Agenda and minutes

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Contact: Katrina Cope  Senior Democratic Services Officer

Media

Items
No. Item

63.

Apologies for Absence/Replacement Members

Minutes:

An apology for absence was received from Councillor G Scalese (South Holland District Council).

64.

Declarations of Members' Interest

Minutes:

There was no declaration of members' interest made at this stage of the meeting.

65.

Minutes of the Health Scrutiny Committee for Lincolnshire meeting held on 19 February 2020 pdf icon PDF 272 KB

Minutes:

RESOLVED

 

That the minutes of the Health Scrutiny Committee for Lincolnshire meeting held on 19 February 2020 be agreed and signed by the Chairman as a correct record.

66.

Chairman's Announcements pdf icon PDF 392 KB

Additional documents:

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 prior to the meeting.

 

The supplementary announcements included information on the following:

 

·         Finalised Version of page 141 of the agenda pack.

·         Differences in the Rates of Coronavirus Infection and Mortality Rates in Lincolnshire Districts.

·         Renal Dialysis Services – Opening of Fishtoft Road Site, Boston.

 

RESOLVED

 

That the Supplementary Chairman's announcements and the Chairman's announcements as detailed on pages 13 to 17 of the agenda pack be noted.

67.

Lincolnshire NHS Response to Covid - 19 pdf icon PDF 287 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which advises the Committee of the response taken by the NHS in Lincolnshire to Covid –19.  Senior Management representatives from NHS Organisations in Lincolnshire will be attending the meeting)

Minutes:

The Chairman highlighted to the Committee that this item as detailed on pages 19 to 22 of the report pack related to the NHS's direct response to Covid-19; and that the impact of Covid-19 on other services and plans for the restoration of services would be considered under item 6 of the agenda.

 

The Chairman advised that there were four contributors for this item: John Turner, Chief Executive, Lincolnshire Clinical Commissioning Group (CCG), Andrew Morgan, Chief Executive, United Lincolnshire Hospitals NHS Trust, Maz Fosh, Chief Executive, Lincolnshire Community Health Services NHS Trust and Tracy Pilcher, Director of Nursing, Lincolnshire Community Health Services NHS Trust.

 

The Chief Executive of Lincolnshire CCG advised the Committee that the Covid-19 pandemic had presented the biggest challenge to the NHS since its establishment.  Thanks were extended to all NHS staff, care workers and support staff in the county for their exceptional work over the last few months.  Thanks were also extended to the people of Lincolnshire for adhering to the government guidance, and for their continuing support, through the 'Thursday night appreciation clapping' and the individual notes of support received.

 

It was noted that Lincolnshire continued to have a low number of covid-19 cases per 100,000 population.  It was noted further that the rate for Lincolnshire was 147.9 cases per 100,000 population compared to the England rate of 273.2 and the East Midlands rate of 192.3 per 100,000.  It was however highlighted that Lincolnshire had two areas within the county that were above the Lincolnshire average and these were Boston and South Holland, and that the other five areas were beneath the Lincolnshire average.

 

It was reported that as of 16 June 2020, there had been a total 1,136 positive cases of Covid-19 notified in the Lincolnshire population; that 14 patients were still in hospital; that there had been a total of 140 hospital deaths in ULHT hospitals, a small number in community hospitals and mental health services in the county; and that there had been a total of 302 discharges accumulatively from ULHT hospitals.

 

The Committee noted that as a result of Covid-19, there had been some key temporary changes to NHS Service provision; these changes were detailed on pages 20 and 21 of the report pack.

 

The Chief Executive of United Lincolnshire Hospitals Trust confirmed that the incident was being well managed and that Trust had kept emergency care and services available.  The Committee noted that the issue of restoration on non Covid-19 services was currently being reviewed; but that this was dependent on whether there was a second wave of Covid-19.  The Committee was advised that the Trust had cared for 470 inpatients so far, 42 of which had received intensive care, it was noted that the length of time for intensive care had varied, with one patient having been in intensive care for a total of 81 days.  The Committee was advised further out of the 470 inpatients, 318 patients had been able to be discharged. 

 

The Chief  ...  view the full minutes text for item 67.

68.

