Agenda item

(a) Mid and South Essex Sustainability and Transformation Partnership (STP) (b) Locality Development

Report of Andy Vowles, Programme Director, Mid and South Essex STP

Minutes:

(a)   Mid and South Essex Sustainability and Transformation Partnership (STP)

 

The Chair welcomed the Dr R Fenton, Ms C Hankey and Mr N Rothnie from the STP for this agenda item. Dr Fenton advised that Mr A Vowles, STP Programme Director was unfortunately not able to be at the meeting as he is unwell.

 

The Board considered the update briefing paper from the Mid and South Essex STP which provided an update on current progress and included the following information – a draft copy of a PowerPoint presentation including a summary of the potential impact on the residents of Southend and copies of summary sheets on financial plans, transport and stroke, which were a direct outcome of discussions with members of the Board.

 

The Board asked a number of detailed questions about the contents of the consultation including:–

 

·         Patient transport and workforce transport - the Board advised that transport of patients, families and carers is a significant issue for the residents of Southend. Within the proposals there is a lack of information regarding the plan to address these issues – the STP advised that transport is important and is an enabler to the proposals but is not part of the core principles which are being consulted on.

 

·         Stroke services – the Board questioned the proposed stroke pathway and the rationale behind the proposal for Basildon Hospital accommodating the Hyper Acute Stroke Unit (HASU). The STP outlined the proposed pathway for Southend stroke patients and how they would be initially stabilised at Southend Hospital. Once stabilised they would be transferred to the HASU for further treatment (which Dr Fenton later referred to as a Specialist Stroke Unit). The STP advised that this applied to all patients suffering from a stroke who were initially treated at Southend Hospital. The STP further advised that some patients suffered from a stroke ‘mimic’. These patients would be treated through an alternative pathway. The Board contested that this was different to what had previously been advised by the STP. The STP further outlined the rationale for locating the HASU at Basildon. Co-dependencies and time to access the initial treatment was sighted as the rationale. The Board did not agree with the rationale but welcomed the opportunity for further discussion.

 

·         The Board requested a breakdown of the transfer numbers indicated in the consultation generally and also with regard to stroke (actual stroke and stroke type episode). Dr Fenton confirmed that the plan is for the 3 hospitals to be acute stroke units, with 1 specialist unit at Basildon. Board members thanked Dr Fenton for the offer to visit the stroke unit at Southend Hospital and speak to the relevant consultants.

 

Resolved:-

 

1.      That the update be noted.

 

2.      That the Board submit a response to the consultation by 9th March 2018 to be drafted by the Deputy Chief Executive (People) and the final response be signed off by the Chair & Vice Chair of the Board. The proposed response will be circulated to the Board members.

 

(b)   Locality Development

 

The Board considered an update from the Deputy Chief Executive (People) regarding the work being undertaken re the development of localities. The Board acknowledged the significant work being done and thanked colleagues for their work and noted that for the STP to work there needs to be investment in localities and that the Southend localities business planning process is engaged with the STP.

 

Resolved:-

 

That the timeline be noted and that the draft business plan be circulated by the end of February and for there to be a consolidated Southend focussed business plan for sign off by the Board as part of the wider south Essex plan.

Supporting documents:

 

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