Agenda and minutes

To receive any apologies for absence from Councillors.

Apologies were received from Councillor N Geary and Councillor C Matthews

To receive information on any changes in the membership of the Committee.

Note – When a member of a Committee is unable to attend a meeting of a Committee or Sub-Committee, the relevant Political Group Leader (or their nominated representative) may, by notice to the Monitoring Officer (or their nominated representative) prior to the meeting, appoint a substitute member from within the same Political Group. The contact details on the front of this agenda should be used for notifications.

Councillor P Hilliard acted as substitute for Councillor N Geary

Councillor M Brooke acted as substitute for Councillor C Matthews

Councillors are required to comply with the requirements of the Localism Act 2011 regarding disclosable pecuniary interests. Declarations received will be reported at the meeting.

There were no declarations of Pecuniary Interest.

For Transparency Councillor C Johnson informed the Committee she was a staff nurse at Royal Bournemouth Hospital.

For Transparency Councillor L-J Evans informed the Committee she was a bank NHS employee.

To receive any public questions, statements or petitions submitted in accordance with the Constitution. Further information on the requirements for submitting these is available to view at the following link: -

https://democracy.bcpcouncil.gov.uk/documents/s2305/Public%20Items%20-%20Meeting%20Procedure%20Rules.pdf 

The deadline for the submission of public questions is Monday 15 July 2019.

The deadline for the submission of a statement is 12.00 noon, Friday 19 July 2019.

The deadline for the submission of a petition is 12.00 noon, Friday 19 July 2019.

There were no public questions, statements or petitions submitted for this meeting

For Councillors to receive an update on the progress of the Clinical Services Review led by NHS Dorset Clinical Commissioning Group (CCG).

The Monitoring Officer presented a report, a copy of which has been circulated and appears as Appendix ‘A’ of these minutes in the Minute Book.

Dorset Health Scrutiny Committee sent a referral to the Secretary of State for Health. A letter of support for the referral was also sent from Poole Borough Council. The referral was sent due to concern regarding elements of the Clinical Services Review undertaken by Dorset Clinical Commissioning Group.

The Committee received an update on the progress of the referral which had been sent by the Secretary of State to the Independent Reconfiguration Panel. This Panel would independently review the proposed reconfiguration along with the contents of the referral and any objections.

The Independent Review Panel (IRP) were waiting for a form from NHS England, which would contain detailed information from NHS England and Dorset Clinical Commissioning Group . The IRP would then consider the form and any additional information it might need from the Councils before forming a final opinion to submit to the Secretary of State. There had been no intimation of timescales, but the referral could be considered late summer/autumn. The Appendix to the report contains the associated correspondence. 

RESOLVED that: -

(a)  The current position be noted;

(b)  A further report be provided to the Committee when additional information became available.

For Councillors to consider an overview of the Dorset Integrate Care System.

The Committee received a presentation from the BCP Council Corporate Director of Health and Adult Social Care, the Director of Public Health for Dorset and the CCG’s Head of Service for Mental Health and Learning Disabilities and Director of Transformation. The presentation provided Councillors with an overview of the Dorset Integrated Care System and the Sustainability and Transformation Plan as well as updates on Primary Care and mental health and learning disabilities services.

The BCP Council Corporate Director of Health and Adult Social Care explained Integrated Care Systems were a collaboration between all local health organisations and Councils to ensure a joined-up approach to the strategic planning and delivery of local services in order to improve the health outcomes of local people and populations; to ensure the integration of services for the benefit of local people and to ensure the best use of public sector funding. The Dorset Integrated Care System included the Dorset Clinical Commissioning Group, which is responsible for commissioning local health services and all local health trusts providing services, including the three acute hospital trusts in Dorset, the Dorset Healthcare Trust and the South West Ambulance Trust. 

A Sustainability and Transformation Plan for Dorset had been agreed by all partners to the Dorset Integrated Care System and approved nationally that set out the system’s ambitions for the improvement of residents’ health and wellbeing and the efficient use of its resources. The system also sought to ensure services were sustainable and partners were working together effectively in order to provide the best possible quality of care to residents.

The Director of Public Health for Dorset informed the Committee of the achievements of the Sustainability and Transformation Plan and explained that a refresh of the plan would be undertaken over Summer 2019, which would lead to a new plan which was in line with the national NHS Long Term Plan published in January 2019. It was particularly highlighted that the new plan would include greater involvement from the Councils’ due to a recognition that the wider determinants of good health ( such as good housing and education) are core to the responsibilities of local authorities.

The CCG Director of Transformation gave an update on plans for primary care. It was explained that national plans had recognized the workforce pressures on GP’s and Primary Care Networks had been introduced to improve sustainability by delivering primary care at scale. All of Dorset was covered by a network with each network covering a population of between 20,000 to 50,000 people. The networks included GP’s and other professionals who could provide services closer to home.

The Primary Care Network Plan 19/20 was particularly focused on population health. This was a move away from a focus on medical aspects of health to a health and wellbeing approach. This led to greater investment into the community and included greater integration of primary and community services. There was an emphasis on collaboration between professionals and services and an aspiration to consider individuals needs in a way  ...  view the full minutes text for item 13.

To consider a draft updated Health and Adult Social Care Overview and Scrutiny Forward Plan, for approval.

The Overview and Scrutiny Specialist introduced the Committees Forward Plan, a copy of which had been circulated and appears as Appendix ‘C’ to these minutes in the minute book.

The Overview and Scrutiny Specialist also introduced a scoping report that recommended the establishment of a focus group to consider the new Charging Policy for Adult Social Care for BCP Council. A copy of the report had been circulated and appears as an Appendix to the Forward Plan in the minute book.

Before being put to the vote, it was proposed and seconded that the Charging Policy Working Group membership should include three Alliance Group members and three conservative members.

Upon being put to the vote, the recommendation was lost via casting vote.

Voting: For: 5; Against: 6

RESOLVED that: -

(a)  The Committee agreed the items on the Forward Plan at Appendix ‘C’ subject to the inclusion of an additional item on the Councils Safeguarding Strategy

(b)  The Committee agreed to establish a working group to focus on the Charging Policy Project. It was agreed that the working group would consist of three Alliance Group members, 2 Conservative members and a representative from Healthwatch.

Voting: For: 7; Against: 4

To note the next meeting date for the Committee, as listed below:

Monday, 2 September 2019 – Bournemouth Town Hall.

For Councillors to note the meeting dates of the committee, as listed below:

Monday 18 November 2019 – Christchurch Civic Centre

Monday 20 January 2020 – Bournemouth Town Hall

Monday 2 March 2020 – Christchurch Civic Centre