Agenda and minutes

It was proposed and AGREED that Cllr Judith Ellis be appointed Chair of Our Healthier South East London Joint Health Overview and Scrutiny Committee (OHSEL JOSC) and that Cllr Philip Normal be appointed vice chair of OHSEL JOSC.

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

There were apologies from Cllr Juliet Campbell, Cllr Chris Lloyd, Cllr John Muldoon, Cllr Caroline Newton. The following declarations of interest were made:

·  Cllr Judith Ellis declared that her daughter is an employee of Oxleas NHS Foundation Trust;

·  Cllr Richard Diment declared that he is a Governor of Oxleas NHS Foundation Trust; and,

·  Cllr Barrie Hargrove declared that he is a member of Guys and St Thomas’ NHSFoundation Trust.

To agree the minutes of the meeting held on 12^th March 2018.

The minutes of the meeting held on 12 March 2018 were agreed as a correct record of the proceedings.

Cllr Diment advised that re the Kent and Medway Stroke Service Consultation (Minutes: item 7), the assessment process has now been worked through and the preferred option is for three hyper acute stroke units including one at Darent Valley Hospital in Dartford, along with units at Maidstone and Ashford.

The Our Healthier South East London briefing presentation enclosed will be

presented by:

·  Julie Lowe, Programme Director – OHSEL STP [Lead Officer]

·  Mark Edginton, Programme Director, Community Based Care – OHSEL

STP

·  Tom Wake, Head of Programme Management Office (PMO) – OHSEL

STP

The following are also enclosed:

·  Our Healthier South East London: Partnership Update

·  Our Healthier South East London: User Stories

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

The chair asked NHS colleagues to introduce themselves:

·  Julie Lowe, Programme Director – OHSEL STP;

·  Mark Edginton, Programme Director, Community Based Care – OHSEL STP;

·  Tom Wake, Head of Programme Management Office (PMO) – OHSEL STP; and,

·  Andrew Eyres, Accountable Officer, NHS Lambeth CCG & NHS Croydon CCG.

The chair invited NHS colleagues to run through the presentation circulated with the agenda papers. In her introduction, Julie Lowe Programme Director noted that a number of members are new appointees to the JOSC. The presentation was designed to provide an overview of the OHSEL programme, which represents the region’s Sustainability and Transformation Plan (STP) and the JOSC covers the same boundaries as the STP. The Plan is designed to ensure a sustainable future for the NHS in South East London delivering high quality patient care with the best possible outcomes in ways that are affordable. In 2018 the focus is on three key things: (1) Integrated Care Systems; (2) End to End Pathway Work; (3) Provider Collaboration. The Programmed Director set out the headline issues and an update on the programme groups (as set out in the report). The committee was then invited to ask questions. The following issues were raised and responses given:

·  A member questioned on the extent to which NHS England had devolved responsibilities for primary care to CCGs in SEL and therefore if there was a greater opportunity through the STP to look at primary care and reducing pressures on A&Es and admissions. It was confirmed that there is primary care delegation across the whole of SEL. The primary care executive meets together regularly to share best practice and opportunities to do things at scale. Officers advised that a core concept of the Community Care Based Strategy is that primary care comes together in Local Care Networks and look at alternative ways to provide care closer to home, as well as addressing issues around SEL population health more generally.

·  A member sought clarification on the Urgent and Emergency Care Programme and proposals to enhance care in other settings and changing urgent care centres (UCC) into urgent treatment centres (UTC). Officers explained that there is national criteria for UTC, in SEL the NHS is looking at where it can meet that national criteria. It is also important for members of the public to be able to understand what service they can expect in going to a UCC or to a UTC and this accordingly will also help people determine where they should go when seeking treatment. For the public the definitions can be confusing and there is a need for greater clarity and a level of standardisation across SEL. It was acknowledged that some people will automatically go to A&E/UCC without checking on the availability of a GP appointment: pilots are being undertaken at A&E triage which signposts an individual to where they might be more appropriately treated and offered an alternative arrangement/appointment. There was also a need to open up access to GPs  ...  view the full minutes text for item 15.

The Committee will discuss the work programme and future business.

It was proposed and Agreed that the committee next meet in February 2019, with a subsequent meeting to be held in June 2019. The indicative issues would be:

·  February 2019 (i) population health and life expectancy - long term planning reflecting age and pressures in different boroughs; and (ii) roll out of hubs/UCC/UTC and people/patients understanding where to go; and,

·  June 2019 - Integrated Care.