To agree the minutes of the previous meeting
as a true and accurate record of proceedings.
Minutes:
These were agreed as a true record of the
meeting.
24.
Declarations of Interest
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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); and
·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:
There were none.
25.
Questions & Petitions
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To receive any questions or petitions
Notes:
1.The deadline for Member’s questions is 12.00pm
four working days before the meeting (Monday 4 March
2019).
2.The deadline for public questions is seven days
before the meeting (Friday 1 March
2019).
3.The deadline for petitions was 14 days before the
meeting, and no petitions have been received.
Minutes:
There were none.
26.
Response from the Cabinet to Issues Referred by the Select Committee
Purpose of the Report:This report updates the Committee on the South East
Coast Ambulance Service, with special focus on the recent CQC
report, Executive leadership development, performance reporting and
associated strategic operational updates, alongside other local
performance and development initiatives for Surrey.
Minutes:
Declaration of Interests:
None
Witnesses:
Helen Wilshaw-Roberts, Strategy & Partnerships Manager
– West, SECAmb
Steve Emerton,Executive Director of Strategy and Business
Development,SECAmb
Andy Cashman, Regional Operations Manager: West,
SECAmb
Sumona Chatterjee, Executive Director of Strategic
Commissioning, Surrey Heartlands CCG
Matthew Parris, Healthwatch Surrey
Key
points raised during the discussion:
The report
was briefly introduced by theExecutive Director of Strategy and Business
Development who explained that the Trust had moved from an
Inadequate to a Requires Improvement Care Quality Commission (CQC)
rating.
Witnesses were asked for an update on the new
executive team employed by the Trust. It was explained that the
previous Chief Executive, Daren Mochrie, had taken on a new role
and Dr Fionna Moore would be acting as the SECAmb Interim Chief
Executive. A new Chief Executive had been appointed and the
Executive Director of Strategy and Business Development would
update the Committee on the progress of this appointment in due
course.
It was confirmed that following the Demand and
Capacity Review, it was recognised that a significant amount of
investment was required to see improvements in the Trust. A
contract variation agreed with the commissioners has placed a
significant investment in the Trust for 2018 / 2019 and continues
into 19/20 and 20/21. The investment in the Trust is dependent on
the current contract review process and would be around
£34-43million growth per annum over the next two
years
It was
queried how much emphasis was given to triage by the Trust as it
seemed to work well with the Crawley Ambulance triage programme.
TheStrategy & Partnerships Manager
– West explained that theCrawley
Ambulance triage programme had been successful in helping with the
current gap in crisis response teams and the ability for an
emergency response for people suffering a mental health crisis. The
model consists of an advanced mental health practitioner and a
paramedic that respond to calls. The result had been effective
assistance had been provided and the Trust was working with Sussex
Partnership and Foundation Trust to assess the most appropriate
model of care for people experiencing such emergency crisis - this
would then be assessed for wider rollout requirement further across
Surrey and Kent.
It was
explained that the Targeted Dispatch Model would ensure the right
resources get to the right places and people. There was a concern
there will be a greater number of people being conveyed to the
acute centres as resources available to the Trust improve. It was
added that there were now midwives in the control centre
environment for the Surrey Heartlands area which would reduce the
number of conveyances to hospitals and this would be extended to
Sussex and Kent in due course.
Zully
Grant-Duff arrived at the meeting at 10.35am
It was
queried what issues were stopping the Trust from improving
ambulance response times and how these were being tackled.
TheRegional Operations Manager – West
explained that the investment secured had enabled the Trust to
secure additional resources and make improvements. The demands
...
view the full minutes text for item 27.
Purpose of the Report:This report provides the Select Committee with the
opportunity to consider and comment on the draft Joint Health and
Wellbeing Strategy for Surrey.
Matthew Tait, Joint Accountable Officer, Surrey Heathlands
ICS
Helen Atkinson, Executive
Director of Public Health
Matthew Parris, Healthwatch Surrey
Key
points raised during the discussion:
It was
explained that the draft Joint Health and Wellbeing Strategy for
Surrey was currently out for public engagement and the purpose of
the meeting was for the Committee to comment on the draft strategy
as well as to put forward specific questions.
There was
concern around the governance arrangements as part of the
monitoring of the strategy delivery. Members commented that there
did not seem to be clear lines of accountability within the
strategy for the outcomes identified. TheExecutive Director of Public
Health stated that the governance for the draft strategy sat with
the Health and Wellbeing Board which both ICSs, Surrey Heartlands
and Frimley Health and Care, and the East Surrey & Sussex STP
are Members of. Work would be undertaken over the next month to
collate engagement feedback and map out priorities alongside
existing provision. This mapping of services will be used to review
current governance arrangements. The final strategy will be signed
off by the Health and Wellbeing Board in April. Sponsors from the
Board would be sought to champion priorities and outcomes within
the strategy.
TheJoint
Accountable Officer reassured the Committee that work on governance
within the strategy was Surrey-wide. The officer was keen to ensure
the right challenge with regards to responsibility for delivery was
in place alongside the strategy.
TheJoint
Accountable Officer stated that the deliverables in the strategy
were cross-organisation and the challenge would be how to get
stakeholders working together in partnership. It was added by
theExecutive Director of Public Healththat
there had been unprecedented partnership working when developing
the strategy.
