Agenda and minutes

Healthy Staffordshire Select Committee
Monday, 17th September, 2018 10.00 am

Venue: Oak Room, County Buildings, Stafford

Contact: Mandy Pattinson  Email: mandy.pattinson@staffordshire.gov.uk

Items
No. Item

36.

Declarations of Interest

Minutes:

Councillor Pert declared a non pecuniary interest in the Estates item on the agenda as he was involved in its planning as a Cabinet Member for Community at Stafford Borough Council.

 

37.

Minutes of the last meeting held on 13 August 2018 pdf icon PDF 157 KB

Minutes:

Arising from the minutes, the Chairman noted that there is a NHS workforce summit due to be held on the 17th October 2018.  The Chairman asked if all the Chairs from the County Health Scrutiny Committees could be invited to attend.  It was agreed that this would be investigated. 

 

RESOLVED: That the minutes of the meeting held on 13 August 2018 be approved by the Committee and signed by the Chairman.

38.

Staffordshire and Stoke-on-Trent Sustainability and Transformation Partnership (STP) - Planned Care pdf icon PDF 205 KB

Report of the Partnership Director

Minutes:

Mark Seaton, Programme Director (PD) and Managing Director for North Staffordshire Clinical Commissioning Group (CCG) and Stoke-on-Trent CCG attended the meeting to present the report.

 

The Chairman expressed disappointment and surprise that the Senior Responsible Officer (SRO) for the programme had not attended the meeting with the officer to answer questions.

 

The Staffordshire and Stoke-on-Trent Sustainability and Transformation Partnership (STP) had published a plan consisting a range of transformational schemes designed to solve issues with the Staffordshire and Stoke on Trent Health economy.  Effective and Efficient Planned Care was established as a priority Programme within the plan.  

 

Planned or elective care was defined as; those healthcare services which are provided on a non-urgent basis. These services may be provided by primary care, including those services provided by GP’s and other primary care contractors, community services (Tier 3) and services that are provided by hospitals (Tier 4).

 

The vision for elective care was “To deliver efficient, high quality and effective services safely in the right setting, at the right time and with the right professional”.  The plan for implementing the vision was split into four areas; 7 day elective centres; Local outpatient and day case provision; Efficiency-specialty focus; and Consolidate diagnostics.

 

The programme identified the following issues to focus on:

          Configuration of services - Reviewing current capacity and demand, patient flows and efficiencies of scale, including an options appraisal as to where services will be delivered more effectively in the future.

          Improved Productivity and Efficiency - Right Care and Getting it Right First Time (GIRFT), Model Hospital opportunities to ensure the economy is not an outlier in particular areas of care.

          Speciality focus on more streamlined and efficient integrated pathways.

          Understanding where new research can improve demand and capacity opportunities (increased pathology tests, etc.).

          Digital solutions to reduce outpatient activity (Advice and Guidance, non-face to face solutions, etc.).

          Consolidating Diagnostics - Initial focus on Endoscopy as there is an expectation of increased demand on the service.

          Review the diagnostic profile of Staffordshire and consolidating services to be more effective and efficient.

 

There was a discussion on the coordination of services and the need to stop duplication of services.  The programme was endeavouring to bring together multi-disciplinary teams to redesign services and agree processes that deliver treatment that was both necessary and beneficial to the patient. 

 

There was also a lot of work taking place on commissioning of services in order to give all suppliers a level playing field. An example of this was a contract for a set number of operations.  A private operator would receive referrals that were routine whereas the NHS would be referred patients for the same operation but who would have complex health needs or require additional care.  Both would receive the same payment but clearly the cost would be greater for the NHS provider.  It was estimated that £60m each year went out of the NHS to private companies.

 

A question was asked on teaching hospitals and how they  ...  view the full minutes text for item 38.

39.

Staffordshire and Stoke-on-Trent Sustainability and Transformation Partnership (STP) - Estates pdf icon PDF 335 KB

Report of the Partnership Director

 

Minutes:

Becky Jones, STP Estates Programme Director (PD) for both Staffordshire and Shropshire STPs and Phil Brenner the STP Estates Project Lead (EPL) attended the Committee to present the report.

