Agenda and minutes

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

Contact: Katrina Cope  Senior Democratic Services Officer

Media

Items
No. Item

1.

Election of Chairman

Minutes:

RESOLVED

 

That Councillor C S Macey be elected as the Chairman of the Health Scrutiny Committee for Lincolnshire for 2022/23.

 

COUNCILLOR C S MACEY IN THE CHAIR

2.

Election of Vice-Chairman

Minutes:

RESOLVED

 

That Councillor L Wootten be elected as the Vice-Chairman of the Health Scrutiny Committee for Lincolnshire for 2022/23.

3.

Apologies for Absence/Replacement Members

Minutes:

Apologies for absence were received from Councillors Dr M E Thompson, L Hagues (North Kesteven District Council) and M A Whittington (South Kesteven District Council).

 

It was noted that Councillor Kaffy Rice-Oxley (South Kesteven District Council) was the replacement member for Councillor M A Whittington (South Kesteven District Council) for this meeting only.

 

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

4.

Declarations of Members' Interest

Minutes:

No declaration of members’ interest were received at this stage of the proceedings.

5.

Minutes of the Health Scrutiny Committee for Lincolnshire meeting held on 18 May 2022 pdf icon PDF 544 KB

Minutes:

RESOLVED

 

That the minutes of the Health Scrutiny Committee for Lincolnshire meeting held on 18 May 2022 be agreed and signed by the Chairman as a correct record.

6.

Chairman's Announcements pdf icon PDF 134 KB

Additional documents:

Minutes:

Further to the Chairman’s announcement circulated with the agenda, the Chairman brought to the Committee’s attention the supplementary announcements circulated on 14 June 2022.  The supplementary announcements referred to:

 

·       Healthwatch Lincolnshire Representative change due to Dr B Wookey retiring as a trustee of Healthwatch Lincolnshire;

·       Lakeside Healthcare, Stamford – published report by the Care Quality Commission (CQC) on 1 June 2022 on Lakeside Healthcare, Stamford;

·       Non-Emergency Patient Transport in Lincolnshire Update; and

·       Specialist Mental Health Support for GP Surgeries.

 

During discussion, reference was made to the NHS funding for two new mental health practitioners for GP practices in a local area.  It was confirmed that the two positions would apply to a Primary Care Network. 

 

The Chairman on behalf of the Committee extended his thanks to Dr B Wookey for his contribution to the Committee over the years and wished him all the very best in his retirement.

 

RESOLVED

 

That the Supplementary announcements circulated on 14 June 2022 and the Chairman’s announcements as detailed on page 13 of the report pack be noted.

7.

Reconfiguration of Four NHS Services in Lincolnshire: Orthopaedics; Urgent and Emergency Care; Acute Medicine; and Stroke Services pdf icon PDF 288 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which invites the Committee to consider the Clinical Board’s decision and its rationale for making the decision in relation to the reconfiguration of four NHS Services in Lincolnshire: Orthopaedics; Urgent and Emergency Care; Acute Medicine and Stroke Services. Pete Burnett, System Strategy and Planning Director, NHS Lincolnshire Clinical Commissioning Group will be in attendance for this item)

Additional documents:

Minutes:

Consideration was given to a report from Simon Evans, Health Scrutiny Officer, which invited the Committee to consider the Board of Lincolnshire Clinical Commissioning Group’s (CCG) decision, and its rationale for making the decision in relation to the reconfiguration of four NHS Services in Lincolnshire: Orthopaedics; Urgent and Emergency Care; Acute Medicine and Stroke Services.

 

The Chairman highlighted to the Committee the motion agreed at the South Kesteven District Council Extraordinary Council meeting held on 14 June 2022 concerning Grantham and District Hospital.  A copy of which had been circulated to all members of the Committee prior to the meeting. 

 

The Chairman invited the following presenters from the NHS Lincolnshire Clinical Commissioning Group: Pete Burnett, System Strategy and Planning Director and Tom Diamond, Associate Director of Strategy, to remotely present the item to the Committee.

 

In guiding the Committee through the report, reference was made to: the decision of Lincolnshire Clinical Commissioning Group, which approved changes to the four NHS Services in Lincolnshire; the consultation process; feedback received; assessment by the Clinical Directorate and NHS Lincolnshire Clinical Policies Sub-Group; endorsement by the Quality and Patient Experience Committee; extensive clinical engagement in Lincolnshire and the East Midlands Clinical Senate; and support regionally and nationally for the Board’s decision being in-line with best practice.

