

·       The Committee would be invited to observe future exercises but it was thought that a table top exercise would be undertaken to ensure that the changes made, as a result of the feedback received, were appropriate;

·       Future exercises of this scale would focus on different topics;

 

RESOLVED

 

          That the report and comments be noted.

 

 

NOTE:       At this stage in the proceedings, the Committee adjourned for lunch and, on return, the following Members and Officers were in attendance:-

 

County Councillors

 

Councillors Mrs C A Talbot (Chairman), R C Kirk, C E D Mair, S L W Palmer, Mrs J Renshaw, T M Trollope-Bellew and Mrs S M Wray.

 

District Councillors

 

Councillors C J T H Brewis (Vice-Chairman) (South Holland District Council), J Kirk (City of Lincoln Council) and Mrs R Kaberry-Brown (South Kesteven District Council)

 

Officers in attendance

 

Andrea Brown (Democratic Services Officer), Kakoli Choudhury (Consultant in Public Health), Simon Evans (Health Scrutiny Officer), Simon Mosley (Chief Officer – Lincolnshire Pharmaceutical Committee), Michelle Webb (Director of Patient Care  ...  view the full minutes text for item 106.

107.

St Barnabas Lincolnshire Hospice pdf icon PDF 363 KB

(To receive a report from Chris Wheway (Chief Executive – St Barnabas Hospice Trust) which provides the Committee with an update on Palliative and End of Life Care which has been delivered by St Barnabas Hospice Trust since 1979 to improve end of life care for the people of Lincolnshire.  Chris Wheway (Chief Executive – St Barnabas Hospice Trust), Jane Bake (Director of Service Innovation and Integration – St Barnabas Hospice Trust) and Michelle Webb (Director of Patient Care – St Barnabas Hospice Trust) will be in attendance for this item)

Minutes:

A report by Chris Wheway (Chief Executive – St Barnabas Hospice Trust) was considered which provided an update on Palliative and End of Life Care which had been delivered by St Barnabas Hospice Trust since 1979 to improve end of life care for the people of Lincolnshire.

 

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

 

The Chairman asked that an update be given following the fire at Grantham Hospital on 19 April 2016 where some patients in the "Hospice in a Hospital" were affected.

 

It was confirmed that the fire took place on the corridor where the Hospice in a Hospital was situated.  Patients had been moved to where there was capacity, with two patients being repatriated to Nettleham Road, one placed at home and another preparing to be discharged to home.  The ward team were working with the site lead to look at provision of extra community capacity.  Should any further admissions come forth, it was confirmed that the Tulip Suite in Spalding had palliative beds available.  Each case would be dealt with on an individual basis as it was personal preference for this type of care.

 

The Chairman gave thanks for the update and moved on to the report as presented.

 

The Committee was advised that the palliative and end of life care sought to improve the quality of life for patients with life limiting conditions and the Trust continued to be committed to that by working in partnership with other health and social care providers.

 

The organisation was also actively engaged in the Lincolnshire Health and Care development programme through neighbourhood team working and at senior level through established partnerships.

 

A definition of palliative care was provided:-

·       Provides relief from pain and other distressing symptoms;

·       Affirms life and regards dying as a normal process;

·       Intends neither to hasten or postpone death;

·       Integrates the psychological and spiritual aspects of patient care;

·       Offers a support system to help patients live as actively as possible until death;

·       Offers a support system to help the family cope during the patient's illness and in their own bereavement;

·       Uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated;

·       Will enhance quality of life and may also positively influence the course of illness;

·       Is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy; and includes those investigations needed to better understand and manage distressing clinical complications.

 

Nationally, over the next ten years, the incidence of cancer was projected to rise by 30% in men and 12% in women and, in addition, dementia and chronic illnesses linked to lifestyle would also increase.  By 2021, it was estimated that over one million people in the UK would be living with dementia.

 

St Barnabas Hospice was a countywide organisation which recognised the differing demographic and  ...  view the full minutes text for item 107.

108.

Community Pharmacy in 2016/17 and Beyond - Views of the Lincolnshire Local Pharmaceutical Committee pdf icon PDF 88 KB

(To receive a report from Simon Evans (Health Scrutiny Officer) which asks the Committee to consider the potential impact of the funding reductions to community pharmacies in Lincolnshire.  Steve Mosley (Chief Officer – Lincolnshire Local Pharmaceutical Committee) will be in attendance for this item)

Additional documents:

Minutes:

A report by Simon Evans, Health Scrutiny Officer, was considered which asked the Committee to consider the potential impact of the funding reductions to community pharmacies in Lincolnshire.

