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Agenda and minutes

Cumbria Health Scrutiny Committee
Monday, 24th July, 2017 10.30 am

Venue: Council Chamber - County Offices, Kendal, LA9 4RQ. View directions

Contact: Lynn Harker  Email: lynn.harker@cumbria.gov.uk

Items
No. Item

1.

Election of Vice-Chair

In accordance with the Committee’s Terms of Reference to appoint a Vice?Chair who shall be a District Councillor representative for the ensuing year.  The Vice?Chair shall be appointed by the District Council representatives serving on the Committee.

 

Minutes:

The District Council representatives elected a Vice-Chair of the Committee from amongst their members.

 

RESOLVED,     that Mr R Gill be elected Vice-Chair of the Committee for the ensuing year.

 

2.

Apologies for Absence

To receive any apologies for absence.

 

Minutes:

Apologies for absence were received from Mr M Hawkins, Mr N Hughes and Mrs R Hanson.

 

3.

Membership of the Committee

To note the membership and Terms of Reference of the Committee.

 

Minutes:

It was noted that Mr M Wilson attended in place of Mr M Hawkins and Mr G Cook and Mr N Cotton attended in place of Mrs R Hanson and Mr H Hughes for this meeting only.

 

4.

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.

 

Note

 

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).

 

Minutes:

Mr R Gill and Mr C Whiteside declared that their respective wife was employed at the West Cumberland Hospital.

 

5.

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.

 

Minutes:

RESOLVED,     that the press and public be not excluded from the meeting for any items of business.

 

6.

Minutes pdf icon PDF 115 KB

To confirm the minutes of the meetings held on 28 February and the Special meeting held on 22 March 2017 (copies enclosed).

 

Additional documents:

Minutes:

(a)       With reference to the penultimate paragraph regarding the ‘Resolution Procedure’, referred to at page 21 of the minutes held on 22 March 2017 at 10.30 am, it was agreed the words ‘immediately after this on the 22nd’ be removed.

 

(b)       During the course of discussion a query was raised regarding the end time of the meetings and the Democratic Services Officer informed members that her colleague who was in attendance at the meeting had confirmed the times were correct.

 

RESOLVED,     that

 

                            (1)       the minutes of the meeting held on 28 February 2017 be agreed and signed as a correct record;

 

                            (2)       with the inclusion of the amendment referred to at (a) above the minutes of the Special meeting held on 22 March 2017 be agreed and signed as a correct record.

 

7.

Cumbria Health Scrutiny Variation Sub-Committee pdf icon PDF 56 KB

To agree the new membership of the Sub?Committee in accordance with its Terms of Reference (copy enclosed).

 

Additional documents:

Minutes:

In accordance with the Terms of Reference of the Cumbria Health Scrutiny Variation Sub-Committee, it was

 

RESOLVED,     that following members be appointed to the Cumbria Health Scrutiny Variation Sub?Committee:-

 

                            Allerdale – Carni McCarron-Holmes

                            Barrow – Sol Wielkopolski

                            Carlisle – Jessica Riddle

                            Copeland – Mike Hawkins

                            Eden – - Neil Hughes

                            South Lakeland – Vivienne Rees.

 


8.

Looking Forward - The Health and Care System in Cumbria pdf icon PDF 1 MB

To receive a joint presentation by the Corporate Director – Health, Care and Community Services, Chief Operating Officer, North Cumbria NHS Clinical Commissioning Group and Chief Operating Officer, Morecambe Bay NHS Clinical Commissioning Group on the Vision and Priorities for Health and Care in Cumbria.

 

Minutes:

The Committee received a joint presentation from the Corporate Director – Health, Care and Community Services, Chief Operating Officer, North Cumbria NHS Clinical Commissioning Group (CCG) and Chief Operating Officer, Morecambe Bay NHS Clinical Commissioning Group on the Health and Care System in Cumbria.

 

The presentation outlined:-

 

·                National Context – Five Year Forward View

·                Regional Context – Sustainability and Transformation Partnerships (STPs)

·                Local Context – two Local Delivery Plan areas; Morecambe Bay and North Cumbria

·                Challenges and Opportunities

·                How the Overview and Scrutiny Committee might support.

 

Members considered the content of the presentation in detail.  Whilst it was acknowledged that the scrutiny of social care takes place separately to Health Scrutiny it was agreed that in future there may be the necessity for joint working between Health Scrutiny and the Adults Scrutiny Advisory Board as certain matters arose.

