Venue: Ashcombe Suite, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions
Contact: Andy Spragg, Scrutiny Officer
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APOLOGIES FOR ABSENCE AND SUBSTITUTIONS
Minutes: Apologies were received from Angela Goodwin, Graham Ellwood and Sinead Mooney. Angela Goodwin was substituted by Fiona White.
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MINUTES OF THE PREVIOUS MEETING: 14 JULY 2017
To agree the minutes of the previous meeting as a true and accurate record of proceedings. Minutes: The minutes of the previous meeting were approved as a true and accurate record of proceedings. |
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DECLARATIONS OF INTEREST
All
Members present are required to declare, at this point in the
meeting or as soon as possible thereafter:
I.
Any disclosable
pecuniary interests and / or II. Other interests arising under the Code of Conduct in respect of any item(s) of business being considered at this meeting
NOTES: ·
Members are reminded that they must not participate
in any item where they have a disclosable pecuniary interest ·
As well as an interest of the Member, this includes
any interest, of which the Member is aware, that relates to the
Member’s spouse or civil partner (or any person with whom the
Member is living as a spouse or civil partner) · Members with a significant personal interest may participate in the discussion and vote on that matter unless that interest could be reasonably regarded as prejudicial. Minutes: David Mansfield informed the Committee that he worked for Central and North West London NHS Foundation Trust in a non-clinical role. He withdrew from the room.
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QUESTIONS AND PETITIONS
To
receive any questions or petitions. Notes: 1. The deadline for Member’s questions is 12.00pm four working days before the meeting (Tuesday 29 August).
2. The deadline for public questions is seven days before the meeting (Monday 28 August)
3. The deadline for petitions was 14 days before the meeting, and no petitions have been received. Additional documents: Minutes: There were five questions
submitted to the Committee for response. The questions and their
response are attached to the minutes as Annex
1.
1)
We are now being told that patients at the Blanche
Heriot Unit with genital skin conditions and genital pain fall
outside of the integrated Surrey contract for sexual health &
HIV services and that these services will continue to be provided
by Ashford & St Peter’s Hospitals NHS Trust. These
patients, which I understand to be around 3,000 in number, have
always been treated by the Blanche Heriot Unit as part of its
specialist genitourinary medicine service and funded, since
responsibility and funding for commissioning GUM transferred with
Public Health to local authorities in 2013, by Surrey County
Council. Will Surrey County Council transfer funds, presumably from
the integrated sexual health & HIV services contract, to enable
the North West Surrey Clinical Commissioning Group to fund these
services at St Peter’s Hospital going forward? 2)
Michael Devine noted his disappointment at the
answer, and expressed the view that there appeared to be a lack of
detailed capacity planning for the transfer of services from the
BHU and surrounding clinics to the Buryfields clinic. He asked whether an
environmental impact analysis and capacity planning for expected
attendances had been undertaken, and whether the commissioners were
prepared to share this information including number of daily
attendances expected, number of consulting rooms, seating capacity
of waiting area and the maximum occupancy insurance limit? 3)
One of the great strengths of the Blanche Heriot
Unit is its very experienced clinical team who provide responsive,
thorough and valuable support to GPs allowing direct interaction
with a leading specialist. GPs are very concerned about the
break-up of this team and the loss of expertise. What steps are the
Council and NHS England, as the co-commissioner of the sexual
health & HIV services contract, taking to ensure that GPs
will continue to have direct access to such expertise and be able
to refer patients direct to a specialist level 3 service?
4)
Steven Fryett praised
the staff and the experience at the Blanche Herriot Unit, and asked
how he could be expected to go online to access advice and support
when the new provider had no knowledge of his specific
needs.
The supplementary questions were responded to in full prior to the meeting. The responses are attached in full as Annex 2.
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RESPONSES FROM THE CABINET TO ISSUES REFERRED BY THE SELECT COMMITTEE
There were no rsponses made from Cabinet. Minutes: There were no responses issued from Cabinet. |
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REFERRAL BY HEALTHWATCH
Purpose of report: To outline the background to the Healthwatch referral and action available to the Committee.
Additional documents: Minutes: It was decided, with the approval of the Adults and Health Select Committee, to consider items 7 and 8 together.
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SURREY INTEGRATED SEXUAL HEALTH SERVICES
Purpose of the report: To provide a summary of the process undertaken to commission an Integrated Sexual Health Service for Surrey
Additional documents: Minutes: Witnesses: Members Helyn Clack, Cabinet Member for Health Speakers Commissioners
Helen Atkinson, Strategic Director for Adult Social Care and Public Health Ruth Hutchinson, Deputy Director - Public Health Lisa Andrews, Senior Public Health Lead
Steve Emerton, Delivery Director South East, NHS England Fiona Mackison, Service Specialist, Specialised Commissioning, NHS England
Providers
Stephen Tucker, Deputy Service Director, Central and North West London NHS Foundation Trust Simon Edwards, Clinical Director, Sexual Health and HIV Services, Central and North West London NHS Foundation Trust
Ashford and St Peter’s Hospital
Tom Smerdon, Director of
Operations, Ashford and St Peter's Hospitals NHS Foundation
Trust Declarations of Interest: David Mansfield informed the
Committee that he worked for Central and North West London NHS
Foundation Trust in a non-clinical role. He withdrew from the
room. Key points raised during the discussion: |
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Purpose of the report: To review the Surrey and East Sussex Sustainability and Transformation Partnership’s plans for commissioning of services and make recommendations as appropriate. Additional documents: Minutes: Witnesses: Samantha Stanbridge, Director of Commissioning, East Surrey
CCG Declarations of Interest: None Key points raised during the discussion: David Mansfield left the meeting at 11.36am Resolved: 1. That the Committee notes the Clinically Effective Commissioning plan proposed by the Surrey and East Sussex STP.
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RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME
The Committee is asked to review and approve the Forward Work Programme and Recommendations Tracker and provide comment as required.
The Committee is also asked to note the terms of reference for the Surrey Heartlands Sustainability and Transformation Partnership Task Group and South East Coast Ambulance Service Task Group. Additional documents: Minutes: The Committee noted the
recommendations tracker and forward works programme. It also noted
the membership of the proposed Task and Finish groups.
The South East Coast Ambulance
Task and Finish Group was agreed with the following
membership:
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DATE OF THE NEXT MEETING
The next public meeting of the committee will be held 9 November 2017 at County Hall. Minutes: The Committee noted that its next meeting would be held on 9 November 2017 at County Hall.
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