Lincolnshire NHS - Restoration of Services pdf icon PDF 4 MB

(To receive a report from Simon Evans, Health Scrutiny Officer, which advises the Committee on the plans for the 'restoration' phase for NHS Services.  Senior Management representatives from the NHS Organisations in Lincolnshire will be  attending the meeting)

Minutes:

The Chairman highlighted to the Committee that information pertaining to this item was shown on pages 23 to 144 of the agenda pack.  The Chairman advised also that the Committee should note the correction to page 141 of the agenda pack, which had been covered in the supplementary chairman's announcements considered earlier on the agenda.

 

The Chairman advised the Committee that there were four contributors present for this item who were:  John Turner, Chief Executive, Lincolnshire CCG, Andrew Morgan, Chief Executive, United Lincolnshire Hospitals NHS Trust, Maz Fosh, Chief Executive, Lincolnshire Community Health Services NHS Trust and Tracy Pilcher, Director of Nursing, Lincolnshire Community Health Services NHS Trust.

 

Attached to the report presented were the following Appendices:

 

·         Appendix A – Report to the Lincolnshire Clinical Commissioning Board (27 May 2020) – NHS response to the Management of Covid-19 Pandemic; and included:

Appendix 1 - Daily Update Covid-19 – (as at 20/05)

Appendix 2 - Letter of 29 April from Simon Stevens and Amanda Pritchard 'Second Phase on NHS Response to Covid-19'

Appendix 3 – Slides – Second Phase Lincolnshire Response

·         Appendix B – Report to United Lincolnshire Hospitals NHS Trust Board (2 June 2020) – ULHT Covid-19 Restore Phase Plan- Executive Summary

·         Appendix C – Report to United Lincolnshire Hospitals NHS Trust Board (12 June 2020) – temporary Service Changes as a response to Covid-19, including:

Appendix 1 IPC Assurance Framework

Appendix 2 Green Site Clinical Model

Appendix 3 Quality Impact Assessment

Appendix 4 Equality Impact Assessment

 

The Committee noted that a copy of the letter of instruction for action for the second phase of the NHS response to Covid-19, as discussed in the previous item was detailed at Appendix 2 on pages 31 to 39 of the report pack. The Committee was advised further that the letter had instructed all NHS local systems and organisations working with regional colleagues to step up on all non-Covid-19 urgent services as soon as possible.  Annex A provided a list the services included: urgent & routine surgery & care; cancer; cardiovascular disease; maternity; primary care; community services; mental health & learning disabilities services; and screening and immunisations. 

 

Appendix 3 to the report provided the Committee with details of the Systems Covid-19 Phase 2 Response.  Appendix C provided the Committee with details of the Trusts temporary services changes, in response to Covid-19.

 

The Chief Executive of Lincolnshire Clinical Commissioning Group highlighted that the changes which United Lincolnshire Hospitals NHS Trust (ULHT) had announced in relation to service changes at Grantham Hospital were for a temporary period.  Confirmation was given that the ULHT only had authority to make such changes in an emergency, and only for a temporary basis.  The Committee was advised that only a CCG could make amendments to service reconfiguration; and only then after a period of public consultation.

 

The Committee was advised that the CCG supported the position ULHT had taken in respect of Grantham Hospital and that the CCG highlighted they had significant concerns regarding the treatment of cancer patients in  ...  view the full minutes text for item 68.

69.

Lincolnshire Clinical Commissioning Group pdf icon PDF 265 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which advises the Committee of the background to establishing the Lincolnshire Clinical Commissioning Group on 1 April 2020.  Senior Management representatives  from the Lincolnshire Clinical Commissioning Group will be attending the meeting)

Minutes:

RESOLVED

 

That the update concerning the Lincolnshire Clinical Commissioning Group be deferred to the next meeting of the Health Scrutiny Committee for Lincolnshire.

70.

Health Scrutiny Committee for Lincolnshire - Work Programme pdf icon PDF 985 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which invites the Committee to consider and comment 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.

 

The Health Scrutiny Officer advised the Committee that as Covid-19 would have an impact on its current work programme, the Committee were invited to agree its priorities for its future work programme based on the proposed 'high', 'medium' and 'low' priority lists as set out on pages 150 to 152 of the report; and to also consider whether any or all of the items identified as 'low' priority should be removed from the Committee's work programme.

 

Reference was made for the need to have the opportunity to include in work programme emerging issues as a result of Covid-19.

 

RESOLVED

 

1.      That the priorities for the Committee's future work programme be agreed as being based on the proposed 'high',' medium' and 'low' priority lists as detailed in the report.

 

2.      That all items identified as 'low' priority should be removed from the Committee's work programme.

 

 
 
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