 

During consideration of the item, some of the following comments were raised:

 

·       Some opposition was received to the proposed changes for Grantham and District Hospital A & E becoming a 24/7 Urgent Treatment Centre (UTC); and to the fact that 700 people per year would now have to travel to Lincoln.  One member provided details of their personal experience of having to waiting thirteen hours in Lincoln County Hospital before being admitted.  The Committee was appraised of the situation concerning Grantham A & E and to the services provided by the UTC and to the fact that the services to be provided at Grantham and District Hospital’s UTC would be enhanced, compared to other UTC’s;

·       Some concern was expressed regarding transport plans and who would be responsible for these.  A request was made for a copy of the completed document to be shared with the Committee.  The Committee noted that engagement was taking place with the county council in this regard, as was looking at voluntary car services and increasing the commissioning capacity of the East Midlands Ambulance Service (EMAS).  It was also highlighted that with the rising cost of fuel; some patients would not be able to afford to attend appointments;

·       One member queried who the service provider would be for the Grantham UTC.  The Committee was advised that the aim was to have an integrated model , including United Lincolnshire NHS Hospitals Trust;

·       Problems encountered across all major sites in Lincolnshire when accessing services. It was reported that patients were willing to travel for specialised services and that best practice was to centralise services, as this provided better outcomes and better recovery for patients;

·       Staffing shortages.  It was noted that there were staffing shortages nationally as well as  ...  view the full minutes text for item 7.

8.

Engagement by the NHS in Lincolnshire on Lincolnshire's Second Community Diagnostic Centre pdf icon PDF 167 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which invites the Committee to consider a presentation on community diagnostic centres in Lincolnshire and to express a preference for one of three options for the second diagnostic centre.  Sarah Brinkworth, System Planned Care Programme Lead, NHS Lincolnshire Clinical Commissioning Group (CCG), Simon Evans, Chief Operating Officer, United Lincolnshire Hospitals NHS Trust (ULHT), Clair Raybould, Director of Operations NHS Lincolnshire CCG and Claire Lloyd, Clinical Transformation Lead, ULHT will be in attendance for this item) 

Additional documents:

Minutes:

Consideration was given to a report from Simon Evans, Health Scrutiny Officer, which invited the Committee to consider a presentation, on community diagnostic centres (CDC) in Lincolnshire, and to express a preference for one of the three options suggested for a second diagnostic centre.

 

The Chairman welcomed to the meeting the following presenters: Sarah Brinkworth, System Planned Care Programme Lead, NHS Lincolnshire Clinical Commissioning Group, Clair Raybould, Director of Operations, NHS Lincolnshire Clinical Commissioning Group and Claire Lloyd, Clinical Transformation Lead, United Lincolnshire Hospitals NHS Trust and Project Lead for Diagnostic Centres (who was attending via Teams), to present the item to the Committee.

 

The presentation referred to:

 

·       The background behind CDCs,

·       The aims of CDCs;

·       The minimum requirements for a CDC;

·       Other considerations, which included value for money, longer term impacts, speed of deployment, co-ordination with local and regional priorities and staff and patient engagement;

·       National guidance for CDCs;

·       Different models of CDCs, which included a standard model, large model and a hub and spoke model;

·       Pathways being considered to be included in CDCs;

·       Work to date and expansion plans;

·       CDC engagement, for phase 1 and 2; and

·       Next steps, which advised that it was proposed to expand the Grantham CDC, develop a second CDC and consider the opportunities for future developments for CDCs.

 

During consideration of this item, the Committee made some of the following comments:

 

·       Some members of the Committee expressed their preference for a large CDC at Louth County Hospital as a hub, with spokes located at Skegness and Mablethorpe.  The Committee was advised that North East Lincolnshire CCG was exploring the option of having a CDC in Grimsby.  It was felt more needed to be known about this proposal, to see the impact it would have on residents in the north of the county;

·       Acceptance of CDCs. Some concern was raised regarding the staffing of the centres when there was already a shortage of staff.  It was noted that CDCs provided a new model of care, which offered the opportunity to grow your own, to help mitigate staff shortages;

·       Referral to CDCs.  The Committee was advised that currently referral was by GP.  It was highlighted that it was proposed to expand to health professionals and then it was hoped to start self-referrals.  One member enquired whether there was any delay in referrals.  The Committee was advised that there were variations in referrals, as some GP practices used pathways in different ways;

·       Support was extended to the expansion of the Grantham CDC and to the expansion of provision to a second site.  Further clarity was sought as to whether there would be a third site or more in Lincolnshire.  The Committee noted that a second site would help with inequalities along the east coast and that it was not definite that funding would be available for other sites at this point;

·       The importance of ensuring that the public were aware of the CDCs;

·       One member enquired how cover was proposed across the whole of the  ...  view the full minutes text for item 8.

9.

NHS Dental Services in Lincolnshire pdf icon PDF 2 MB

(To receive a report from NHS England and NHS Improvement (Midlands) which invites the Committee to consider a report on NHS Dental Services in Lincolnshire.  Representatives from NHS England and NHS Improvement: Rose Lynch, Senior Commissioning Manager, Jane Green, Commissioning Manager, Adam Morby, Regional Chief Dentist for the Midlands, Kenny Hume, Lincolnshire Local Dental Network Chair and Jasmine Murphy, Consultant in Dental Public Health will be in attendance for this item)

Additional documents:

Minutes:

Consideration was given to a report from NHS England and NHS Improvement, which invited the Committee to consider and comment on NHS Dental Services in Lincolnshire.

