Agenda and minutes

Venue: Civic Hall, Leeds, LS1 1UR. View directions

Contact: Steven Courtney (0113) 24 74707  Email: steven.courtney@leeds.gov.uk

Items
No. Item

1.

Chair's Opening Remarks

Minutes:

In her first meeting as the new Chair on the Joint Health Overview and Scrutiny Committee (JHOSC) for Yorkshire and the Humber, the Chair opened the meeting and welcomed all those in attendance. 

 

2.

Late Items

To identify items which have been admitted to the agenda by the Chair for consideration.

 

(The special circumstances shall be specified in the minutes.)

Minutes:

There were no late or supplementary items of business submitted to the meeting.

 

3.

Declaration of Disclosable Pecuniary Interests

To disclose or draw attention to any disclosable pecuniary interests for the purposes of Section 31 of the Localism Act 2011 and paragraphs 13-18 of the Members’ Code of Conduct.

Minutes:

There were no declarations of disclosable pecuniary interests.

 

4.

Apologies for Absence and Notification of Substitutes

To receive any apologies for absence and notification of substitutes.

Minutes:

Apologies for absence were submitted on behalf of Councillors J Bromby, D Brown, J Clark, C Funnell, B Hall, J Hyldon-King, T Revill, M Rooney, H Spence and B Steele.

 

5.

Minutes - 10 April 2014 pdf icon PDF 100 KB

To approve as a correct record the minutes of the meeting held on 10 April 2014.

Minutes:

RESOLVED - That the minutes of the meeting held on 14 April 2014 be approved as a correct record.

 

6.

Joint Health Overview and Scrutiny Committee (Yorkshire and the Humber) - Membership pdf icon PDF 73 KB

To receive a report from the Head of Scrutiny and Member Development updating the Committee on recent and proposed changes in its membership.

Minutes:

The Head of Scrutiny and Member Development submitted an update report on the membership of the JHOSC for the current municipal year (2014/15).

 

RESOLVED – That the report and the membership changes highlighted at the meeting be noted.

 

7.

Independent Reconfiguration Panel Report and Recommendations - progress update pdf icon PDF 62 KB

To consider a report from the Head of Scrutiny and Member Development updating the Committee on NHS England’s progress against the Independent Reconfiguration Panel Report and Recommendations (April 2013) in relation to the Safe and Sustainable Review of Children’s Congenital Heart Surgery Services in England.

Additional documents:

Minutes:

The Head of Scrutiny and Member Development submitted a report introducing an update from NHS England on its progress against the Independent Reconfiguration Panel (IRP) Report and Recommendations (April 2013) in relation to the Safe and Sustainable Review of Children’s Congenital Heart Surgery Services in England.

 

Also appended to the report was a summary of recommendations previously identified by the JHOSC, alongside a summary copy of the IRP findings and recommendations. 

 

The following representatives were in attendance to help the Committee consider the information presented:

 

·  John Holden (Systems Director – NHS England)

·  Moira Dumma (Director – NHS England (West Yorkshire Area Team))

 

NHS England’s Systems Director addressed the Committee and introduced the item stating that the IRP report and recommendations had been helpful and important for taking forward the new Congenital Heart Disease (CHD) review.  However, it was noted that the new CHD review had not been organised around the IRP report and the IRP recommendations did not form the Terms of Reference for the new review. 

 

As detailed in the NHS England’s report, the Systems Director outlined in broad terms how the IRP recommendations had been taken forward, under the following themes:

 

·  Scope;

·  Proposed Standards and Model of Care;

·  Managing Change;

·  Stakeholder Involvement;

·  Transparency; and,

·  Consultation.

 

The Joint Committee discussed the information presented and raised a number of specific matters, including:

 

·  Current and future approaches to commissioning CHD services for children and adults, including:

o  Self-assessments by service providers;

o  The role of commissioners and the derogation policy / process;

o  The commissioning timeline against the proposed standards (initial work stated to commence 31 March 2015, with the aim of commissioning against the service specification and standards during 2016/17);

o  Proposed network and workforce arrangements.

·  Confirmation of services provided elsewhere in the UK, i.e. not simply England.

·  Concern that, in presenting the details to the Committee, the approach adopted by NHS England made it difficult to track specific progress against each the recommendations. In producing future reports, NHSE should carefully consider reporting progress against specific recommendations rather than the ‘themed’ approach adopted.

·  Concern that NHS England’s progress against the IRP recommendations was not be formally tracked within NHS England, as part of the governance arrangements for the new CHD review.

·  How local population needs were reflected in the new review and current public consultation on draft standards. 

 

Members of the Committee also raised a number of matters more appropriately addressed as part of the update on progress of the new Congenital Heart Disease (CHD) review and in particular the current public consultation on proposed service specifications and draft standards (Minute 8 refers).

 

 RESOLVED – That the report and information presented to the meeting be noted.

 

8.

The New Congenital Heart Disease Review - consultation on proposed service standards and specifications pdf icon PDF 62 KB

To consider a report from the Head of Scrutiny and Member Development updating the Committee on progress of the new Congenital Heart Disease (CHD) review and in particular the current public consultation on proposed service standards and specifications.

Additional documents:

Minutes:

The Head of Scrutiny and Member Development submitted a report updating the Committee on progress of the new Congenital Heart Disease (CHD) review and in particular the current public consultation on proposed service specifications and draft standards.