In regard
to NHS property, the Joint Accountable Officer explained that the
culture of work across the NHS had improved and this would support
any property discussions taking place. Devolution would allow for
more discussions to take place around NHS property decision making
as so far limited progress had been made.
It was
queried what steps would be taken to ensure the strategy is
delivered to residents on the ground.TheJoint
Accountable Officer stated that by having a better joined up
strategy, outcomes for the population in Surrey would be improved.
Challenges around mental health had been raised but working
together had resulted in a better approach and better outcomes.
TheExecutive Director of Public Health stated that the strategy
was a long term plan which would target deprived groups within the
population.
A concern
was raised around the five population groups contained within the
draft strategy and in particular the fact that people with mental
health were not specifically identified as one of the five
population groups. It was added that the system capabilities
section of the draft strategy was difficult to grasp with many high
level statements being made.
Purpose of the
Report:In July 2018, Surrey County
Council implemented changes to the commissioning of Substance
Misuse treatment following a review of these services. For the
Select Committee to consider the progress made in the changes to
the adult substance misuse treatment system.
Martyn Munro, Senior Public Health Lead, Surrey County
Council
Helen Atkinson, Executive
Director of Public Health
Sinead Mooney, Cabinet Member for Adults and Public
Health
Katy Matthews, Substance Misuse Service Manager, Surrey and
Borders Partnership
Sue Murphy, CEO, Catalyst
Matthew Parris, Healthwatch Surrey
Key
points raised during the discussion:
It was
queried what impact out of county services have had on patients
since the closure of Windmill House and what steps were being taken
to ensure these out of county services were being monitored.
TheSubstance Misuse Service Manager
explained that the model of detoxification had changed from 1 July
2018 and the new model included a mix of ambulatory and out of
county services. Out of county services had been spot purchased
from Bridge House in Kent, which has received an outstanding
grading from the CQC and has a good reputation for providing
outstanding services. It was added that for patients who required
more than an hour’s travel to reach ambulatory services, spot
purchasing from Bridge House could be organised, although this was
considered on a case by case basis.
A Member of
the Committee queried what lessons the adult substance misuse
treatment team had learnt from the integration of sexual health and
HIV services in Surrey as mentioned in the introduction of the
report. TheExecutive Director of Public Health stated that a great amount
of work had been done to consult with service users and patients.
Joint work had also been undertaken with NHS commissioners and
Providers. The Cabinet Member added that the work of the sexual
health services task group had a positive impact on the work of the
team, ensuring that discussions with people impacted by the service
took place.
There was a
discussion around the increased use of opiates in the USA. It was
queried how resilient the service would be if there was an increase
in opiate use in Surrey. TheSenior Public
Health Lead explained that locally the medicine management team had
not highlighted any hotspots for opiate use in Surrey. Work was
also being undertaken with local acute teams to understand how best
to work collaboratively to support teams further in the field of
opiate use. Nationally access to opiate treatment was at a decline
but in Surrey there has been an increase in the number of people
accessing opiate treatments. It was added that there were a number
of satellite prescribing services for opiate users in Surrey
although there was an ongoing challenge with recruiting prescribing
staff.
The
Healthwatch representative explained that a number of positive
comments had been received on the i-access treatment with the needs
of service users being adequately met. There was some concern
around a single point of contact for service users and also some
anxiety around the move of in-patient services, although this was
not deemed to be detrimental. Overall the comments from service
users was very positive.
Purpose of the Report: To
update Members of the Committee on key issues relating to the
delivery of healthcare services in Surrey and detailing work
underway to scrutinise these.
1.
The Chairman agreed to consider the bulletin before the forward
plan item as the content on the bulletin could potentially have an
impact on the items to be considered by the Committee going
forward.
The item was
introduced by the Chairman of the Select Committee who advised that
the bulletin was a means of keeping Members updated regarding the
work she had undertaken between Select Committee
meetings.
3.
There were no comments on the bulletin.
Actions/ further information to be provided:
None
RESOLVED:
The Health, Integration and
Commissioning Select Committee noted the Select Committee
bulletin.
Purpose of the Report:The Select Committee is asked to review and approve the
Recommendations Tracker and Forward Work Programme providing
comment as required.
The
Health Integration and Commissioning Select Committee reviewed
items that it is due to consider at future meetings and reviewed
progress against actions and recommendations as captured within the
Committee’s Recommendations Tracker.
1.The Vice-Chairman explained that as the Democratic
Services Officer who worked on the Committee had left the
organisation, the timetable included within the scoping had been
pushed back. Recruitment was underway for committee support. A
meeting with SaBP has been set up for April to discuss pathways in
more detail.
2.The importance of this piece of work was reiterated
by the Chairman.
3.The Healthwatch representative agreed that
Healthwatch would be happy to support this task group in whatever
way it can.
Actions/
further information to be provided:
None
RESOLVED:
The
Health Integration and Commissioning Select Committee noted the
task and finish group scoping document.
33.
Date of the Next Meeting
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The
next meeting of the Select Committee will be held at 10:00 on 13
June 2019 in the Ashcombe Suite at County Hall.
Minutes:
The next meeting of the Select
Committee will be held at 10.00am on Thursday 13 Junein the Ashcombe Suite at County
Hall.
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