Venue: Council Chamber, County Offices, Kendal, LA9 4RQ.
Contact: Lynn Harker Email: email@example.com
Apologies for Absence
To receive any apologies for absence.
Apologies for absence were received from Mr D Blacklock Dr M Handley and Mr D Shepherd.
Membership of the Committee
To note any changes to the membership of the Committee.
There were no changes to the membership of the Committee on this occasion.
Disclosures of Interest
Members are invited to disclose any disclosable pecuniary interest they have in any item on the agenda which comprises
1. Details of any employment, office, trade, profession or vocation carried on for profit or gain.
2. Details of any payment or provision of any other financial benefit (other than from the authority) made or provided within the relevant period in respect of any expenses incurred by you in carrying out duties as a member, or towards your election expenses. (This includes any payment or financial benefit from a trade union within the meaning of the Trade Union and Labour Relations (Consolidation) Act 1992.
3. Details of any contract which is made between you (or a body in which you have a beneficial interest) and the authority.
(a) Under which goods or services are to be provided or works are to be executed; and
(b) Which has not been fully discharged.
4. Details of any beneficial interest in land which is within the area of the authority.
5. Details of any licence (alone or jointly with others) to occupy land in the area of the authority for a month or longer.
6. Details of any tenancy where (to your knowledge).
(a) The landlord is the authority; and
(b) The tenant is a body in which you have a beneficial interest.
7. Details of any beneficial interest in securities of a body where
(a) That body (to your knowledge) has a place of business or land in the area of the authority; and
(b) Either –
(i) The total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body; or
(ii) If that share capital of that body is of more than one class, the total nominal value of the shares of any one class in which the relevant person has a beneficial interest exceeds one hundredth of the total issued share capital of that class.
A “disclosable pecuniary interest” is an interest of a councillor or their partner (which means spouse or civil partner, a person with whom they are living as husband or wife, or a person with whom they are living as if they are civil partners).
Mr C Whiteside declared a personal interest as his wife was employed at the West Cumberland Hospital.
Exclusion of Press and Public
To consider whether the press and public should be excluded from the meeting during consideration of any item on the agenda.
RESOLVED, that the press and public be not excluded from the meeting for any items of business.
To confirm the minutes of the meeting held on 25 July 2022 (copy enclosed).
RESOLVED, that the minutes of the meeting held on 25 July 2022 be agreed as a correct record and signed by the Chair.
To receive a presentation from Lancashire and South Cumbria Pathology Service (copy enclosed).
The Committee received a presentation from Professor Anthony Rowbottom regarding the Lancashire and South Cumbria Pathology Services.
Members were informed that the Outline Business Case (OBC) was submitted in March 2021 and that there had been no formal notification of capital allocation to support the delivery of Hub and Spoke model, therefore, a cohesive network plan using the existing estate would be delivered to provide the best services possible for patients whilst creating opportunities for those working in the teams.
The Committee questioned whether the lack of formal notification of capital allocation to support the OBC could be a recognition that it was felt the current system was suitable. Members were informed it was felt the final sign?off of the OBC had been overtaken by other events and it was anticipated that time?limited funding would be granted in 2023.
The Committee was informed that a significant re-engagement exercise had taken place over recent months with an overwhelming support for collaboration across all Lancashire and South Cumbria services. Members noted that a new leadership, Clinical Director Professor Anthony Rowbottom, had been confirmed and there would be a focused approach to the co-design of an appropriate structure, clinical model and delivery framework for the Pathology Service of the future. During the course of discussion members were informed of the intention to form a single management structure in the future.
Members noted that the next steps would include all colleagues within the Pathology Service being fully sighted on the future plans as they were developed, with an aim to maintain momentum within the wider Provider Collaborative. It was explained that trusts would be working together to deliver a transparent programme to achieve strategic, network and departmental goals. The Clinical Director emphasised that the aim was to provide the best services possible for patients and create the best opportunities for the workforce.
A discussion took place regarding the workforce and size of the population which the Service reached. Members were informed there was approximately an 800 strong workforce providing a service for around 2 million people. The Committee was informed of the challenges regarding recruitment and retention which were mainly due to the geographical area. It was explained that an extension of current roles to allow colleagues to undertake a variety of tasks was being considered to try and overcome some of the staffing problems. Officers felt there was a need for a five year strategy to invest time into the workforce issues.
