Apologies for absence were received from Councillor Boyd (no substitute), Councillor Buckley (no substitute), Councillor Wexham (substitute Councillor Mulroney) and A Semmence (co-opted member).

The following interests were declared at the meeting:-

(a) Councillor Salter – agenda item relating to Success Regime – non-pecuniary interest – husband is Consultant Surgeon at Southend Hospital and holds senior posts at the Hospital; son-in-law is GP; daughter is a doctor at Broomfield Hospital;

(b) Councillor Nevin - agenda item relating to Success Regime - non-pecuniary – 2 children work at MEHT; step sister works at Basildon Hospital; NHS employee outside area; previous employee at Southend and MEHT Hospitals;

(c) E Lusty – agenda item relating to Success Regime – non-pecuniary – husband is orthopaedic Consultant Surgeon at Southend Hospital / Wellesley Hospital;

(d) Councillor Borton - agenda item relating to Success Regime - non-pecuniary – daughter is a nurse at Rochford Hospital / employer is SEPT;  

(e) Councillor Habermel - agenda item relating to Success Regime - non-pecuniary – sister is a nurse at Southend Hospital;

(f) Councillor Moyies - agenda item relating to Success Regime - non-pecuniary – member of Task & Finish Group re Shoeburyness Health Centre;

(g) Councillor Assenheim - agenda item relating to Success Regime - non-pecuniary – member of Task & Finish Group re Shoeburyness Health Centre;

(h) Councillor Mulroney - agenda item relating to Success Regime - non-pecuniary - registered at Pall Mall Surgery which was specifically mentioned.

[Note – as this is a special meeting, questions must relate to the business included in the agenda for the meeting].

Councillor Salter, the Executive Councillor for Health and Adult Social Care responded to written questions from Mr Fieldhouse and Mr Traub.

Report (attached)

Note - All Members of the Council are most welcome to attend for this part of the meeting – if you will have any specific questions to ask at the meeting, it would be helpful if you could send them to the committeesection@southend.gov.uk before the meeting.   

Further to Minute 345 from the meeting held on 11^th October 2016, the Chairman welcomed the following health representatives to the meeting for this item:-

·                Melanie Craig, Chief Officer (NHS Southend CCG),

·                Dr Neil Rothnie, Medical Director (Southend University Hospital NHS Foundation Trust),

·                Andy Vowles, Programme Director (Mid & South Essex Success Regime),

·                Robert Shaw, Joint Director of Acute Commissioning and Contracting (NHS Southend CCG).

The Committee considered a report from the Programme Director, Mid and South Essex Success Regime which provided an update on the progress of the Success Regime (SR) and Sustainability and Transformation Plan (STP) and also received a detailed presentation. Since the last update, there have been a number of developments, including:-

·                Publication of draft STP – a summary document was attached with the papers for the meeting at Appendix 1

·                Engagement undertaken and change to timescales – options appraisal process and completion of pre-consultation business case now in 2017 – service redesign will be subject to public consultation in May 2017 – will consult on options which can be delivered. Non acute elements have engagement but not formal consultation

·                The 3 main elements in the plan are – focus on how can work together to help people stay well for longer; organise out of hospital / community based services and care and to build capacity; 3 hospitals in the footprint collaborative working

·                locality developments – 4 localities for Southend for organising services in Southend - around supporting more resilient and sustainable primary medical services (i.e. GPs etc.), co-location of services and improved premises (e.g. Shoebury primary care centre, St Luke’s primary care centre and west central area), complex care coordination service

·                procurement of integrated 111 and out of hours services

·                in hospital work streams, and developing options for a potential hospital reconfiguration, described in more detail in the STP summary

·                financial overview and system wide oversight group to support the SR / STP, meeting monthly- pump prime increase in capacity (e.g. integrated teams)

This was followed by Q&A from the members of the Committee, covering a number of issues:-

(a)       localities based around GP hubs, community services

(b)       integration of health & social care

(c)       hospital configuration, centres of excellence, A&E & services at 3 hospitals

(d)       staff recruitment issues – hospital side, moving to group directorate model across 3 sites and the 5 CCG’s will be streamlined

(e)       prevention, consultation and public engagement (interactive & inclusive)

In summary, the Chairman said that members need to see the clinical evidence base underpinning the proposals and potential models. Mr Vowles said that he will share the evidence and make results available.

Resolved:-

1.         That the representatives be thanked for the informative presentation and update.

2.         That the business case be shared with the Committee prior to the public consultation stage at a special meeting of the Committee.

Note:- This is a Scrutiny Function.