Agenda for Health & Wellbeing Overview & Scrutiny Committee on Tuesday, 22nd April, 2014, 4.00pm

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Agenda and minutes

Venue: Council Chamber, Hove Town Hall

Contact: Kath Vlcek  Overview & Scrutiny Support Officer

Items
No. Item

115.

Procedural Business pdf icon PDF 56 KB

    To consider

    (a)               Declaration of Substitutes

     

    (b)               Declaration of Interest

     

    (c)               Declaration of Party Whip, and

     

    (d)               Exclusion of Press and Public

    Minutes:

    115A   Substitutes

     

    115.1  There were none. Jane Viner of Healthwatch sent apologies.

     

    115B  Declarations of Interest

     

    115.2  There were none.

     

    115C  Exclusion of Press and Public

     

    115.3In accordance with section 100A(4) of the Local Government Act 1972, it was considered whether the press and public should be excluded from the meeting during the consideration of any items contained in the agenda, having regard to the nature of the business to be transacted and the nature of the proceedings and the likelihood as to whether, if members of the press and public were present, there would be disclosure to them of confidential or exempt material as defined in section 1001(1) of the said Act.

     

    115.4RESOLVED –that the press and public be not excluded from the meeting.

     

116.

Minutes of Previous Meeting pdf icon PDF 76 KB

    Minutes:

    116     RESOLVED – that the draft minutes of the meeting of 04 February 2014 be accepted as an accurate record of the meeting.

117.

Chair's Communications

    Minutes:

    117           Chair’s Communications

     

    117.1                Cllr Rufus informed members that the agenda for this meeting was light, as the planned item on Health & Wellbeing Board expansion needed to be postponed until a later date, and the agenda item on procurement of services for musculoskeletal conditions would be re-scheduled for the June 2014 committee meeting in order to provide more time for a comprehensive report to be drafted.

     

118.

BSUH Reconfiguration of Clinical Services pdf icon PDF 71 KB

    Report from Simon Maurice, Programme Director for Major Trauma, BSUH

     

    Additional documents:

    Minutes:

    118           Brighton & Sussex University Hospitals Trust (BSUH): Reconfiguration of Clinical Services

     

    118.1    This item was presented by Nikki Luffingham, BSUH Chief Operating Officer, and by Simon Maurice, BSUH Programme Director for Major Trauma.

    118.2    Ms Luffingham explained to members that the trust intended to reconfigure urology and neck of femur (NOF) services. These services are currently spilt between the Royal Sussex County Hospital, Brighton (RSCH) and the Princess Royal Hospital, Hayward’s Heath (PRH) sites, and the intention is to re-focus provision at PRH, improving patient experience, reducing average length of stay and freeing up space at RSCH to allow for the relocation of neurosurgery from Hurstwood Park.

    118.3    In answer to questions regarding the links between this initiative and the 3T project, Mr Maurice told members that this was independent of 3T and was driven by national service specifications rather than by the exigencies of the 3T project. However the plans are compatible with 3T planning.

    118.4    In response to questions about visitor travel, Ms Luffingham told the committee that, whilst some outpatient urology clinics would be maintained at RSCH, all in-patient and the bulk of outpatient services would be transferred to PRH. This would mean increased travel times for some patients and their families/carers, although this was expected to be mitigated by reductions in the average length of stay (for NOF patients in particular the current two-site arrangements are sub-optimal and may typically increase average length of stay by a day or more). The 40X bus service remains in operation, and is free to use for patients and visitors. Where the 40X is not a realistic option for patients the trust will explore other transport options, including ambulance transport.

    118.5    The Chair summed up, noting that the committee supported the basic principle of BSUH operating ‘one hospital on two sites’ and understood that this might mean that some services for Brighton & Hove residents would be provided at Hayward’s Heath, particularly if single-site services delivered better results in terms of clinical quality and patient experience. However, access was a key issue, and one that the HWOSC should regularly monitor: it is important that Brighton & Hove residents required to use the PRH (and their families/carers) can cheaply and conveniently travel to the hospital.

    118.6    RESOLVED – that the information on service reconfiguration provided by BSUH be noted.

119.

Sussex Community Trust Estates Strategy pdf icon PDF 66 KB

    Presentation from Gareth Baker – Director of Transformation and Commercial Development and Gillian Wieck - Deputy Chief Operating Officer, Children's and Specialist Services, Sussex Community Trust

     

     

    Additional documents:

    Minutes:

    119           Sussex Community Trust (SCT) Estates Strategy

     

    119.1    This item was introduced by Gareth Baker, SCT Director of Transformation and Commercial Development, and by Gillian Wieck, SCT Deputy Chief Operating Officer, Children’s and Specialist Services.

    119.2    Mr Baker explained that SCT was moving to a ‘hub and spoke’ estates model as the best way to deliver services while supporting staff development and building organisational resilience.

    119.3    In response to a question on access for service-users, Ms Wieck assured members that key elements in the plans would improve access – such as the development of Morley Street as a community dentistry hub. Other elements would have no impact on user access as they involved the re-organisation of staff rather than public-facing services.

    119.4    In answer to a question about disabled access to Morley Street, Ms Wieck confirmed that there was good disabled access and disabled parking at Morley St.

    119.5    The Chair summed up, noting that members were happy with the Trust’s proposals. In general the HWOSC is interested in any proposals for change that will impact upon local residents.

120.

MusculoSkeletal Procurement

    Update from the CCG on the outcome of the procurement process – report to follow

121.

Scrutiny Panel Report- Services for Children with Autism pdf icon PDF 66 KB

    Additional documents:

    Minutes:

    121           Scrutiny Panel Report – Services for Children with Autism

     

    121.1                This item was introduced by Cllr Rob Jarrett, Chair of the Scrutiny Panel. Cllr Jarrett told members that the panel had been established following concerns about services for children with autism expressed by parents and carers.

    121.2                The panel, which comprised Cllrs Jarrett, Wealls and Pissaridou, and Rosie Moore, a co-optee from Brighton University, made a series of recommendations focusing on areas including: the need for better home support, pathways for people with autism but neither learning disabilities nor mental health problems, having a single point of contact for service-users, system-working, standards of school support, support for school governors, support in courts, and leisure provision.

    121.3                Cllr Wealls noted that it was important that services understood that parent and carers are a key part of the solution to supporting children with autism, not part of the problem. In some instances this would require a change in professional attitudes.

    121.4                Members agreed that the report should be disseminated as widely as possible – specifically to local NHS providers and commissioners – and the HWOSC Chair agreed to write to NHS partners asking them to read the report and acknowledge its recommendations.

    121.5                RESOLVED – that the committee endorses the scrutiny panel report on Services for Children with Autism and agrees to refer it to the council’s decision-making committee(s).

 


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