The Committee was informed that revenue for capital had been a challenge and that an accurate business case had been presented to allow for an efficient service.
A discussion took place regarding the relationship of the Pathology Service with the proposed Lancashire and South Cumbria New Hospitals Programme. The Clinical Director confirmed it was intended to work collaboratively with the New Hospitals Programme Team to explore a cohesive plan.
Members noted that the contract for the implementation of a new Laboratory Information Management System (LIMS) across all ... view the full minutes text for item 30.
To consider a report by from Lancashire and South Cumbria New Hospitals Programme (copy enclosed).
The Committee considered a report regarding the Lancashire and South Cumbria New Hospitals Programme (NHP) which was part of the Government’s commitment to build 40 new hospitals by 2030.
Members were informed that together with eight existing schemes, this would mean 48 hospitals would be built in England over the next decade. Officers explained this offered a once-in-a-generation opportunity both to deliver world class hospital infrastructure from which high-quality services could be provided as well as bringing significant wider economic benefit for the area.
The Committee was informed that in March 2022 NHP had reached a significant milestone, when the shortlist of proposals for new hospital facilities were endorsed by the Lancashire and South Cumbria Strategic Commissioning Committee. It was explained that the shortlist reflected extensive feedback gathered from more than 12,000 local people, patients, NHS staff, community representatives and stakeholders over the previous year, using online workshops and surveys, public opinion research, focus groups, and in-person events and meetings.
Members were informed that the shortlist of options had since undergone further detailed analysis, with a focus on the viability of each option and received an update on the detailed work that had been undertaken.
The Committee noted several key products which had progressed and included the technical assessment criteria to appraise new sites/land, schedules of accommodation, clinical and functional briefs and the Comprehensive Investment Appraisal (CIA) model.
Members were provided with a summary of engagement conducted to date during the options development period, including themes of feedback and an overview of how involvement had informed the process so far.
The Committee was informed of a recent announcement which had been made on 26 September regarding the Programme. Members were informed that the NHS in Lancashire and South Cumbria had stated its preference for new hospitals on new sites for both Royal Preston Hospital and Royal Lancaster Infirmary as part of the New Hospitals Programme.
Officers explained that key elements had been considered to help evaluate each of the shortlisted options which included service configuration; requirements in terms of rooms, beds and other provisions to meet the operational, space and location requirements and site location options.
The Committee was informed that the NHS in Lancashire and South Cumbria had stated its preference for new hospitals on new sites for both Royal Preston Hospital and Royal Lancaster Infirmary as part of the New Hospitals Programme and Lancashire and South Cumbria New Hospitals Programme’s preferred option for Royal Preston Hospital (Lancashire Teaching Hospitals NHS Foundation Trust) was a new state-of-the-art hospital on a new site, with an improved and enhanced urgent and emergency service, increased capacity for specialised services and the opportunity to maximise significant quality and productivity gains.
Members noted that work was underway to assess the viability of potential locations for new hospital builds for both Royal Preston Hospital and Royal Lancaster Infirmary.
The Committee was informed that following publication of the preferred and alternative options confirmation of which option the Government supported and capital allocation was ... view the full minutes text for item 31.
To consider a report by North Cumbria Integrated Care NHS Foundation Trust (copy enclosed).
The relevant officer from North Cumbria Integrated Care NHS Foundation Trust did not attend the meeting, therefore, the item was deferred until the next meeting of the Committee scheduled for 13 December 2022.
To consider a report by the Strategic Policy and Scrutiny Adviser (copy enclosed).
The Committee received a report which updated members on developments in health scrutiny, the Committee’s Work Programme and monitoring of actions not covered elsewhere on the Committee’s agenda.
(1) the update on the Health and Care Act: Implementation be received;
(2) the Working Programme be noted;
(3) the Policy and Scrutiny Project Officer contact other Scrutiny Committees across North East & North Cumbria and Lancashire and South Cumbria to ascertain how the systems are engaging with Scrutiny on the establishment of the Integrated Care Partnerships.
Date of Future Meeting
To note that the next meeting of the Committee will be held on Tuesday 13 December 2022 at 10.30 am in Conference Room A/B, Cumbria House, Carlisle.
It was noted that the next meeting of the Committee would be held on Tuesday 13 December 2022 at 10.30 am in Conference Room A/B, Cumbria House, Carlisle.