To note any announcements through the Chairman.
Minutes:
The Chairman made the following announcements
A link to Public Health’s annual report video was to be sent to members of the committee as soon as it is available.
On 4 June the Overview and Scrutiny Management Committee considered the new Statutory Guidance on Overview and Scrutiny in Local and Combined Authorities, as published by the Ministry of Housing, Communities and Local Government on 8 May 2019.
The key points for improvements were:
1. To include Overview and Scrutiny reports in Full Council agenda papers when the relevant issue was originally requested for scrutiny by Full Council;
2. To ask the Overview and Scrutiny Chairmen and Vice-Chairmen and relevant Executive Members to explore a potential framework for requiring contractors to engage in Overview and Scrutiny when requested, and report back;
3. To advertise democratic meetings in council premises and make greater use of co-opting members to Overview and Scrutiny
The NHS Long Term Plan sets out an expectation for Integrated Care Systems to be established across sustainability and transformation partnership (STP) geographical footprints. As part of the Integrated Care System development, a further expectation is that strategic commissioning will typically be undertaken by one Clinical Commissioning Group (CCG) within that respective Integrated Care System, and that where more than one CCG exists within the Integrated Care System (as in the case of BaNES, Swindon and Wiltshire), CCGs are expected to officially merge to become one organisation before April 2021.
In October 2018 BaNES, Swindon and Wiltshire CCGs took a decision to adopt one single management team (with one Chief Executive) across the three organisations, whilst retaining the three separate organisations each with their own Governing Body. The process to establish the single management team is well underway: Tracey Cox was appointed Chief Executive in January 2019 and appointments have been made to the posts of Chief Finance Officer and Director of Nursing. Further appointments to the Executive Team continue.
On 12 June 2019 the three Governing Bodies took one consensus view that there is now a strong case which supports pursuing full CCG merger by April 2020. A detailed application to merge needs to be submitted to NHS England by 30 September 2019.
The option must now be put to each Public Governing Body in order for each Governing Body to approve a decision to pursue an application for merger. Assuming each Governing Body approves the decision, prior to application the CCGs will engage with stakeholders and the GP membership of each CCG will then vote on a final decision to apply for a merger. Due to the timescales, particularly in relation to conducting this stakeholder engagement in advance of the formal application deadline, the following Governing Body meetings will receive the paper:
Wiltshire – Tuesday 25 June
Swindon – Thursday 27 June
BaNES – Thursday 4 July
The proposed recommendations are:
• To pursue merger by April 2020
• To establish an oversight group/Programme Board to steer the programme on behalf of the Boards
• To develop rapidly programme management resource and arrangements with approval of the detail delegated to the Programme Board and approval of the budget delegated to the Chief Executive/Chief Financial Officer in consultation with the Executive Team and Programme Board
• To commence a programme of communication and engagement with an intended start date in early July and to delegate approval of the detailed plan and materials to a group to include a lay member from each CCG
On June 1st, 2019, Arriva Transport Solutions stopped operating the non-emergency patient transport service in the South West. E-zec Medical Transport was the new provider.
Reporting on Adult Social Carescorecards was to be at the November meeting of the committee alongside a pre-meeting briefing on the scorecards.
In May 2019 the Care Quality Commission (CQC) took the immediate action to cancel the registration of three of the care homes on the Glenside site, the Old Vicarage, Limetree and Newton House. These were run by Glenside Manor Healthcare Services Limited, part of Raphael Hospital (since August 2017).
Following this, the decision was made to close the remaining sites. The council worked closely with our partners in the CCG and CQC to ensure that all individuals living at Glenside were found suitable alternatives where they could receive the right support and care. In addition, he majority of people at Glenside were funded by CCGs and Local Authorities from across the country and this was therefore a significant task to ensure that all partners were aware of the issues and able to find alternatives for their patients at short notice.
This was achieved successfully. The CCG and local authority are currently reviewing these events to identify any areas for “lessons learnt”.
On 6 June the LGA announced that the Secretary of State would allow councils to continue to provide public health services, rather than transferring those services to the NHS.
https://www.local.gov.uk/about/news/lga-responds-public-health-announcement