 

The Chairman invited the following representatives from NHS England and NHS Improvement: Rose Lynch, Senior Commissioning Manager, Jane Green, Commissioning Manager, Adam Morby, Regional Chief Dentist for the Midlands, Kenny Hume, Lincolnshire Local Dental Network Chair, Jasmine Murphy, Consultant in Dental Public Health; and from NHS Lincolnshire Clinical Commissioning Group, Sandra Williamson, Chief Operating Officer to remotely, present the item to the Committee.

 

Lucy Gavens, Consultant Public Health, was also in attendance for this item.

 

The presentation referred to:

 

·       The national and local challenges dentistry was facing;

·       The locations of services in Lincolnshire;

·       The location of local dental surgeries in the county, accessible by car in rush hour and by public transport (not all services were accessible by public transport);

·       Details of the 2019 oral health survey of 5 year old children, which showed a wide variation in both the prevalence and severity of dental decay among young children across Lincolnshire.  Areas highlighted as being significantly worse that the England average were Boston and the East Midlands; and

·       Water Fluoridation.  It was highlighted that fluoridation was an effective and safe public health measure to reduce the frequency and severity of dental decay, and narrow oral health inequalities.  It was noted that water fluoridation was lacking on the East Coast.  It was noted further that in the next year or so Anglian Water was planning changes to the infrastructure of its water supply, which would lead to the removal of fluoride from the water supply for those parts of the county which currently received fluoridated water.

 

In conclusion, the Committee were advised of future opportunities and solutions for Lincolnshire which included: the rapid oral health needs assessment being undertaken for the County Council to better understand some of the impacts of the pandemic; the introduction of Integrated Care Systems from 1 July 2022; the ‘Golden Hello Scheme’ a scheme to encourage practitioners to work within NHS dentistry; the NHS Communications Team to share intelligence on local concerns; the role of Local Dental Network Chairs; and the Secondary Care - Getting it right first time oral surgery hospital dentistry review.

 

During consideration of this item, the Committee made some of the following comments:

 

·       Concern was expressed to the lack of NHS dentistry provision in Lincolnshire and the impact of this for the east of the county.  The Committee was advised that there had been a contract issue with the government, which would be addressed, concerning NHS/private distribution, which was a major problem as each provider was independent.  As with other areas of the NHS it was highlighted there was a shortage of practitioners across the county.  It was also highlighted that the ongoing impact of the Covid-19 pandemic had considerably impacted dental services and the availability of NHS dental care.  The Committee noted that NHS England/Improvement were looking into ways to encourage practitioners to  ...  view the full minutes text for item 9.

10.

Lincolnshire Pharmaceutical Needs Assessment - Response of the Committee to the Consultation Draft pdf icon PDF 361 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which invites the Committee to consider its response to the consultation draft of the Lincolnshire Pharmaceutical Needs Assessment)

Minutes:

The Chairman invited Simon Evans, Health Scrutiny Officer to present the item, which invited the Committee to consider its response to the consultation draft of the Lincolnshire Pharmaceutical Needs Assessment, which was set out in Appendix A to the report.

 

RESOLVED

 

That the response to the consultation draft of the Lincolnshire Pharmaceutical Needs Assessment (as set out in Appendix A to the report) be approved.

11.

Health Scrutiny Committee for Lincolnshire - Work Programme pdf icon PDF 229 KB

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

Minutes:

The Chairman invited Simon Evans, Health Scrutiny Officer, to present the report, which invited the Committee to consider and comment on its work programme, as detailed on pages 400 to 402 of the report pack.

 

During consideration of this item, the following suggestions/comments were put forward:

 

·       It was requested that an item on Lakeside Healthcare Stamford, following the publication of the Care Quality Commission’s inspection report on 1 June 2022, be included on either the July or September agenda, with the possibility of a representative from Lakeside being included ion the invitation;

·       It was suggested that the update on GP Services in October include information relating to evening and weekend access to GP services following a recent post on social media offering this service;

·       Fluoridation – The Committee was advised that the Children and Young People Scrutiny Committee were looking into this matter;

·       Suicide Prevention and Mental Health Working Group – The Committee was advised that the group were due to meet on 27 July 2022;

·       Public Health – In response to a request for further information on the Public Health initiatives in the county, the Committee was advised that the primary focus of the Health Scrutiny Committee was NHS-funded services, and the County Council’s Adults and Community Wellbeing Scrutiny Committee was the lead committee for public health items; and

·       The Committee was urged not to lose sight of its request for information on the unmet demand for dentistry in Lincolnshire.

 

RESOLVED

 

That the Committee’s work programme as detailed on pages 400 to 402 of the report pack be received, subject to the comments/suggestions made above and the items agreed at minute numbers 7 (2)(a)(b)(c)(d) and 9(2).

 

 
 
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