Agenda and minutes

Adults and Health Select Committee - Thursday, 13 June 2019 10.00 am

Venue: Ashcombe Suite, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions

Contact: Joss Butler, Democratic Services Officer 

No. Item




    Apologies were received from Jeff Harris, Marsha Moseley, Daryll Ratiram and Tina Mountain.




MINUTES OF THE PREVIOUS MEETINGS: 13 February 2019 & 8 March 2019 pdf icon PDF 305 KB

    To agree the minutes of the previous meetings of the Adults and Lifelong Learning Select Committee and the Health, Integration and Commissioning Select Committee as a true and accurate record of proceedings.

    Additional documents:


    Attention was drawn to page 18 of the agenda which outlined a number of recommendations for the previous Adults and Lifelong Learning Select Committee. The Vice-Chairman informed the Committee that he intended to follow up on the relevant actions.


    The minutes were agreed as a true record of the meeting.



    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



    ·         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.


    None received.



    To receive any questions or petitions.


    1.     The deadline for Member’s questions is 12.00pm four working days before the meeting (7 June 2019).


    2.     The deadline for public questions is seven days before the meeting(6 June 2019)


    3.     The deadline for petitions was 14 days before the meeting, and no petitions have been received.


    The Adults and Health Select Committee received a Member question from Mr Jonathan Essex. A response to this question has been attached to these minutes as Appendix 1.



    This paper has been produced by North West Surrey Clinical Commissioning Group (CCG) and Guildford and Waverly CCG to outline their progress to date and future plans for developing proposals on Urgent Care.

    Additional documents:




    Karen Thorburn, Integrated Care System - Director of Performance (Leads on urgent care across Surrey Heartlands)

    Jack Wagstaff, Director North West Surrey Integrated Care Partnership

    Giles Mahoney, Director Guildford & Waverley Integrated Care Partnership

    Dr Asha Pillai, GP, North West Surrey

    Dr Seun Akande, GP, Guildford & Waverley

    Simon Angelides, Programme Director

    Liz Patroe, Head of Engagement, Diversity & Inclusion, Surrey Heartlands CCGs

    Nick Markwick, Surrey Coalition of Disabled People 

    Matthew Parris, Healthwatch Surrey

    Key points raised during the discussion:

    1. Officers introduced the item and presented Members with a presentation which outlined the key aspects of the report. It was noted that the report was produced by North West Surrey Clinical Commissioning Group (CCG) and Guildford and Waverley CCG to outline their progress to date and future plans for developing proposals on Urgent Care (and where appropriate Out-of-Hospital Care) in their respective geographies. The presentation delivered to Members is attached as appendix 2 to these minutes.
    2. Witnesses were asked to provide any initial feedback on the newly procured NHS 111 service. It was explained that the NHS 111 service had recently been procured to a new specification which included a number of additional functions. NHS 111 now contained a full clinical assessment service which allowed 50% of service users direct access to a clinician for assessment. It was highlighted that feedback was so far encouraging and that the number of users accessing NHS 111 as the first point of contact were increasing year on year. Witnesses confirmed that the NHS 111 service was meeting the national standard for calls answered in a specified time and that the rate of abandoned called had fallen compared to previous data.
    3. Members requested further information on the projected timeline for the proposals outlined in the report. Witnesses confirmed that The Big Picture programme was expected to identify a preferred option or options in the next couple of months. Following this, a number of factors affected its timeline which included whether or not a public consultation was required. In regards to the Better Care Together programme in Guildford & Waverley, witnesses confirmed that there would be a significant number of events in the summer which would allow for the identification of the programmes next steps by autumn 2019.
    4. Members noted that the service’s standardised specifications for urgent care should promote a better understanding of where service users can visit to access various types of treatment. It was further noted that the use of the 111 service as a central point of contact would particularly help with understanding and navigation.
    5. Members requested further information on the risks related to resourcing the various services outlined in the report. Witnesses from North West Surrey CCG stated that resourcing was a major concern for the programme due to the shortage in clinicians, nurses and GPs. It was noted that there was an ongoing workforce development team who were considering a number of proposals to encourage, recruit and retain those who were already in the health system. Witnesses  ...  view the full minutes text for item 5/19



    The next public meeting of the committee will be held on 5 September 2019 in the Council Chamber at County Hall.


    The Committee noted its next meeting would be held on 5 September 2019.