Agenda item

14:20

This report will include

·         BOB JHOSC update

·         Health & Care Bill update

·         Committee briefing and communication

·         Committee support and development

The Chair provided the Committee with;

·         BOB JHOSC update

·         Health & Care Bill update

·         Committee briefing and communication

·         Committee support and development

Councillor Nick Leverton asked if the letter from the Council Leader and the Chair to the Oxfordshire MPs on the Health and Care Bill included the recommendations from this report.  The Chair responded that it did not.  The letter focussed on the risks to health and social care as a result of current workforce issues.

The Chair suggested an additional recommendation in relation to the audiology contract – added to recommendation 5 (i).

The following recommendations were agreed:

1.    An agenda item for the next virtual meeting to review the new approach with view to building on the progress that has been made and to strengthen the implementation of the existing Constitution and Standing Orders and existing protocols (e.g. set up of working groups) of the JHOSC; and provide a steer to the Chair in relation to any related agenda item on Audit and Governance and/or the Cabinet.

2.    A virtual meeting be held within four weeks of the JHOSC to prepare scrutiny for the next meeting; to build on the introduction of new agenda items by a steer on the list of information the committee would like; to consider design of JHOSC Dashboard for the Waiting lists and access to services agenda item to liaise with partners in the preparation of papers for this committee.

3.    The committee may wish to consider the letter from the CEO of BOB in relation to items on the agenda which relate to this (public engagement on the community strategy) and as a case study in planning for the development of a revised JHOSC external protocol with system partners.

4.    That HOSC recommend to Council that the process for the appointment to the BOB JHOSC is in accordance with the process for County Council appointments to all committees informed by the advice of the JHOSC regarding the importance of membership from this committee.

5.     

      i.        The committee notes that the CCG did not respond to requests from the committee and that the CCG took the view that because it was not a service explicitly contracted in the GP contract it was a national matter. The committee notes the Health Watch report that the public experiences a loss of service regardless of whether it is explicitly in the GP contract or was provided by the GP.  The Committee requests Oxfordshire Clinical Commissioning Group to provide a report on the decision-making around the audiology contract.

    ii.        The committee seeks advice/confirmation from the Centre for Scrutiny that contracts regarding the whole or part of the ICS area that impact Oxfordshire residents and that where a service was provided but not explicitly commissioned it can still be scrutinised by the JHOSC.

   iii.        The Committee advises the CCG and ICS that if they invite a member of JHOSC to a private meeting with stakeholders this must be done through the committee as representation of the committee in between meetings needs to be agreed by officers and the Chair.