Councillors and committees

Agenda and minutes

In light of recent events and following the latest Government advice on the Coronavirus, the Council has cancelled all its scheduled council and committee meetings until 11th May 2020. At present the law does not permit local authorities to hold 'virtual' Committee meetings but the Council is committed to maintaining full transparency in the decision making process during this period and an update on how its governance will work will be provided shortly.

The Council will keep its arrangements under continual review, having regard to guidance as it emerges.

You can view the individual reports for this meeting by selecting the headings from the numbered list of items at the bottom of this page. Alternatively you can view the entire agenda by selecting 'Agenda Reports Pack' below.

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Venue: Guildhall, Kingston upon Thames

Contact: Marian Morrison 020 8547 4623  email:  marian.morrison@kingston.gov.uk

Items
No. Item

32.

Questions

To consider questions from the gallery on items which are not on the agenda

Minutes:

Questions were asked by Mr Michael Hoare from the Merritt Gardens Patient Participation Group.  These are attached at Annex 1 to the minutes.

33.

Apologies for absence and attendance of substitute members

Minutes:

Apologies were received from Councillors Raju Pandya, Vice Chair, Shushila Abraham and Shiraz Mirza.  Councillors Mike Head and Malcolm Self attended as substitutes for Councillors Raju Pandya and Shushila Abraham.

 

Councillor Paul Bedforth was welcomed to his first meeting of the Panel following the decision by Council on 15 December 2016 to increase the Panel’s membership to ten.

34.

Declarations of Interest

Minutes:

Councillors Andrew Day and Rachel Reid declared interests in agenda item 10, Gosbury Hill Health Centre Consultation Outcome as they are members of the South of the Borough Neighbourhood Committee.

35.

Minutes

Minutes:

Resolved that:  the minutes of the meeting held on 24 November 2015 were agreed as a correct record and signed by the Chair.

36.

Appointment of Dr Jane D'Souza as GP advisory member

To agree the appointment of Dr D’Souza as GP advisory member for the remainder of 2015/16

Minutes:

The Health Overview Panel may appoint up to three advisory members to the Panel.  During discussion on the Work Programme and Working Arrangements at the meeting on 11 June 2015 it was agreed that a further attempt should be made to identify a GP advisory member.    Dr Jane D’Souza has stepped forward for this position.

 

Agreed that:  Dr Jane D’Souza is appointed as Advisory Member for the remaining meetings in 2015/16.

37.

Update from the Chair

Councillor Andrew Day will give a brief verbal update on progress since the last meeting

Minutes:

Councillor Andrew Day, Chair gave an update on actions undertaken since the last meeting on 24 November 2015:

 

1.    Joint Overview and Scrutiny Committee -met on 1 December 2015.  Councillor Day was appointed as chair of the main SWL JHOSC for the remainder 2015/16.

 

The JHOSC considered initial information about the SWL Collaborative Commissioning initiatives led by the programme manager Kay McCulloch.  Local CCGs have been examining the “systems” for future arrangements for primary, hospital, community and out of hospital care.  An issues paper was published last autumn and there has been initial local engagement led by the CCGs.  The JHOSC will meet again in early summer to consider the emerging proposals and consultation on proposals is expected in a year’s time. 

 

2.    JHOSC Sub Committee – South West London In Patient Mental Health Services met on 1 December and considered an update on the demand and capacity planning for inpatient needs of working age and older adults. There has been an increase in demand for beds locally and nationally.  Whilst St George’s and South West London Mental Health Trust is efficient in its use of beds it has been necessary to increase bed numbers in response to rising demand. The next meeting will take place in March and updates are expected on home treatment team capacity and expenditure for each Borough area.  Councillor Pandya is the representative on this committee.

 

3.    Councillors Day, Cottington and Netley visited Kingston Hospital’s A&E department and other areas of the hospital on 16December led by Fergus Keegan, Deputy Director of Nursing. The plans to enlarge areas of A&E to provide greater capacity for treatment were discussed and it is hoped that this project can be progressed as soon as possible. Members were impressed by the introduction of new patient monitoring technology as a result of a successful funding bid and understand the life saving impact this can have.