 

The following representatives were in attendance to help the Committee consider the information presented:

 

·  John Holden (Systems Director – NHS England)

·  Moira Dumma (Director – NHS England (West Yorkshire Area Team))

 

Following on from the discussion under the previous item (Minute 7 refers), the committee discussed the new CHD review and the current public consultation on proposed service specifications and draft standards.   Members raised a number of specific matters, including:

 

·  Timing of the current public consultation;

·  The proposed model of care aiming tat delivering parts of the care pathway as close to home as possible.

·  NHS England’s ‘Digital First’ approach to consultation and the distribution of consultation materials.

·  The availability of the draft standards and consultation material in alternative languages.

·  The notion of ‘triple colocation’ in terms of other specialist services (detailed on pages 31 and 32 on the consultation document).

·  Provision of data on outcomes – with not all current providers submitting data to NICOR.

·  Differences between the new CHD review and its predecessor, Safe and Sustainable – which included:

o  Services for children and adults being considered jointly;

o  Focus on improving antenatal care and detection rates;

o  Whole lifetime pathway of care;

o  Tackling variation in services across England.

·  Future engagement around the implementation of the agreed service standards and specifications, including conversation with health overview and scrutiny committees about the significance of any future changes in provision. 

·  Issues of available funding associated with implementing agreed standards and the different financial positions that different providers might find themselves in.

·  The physical location of services remained an important factor for people.

·  The balance between a national review and reflection/ consideration of local issues.

 

RESOLVED –

 

(a)  That the report and information presented to the meeting be noted.

(b)  That NHS England’s approach to the new CHD review and its more transparent be welcomed.

 

9.

Process for handling consultation responses pdf icon PDF 52 KB

To receive a report from the Head of Scrutiny and Member Development outlining NHS England’s process for handling consultation responses associated with the review of congenital heart disease.

Additional documents:

Minutes:

The Head of Scrutiny and Member Development submitted a report outlining NHS England’s process for handling consultation responses associated with the new Congenital Heart Disease (CHD) review.

 

The following representatives were in attendance to help the Committee consider the information presented:

 

·  John Holden (Systems Director – NHS England)

·  Moira Dumma (Director – NHS England (West Yorkshire Area Team))

 

NHS England’s Systems Director addressed the Committee and introduced the summary paper prepared by NHS England, stating that as part of the transparent approach adopted by the new CHD review team, it seemed appropriate to outline, as early as possible, the process for handling consultation responses. 

 

The Committee discussed the information presented and raised a number of specific matters, including:

 

·  The lack of acknowledgement / reference to local authority scrutiny functions as part of the consultation process.  As statutory consultees, it was unclear how consultation responses from local authority (overview and scrutiny functions) would be handled.

·  While it was noted there was no intention to use social media to capture comments/ responses to the consultation, the use of social media should not be under-estimated.  As such, social media should continue to be used as a mechanism to promote the review and encourage the submission of responses to the consultation.

·  There was some concern regarding the involvement of ‘non-service users’ within the review and consultation processes. 

 

RESOLVED –

 

(a)  That NHS England’s process for handling consultation responses associated with the new Congenital Heart Disease (CHD) review be noted.

(b)  That NHS England take account of the comments made at the meeting to inform its consultation processes.

 

At the conclusion of the discussion, the Chair thanked the NHS England representatives for their attendance and contributions to the meeting.

 

10.

Joint Health Overview and Scrutiny Committee (Yorkshire and the Humber) - Proposed Work Schedule pdf icon PDF 61 KB

To receive a report from the Head of Scrutiny and Member Development outlining the JHOSC’s proposed activity in order to respond to the current consultation around proposed service standards and specifications associated with the new congenital heart disease (CHD) review.

Minutes:

The Head of Scrutiny and Member Development submitted a report outlining the Committee’s proposed activity in order to respond to the current consultation on  proposed service specifications and draft standards arising from the new Congenital Heart Disease (CHD) review.

 

The following representatives were in attendance to help the Joint Committee consider the information presented:

 

·  Steven Courtney (Principal Scrutiny Adviser – Leeds City Council)

 

The Principal Scrutiny Adviser provided a brief outline of the report and proposed activity – seeking views from members of the Joint Committee. 

 

The Principal Scrutiny Adviser also highlighted NHS England’s revised timetable for the publishing the final two reports associated with the temporary suspension of Children’s Cardiac Surgery services at Leeds Teaching Hospitals NHS Trust (LTHT) in March/ April 2013.  Members of the Committee agreed to hold an additional, dedicated meeting in November 2014 to receive and consider the final reports, alongside any further progress updates associated with previously identified recommendations.

 

RESOLVED –

 

(a)  To note and endorse the proposed activity highlighted in the report presented.

(b)  To hold an additional, dedicated meeting in November 2014 to receive and consider the final reports – associated with the temporary suspension of Children’s Cardiac Surgery services at Leeds Teaching Hospitals NHS Trust (LTHT) in March/ April 2013 – alongside further progress updates associated with previously identified recommendations. 

 

11.

Date and Time of Next Meeting

Monday 3 November 2014 at 10.00am (Pre-meeting for all Board Members at 9.30am)

Minutes:

RESOLVED – To note the date and time of the next meeting as Monday, 3 November 2014 at 10:00am (with a pre-meeting for members of the Scrutiny Board from 9:30am).

 

The Chair thanked everyone for their attendance and contribution to the meeting. 

 

(The meeting concluded at 12:25pm)