Agenda and minutes

Apologies for absence were received from Councillors Mrs S M Wray, Miss E L Ransome, R C Kirk and T Boston.

The Democratic Services Officer reported that two vacancies remained on the Committee for West Lindsey District Council and Boston Borough Council. 

However, the Chief Executive reported that under the Local Government (Committee and Political Groups) Regulations 1990, he had appointed Councillor P Howitt-Cowan and Councillor C Brotherton to the Committee in place of the current vacancies for West Lindsey District Council and Boston Borough Council, respectively.

Dr B Wookey, representative of Healthwatch Lincolnshire, had also submitted apologies.

Councillor S L W Palmer advised the Committee that he was a LIVES First Responder and would work under East Midlands Ambulance Service NHS Trust once activated.

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

Councillor Mrs P F Watson advised the Committee that she was also a patient of United Lincolnshire Hospitals NHS Trust.

(To provide the Committee with an opportunity to consider in detail the content of the Lincolnshire Sustainability and Transformation Plan.  Comments made during consideration will be compiled into a draft statement for approval by the Committee at its next meeting on 18 January 2017)

Members of the Committee are requested to bring a copy of both the full STP document and the STP summary document to the meeting.

The Chairman welcomed Councillors C Brotherton (Boston Borough Council) and P Howitt-Cowan (West Lindsey District Council) to their first meeting of the Health Scrutiny Committee for Lincolnshire.

The purpose of the meeting was clarified for those present by the Chairman, as follows:-

1.    To seek points of clarification on the detail of the Lincolnshire Sustainability and Transformation Plan (STP); and

2.    To provide views and comments on the Lincolnshire STP.  These views and comments would then be compiled into a draft statement for approval as the Health Scrutiny Committee for Lincolnshire's statement at the Committee's next ordinary meeting on 18 January 2017, as the Committee's initial statement on the STP.

It was agreed that it would not be feasible to work through the whole STP document page by page and therefore members of the Committee were given an opportunity to ask questions on both the public summary document and the full STP document. 

The Committee was also reminded that Lincolnshire County Council, at its meeting on 16 December 2016, unanimously resolved that it could not support the STP in its current form; and confirmed that the Council was prepared to work with all local NHS organisations to encourage them to adhere to and act upon the views which emerged from the public consultation.  It was also confirmed at this meeting that the Health Scrutiny Committee should scrutinise the likely impact of the proposals in the STP on different medical services in all parts of the county.  Lincolnshire County Council unanimously agreed to set up a working group to consider the likely financial and other impacts of the STP on County Council services.  This working group would make recommendations to the County Council's Executive.

The following representatives of the NHS were in attendance for this item to contribute to the discussions and respond to any questions from the Committee:-

·       Allan Kitt (Chief Officer, South West Lincolnshire Clinical Commissioning Group);

·       Andrew Morgan (Chief Executive, Lincolnshire Community Health Services NHS Trust);

·       Danielle Cecchini (Chief Finance Officer, Lincolnshire Community Health Services NHS Trust);

·       Adam Wolverson (Clinical Director for Critical Care, United Lincolnshire Hospitals NHS Trust);

·       Dr Sudhaker Rao (Consultant Paediatrician, United Lincolnshire Hospitals NHS Trust);

·       Sarah Furley (Transformation Director, Lincolnshire Sustainability and Transformation Plan);

·       Jane Marshall (Director of Strategy and Performance, Lincolnshire Partnership NHS Foundation Trust);

·       Dr Sunil Kapadia (Medical Director, United Hospitals Lincolnshire NHS Trust); and

·       Dr Vindi Bhandal (Chairman, South West Lincolnshire Clinical Commissioning Group).

Allan Kitt (Chief Officer, South West Lincolnshire CCG) explained that his role had been to co-ordinate the production of the STP which had consisted of two sections in order to do so.  The first element was to ask providers across the whole system to look at every service from the perspective of patients, sustainability, staff, finance, etc., in order to honestly report what was and was not working.  The 'hard to do' list was then considered with a view to rectifying the issues and provide options for change to improve those services.  The second element was for  ...  view the full minutes text for item 60.