 

The Chairman expressed disappointment and surprise that the Senior Responsible Officer (SRO) for the programme had not attended the meeting with the officers to answer questions.

 

The programme was aimed at rationalising the estate through looking at community need rather than short term location of services.  It should also enable self-sufficiency and resilience to grow within communities.

 

The approach was one of prevention and wellness, building on communities, developing resilience and reducing the future costs of care with a focus on housing.  This is based on the principles of the Northfields Health Village in Stafford.  Five further schemes had been proposed throughout Staffordshire, each scheme would be bespoke to the needs and geographical circumstances of the area and population.

 

A Member of the Committee asked how residents funded the social housing on the Northfields Village.  The response was that each of the sites would have different housing options which could include renting, buying or social housing.  The cost of the services depended on the needs of each individual and funding would depend on their personal circumstances and their health needs, with the possibility of various partners contributing.  The provider will work with the Borough/District Councils involved and estimate local need and demand and to identify the right people with the right needs.  The Villages enable care to change and develop with changing needs of residents.  Community is at the heart of the projects.

 

Following a question on how the Community is brought together and developed, Members were informed that the voluntary sector, alongside all partners, work with volunteers to build services which can be accessed by people outside the village.  Every project has a set of outcomes which it has to meet and can include things such as local transport into the hub, which can encourage wider community buy in.

 

The Committee asked if there were any figures to demonstrate a saving in the extra care budget.  The PD agreed to look into the availability of such information.

 

A Member of the Committee felt that the hub in the South Staffordshire area of the County was difficult to access as there were no public transport and relatives can’t get there to visit relatives.  It was felt that future developments must be in better locations.  In response, the PD informed Members that work with the Local Council had taken place and the transport options would have been taken into account when a sight was taken.  The PD agreed to contact South Staffordshire District Council and ask if the work was done prior to the development.

 

The Committee asked how the outcomes for each project were set and did they include ones to develop outreach into the community.  Members felt that they were unclear as to what the priorities of the programme were, so struggled to see if they had been delivered. 

 

The  ...  view the full minutes text for item 39.

40.

District and Borough Health Scrutiny Activity pdf icon PDF 212 KB

Report of the Scrutiny and Support Manager

Minutes:

The Scrutiny and Support Manager presented the report which outlined the activity of Borough and District Councils since the last meeting.

 

In addition to the report, the following verbal updates were provided;

·         Cannock Chase District Council - Nothing further to add and their next meeting was scheduled for November and would be considering Obesity.

·         Lichfield District Council – the last meeting was held on 12 September where they had received a presentation from the new disabilities provider; Health and Wellbeing Strategy delivery plan; Housing allocations scheme; ways of funding the voluntary sector.

·         Staffordshire Moorlands District Council - At their last meeting on 12 September, the Committee had considered a presentation on diabetic eye tests; Mental Health of young People with eating disorders; Leek Hospital update; Dementia Working Group

·         Newcastle Borough Council - At their last meeting on 10 September, the Committee had considered CCTV in Newcastle and Mental Health provision.

 

A question was asked on the East Staffordshire Borough Council’s review into domestic abuse.  Will the review look at the effect of the movement of service provider from County Council and the Police and Crime Commissioner to other providers?  The Scrutiny and Support Manager agreed to ask this question and report back to the Committee.

 

RESOLVED:  That the report be noted.

41.

Healthy Staffordshire Select Committee Work Programme 2018/19 pdf icon PDF 288 KB

Report of the Scrutiny and Support Manager

Minutes:

The Scrutiny and Support Manager presented the Committees Work Programme Report.

 

Members were reminded that they had been invited to participate in the meeting with Wolverhampton City Council on the 23 October to consider the mortality rates at Royal Wolverhampton NHS Trust.

 

An informal Joint Health Scrutiny Committee with Stoke on Trent City Council had been arranged for 25th September to gain background information prior to the formal consultation exercise with Health Partners on the reconfiguration of Health services in North Staffordshire.

 

The next scheduled meeting of the Committee was 29 October 2018.  The meeting may be followed with a workshop to consider the Modernising Adult Social Care Programme Blueprint and Business Case.

 

RESOLVED: That the report be noted.