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Agenda and minutes

Venue: Committee Room 2 - Waltham Forest Town Hall. View directions

Contact: Democratic Services Officer  020 8496 4102 Email: democraticservices@walthamforest.gov.uk

Items
No. Item

8.

APOLOGIES FOR ABSENCE AND SUBSTITUTE MEMBERS

Minutes:

Apologies for absence were received from Shumon Ali-Rahman.

9.

DECLARATIONS OF INTEREST

Members are required to declare any pecuniary or non-pecuniary interest they or their spouse/partner may have in any matter that is to be considered at this meeting.  Interests are defined in the front cover of this agenda.

Minutes:

There were no declarations of interests from Members of the Committee.

10.

MINUTES OF PREVIOUS MEETING pdf icon PDF 446 KB

To approve the minutes of the meeting held on 17th July 2019.

Minutes:

Subject to the correction of the following typographical errors, the minutes of the previous meeting held on 17 July 2019 were approved by the Committee as a correct record and signed by the Chair.

 

Item 5: 

Patient Engagement Paragraph – Should refer to Patient Reference Group (not Patient Service Group).

Residential Care Paragraph – Insert “to” to last sentence to read.

The Committee said that there was a risk of those who have to go into residential care are sometimes lonely and find community, which would present pressures on capacity.

11.

PUBLIC PARTICIPATION

Members of the public are welcome to participate in scrutiny meetings. You may speak for three minutes on a topic related to the Committee’s work, and fifteen minutes in total is allowed for public speaking, at the discretion of the Chair. If you would like to speak, please contact Democratic Services (details above) by 12 noon on the day before the meeting.

Minutes:

None.

12.

COMMITTEE ACTION TRACKER AND FORWARD PLAN pdf icon PDF 130 KB

Additional documents:

Minutes:

Consideration was given to the report from the Scrutiny Officer.

 

Andy Spragg, Scrutiny Officer introduced his report.

 

The Committee noted

·         that the CAHMS item had been deferred to the next meeting to accommodate enough time for the Whipps Cross Redevelopment item.

·         that there may be a need to defer items from the February and April meetings as there too many scheduled items and Mr Spragg would report back to the Committee on changes to be made to the agenda.

·         the briefing note on establishing a Joint Health Overview and Scrutiny Committee for the Whipps Cross redevelopment options was attached to the report. 

·         that the responsible officer for Integrated Care Strategy item at the next meeting would be the CCG.

 

Decision:

·         The Committee noted the action tracker and forward plan.

13.

WHIPPS CROSS HOSPITAL REDEVELOPMENT pdf icon PDF 119 KB

Additional documents:

Minutes:

The Chair welcomed guests to the meeting.

 

Alaistair Finney, Redevelopment Programme Director, Whipps Cross, Barts Health supported by Rina Davison, Clinical Director, Specialty Medicine, Whipps Cross Hospital presented the report and updated the Committee on issues since Mr Finney’s previous attendance at the Committee in February 2019 and the current stage of the redevelopment.

 

Mr Finney stated that the key development over last few weeks had been the government announcement of new health infrastructure plan whereby Whipps Cross Hospital was one of six hospitals to receive a share £2.7bn for the period 2020-2025.  The Secretary of State had given approval for Barts Trust to move forward with its plans for brand new hospital, subject to business case approval. The business case was being developed and would define and scope, size and costs. Since the announcement, Mr Finney had been in weekly discussions with Dept of Health and NHS England and would be meeting Treasury officials.

 

The Committee noted that over the last 6-9 months a Health and Care Services Strategy was being developed.  12 Clinical Working Groups had been established to  develop ideas about the future service offer and what Whipps Cross would look like. Whipps Cross would continue to provide core services  – e.g. A&E and maternity but would introduce new models of care to improve quality and access.

 

Scope of New Hospital – The projected population growth for the next 10 years was looked at and the new models of care had been applied to help forecast the future demand of services. This work suggested that there would be increased activity at Whipps Cross in the future.

 

The current hospital was 90,000 sq meters and it was envisaged that the new hospital would be similar in size but built to modern standards, with far more space dedicated to clinical activity and with more patients seen and treated on the same day.

 

Masterplan – The site was 18 hectares and the positioning of the hospital and the opportunities for redeveloping the rest of the site was being considered.  Three options had been published regarding the location of the new hospital. The Committee noted that the Trust was engaging with the local community and interest groups.

 

It was intended that the Strategic Business case would be reviewed by the Trust Board at the end January and then the outline business case process would begin.  The Trust was waiting for national guidance as to the next stages.

 

As a result, from questioning by the Committee and visiting Councillors, it was noted that:

 

There was cross party support to develop Whipps Cross Hospital and the Trust is in a good position following years of campaigning to redevelop the Hospital. 

 

Capital receipts would normally go to Treasury following any disposal of land however the Trust had received assurances from the Government and the regulator that any capital receipts would be invested into new hospital. It was also noted that the land did not have to be disposed and new homes could be  ...  view the full minutes text for item 13.

14.

THEMED REVIEW 2019-20: PROVIDER VIEWS - THE RISK FACTORS RELATED TO PROVIDER FAILURE pdf icon PDF 117 KB

Additional documents:

Minutes:

Graham Blowes, Director, Business Development and Transformation, North East London NHS Foundation Trust (NELFT) was present to answer questions from the Committee.

 

The Committee noted the key things that the council and CCG could do to better support NELFT and smaller providers:

 

  • Having a clear specification and outcome – a specification is provided however a clear outcome would give the flexibility and freedom to deliver what is required. 

 

  • Having longer contracts – there was a tendency to ask for one-year contract however this caused recruitment problems. If a service is to make a difference, it can be difficult to transform within a year so longer-term contracts are preferable so that services can make an impact.

 

  • Partnership working – there is a move towards changing healthcare provision and that required support from partnerships, social enterprises and voluntary organisations. The Council could help providers by facilitating connections and discussions with those groups.

 

  • Providers should be given opportunity to propose changes in delivering a services and being amenable to accepting changes would help providers to extend and complete their contract.

 

The Committee noted that challenges facing NELFT and smaller providers:

 

  • Changes introduced to long term plan that was published earlier in the year meant that providers had to think differently, and this was difficult for some organisations make the cultural changes.

 

  • Recruitment was always a challenge for NHS providers but Waltham Forest was more fortunate as staff receive an outer London weighting which allowed people to come and work from beyond the borough boundaries. 

 

  • Every provider had concerns with regulation. The NHS Improvement and NHS England were the regulators that undertake rating on the financial stability and CQC rating was looked at performance.  This could have implications in recruitment as well as people did not want to work in an organisation that is under special measures.

 

  • Finance  - some commissioners did not award inflation each year and that causes problems with maintaining service levels.

 

Patients were engaged and involved with all service providers offering support such as sitting on recruitment panels and their views were sought with innovation programmes.  

 

 

Actions

·         The Committee notes the issues raised in respect to provider failure, and elements identified by North East London Foundation Trust (NELFT) that reduce risks related to provider failure:

o   Clearer service specifications

o   Contract lengths that recognise the need to embed longer term changes

o   An active role for patients in developing services

o   The changing role for providers in the NHS Long-Term Plan 

Decision

  • The Committee noted the report.