Agenda item

Annual Report of Lincolnshire West Clinical Commissioning Group

(To receive a report for Sarah-Jane Mills, Chief Operating Officer, Lincolnshire West Clinical Commissioning Group, which enables the Committee to give consideration to the Annual Report for 2017/18 for Lincolnshire West Clinical Commissioning Group)

Minutes:

The Chairman welcomed to the meeting Sarah-Jane Mills, Chief Operating Officer, Lincolnshire West Clinical Commissioning Group (LWCCG).

 

The Committee was asked to give consideration to the Annual Report for 2017/18 for LWCCG (pages 1 to 54 only), a copy of which was detailed at Appendix A to the report.

 

The Committee were invited to ask questions from which the following points were raised:-

 

·         Page 74 Involving Patients and the Public – The Committee was advised that the CCG had well established communication and feedback mechanisms in place to keep patients and the public well informed, which were used to promote local and national campaigns, and services provided;

·         Page 5 – some concern was expressed concerning the diseases that impacted most upon life expectancy in Lincolnshire West, particular reference was made to deaths under 1 years of age;

·         Page 92 – Women and Children, particular reference was made to maternity choices.  The report highlighted that it was essential that women and children had safe, high quality care, at the right time and at the right place; and as close to home as possible; with a choice of place of care wherever possible; and that the care delivered was by the most appropriate levels of staff with the skills and expertise required.  It was highlighted that the Local Maternity Systems Group continued to work across the system; and that the transformation team were hosted by Lincolnshire East CCG;

·         Page 58 – Better Care – Some concern was raised at the CCG's performance for Maternal smoking at delivery; choices in maternity services.  A question was asked what was being done to improve performance.  The Committee was advised that the Lincolnshire approach was being driven through the Better Births Lincolnshire Programme, whose work included supporting smoking cessation during pregnancy; encouraging breast feeding; and reducing neonatal mortality and still births.  It was highlighted that smoking prevalence during pregnancy was a Lincolnshire wide issue and that work was being undertaken by the four CCGs and Public Health regarding this matter.  It was highlighted that every still birth was a tragedy and that 20% of mums had been smoking throughout their pregnancy;

·         It was highlighted that the report made reference to the stopping of services that did not deliver good results; as there appeared to be no detail as to what these areas might be.  It was highlighted that any substantial changes to a service would lead to a full consultation; where a specific treatment had no clinical or minimal benefit to the patient, it was unlikely there would be a consultation.  It was highlighted that even before any consultation, a full equality impact assessment would be carried out as many changes would be countywide not just in LWCCG area;

·         The likely location of the two primary hubs.  The Committee was advised that the likely location of the two primary hubs would be south of Lincoln and in the Gainsborough area;

·         Actions that were being taken to improve areas not meeting the minimum criteria, such as dementia care, psychosis, physiological therapies, staff engagement etc.  It was noted that work was ongoing to look at ways to provide mental health services differently;

·         The Committee noted that there was a will to develop integrated care with a system approach.  To improve what was already available, Lincolnshire would need to identify people who needed diagnostic testing earlier and then have the necessary follow up support available as a system;

·         Page 86 advised of a number of objectives that needed to be met.  Confirmation was sought as to whether these had been met.  The Committee was advised there was number of the cancer targets not meeting the 62 day standard, there was however targeted work ongoing to meet the cancer pathway.  It was highlighted that in the last six months the United Lincolnshire Hospitals Trust was now in the top 70, as some positive improvements had been made.  There was a realisation that this figure was still not good enough; and there was a will to achieve 85% for a longer period.  It was also noted that improvements had been made to get men to have a blood test earlier for the detection of prostate cancer.  The Committee was advised that Cancer Care was an item included in the agenda for the 14 November 2018 meeting.

 

The Chairman on behalf of the Committee extended his thanks to the representative.

 

RESOLVED

 

That the Annual Report of Lincolnshire West Clinical Commissioning Group be noted and that the Committee receive an update on the 360 degree stake holder survey to a future meeting of the Committee.

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