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Venue: The meeting can be viewed online at https://www.youtube.com/c/mertoncouncil/videos
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Election of a Chair and Vice Chair for 2020-21
The Committee are required to annually elect a Chair and Vice Chair, the last elections to these positions were held at the previous meeting in July 2019.
Councillor Anita Schaper was voted Chair and Councillor Jeremy Ambache was voted Vice-Chair for the 2020/21 municipal year.
Apologies for Absence
Apologies for absence were received from Councillors Roger Crouch (Richmond Council), Councillor Alex Juriansz (Richmond Council) and Councillor Thomas Barlow (Merton Council). Councillor Andrew Howard was present as Councillor Barlow’s substitute.
Declaration of Interests
There were no declarations of interest.
The minutes of the last meeting of the Committee held on 30 July 2019 were signed and approved as a correct record.
Report of the South West London Health and Care Partnership on:-
(a) an overview of South West London CCG and the governance structure at SWL and borough level;
(b) what Integrated Care System (ICS) status means for the South West London Health and Care Partnership
- Examples of how working as the South West London system has benefits for local people:
(i) Children and Young People’s Mental Health Programme
(ii) Highlights of the measures put in place in response to Covid-19 & outline of the next phase of managing Covid-19
(iii) Equality, Diversity & Inclusion (EDI); and
(c) an update on the Improving Healthcare Together (IHT) Programme and next steps (including approval of a new IHT Sub-Committee looking at the future IHT work programme and scrutiny).
5(C) An update on the Improving Healthcare Together (IHT) Programme and next steps (including approval of a new IHT Sub-Committee looking at the future IHT work programme and scrutiny).
The Committee agreed to consider item 5(C) first.
Andrew Demetriades, IHT Programme Director, introduced the update item and explained that on 3 July 2020, Committees in Common (CiC) for NHS South West London and NHS Surrey Heartlands CCGs met and after reviewing all of the evidence presented, including the decision-making business case and 12-week consultation feedback, approved £500m investment for Epsom and St Helier hospitals as well as a brand new specialist emergency care hospital in Sutton. It was stressed that around 85% of current services would remain at Epsom and St Helier hospital and a summary of the actions taken in response to public concerns was provided. The aim is to develop an outline of the business case that would be submitted to regulators in December 2020, pending Commissioner support. The Strategic Oversight Group is scheduled to meet in September and will provide updates to JHOSC on the progress being made on the implementation of the work plan.
A Committee member had received concerns from residents for the maternity units at Epsom and St Helier hospitals and sought clarity on the closure and re-provisioning of those units. Mr Demetriades explained that inpatient births will move to the specialist emergency care hospital in Sutton and antenatal and postnatal care will continue at both district sites at Epsom and St Helier hospitals.
A Committee member sought clarification on the various options being looked at for the consultation, how they were evaluated and whether this evaluation changed with impact of Coronavirus, particularly on BAME communities. Mr Demetriades explained that the evaluation process set out in the decision making business case and the impact of Coronavirus was also considered by the CIC and programme board prior to the final decision on July 3. With regards to concerns on the impact on BAME and/or deprived communities, it was stated that there are recognised underlying health issues for those communities but important to ensure that there are also adequate primary and community services not just acute services.
The Committee raised concerns over the implications for other district general hospitals and patient flows, providing the example of St George’s Hospital in Tooting where the A&E and Maternity wards in particular are nearly full/at capacity. Mr Demetriades explained that a detailed piece of work with all providers assessing the impact of patient flow under each proposal option had been produced and St George’s and Croydon had been consulted with for the changes in patient flows. Support for the resulting changes had also been included within the £500m funding proposal.
5(a) an overview of South West London CCG and the governance structure at SWL and borough level.
Dr Andrew Murray, Chair NHS SWL CCG provided an overview of the changes to the SWL CCG and its governance structure. Having been previously working together as 6 ... view the full minutes text for item 5.
Dates of Meetings
The Committee are asked to approve the following proposed dates of meetings (7pm start):-
Wednesday 11 November
Wednesday 17 February
Wednesday 16 June
The Committee approved the following proposed dates of meetings (7pm start):
· Wednesday 11 November 2020
· Wednesday 17 February 2021
· Wednesday 16 June 2021