Agenda and draft minutes

Venue: Lewisham Town Hall, Catford - Civic Suite, Lewisham SE6 4RU

Contact: Nidhi Patil 

Items
No. Item

1.

Election of Chair and Vice-Chair

Minutes:

1.1. RESOLVED: that Councillor Chris Best (LB of Lewisham) be elected as Chair of the Committee and Councillor Christopher Taylor (LB of Bexley) be elected as Vice-Chair.

The items on the agenda were considered in the following order: Election of Chair and Vice-Chair, Declarations of Interest, Reconfiguration of Children’s Cancer Principal Treatment Centre, South East London Integrated Care Board Joint Forward Plan, SEL JHOSC Work Programme, Minutes of the meeting held on 8 April 2021 and SEL JHOSC Terms of Reference.

 

2.

Minutes of the meeting held on 8 April 2021 pdf icon PDF 228 KB

Minutes:

1.1. RESOLVED: that the minutes of the last meeting be agreed as a true record.

 

 

3.

Declarations of Interest pdf icon PDF 278 KB

Minutes:

3.1 Councillor Lisa-Jane Moore (LB of Bexley) declared an interest as an employee of NHS England.

3.2Councillor Carol Webley-Brown (LB of Lewisham) declared an interest as a general practice nurse working in Bromley.

 

4.

SEL JHOSC Terms of Reference pdf icon PDF 187 KB

Additional documents:

Minutes:

The Committee discussed the revised Terms of Reference. The following key points were noted:

 

4.1The SEL JHOSC Terms of Reference stated that the Committee would hold two formal meetings in a municipal year with capacity for more should substantial reconfiguration proposals arise.

4.2The Terms of Reference also stated that the formal meetings of the SEL JHOSC would be hosted amongst the participating authorities on a rotational basis. Committee members from the Royal Borough of Greenwich and London Borough of Bexley stated that they were happy with the idea of holding meetings on a rotational basis.

4.3A Committee member from the London Borough of Lambeth mentioned that they had the facilities to host a hybrid meeting and would be happy to host one.

RESOLVED: That

·  the revised Terms of Reference for SEL JHOSC be agreed.

 

5.

Reconfiguration of Children's Cancer Principal Treatment Centre pdf icon PDF 1 MB

Minutes:

Dr Chris Streather (Joint SRO, NHS England- London region) and Ailsa Willens (Programme Director and Joint SRO, NHS England- London region) presented this item, followed by questions from the Committee. The following key points were noted:

 

5.1The aim of the consultation that would be carried out by NHS England was to engage with as many people as possible within the geography affected by this service change and to hear their views on the proposals for the future location of the children’s cancer principal treatment centre.

5.2The consultation would aim to understand the impact of implementing either proposal and try to identify any mitigations that could be put in place.

5.3The consultation document was currently being refined based on the feedback that NHS England had received through the pre-consultation period.

5.4NHS England officers informed the Committee that their support in helping NHS England engage with the population in South-East London during the consultation phase would be really valued.

5.5A committee member raised concerns about Evelina London Children’s Hospital scoring lower in patient and carer experience and sought clarification on the reasons behind the lower score, the extent of the difference in scores and whether steps would be taken to improve the situation if it became the new site for the Principal Treatment Centre (PTC). In response, the officers acknowledged that both proposals scored highly, but they did exhibit variations in certain areas. The most significant divergence was found in the research domain and the clinical domain, where Evelina scored slightly higher. In the patient and carer experience category, the difference between the two was around 2%, reflecting the fact that St George’s scored more highly in two areas – patient travel times; and quality of facilities, specifically privacy and dignity.

5.6Officers emphasised that they valued and would consider the feedback from current service users, however, most of these individuals would have completed their treatment by the time this change was implemented. Therefore, it was important to take the voices and needs of future patients into account in the decision-making process too.

5.7A Committee member enquired about the transportation methods used by patients accessing the PTCs, specifically whether they relied on public transport or private vehicles. Concerns were expressed about the limited parking space available at Evelina. Officers cited the Great Ormond Street Hospital as a model which managed with no on-site parking whilst facilitating access to services, sometimes with hospital provided transport. The Committee was informed that the Programme Board for this service change had the Chief Executive from Great Ormond Street Hospital as well as an independent advisor, Michelle McLoughlin (who used to be the Chief Nurse at Birmingham Women’s and Children’s Hospital) who had experience in hospital schemes and planning around travel.

5.8In response to the question around transportation methods, officers reported that there was no systematic data collection exercise to gather data on travel methods (as this was not routinely collected by the hospitals) but one of their teams  ...  view the full minutes text for item 5.

6.

South East London Integrated Care Board Joint Forward Plan pdf icon PDF 185 KB

Minutes:

Tosca Fairchild (Chief of Staff, SEL ICB) presented this item to the Committee. The following key points were noted:

 

6.1NHS England had asked Integrated Care Boards (ICBs) to develop a Joint Forward Plan by the end of June 2023. This plan was published on the South East London Integrated Care System website.

6.2The purpose of this plan was to set out the medium-term objectives and plans of the ICB, at both borough level and from the perspective of the key care pathways and enablers.

6.3This Joint Forward Plan needed to ensure that the services being developed and offered met the needs of the population and demonstrated tangible progress in addressing the core purpose of the wider Integrated Care System.

6.4The core purpose of the South East London Integrated Care System was to improve outcomes in health and healthcare; tackle inequalities in outcomes, experiences and access; enhance productivity and value for money; and help the NHS support broader social and economic development.

6.5ICBs would be required to update the Joint Forward Plan annually by end of March each year. South East London ICB would be undertaking a refresh of the plan for 24/25 which would include reflecting on the progress made over 23/24.

6.6The Committee discussed exploring the detailed plan available on the website to identify specific areas of work that could be incorporated into the Committee’s work programme. One of the key items to feature on the work programme would be a discussion on the NHS workforce.

6.7A Committee member representing the London Borough of Bromley reported that the Health and Wellbeing Board in Bromley had extensively discussed and endorsed this Joint Forward Plan.

RESOLVED: That

·  the report be noted;

·  the South East London ICB officers be invited back to a future meeting of the Committee if there were any specific areas of the Joint Forward Plan requiring further discussion.

 

 

7.

South East London JHOSC Work Programme pdf icon PDF 294 KB

Minutes:

The Committee discussed items for their work programme. The following key points were noted-

 

7.1 Members of the Committee suggested the following topics for the Committee’s work programme:

·  Hospital capacity planning specifically for the Queen Elizabeth Hospital;

·  NHS Workforce- recruitment and retention;

·  Uptake of additional vaccines such as polio, Covid booster, monkey pox etc;

·  Resolving medicine shortages;

·  1 year follow-up on ICB structures- discuss if any differences were noticed by residents in the services after the structure change;

·  A&E pressures including increasing number of mentally ill patients coming into A&E;

·  Managing the 8am rush at GPs.

 

7.2It was discussed that ‘winter arrangements’ could form an agenda item on the Committee’s work programme and the uptake of vaccines and A&E pressures could be discussed under it.

7.3It was also discussed that Public Health officers from all the participating local authorities could be asked to contribute to the discussion on uptake of vaccines.

7.4The Chair of the Committee suggested that SLaM (South London and Maudsley NHS Foundation Trust) could be invited to present on the agenda item on mental health. The importance of addressing mental health services and early prevention work from a cultural perspective was also highlighted.

RESOLVED:

·  That the suggestions for the Committee’s work programme be noted and an informal discussion be had to prioritise the suggestions and formulate a work programme.