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

1.

Questions

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

Minutes:

Questions were asked by Mr Karl Kember.  These are attached at Annex 1 to the minutes.

 

 

2.

Apologies for absence and attendance of substitute members

Minutes:

Apologies were received from Councillors Sushila Abraham  and Paul Bedforth.  Councillor Ian George attended as substitute for Councillor Bedforth.  Apologies were also received form Dr Emma Whicher, Medical Director at South West London and St George’s Mental Health NHS Trust.

3.

Declarations of Interest

Minutes:

There were not declarations of interest.

4.

Minutes

To confirm the minutes of the meeting held on 3 March 2016

 

Minutes:

Agreed that:  the minutes of the meeting held on 3 March 2016 are confirmed as a correct record.

5.

Appointment of Advisory Members

To re-appoint the following advisory members to the Panel:

 

Grahame Snelling – Healthwatch Kingston

Patricia Turner – Kingston Voluntary Action

Dr Jane D’Souza – GP advisory member

Minutes:

AGREED that: the following advisory members are reappointed for 2016/17:

 

Grahame Snelling – Healthwatch Kingston

Patricia Turner – Kingston Voluntary Action

Dr Jane D’Souza – GP Advisory Member

6.

Appointment of Panel Working Group Members

3-4 members are requested for the working group (introduced in 2015/16)

Minutes:

Agreed that:  the following members are appointed as Health Overview Panel Working Group Members:

 

Councillors Mary Clark, Linsey Cottington Raju Pandya and Rachel Reid.

7.

Appointments to the South West London Joint Health Overview and Scrutiny Committee

To note that the following appointments were made to the SWL JHOSC by Council on 12 May 2016:

 

Member

Alternate 1

Alternate 2

Andrew Day

Rachel Reid

Linsey Cottington

Raju Pandya

Linsey Cottington

Sushila Abraham

 

 

Minutes:

Agreed that:  the following appointments made at Annual Council on 12 May 2016 to the South West London Joint Health Overview and Scrutiny Committee (SWL JHOSC) are noted:

 

Member

Alternate 1

Alternate 2

Andrew Day

Rachel Reid

Linsey Cottington

Raju Pandya

Linsey Cottington

Sushila Abraham

 

8.

Update from the Chair

The Chair will give a verbal update on actions since the last meeting

Minutes:

The Chair updated the Panel on the following matters:

 

·         Urogynaecology services at St George’s Hospital – A further communication had been received from Miss Fynes, consultant at St George’s but as Kingston CCG has no direct contractual arrangements for these services unlike Merton and Wandsworth CCGs it was felt that no further value would be added by Kingston Health Overview Panel considering this matter further.  It was understood that Merton’s HOSC would be discussing urogynaecology services at the meeting in June.

 

·         SWL Overview and Scrutiny Officers are developing a protocol to help decide the process for consideration of changes to hospital services which affect more than one borough. 

 

·         A visit to community mental health services at Tolworth Hospital is being arranged.

9.

Update on Kingston Hospital NHS Foundation Trust's deficit pdf icon PDF 92 KB

A Senior Finance Officer from KHFT will update the Panel on the financial situation

Minutes:

The Panel previously considered the deficit at Kingston Hospital at the meeting in November 2015.  The report provide background to the current situation at Kingston Hospital and set out information from recent KHFT board reports.  It also included information about the deteriorating financial situation for hospital trusts in England and the reported drop in performance on some key performance areas.  Monitor had acknowledged that the required efficiency savings (4%) had added further pressure to the deteriorating situation.

 

Vicky Clarke, Deputy Director of Finance, updated the Panel on the Trust’s financial situation.  She confirmed that the final audited deficit for 2015/16 was £6.9m and this was in line with the revised forecast and the position agreed with the Financial Regulators.   

 

The Plan for 2016/17 was for an underlying deficit budget of £4.2M, which is an improvement of £2.7M on the previous year.  Following the receipt of Sustainability and Transformation funding of £8.1M the deficit will translate into a £3.9M surplus.  However, conditions are associated with these additional funds but the Trust is confident that these can be met.  Ms Clarke added that whilst this funding is available this year the position for 2017/18 is uncertain.

 

The Trust has a capital programme of £9.2M for essential maintenance of buildings, IT infrastructure (i.e. primarily for the Patient administration system) and medical equipment.

 

Ms Clarke explained where changes had occurred in comparison with last year.  There were some non-recurrent items in 2015/16 eg costs associated with the improvements to A&E, cost inflation of £6M, increase in capital spend, additional medical insurance costs, IT and investments in quality which are primarily additional staffing.

 

In response to a question about whether the Trust was receiving budget reductions year on year, Ms Clarke confirmed that the Trust will benefit from a 1.1% increase in this year’s tariff and there is further opportunity to increase income by increasing activity.  Previously the DH has required efficiency savings of 4% but this year the DH has reduced this level to 2% as there is now recognition that it is difficult to achieve year on year.

 

The total agency spend for 2015/16 was £18M and included nursing, clinical and corporate staff.  Agency costs are 9% of the total pay budget and are comparable with other Trusts.  Agency caps introduced by DH are reducing this spend. 

 

Duncan Burton confirmed that there are different clinical staffing models across the hospital which varying from specialty to specialty but there is consultant cover for 24 hours a day.  An example of where Kingston Hospital had introduced change was that they now have in place paediatricians on site for 8am -10pm each day after which cover is provided by the on call system.  A&E Consultants are on duty to midnight then on call.   There has been investment in additional medical staffing including paediatricians, emergency surgeons and a consultant in elderly care.

