Agenda item

The meeting’s attention was drawn to the Agenda Supplement, under Urgent Items, a link to the Emergent Sustainability and Transformation Plan (STP) which had been provided and the link to the latest version of the STP was published with the Health and Wellbeing Board agenda on 14^th December.

Following a request from Councillor Chris Caswill, the Chairman agreed that there should be an opportunity for the members of the committee to see the latest STP, this is an opportunity to raise any questions or suggest areas for focus that we can address at the next meeting in March, to which the lead officers for the STP have been invited.

Councillor Chris Caswill presented the following questions, received in advance of the meeting, which received the following response from the officers:

1.      For the record, is it correct that the Sustainability Transformation Plan (STP) covering Wiltshire was published on 14 December, and also highlighted on the Council web site on that day?

Yes, the ‘Emergent STP’ document was published as an agenda supplement to the Health and Wellbeing Board agenda on the council website on 14 December and considered at its meeting on 15 December (which Chuck attended).

2.      Was the existence of the STP drawn to the attention of the officers of this Committee before the Christmas break?

Officers in the Corporate Officer monitor relevant health and care items going to Cabinet, Health and Wellbeing Board etc in order to support the Chairman with the oversight of the Committee’s forward work programme.

On this occasion the Emergent STP on the Health and Wellbeing Board agenda was not spotted until after this meeting’s agenda was published.  However, officers were aware that the STP would remain a developing document for some time and that the approach agreed by the Committee was to receive periodic updates rather than as a standing item.

3.      Given that the STP plans are far more extensive than the summary provided for the Committee's last meeting( eg more use of PFI, weight management for employees, and  a ceiling of clinical and care priorities, as only a few examples) and the Minute of that meeting calls for 'updates at appropriate milestones', why is the full plan not now on the agenda for the Health Select meeting on 10 January, 15 working days after its publication?

Ultimately the item hasn’t appeared on the agenda because it was not requested by a member of the committee (as is provided for under the Constitution). However, there will now be an opportunity to discuss the Emergent STP under Urgent Items.

Subsequent question asked at the meeting included:

• What will happen to the surpluses?
• How had the £50M gap in SC funding come about and how will it be distributed?
• How will the projected savings be distributed across the five priorities?
• What does “capitalising on the collective estate” mean?
• Please explain the “clusterisation” of GP surgeries further.
• Please provide further detail on how 7-day working will be achieved within the financial framework outlined.
• Can an update on public engagement be given.

Resolved

1.      To note that a  full update on the Sustainability and Transformation Plan has been requested for the Committee’s next meeting on 7March 2017.

2.      That questions raised by members will be forwarded to the relevant officers for answering at the Committee’s next meeting in March.