Agenda and minutes
PDF 238 KBVenue: County Hall
Contact: Claire Phillips, Tel: (01865) 323967 Email: claire.phillips@oxfordshire.gov.uk
| No. | Item |
|---|---|
|
Apologies for Absence and Temporary Appointments Minutes: Apologies were received from Councillor Jim Couchman and Mrs Anne Wilkinson. |
|
|
Declarations of Interest - see guidance note on the back page Minutes: No declarations were made.
|
|
|
To approve the minutes of the meeting held on the 22 February 2013 and to note for information any matters arising from them. Minutes: Councillor Peter Skolar thanked Councillor Rose Stratford for acting as Chairman for the February meeting.
The minutes were approved and there were no matters arising. |
|
|
Speaking to or Petitioning the Committee Minutes:
Dr Peter Fisher addressed the committee to express his concern about potential changes to services at the Horton Hospital |
|
|
Public Health Update 10.15 Jonathan McWilliam, The Director of Public Health will provide the committee with his regular report on matters of relevance and interest to the committee including an update on the Health and Wellbeing Board.
Minutes:
Dr Jonathan McWilliam and Angela Baker addressed the committee.
Measles has been in the national headlines with outbreaks occurring across the country but to date there have been no cases reported in Oxfordshire (Oxfordshire had 6 cases in 2012 and 2 cases in 2011). Public Health England is leading on the communications strategy to encourage vaccinations. The committee encouraged parents to get their children vaccinated with the MMR vaccine.
The Health a Wellbeing Board is now operating as a statutory body and will meet three times a year. The next dates scheduled are: - 25th July 2013 - 21st November 2013 - 13th March 2014 All meetings are to be held between 2-4pm at County Hall, Oxford.
The Public Information Network and the following three boards will support the Health and Wellbeing board: - The Health Improvement Board - The Adult Health and Social Care Partnership Board - The Children and Young People’s Board
While acting in shadow form the Health and Wellbeing board has: - Developed proposals to pool budgets between Oxfordshire County Council and the NHS - Engaged with district councils on the issues health and housing - Looked at the quality of services following the release of the Francis report
The next steps for the board involve updating the joint strategic needs assessment and updating the Health and Wellbeing strategy. Jonathan McWilliam agreed with the committee that data around ethnicity was very valuable and noted that Members felt that it was sadly lacking *. There are plans to create a ‘One Oxfordshire’ framework that is flexible and offers opportunities to work at the locality level to address priorities. *amended as shown in bold at the 13 June 2013 meeting. |
|
|
Emergency Planning arrangements for the NHS 10.30 Jonathan McWilliam, The Director of Public Health and Angela Baker, Consultant in Public Health will provide the committee with an update on the changes to the structure for emergency planning in the NHS.
Minutes:
Dr Jonathan McWilliam and Angela Baker addressed the committee.
A new system has been in place since 1st April. The Local resilience forum (LRF) will act as the hub for emergency planning and operate in the Thames Valley area. The group plans and prepares for localised incidents and catastrophic emergencies.
Dr Jonathan McWilliam confirmed that when flooding occurs all partners work together to create an action plan.
|
|
|
Review of the midwifery led unit in Chipping Norton 10.50 Andrew Stevens and Jane Hervé from the Oxford University Hospitals Trust will present a report on the outcome of the review into births at the midwifery led unit in Chipping Norton and the action plan for reopening of the Unit.
Additional documents: Minutes: The following people addressed the committee: - Samantha Miller (representing Francis Barnsley) - Cotswold maternity unit supporters - Sarah Boyd - Chipping Norton NCT - Georgia Mazower – A mother from the local community and Chair of Governors at the ACE Centre - Kate Barlow – A mother from the local community
Speakers were pleased the unit was reopening but raised concerns about the evidence in the OUHT report. Concerns were also raised about the timescale the OUHT will set for the unit to meet its targets.
Andrew Stevens, Jane Herve and Tony MacDonald addressed the committee.