 

In response to a question about risks in delivering this year’s financial plan, Ms Clarke stated that there is a small contingency fund  ...  view the full minutes text for item 9.

10.

Accessibility at Train Stations in Kingston pdf icon PDF 64 KB

Richard Kempton, Community Rail Liaison Manager will give a presentation

Additional documents:

Minutes:

The Chair explained that this item had been requested as there were some concerns about train information for people with visual impairment at New Malden Station.  The report provided general background to accessibility at the Borough’s ten train stations and the accessibility policies which Network Rail and South West Trains (SWT) have in place.   

 

Richard Kempton, Community Rail Liaison Manager and Manoj Bhardwaj, Surbiton Duty Station Manager, attended for the discussion.  Mr Kempton confirmed that he had been involved with the issue concerning a person with visual impairment being unable to access train information at New Malden as the PA system had failed.  There had been an intermittent problem with the PA system at the station and that this has now been solved. 

 

South West Trains manages 180 stations and it aims to address concerns as quickly as possible.  All staff are trained for accessibility and staff are regularly re-briefed on issues. 

 

The Office of Rail and Road monitors that access processes are and in place and compliant and current policies are being refreshed during this year.  Any comments about accessibility issues in SWT are considered across the network and used to improve services both locally and more widely.

 

South West Trains ideally would like all the 180 stations to be fully accessible using ramps or accessible lifts. Three stations in the Kingston area are fully accessible and other stations have some accessibility but some difficulty with transfer to platforms.  

 

Network Rail and the Department for Transport (DfT) allocate budgets every 5 years to enable accessibility works to be carried out at a small number of stations.  However, proximity to fully accessible stations is one of the criteria for nominating additional stations for improvement and no Kingston stations have been put forward for further improvement in the near future. 

 

Overall SWT was very successful in the last round compared to other operators.  It made a bid for 15 train stations and secured 6 successful bids.  SWT will continue to bid when funding becomes available.  The next opportunity for submitting bids is 2019 but SWT is currently in deficit.

 

In response to a question about the number of accessible stations Mr Kempton stated that 35% in the SWT area are accessible and by footfall accessibility covers 75% of passenger journeys.  It was suggested that 35% was relatively poor and there should be wider publicity about transfers to accessible stations.  The member also drew attention to the benefits accessible journeys would make to people attending outpatients which are located away from the main hospital.

 

Mr Kempson explained there is an accessibility booking system for people who do not use trains regularly.  People will be met and helped on and off the train either by station staff or the guard.  SWT will provide transfer by taxi for people with mobility problems from an inaccessible station to an accessible train station. 

 

Passengers with specific accessibility requirements are encouraged to make their needs known to staff so that they can be assisted appropriately.  ...  view the full minutes text for item 10.

11.

Annual Report of the Health Overview Panel 2015/16 pdf icon PDF 206 KB

To receive the Annual Report

Minutes:

The Annual Report of the Health Overview Panel set out the work undertaken in the past year. Notable topics considered during the year included:

 

·         A&E Performance at Kingston Hospital

·         Local progress with seven day working

·         Consultation on changes to the GP  led Health Centre at Gosbury Hill, Chessington

·         Health Watch enter and view function

·         Deficit at Kingston Hospital

·         Urogynaecology Services at St George’s Hospital

·         Fuchsia Ward and late stage Dementia

·         Annual report of the Director of Public Health

·         Kingston’s Diabetes Services

·         Suggestions for the 2016/17 Work Programme

 

AGREED that:  the report is noted.

12.

Minutes of the Health and Wellbeing Board pdf icon PDF 104 KB

To consider the minutes of the Health and Wellbeing Board held on 10 March 2016, particularly noting the progress being made with Kingston Co-ordinated Care

Minutes:

The Minutes of the Health and Wellbeing Board held on 10 March 2016 were considered.  Attention was drawn to the progress being made with Kingston Co-ordinated Care which the Panel will be considering at the next meeting.

 

Agreed that:  the minutes are noted.

13.

Notes of the Kingston Town Neighbourhood Community Forum held on 15 March 2016 pdf icon PDF 259 KB

To consider the notes and whether actions can be taken forward by the Panel as part of its Work Programme

Minutes:

Kingston Town Neighbourhood Committee requested that the notes of the Neighbourhood Conversation on Health and Social Care held on 15 March 2016 were considered by this Panel.  The notes identified a possible action concerning the general lack of awareness of direct payments and Kingston Co-ordinated care and suggested that this could be taken forward by the Panel.

 

AGREED that:  the document is noted and the action concerning knowledge of direct payments and Kingston Co-ordinated Care is considered for inclusion in the panel’s work programme.

14.

Work Programme pdf icon PDF 64 KB

To consider the suggested topics and agree items for the work programme

Minutes:

Proposals for the work programme were set out in supplementary information.

 

AGREED that:  The following topics are agreed for inclusion in the work programme would be taken forward by the Working Group:

 

·         Kingston Co-ordinated care

 

·         Communications and publicity about Kingston-Coordinated Care and direct payments

 

·         Kingston Clinical Assessment Service (following on from this Panel’s review in 2007).

 

·         Air Quality (following on from Neighbourhood Conversations on this area in July and a recent Mayor of London Report about air quality near to schools).

 

·         Copying letters to patients initiative

 

·         Mums for Mums volunteer programme at Kingston Hospital

 

·         Sustainability and Transformation Plan

 

Visits to:

 

·         Community Mental health Team

·         GP surgery to consider appointment systems

·         Surbiton Health Centre