 

Steve Mosley (Chief Officer – Lincolnshire Local Pharmaceutical Committee (LPC)) was in attendance for this item.

 

The Committee was advised that the Department of Health had begun a consultation with the Pharmaceutical Services Negotiating Committee (PSNC) on 17 December 2015.  This was entitled "Community Pharmacy in 2016/17 and Beyond" and took the form of an open letter from the Director General of Innovation, Growth and Technology at the Department of Health and the Chief Pharmaceutical Officer at NHS England. 

 

The closing date for all responses to the consultation was originally 24 March 2016 although the closing date for the consultation on the Drug Tariff determinations was extended to 24 May 2016.  The consultation date deadline for the Pharmacy Integration Fund element of the consultation remained 24 March 2016 and closed on that date.

 

The letter advised that under the funding settlement for 2016/17 community pharmacies would receive no more than £2.63 billion, which represented £170m reduction (6.1%) from the £2.8 billion allocated in 2015/16.  This reduction was to be delivered through Drug Tariff amendments in the six months from October 2016.

 

The impact of community pharmacy services across Lincolnshire would be significant as the county was currently underserved by community pharmacies at present compared to England as a whole.  Despite 40% of Lincolnshire residents being served by dispensing doctors due to the rurality of the county, 121 pharmacies in Lincolnshire dispensed approximately 50% more prescription items than an average pharmacy in England.   It was thought, therefore, that the proposed funding cut via the Drug Tariff adjustment would have a more punitive impact on Lincolnshire community pharmacies than the average pharmacy.

 

Lincolnshire Local Pharmaceutical Committee contended that the Department of Health should actively invest in community pharmacies to take pressure off GPs, A&E Departments, Minor Injury Units and Out-of-Hours services.

 

It was confirmed that this item had not been referred to the Health Scrutiny Committee for Lincolnshire for direct consultation.  The item provided information on a consultation undertaken by the Department of Health with the Pharmaceutical Services Negotiating Committee and other representative organisations.  In the view of the Lincolnshire Local Pharmaceutical Committee, the proposals were likely to impact on the level of pharmacy services in Lincolnshire.

 

Members were given the opportunity to ask questions, during which the following points were noted:-

·       The Committee was surprised that people with minor ailments should be advised to seek support from community pharmacists, following the recent closure of the A&E Department at County Hospital, given that the Department of Health was suggesting the closure of many community pharmacies;

·       It was thought that the budget cuts had come from the Treasury and, as the Department of Health was unable to cut frontline services further, Community Pharmacies had been targeted;

·       The decision of which community pharmacies would be closed would be difficult, especially in rural Lincolnshire as  ...  view the full minutes text for item 108.

109.

Work Programme pdf icon PDF 101 KB

(To receive a report from Simon Evans (Health Scrutiny Officer) which invites the Committee to consider its work programme for the coming months)

Minutes:

The Committee considered its work programme for forthcoming meetings.

 

The view of the Committee was sought following the Chairman's Announcements which advised that a request from Marie Curie had been received asking the Committee to provide a statement on their draft Quality Accounts.  The Chairman proposed that the Committee consider the Quality Accounts before making a decision on the appropriateness of the request.

 

Lincolnshire Community Health Services NHS Trust – Foundation Trust Arrangements was raised during the Chairman's Announcements and the proposal to include an "Outside of Lincolnshire" element within the public constituency of the foundation trust governance arrangements.  The Committee wholly agreed that this should be included and the Health Scrutiny Officer was asked to confirm this.

 

A correction to the Work Programme, at page 94 of the report, was noted.  The session on 15 June 2016 at 2.00pm would be a training session for Mental Health rather than the Sustainability and Transformation Plan.

 

During the meeting, it had been agreed to add the following items to the Work Programme:-

·       Urgent Care Update (Sarah Furley/Gary James – Lincolnshire East CCG) – September 2016

·       Pharmacy and Medicines Optimisation Services at United Lincolnshire Hospitals NHS Trust (Colin Costello – ULHT) – September 2016

·       St Barnabas Lincolnshire Hospice Update (Chris Wheway – St Barnabas Lincolnshire Hospice) – Early 2017

 

RESOLVED

1.    That the contents of the work programme, with the amendments noted above, be approved;

2.    That Marie Curie be asked to provide its draft Quality Account for 2015/16 to enable the Committee to make a decision on the appropriateness of providing a statement on that account; and

3.    That the proposal to include an of "Outside of Lincolnshire" element in the public constituency of the foundation trust governance arrangements for Lincolnshire Community Health Services NHS Trust be supported by the Committee.

 

 
 
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