Councillor Hannah Gray sent her apologies.

Councillor Hannah Gray sent her apologies.

In special circumstances, an item of business may be added to an agenda within five working days of the meeting.

There were none.

There were none.

Members to declare any interests and dispensations in respect of any item of business to be considered at the meeting.

Councillors Alan Hall & John Muldoon declared that they both are elected governors at South London and Maudsley Foundation Trust (SLaM).

Councillor Judith Ellis declared that her daughter works at South London and Maudsley Foundation Trust (SLaM) and she a governor at Oxleas NHS Foundation Trust.

Councillor Rezina Chowdhury declared she works for Public Health

England.

Councillor James Hunt declared his wife is an employee of Dartford and Gravesham NHS Trust at Queen Mary’s Hospital.

Councillors Alan Hall & John Muldoon declared that they both are elected governors at South London and Maudsley Foundation Trust (SLaM).

Councillor Judith Ellis declared that her daughter works at South London and Maudsley Foundation Trust (SLaM) and she a governor at Oxleas NHS Foundation Trust.

Councillor Rezina Chowdhury declared she works for Public Health

England.

Councillor James Hunt declared his wife is an employee of Dartford and Gravesham NHS Trust at Queen Mary’s Hospital.

The committee will agree the Terms of Reference – a draft is enclosed, along with a briefing paper summarising the exercise of the health scrutiny function and governance arrangements for the Our Healthier South East London (OHSEL) Joint Health Overview and Scrutiny Committee (JHOSC).

Enclosed are:

-  Draft Terms of Reference

-  Governance briefing paper

RESOLVED

The committee agreed to delete the second sentence under point 13 of the Terms of Reference; the amended version was agreed.

RESOLVED

The committee agreed to delete the second sentence under point 13 of the Terms of Reference; the amended version was agreed.

The Our Healthier South East London briefing presentation enclosed will be presented by:

·  Mark Easton, Programme Director OHSEL

·  Dr Jonty Heaversedge, Clinical Chair, NHS Southwark Clinical Commissioning Group

·  Annabel Burn, Chief Officer, NHS Greenwich Clinical Commissioning Group

The following are also enclosed:

-  Our Healthier South East London: workstream and consultation briefing

-  A glossary of terms used by Our Healthier South East London

6.1The Our Healthier South East London briefing was presented by Mark Easton, Programme Director OHSEL. Dr Jonty Heaversedge, Clinical Chair, NHS Southwark Clinical Commissioning Group and Annabel Burn, Chief Officer, NHS Greenwich Clinical Commissioning Group

RESOLVED

The committee requested:

·  A briefing paper on the London Quality Standards.

·  An update on the sharing of information between Princess Royal University Hospital and Kings College Hospital and progress towards introducing a paperless system

·  A response to concerns that midwives and other health professional are finding it difficult to access training to return work, after a career break.

6.1  The Our Healthier South East London (OHSEL) briefing was presented by Mark Easton, Programme Director OHSEL; Dr Jonty Heaversedge, Clinical Chair, NHS Southwark Clinical Commissioning Group; and Annabel Burn, Chief Officer, NHS Greenwich Clinical Commissioning Group.

6.2   The OHSEL team briefly summarised the OHSEL work programme work on the six identified strands: Cancer, Maternity, Community Based Care, Urgent & Emergency Care, Children & Young People and Planned Care, followed by Mental Health, as the committee had requested this as an additional area.

6.3  The presentations were followed by a question & answer session with the committee and a discussion, which are summarised below.

Cancer

6.4   Officers were asked how the move of people to the Queens Mary's Hospital and Guy's Hospital for cancer care would impact locally and if it was well received. The OHSEL team responded that Guy’s & St Thomas’ Foundation Trust have said this would be helpful as they would be able to treat people earlier.

6.5  A member asked how GPs are being helped to better diagnose. OHSEL said that they are developing a training programme to see what good looks like. This will look at what is working well on programmes like bowl screening. They are also trying to prevent cancer occurring.

6.6   A member of the public voiced concerns about raising issues with practice receptionists and doctors, and whether there was sufficient confidentially and expertise. Officers spoke about training that enabled better identification of early symptoms, such as a coughs and lung cancer.

6.7   Officers were asked about the extent of consultation with carers and service users. Officers reported that consultation with cancer survivors had identified that an unexplained symptom could make someone very anxious and that a quick scan would be very helpful to alleviate concerns. Dr Jonty Heaversedge said that increasingly cancer is a long term condition, and as such survivors need good support from GPs who are able to know how to escalate.

6.8   The committee asked about prevention. The OHSEL team said that over 50% of cancer is not preventable , however a significant amount of cancer cases could be prevented and OHSEL are working on stopping smoking , exercise , obesity , nutrition etc. . Officers were then asked about tackling cancer that is not preventable and the OHSEL team responded that genetics does play a part and our major hospitals are looking at this and the NHS is improving its rapid diagnosis & scans. A member commented that sometimes there are delays from diagnosis to scans and then treatment. Dr Jonty Heaversedge agreed this is a problem and there are delays in the pathway, that the treatments centres proposed are designed to address this, as often the delay is originating from a local hospital referring to a specialist centre.

Maternity

6.9   The OHSEL team gave a brief presentation that highlighted the rising birth rates across South East London and the need for a step change to increase clinical standards. One of the standards is for an obstruction to be on call  ...  view the full minutes text for item 6.

The committee will discuss the work programme

RESOLVED

The committee will look at:

1.  OHSEL consultation process for all 6 strands, including any engagement process that has led to a conclusion that a full consultation exercise is not needed.

2.  Emergency & Urgent Care designation outcomes.

3.  Planned care options.

4.  Mental health options.

5.  Sustainability & Transformation Plan (STP).

The next meeting will be held before the pre-election period starts

on 21 March for the Greater London Assembly (GLA) and London

Mayor. It will be on the STP, overall consultation and mental health.

After the GLA elections on 5 May the following meeting will be on

Urgent and Emergency Care designation and Planned Care

options.

RESOLVED

The committee will look at:

1.  OHSEL consultation process for all 6 strands, including any engagement process that has led to a conclusion that a full consultation exercise is not needed.

2.  Emergency & Urgent Care designation outcomes.

3.  Planned care options.

4.  Mental health options.

5.  Sustainability & Transformation Plan (STP).

The next meeting will be held before the pre-election period starts

on 21 March for the Greater London Assembly (GLA) and London

Mayor. It will be on the STP, overall consultation and mental health.

After the GLA elections on 5 May the following meeting will be on

Urgent and Emergency Care designation and Planned Care

options.

The following motion should be moved, seconded and approved if the committee wishes to exclude the press and public to deal with reports revealing exempt information:

“That the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in paragraphs 1-7, Access to information Procedure rules of the Constitution.”