 

4.    Eight members (including Healthwatch) visited to two wards for adults and older peopleTolworth Hospital on 5 January. Having previously visited when looking at the future plans for the developing the site, members were please to see the ward for older people now fully operational.  Members were impressed by the enthusiasm and dedication of staff on both wards and heard about the care and support given to enable stays to be shorter in many cases.  Members requested a further visit to the Community Mental Health Teams and arrangements will be made for this to take place in early June.

 

5.    Visit to Teddington Walk in Centre – arrangements are being made for a visit to take place in early February. 

 

6.    Contact with the CQC – The Chair and Vice Chair had conference call on 5 January with the Care Quality Commission ahead of their visit to Kingston Hospital in mid January.  A&E was discussed and reference was made to the visit in December and to the wide range of areas that HOP has considered recently.

 

7.    Healthwatch  ...  view the full minutes text for item 37.

38.

Urogynaecology Services at St George's University Hospitals NHS Foundation Trust pdf icon PDF 95 KB

The Panel will hear representations about the temporary arrangements to provide these services and the consultation on proposals.   Representative(s) from St George’s will attend.

Minutes:

Miss Michelle Fynes, Consultant Urogynaecologist approached the Chairs and Members of Health Overview and Scrutiny Committees in South West London in late December 2015 with a number of representations concerning changes to the Urogynaecology and Paediatric and Adolescent Gynaecology (PAG) Services at St George’s University Hospitals NHS Foundation Trust.  Her concerns were firstly about the consultation arrangements but also regarding clinical staffing matters.

 

As a result of governance considerations the Trust had been required to take a difficult decision to temporarily close the Urogynaecology service at St George’s and relocate this to Croydon University Hospital in June 2015.  Consultation then followed about making this change permanent and the Trust put forward the case for change and details of the consultation arrangements to the Wandsworth Health Scrutiny Committee on 12 November 2015.  Miss Fynes put forward a number of concerns about these. That committee identified shortcomings with the consultation arrangements but noted that steps had been taken to extend the consultation and also that Healthwatch would advise the Trust on how to extend the consultation’s reach to residents and patients.  The committee also agreed that it would not review the Trust’s final decision.

 

Generally each Overview and Scrutiny Committee (OSC) considers services provided by hospitals in its own borough.  OSCs’ powers relate to public consultations not internal staff consultations.  However, following Miss Fynes’ approaches to all SWL OSCs, Sutton (on 20 January), Kingston (on 26 January) and Merton (on 9 February) agreed to consider her concerns.

 

A supplementary paper for this Health Overview Panel was published ahead of the meeting on 26 January 2016 summarising both Miss Fynes’ concerns and a briefing submitted by St George’s.  The paper stated that the Trust will make a final decision on the proposals to cease providing urogynaecology services at St George’s at its board meeting on 3 March.  A further short briefing for the Panel from St George’s was tabled which explained the PAG services and confirmed that “there are currently no children under the care of the PAG clinic from the Kingston Borough”.

 

The following officers attended the Panel for this item and contributed to the discussion:  Professor Andrew Rhodes, Divisional Chair Children, Women, Diagnostics and Critical Care, Ms Jennie Hall, Chief Nurse and Board Lead for Safeguarding, Miss Michelle Fynes, Consultant Urogynaecologist and two patients of the St George’s urogynaecology service.

 

Professor Rhodes stated that the urogynaecology service is a sub specialty of the Gynaecology Service.  It deals with a range of conditions including problems arising during birth as well as older women’s issues.  Concerns about the governance of decision making and clinical pathways were identified in April 2014.  In order to address these, a consultant from Croydon University Hospital was appointed on the basis of one day a week to provide clinical leadership concerning the clinical pathway and governance.  The consultant, who was also working at Croydon University Hospital felt unable to continue with the part time position at St George’s and left in May 2015.  As  ...  view the full minutes text for item 38.

39.

Kingston's Diabetes Services pdf icon PDF 50 KB

To consider the current services and future steps

Additional documents:

Minutes:

Agreed that:  this item is postponed to the next Health Overview Panel meeting on 3 March 2016.

40.

Annual Report of the Director of Public Health - Eat Well, Exercise More, Drink Sensibly pdf icon PDF 432 KB

To note the activities being undertaken and provide any views or observations on the report, the actions described and recommendations of the report.

