Agenda and minutes

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Contact: Julie Dean Tel: 07393 001089  Email: julie.dean@oxfordshire.gov.uk

Note: Special Meeting 

Items
No. Item

38/17

Welcome by Chairman

Minutes:

Councillor Fatemian thanked councillors for their attendance at this additional meeting and welcomed the speakers and health representatives.

 

During his welcome Councillor Fatemian expressed disappointment at the way the process had been approached by the OCCG  referring to the lateness of documents, that representatives had only committed to stay until 1.30 pm and that as the Chairman of this Committee he had been given only 3 mins to speak to the Board at its meeting on 10 August. He also made it clear that this Committee had not been in favour of but had reluctantly agreed to a 2 phase consultation.

 

39/17

Apologies for Absence and Temporary Appointments

Minutes:

There were no apologies for absence.

40/17

Petitions and Public Address

Minutes:

The Chairman had agreed the following requests to address the meeting:

 

Victoria Prentis, MP

Robert Courts, MP

The Rt Hon. Sir Tony Baldry

Councillor Kieron Mallon, local member

Councillor Tony Ilott, local member

Councillor Lynn Pratt, local member

Councillor Eddie Reeves, local member

Rosalind Pearce, Healthwatch Oxfordshire

Bishop Colin Fletcher

Dr Peter Fisher, member of the public and retired consultant in General Medicine at the Horton Hospital

Ian Davies, Director of Operational Delivery, Cherwell DC & South Northants Council

Roseanne Edwards, Newspaper Health Journalist, Banbury Guardian

Valerie Ingram, Administrator of ‘Save Our Horton’ facebook page

Joan Stewart, ‘Keep our NHS Public’ – a petition was also submitted

Charlotte Bird, Press and PR for ‘Keep the Horton General’ campaign

Keith Strangwood, Chair of ‘Keep the Horton General’ campaign

Mrs Sophie Hammond, ‘Keep the Horton General’ campaign

Kelly Cowley, member of the public

Jenny Jones, member of the public

Councillor Barry Wood, Leader of Cherwell District Council

 

41/17

Oxfordshire Big Health and Care Transformation - Phase 1 pdf icon PDF 222 KB

MORNING SESSION

 

David Smith, Chief Executive, and Catherine Mountford, Director of Governance, Oxfordshire Clinical Commissioning Group (OCCG) will present final proposals for Phase 1 of the Oxfordshire Big Health & Care Transformation Programme that will go forward for discussion and decision at an extraordinary meeting of the OCCG Board on 10 August 2017.

 

The final proposals will make recommendations in relation to:

 

·         The use of acute hospital beds across Oxfordshire;

·         Planned care services at the Horton General Hospital, Banbury;

·         Stroke services across Oxfordshire

·         Critical (intensive) care services at the Horton General Hospital, Banbury; and

·         Maternity services, including obstetrics, the special care baby unit and emergency gynaecology services at the Horton General Hospital, Banbury.

 

On 22 June the OCCG presented feedback from the public consultation (held between January and April) to the Committee and outlined further work being undertaken to inform their final decisions. The Committee requested to meet again with the OCCG to scrutinise and comment on the final proposals before they are discussed by the OCCG Board in August.

 

The OCCG’s Board papers for the 10 August meeting will be available from 3 August 2017 and the following OCCG papers will be published as part of an Addenda going to this Committee as soon as it is possible to do so:

 

·         The decision-making business case outlining the final proposals for Phase 1 of the Big Health and Care Transformation Programme;

·         The draft Minutes of the OCCG Board meeting held on 20 June 2017 at which the Phase 1 consultation outcomes were examined;

·         The results of the OCCG commissioned Integrated Impact Assessment for Phase 1, including a travel and access analysis;

·         The results of an OCCG commissioned parking survey at the John Radcliffe and Horton General Hospital sites undertaken by Mott McDonald; and

·         The results of an OCCG commissioned qualitative survey undertaken by Healthwatch Oxfordshire capturing patient experiences of travelling and parking at Oxford University Hospitals NHS Trust sites hospital sites.

