Councillors and committees
Agenda and minutes
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Venue: Guildhall, Kingston upon Thames
Contact: Marian Morrison 020 8547 4623 email: firstname.lastname@example.org
Note: Public Question Time - Kingston Hospital representative will be present to answer any questions on Hospital Parking
To consider questions from the gallery on items which are not on the agenda
Sally Brittain, Director of Nursing and Quality attended for this item to answer questions on Disabled Parking at Kingston Hospital which this Panel considered at the extra meeting held on 11 February 2018.
Ms Brittain explained that the Hospital had paused the charging for blue badge holders during the period of the Hospital’s review. She explained that a survey had been undertaken (both electronic and paper). 398 responses had been received and these were being analysed. A third meeting of the Parking Review Group was taking place in three week’s time.
Lynne Finnerty, member of the public put forward the following questions:
For Kingston Hospital:
1. Why did the Trust ignore Department of Health & Social Care guidance on NHS patient, visitor and staff car parking principles?
2. Is it true that members of the review group were asked to provide feedback on the draft survey but it was rushed out before comments could be fully acted upon? Was this haste to pause the charges and launch the survey connected to the timeline of the legal challenge?
3. Is the Trust confident that the process and content for the survey will demonstrate compliance with the Equality Act and not leave it again open to legal challenge?
For the Panel:
1. From comments and Q&As at the HOP February meeting it appeared that people in the public gallery had more knowledge and understanding of equality duty than hospital representatives than some Panel members. Going forward, what has been/will be done to improve this situation? Has Public Sector Equality Duty been included in councillor induction or have any briefings taken place?
2. Given the change of Panel Chair and membership, please can you advise who is now taking part in the review?
3. Is there any intention for the new HOP membership to express its support of previous recommendations and/or to make comments on the current situation?
Ms Finnerty also commented on the lack of facilities for wheelchair users including a table at wheelchair user level.
Sally Brittain responded to the questions directed at the Hospital:
She explained that Equality guidance is detailed and comprehensive and there is a need to consider certain groups of people and staff. She confirmed that the Hospital offers disabled parking and concessions are available.
In relation to the question about the survey Ms Brittain explained that some comments were received early on in the survey and these were taken on board and the survey was adjusted. The Hospital wanted the survey to run for as long as possible. In response to the third question about the Hospital’s duty under the Equality Act, Ms Brittain was confident that the process fulfils the Equality Act and the survey was not undertaken because of concern about legal challenge.
In response to the questions directed to the Panel the Team Leader for Democratic Services stated that there had been no Equalities training so far for councillors following the local elections and this will take place in the ... view the full minutes text for item 1.
Apologies for absence and attendance of substitute members
Apologies were received from Councillors Kim Bailey and Kevin Davis.
Declarations of Interest
Councillor Munir Ravalia declared two interests: he had signed the Petition on Blue Badge parking at Kingston Hospital and he is a Dentist by profession.
To agree the minutes of the meeting held on 28 March 2018
Agreed that: the minutes of the meeting held on 28 March 2018 be approved as a correct record.
The Tolworth Community Hospital Forum has been set up by South West London and St George’s Mental Health Trust to liaise with local representatives about the redevelopment of Tolworth Hospital to provide a modern facility for in-patients and other services. SWLSTG have requested representation from RBK as follows:
Chair of the Health Overview Panel
6 Ward Councillors for Tolworth and Hook Rise and Surbiton Hill
Portfolio Holder for Adult Social Care
The Panel is requested to approve the appointment of the Chair of this Panel to the Forum and the Vice Chair as alternate.
(The draft Terms of Reference are attached).
The Tolworth Community Hospital Forum has been set up by South West London and St George’s Mental Health Trust to liaise with local representatives about the redevelopment of Tolworth Hospital to provide a modern facility for in-patients and other services.
The Trust requested representation from the Council as follows:
· Chair of the Health Overview Panel
· 6 Ward Councillors for Tolworth & Hook Rise and Surbiton Hill
· Portfolio Holder for Adult Social Care
Agreed that: The Chair of the Health Overview Panel is appointed to the Forum and the Vice Chair as alternate.
Appointment of Advisory Members
The Panel is requested to agree the appointments of the following advisory members for 2018/19:
Grahame Snelling, Chair, Healthwatch
Kate Dudley, Chief Executive, Kingston Carers’ Network
Dr Jane D’Souza, GP representative
Grahame Snelling informed the Panel that he was stepping down as Chair of Healthwatch Kingston which he had held for five years and Dr Liz Meerabeau will be taking over as Chair. He requested the Panel to endorse Dr Meerabeau as Advisory Member.
Agreed that: the following advisory members are appointed for the 2018/19 municipal year:
Dr Jane D-Souza, GP representative
Kate Dudley, Chief Executive, Kingston Carers’ Network
Dr Liz Meerabeau, Chair, Healthwatch Kingston, replacing Grahame Snelling after this meeting.
Introduction to the Health Overview Panel
Short introductions will be given by the following officers on health scrutiny, health and social care:
· Gary Marson, Team Leader, Democratic Services - the function of Health Scrutiny.
· Iona Lidington, Director of Public Health
· Stephen Taylor, Director, Adult Social Care
· Tonia Michaelides, Managing Director of Kingston & Richmond CCG
A short introductory video from the King’s Fund will also be shown.