 

Minutes:

Agreed that:  this item is postponed to the next Health Overview Panel meeting on 3 March 2016.

 

41.

Gosbury Hill Health Centre Consultation Outcome pdf icon PDF 68 KB

To consider the consultation outcomes, whether the consultation process was thorough and the next steps considered by Kingston Clinical Commissioning Group Board on 12 January 2015

Additional documents:

Minutes:

The independent consultation outcome report prepared by Ann Millman Associates (Annex 1) concluded that the consultation process was through and that there were a range of opinions on the proposals.  There was a strong preference for a walk-in service and a consensus that such a service would lessen the pressure on A&E.  There was a favourable response to the proposed opening hours of 0800 to 2000 but different opinions about the days of the week.  There was opposition to the prospect of losing the facility at Gosbury Hill from residents in that area but overall most respondents viewed the proposed relocation to Surbiton Health Centre as a positive proposition especially as the centre is modern and fit for purpose.

 

The report to the Panel identified a number of next steps which included further consideration by the CCG of the consultation results to explore how these could be taken into account in the wider provision of a comprehensive primary care service as well as the new development at Surbiton Health Centre.  Proposals would be considered by the CCG Delivery Group and the Finance Committee in February prior to final proposals being taken to the CCR Board for decision on 1 March.

 

Tonia Michaelides explained that other initiatives are being introduced to provide improved access to urgent care.  She also emphasised that Surbiton Health Centre had diagnostic facilities in place and reminded the Panel about the arrangements being made for patients who are currently registered with the Walk in Centre to transfer to other nearby GP surgeries.

 

Members made the following points during discussion.  It was noted that although requested by the Panel, there was no leaflet drop about the consultation to residents living near to the Gosbury Hill Health Centre but it was accepted that social media initiatives had been very successful.  From a Surbiton perspective, the new facility was welcomed but it was recognised that there are some public transport difficulties from some areas of the borough both from the north and south of the Borough.

 

An observation was made that the on-line survey did not capture the location of residents and this additional information would have been helpful in further data analysis to see how views of residents close to Surbiton Health centre and Gosbury Hill compared with those of others. 

 

It was understood that the Teddington Walk in Centre was successful and it was agreed that a visit would be arranged for members of the Panel and for possible suggestions to be put forward to the CCG before proposals for the Surbiton Walk in Service are finalised.

 

Agreed that: 

 

1.    The Consultation was considered to be thorough and fair, and

 

2.    Findings from the visit to Teddington WIC are passed to Kingston Clinical Commissioning Group.

 

 

Councillors Andrew Day and Rachel Reid declared personal interests in this item as they are both members of the South of the Borough Neighbourhood Committee.

42.

Update on Systems Resilience during the winter

To receive a verbal update

Minutes:

Tonia Michaelides gave a brief update on service provision during the Christmas New Year period.  Overall there had been fewer pressures than in previous years and she thanked all those who had been involved in the winter planning and provision of services across the hospital, community health, social care and voluntary sectors.  She added that Kingston Hospital had been asked to reduce bed capacity and this has been managed effectively.

43.

Minutes of the Health and Wellbeing Board pdf icon PDF 123 KB

To consider the minutes of the Health and Wellbeing Board held on 19 November 2015

Minutes:

The minutes of the Health and Wellbeing Board held on 19 November were noted.

 

In response to a request from a Member, Tonia Michaelides agreed to circulate information about primary care hubs.

44.

Work Programme

Meeting on 3 March 2015

 

·         Kingston Co-ordinated Care Programme

Minutes:

A member requested the consideration of whether or not the closure of Fuchsia ward at Tolworth Hospital, represented a substantial variation and required consultation and a request was made for details about what services are being provided for end stage dementia.

 

Agreed that:  the following items (including two postponed from this meeting) will be considered on 3 March 2016:

 

·         Closure of Fuchsias Ward and the future care arrangements for people with end stage dementia

·         Annual Report of the Director of Public health – Eat Well, Exercise More, Drink Sensibly

·         Kingston’s Diabetes Services

 

·         Kingston Co-ordinated Care Programme (during 2016/17)