 

For ease of reference, the following background papers are attached for information:

 

·         Minutes of the 7 March 2017 HOSC meeting to scrutinise the Oxfordshire Big Health and Care Consultation – Phase 1;

·         HOSC’s formal response and recommendations in relation to the Oxfordshire Big Health and Care Consultation  - Phase 1; and

·         Oxfordshire Clinical Commissioning Group’s reply to HOSC’s response and recommendations

·         Draft unconfirmed  Minute of the 22 June 2017 HOSC meeting – Item 9 ’Oxfordshire Transformation Plan – Phase 1 consultation outcomes’

 

OCCG representatives will attend to explain the reasons behind the commissioning of additional work in a number of areas following the consultation; and also how this information will be used to inform the Board’s final decisions on 10 August.

 

Committee members are requested to ask questions for clarification only at this point.

 

 

Speakers or petitioners to the Committee

 

 

LUNCH

 

 

AFTERNOON SESSION

 

Questions from the Committee

 

OCCG representatives will be invited to respond to the comments and concerns about the impact of the final proposals on patients, the public and the local health service raised by the speakers during  ...  view the full agenda text for item 41/17

Additional documents:

Minutes:

David Smith, Chief Executive, Oxfordshire Clinical Commissioning Group (OCCG), Catherine Mountford, Director of Governance, OCCG, Dr Tony Berendt, Medical Director, Oxford University Hospitals Trust, Sarah Adair, Head of Communications and Engagement, OCCG, Simon Angelides, OTP Programme Manager, OCCG and Stuart Bell, Chief Executive, Oxford Health NHS Foundation Trust were in attendance.

 

David Smith, Chief Executive, Oxfordshire Clinical Commissioning Group (OCCG), Catherine Mountford, Director of Governance, OCCG, Dr Tony Berendt, Medical Director, Oxford University Hospitals Trust, presented final proposals for Phase 1 of the Oxfordshire Big Health & Care Transformation Programme that would go forward for discussion and decision at an extraordinary meeting of the OCCG Board on 10 August 2017. They explained the reasons behind the commissioning of additional work in a number of areas following the consultation; and also how this information would be used to inform the Board’s final decisions on 10 August.

 

The Committee had before them the following OCCG’s Board papers:

 

·         The decision-making business case outlining the final proposals for Phase 1 of the Big Health and Care Transformation Programme;

·         The draft Minutes of the OCCG Board meeting held on 20 June 2017 at which the Phase 1 consultation outcomes were examined;

·         The results of the OCCG commissioned Integrated Impact Assessment for Phase 1, including a travel and access analysis;

·         The results of an OCCG commissioned parking survey at the John Radcliffe and Horton General Hospital sites undertaken by Mott McDonald; and

·         The results of an OCCG commissioned qualitative survey undertaken by Healthwatch Oxfordshire capturing patient experiences of travelling and parking at Oxford University Hospitals NHS Trust sites hospital sites.

 

The Committee also had before them for reference the following:

 

  • Minutes of the 7 March 2017 HOSC meeting to scrutinise the Oxfordshire Big Health and Care Consultation – Phase 1;
  • HOSC’s formal response and recommendations in relation to the Oxfordshire Big Health and Care Consultation  - Phase 1; and
  • Oxfordshire Clinical Commissioning Group’s reply to HOSC’s response and recommendations
  • Draft unconfirmed  Minute of the 22 June 2017 HOSC meeting – Item 9 ’Oxfordshire Transformation Plan – Phase 1 consultation outcomes’

 

In response to questions from members of the Committee on points of clarification health representatives made the following points:

 

  1. Asked about the reduction in income from district general services they stressed that these services were important and that they had a vision for modern hospital service for Banbury which they could not realise whilst the consultation process carried on.
  2. They were unable to confirm if they had been able to make use of traffic data from the County Council.
  3. They expressed confidence that patient outcomes would be better under the proposals.
  4. Asked to explain the validity of the rebalancing the system pilot as a driver for bed closures given lack of evidence that it was effective they refuted that this was the case. The resources released by the pilot had already been redeployed in the system. The accepted that any further bed closures should await the reduction in figures on the delayed transfer of care.

 

The following  ...  view the full minutes text for item 41/17