The OUHT would like to work together with stakeholders to implement the action plan and create a thriving unit. The action plan consists of 33 recommendations which will act as building blocks for the strategy. No timescale has been set for the unit to meet its targets but the OUHT will review the progress after one year. Andrew Stevens confirmed the Unit will not close after one year if target numbers are not met.
Concern was expressed that the review had painted a wholly negative picture of the past in the Unit which was not generally shared by the community. The Trust will have to work hard to rebuild community support for the Unit.
Jane Herve confirmed Oxford Brookes student placements will restart once the unit is reopened.
The Committee welcomed the reopening of the unit but were keen to ensure that the Unit is given sufficient time to re-establish itself and build up numbers.
The Committee asked the CCG to look into the option of neighbourhood midwives
|
|
|
Clinical Commissioning Group update 11.20 Dr Mary Keenan, Medical Director and Gareth Kenworthy, Finance Director, Oxfordshire Clinical Commissioning Group will give a verbal report on matters of interest and relevance to the committee including an update on the current financial situation.
Minutes: Dr Mary Keenan and Finance Director, Gareth Kenworthy addressed the committee.
The OCCG have only been acting as an official body since April 1st and have already built strong links with stakeholders for strategic alignment.
The OCCG has focused on developing a plan based on wider transformational service redesign to deliver a financially sustainable health system over a three year period. The OCCG is doing things differently by promoting integrated core joint working, commissioning patient centred services and commissioning for outcomes in the following areas: § Frail elderly § Mental health § Maternity
Dr Mary Keenan confirmed the OCCG will lead on a review of acute services across the county (to invlude services at the Horton Hospital) with a consultation due out later this year. The committee confirmed that it wished to be involved in the consultation from the outset.
|
|
|
Commissioning intentions for 2013/14 11.35 Dr Mary Keenan, Medical Director and Gareth Kenworthy, Finance Director, Oxfordshire Clinical Commissioning Group will present the commissioning intentions for the year ahead.
Minutes:
Dr Mary Keenan and Finance Director, Gareth Kenworthy addressed the committee.
The top line financial objectives for the OCCG are to: - Buy services to meet the needs of the population in Oxfordshire - Work in a finically viable and sustainable way
The main financial risks for the OCCG:
- Benchmarking following the 2013/2014 allocation exercise indicates that OCCG has low funding levels when compared to other authorities but higher than average savings are required. - The failure of existing QIPP schemes to keep pace means the OCCG start 2013/14 with a significant baseline financial risk. The OCCG have already identified £10 million savings from QIPP and are working hard to make this £13 million.
If there is a deficit the debt would lie with the organisation where the debt has been accrued. A Contract is in place with OUHT but negotiations are still on-going to finalise the activity and finance levels. Members were concerned about the rising levels of demand for services and how this can be managed in particular whether people will be turned away from treatment in the future.
Dr Kennan confirmed the OCCG are committed to listening to patients through a range of sources including the patient’s participation forums, OCCG website and Healthwatch.
|
|
|
Healthwatch 11.55 Alison Partridge, Public Engagement Manager and Lisa Gregory, Engagement Manager, Oxfordshire County Council will give an update on the plans for Healthwatch and the progress of the new Public Information Network (PIN).
Minutes: Alison Partridge addressed the committee.
She confirmed that Oxfordshire Rural Community Council has been awarded the Helathwatch contract for the interim period (one year). Alison Partridge confirmed good progress had been made in the past month.
|
|
|
Chairman’s Report 12.05 The Chairman will give a verbal update on meetings attended since the last formal meeting of the Health Scrutiny Committee in February.
The Committee will also be updated on the implications of new governance arrangements for HOSC.
Minutes:
The chairman confirmed new national guidance for HOSC is to be released.
The Chairman thanked the Committee.
The Committee thanked Senior Officer Claire Phillips.
|
|
|
Close of Meeting 12.15 Minutes: 12.40
|