 

A discussion took place regarding the national context and the Committee were informed that to take forward the STPs it was necessary to strengthen the governance with plans for financial and performance stability to be managed via that process.  The adequate representation of local areas and partners was highlighted.  It was noted that a proposed structure had been established but no terms of reference had yet been agreed.  The Committee were given reassurances that in the interim there was collaborative working across the two CCGs to protect the interests of all patients.  Members emphasised the importance of governance highlighting that this enabled the Committee to challenge any future changes. 

 

The Committee raised their concerns regarding the significant workforce and recruitment challenges which were highlighted in North Cumbria and members highlighted the need for all concerned to work together to improve recruitment and retention.  Members emphasised the need to promote the investment which was taking place in Cumbria hospitals which it was felt could alleviate some of the recruitment challenges.

 

Members were informed that a public consultation exercise had been carried out to promote recruitment in the area, highlighting links with the University of Cumbria and Central Lancashire.  It was felt that in North Cumbria the service models needed to be revised in the future to promote recruitment.  It was explained that retention was less of an issue in Cumbria.

 

A discussion took place regarding the national service improvement priorities and it was explained that focus was continuing on improving accident and emergency performance, strengthening access to GP and primary care services and improvements in cancer services and mental health services.  Members noted there was a clear focus on funding and efficiency, with the requirement to deliver a 10 point plan in terms of funding and efficiency.  Members attention was drawn to the importance of maintaining a clear focus on engaging patients and the public in design and implementation. 

 

A discussion took place regarding GP vacancies and the importance of GP trainer facilities was highlighted as it was felt this encouraged retention of GPs in the area.  Officers acknowledged the importance of this facility and informed the Committee that improved connections were being  ...  view the full minutes text for item 8.

9.

Committee Briefing Report pdf icon PDF 56 KB

To consider a report by the Strategic Policy and Scrutiny Adviser (copy enclosed).

 

Additional documents:

Minutes:

The Committee received a report from the Strategic Policy and Scrutiny Adviser which gave an update on developments in health scrutiny, the Committee’s Work Programme and monitoring of actions not covered elsewhere on the Committee’s agenda.

 

Members discussed the process and procedure with regards to the Special meeting held on 22 March 2017 and it was agreed that ‘lessons learnt’ would form part of a future development session for members, with independent input from the Centre for Public Scrutiny if necessary.

 

The Committee discussed the referral to the Secretary of State from the meeting held on 22 March 2017 and were informed this had been submitted in April 2017 and confirmation of receipt had been received but a full response was still outstanding.  Members agreed that a written request be made for an update on this issue.

 

During the course of discussion concerns were raised about the lack of communication regarding Better Care Together and it was agreed that they would be invited to attend the Cumbria Health Scrutiny Committee meeting at least annually to update members on key health projects and challenges.

 

A member raised concerns regarding problems incurred by the deaf community accessing health care services and it was agreed a task and finish group would be convened to look at this matter.

 

The Committee’s attention was drawn to a concern regarding the lack of a timeline for the ‘In Patient Mental Health Strategy’ and it was agreed this would either be discussed at the meeting scheduled in October 2017 or take the form of a task and finish group.

 

Members highlighted the necessity to monitor ongoing changes and it was anticipated that information would be requested from all key bodies and reported to the Committee on a regular basis.

 

The Committee agreed that the issues relating to ‘Sustainability and Transformation Plans’ and ‘Update from Integrated Care Communities Clinical Leads’ should be combined with a possible timeline for discussion of October 2017.

 

Members received a brief explanation regarding Lead Member meetings and it was agreed that improved communications between those meetings and the Cumbria Health Scrutiny Committee were required.

 

RESOLVED,     that

 

                            (1)       the Work Programme be noted and amended in accordance with the discussions;

 

                            (2)       a written request be made for an update from the referral made to the Secretary of State.

 

10.

Date of Future Meeting

To note that the next meeting of the Committee will be held on Monday 9 October 2017 at 10.30 am at Cumbria House, Botchergate, Carlisle, CA1 1RD.

 

Minutes:

It was noted that the next meeting of the Committee would be held on Monday 9 October 2017 at 10.30 am at Cumbria House, Botchergate, Carlisle.