Introductions to Health Scrutiny, Health and Social Care were given by:
· Gary Marson, Team Leader Democratic Services
· Iona Lidington, Director of Public Health
· Stephen Taylor, Director Adult Social Care and Community Housing
· Tonia Michaelides, Managing Director, Kingston and Richmond Clinical Commissioning Groups
Democratic Services - Gary Marson explained that the concept of health scrutiny was introduced in 2001 and the objective is to hold the NHS and Local Authorities to account on health and social care and has an important focus on health inequalities. A further aim is to strengthening the voice of local people and ensure voices taken into account. Health Scrutiny proactively seeks information about performance to enable challenge and it can also be strategic and make recommendations for improvement. It employs constructive engagement rather than confrontational methods. It does not deal with individual complaints but opens discussion on overall quality. As a last resort, concerns can be referred to the Secretary of State and there is a need to demonstrate all steps are taken. A summary of the role and responsibilities of the Panel is included in the agenda front sheets for each meeting.
Public Health – Iona Lidington gave a detailed presentation and explained that Public Health’s duty is to improve the health of the population and outcomes are based on the premise that “prevention is better, and cheaper than cure”.
Mandatory services include sexual and reproductive health services, children’s health visiting services, children’s height and weight measurement, NHS Health Checks, provision of healthcare public health advice to NHS Commissioners (Clinical Commissioning Groups) and provision of advice on health protection, environmental hazards and extreme weather events and protecting the health of the local population. Public Health also produces a range of borough based statistical information (available by neighbourhood and ward) plus needs assessments including the Joint Strategic Needs Assessment.
Public Health is funded by a ring fenced government grant totalling just over £10m in 2018/19. The Public Health grant has a number of conditions attached to it. LAs must:
· use it only for meeting eligible expenditure incurred or to be incurred by LAs of the purposes of their public health functions as specified in Section 73B(2) of the National Health Services Act 2016
· have regard to the need to reduce inequalities between the people in its area with respect of the benefits that they can obtain from the LA’s health service
· have regard to the need to improve the take up of and outcomes from, its drug and alcohol misuse treatment services.
This year’s Public Health Annual Report is on Air Quality and will be launched on 21 June.
Kingston’s resident population is 176,107 people. The number of those registered with Kingston GP practices is higher at 209,515 as this include people living close to the borough boundary. One third of residents are from Black, Asian and Minority Ethnic communities. Overall Kingston has a young population with a median age of 36.2 years and almost 22% are aged 0-17. However, the cohort of ... view the full minutes text for item 7.
Update on the Sustainability and Transformation Partnership
Tonia Michaelides, Managing Director, Kingston and Richmond CCGs will give an update on the STP
Tonia Michaelides spoke about the Strategic and Transformation Partnership (STP) which is the strategic plan for healthcare in south west London. The initial version was published in October 2016 and a one year on discussion document was produced and feedback sought via a range of engagement methodologies. The plan continues to be developed.
Initially the plan made suggestions about the possible closure of hospitals and bed reductions but this was not supported by local authorities. There are no longer plans to close hospitals in London and it was realised that the revenue savings were in fact very small. Whilst hospitals will be retained, the services which will be provided will change. Care is best and most effective when centred around the person not the organisation. The partnership will develop eventually into a wider care partnership rather than being more strongly focussed on health care.
The South West London Partnership has identified children and young people’s MH is a key area to progress as this will significantly affect future demand for a range of health and social care.
Work is taking place to change clinical models and the way in which care is accessed. Twenty years ago most care was delivered in inpatient settings but now this is mainly undertaken as day care. Cancer treatments are developing rapidly and in the future will be focused on the genome.
The STP takes account of what people have told CCGs e.g. the desire for integrated health care, explaining a single storey, independent living. There has been much grassroots engagement and this has been very positive for senior health managers and enabled a better understanding of viewpoints.
The STP takes account of clinical standards, clinical sustainability and the financial challenges facing south west London requiring change in how services are delivered in the future.
Most important area locally is the development of the Local Health and Care plan through the HWB in the coming months. This will be shared with the Health Overview Panel at a future meeting.
Agree that: the update is noted.
To note the Annual Report for 2017/18
The Annual Report set out the work undertaken by the Panel in the previous year. Notable items included:
GP Services in Kingston (detailed report)
Progress with Locality and Wellbeing Teams (detailed report)
Progress with Suicide Prevention and adult mental health
Referral for Healthwatch Kingston – Services for Emotionally Unstable Personality Disorder
Transport for children and young people with Special Educational Needs and Disabilities
Councillor Maria Netley, Vice Chair of the Panel for 2017/18 stated that Councillor Rowena Bass, Chair last year had been unable to present the report this evening. Councillor Netley and stated that she and Councillor Bass were pleased with what was achieved last year and hoped that the Panel would continue the method of involving members in the development work ahead of panel meetings. She commended the report to the Panel
Agreed that: the Annual Report of the Health Overview Panel 2017/18 is noted.
To note the Terms of Reference for the SWL&SJHOSC and RBK’s representatives on this committee agreed at Annual Council on 22 May 2018.
Councillor Munir Ravalia Councillor Sushila Abraham
Councillor Anita Schaper Councillor Kim Bailey
The first meeting of the JHOSC will take place on Tuesday 26 June 2018 at 7.00pm (Wimbledon)
The report to Annual Council setting out the establishment of Joint Health Overview and Scrutiny Committee for South West London and Surrey County Council (SWLSJHOSC) was included in the agenda.
Agreed that: the terms of reference for the SWLSJHOSC and RBK’s representatives, Chair and Vice Chair of the Panel, agreed at Annual Council were noted.
The Panel is asked to agree that the following topics are considered at the next two meetings:
Wednesday 26 September 2018 – Child and Adolescent Mental Services
Tuesday 4 December 2018 – Dental Health and Services
Agreed that: the Panel would consider the following items at future meetings:
Child and Adolescent Mental Health Services (CAMHS)
Dental Health Services
Blue Badge Holder/ disabled parking at Kingston Hospital
Urgent Items authorised by the Chair
There were no urgent items.