Agenda and minutes

(a)  To approve as an accurate record and the Chair to sign the minutes of the meeting of the Health, Adult Social Care and Social Inclusion PAC held on Tuesday, 31^st January 2017.

(b)  To note the outstanding actions.

The minutes of the meeting held on Tuesday, 31^st January 2017 were agreed as an accurate record.

Apologies for absence were received from Councillor Hannah Barlow.  Apologies for lateness were received from Co-optee Debbie Domb.

If a Councillor has a disclosable pecuniary interest in a particular item, whether or not it is entered in the Authority’s register of interests, or any other significant interest which they consider should be declared in the public interest, they should declare the existence and, unless it is a sensitive interest as defined in the Member Code of Conduct, the nature of the interest at the commencement of the consideration of that item or as soon as it becomes apparent.

At meetings where members of the public are allowed to be in attendance and speak, any Councillor with a disclosable pecuniary interest or other significant interest may also make representations, give evidence or answer questions about the matter. The Councillor must then withdraw immediately from the meeting before the matter is discussed and any vote taken.

Where Members of the public are not allowed to be in attendance and speak, then the Councillor with a disclosable pecuniary interest should withdraw from the meeting whilst the matter is under consideration. Councillors who have declared other significant interests should also withdraw from the meeting if they consider their continued participation in the matter would not be reasonable in the circumstances and may give rise to a perception of a conflict of interest.

Councillors are not obliged to withdraw from the meeting where a dispensation to that effect has been obtained from the Audit, Pensions and Standards Committee.

A declaration of interest was received from Councillor Joe Carlebach in respect of Agenda Item 3, in his role as Vice-chairman of the Board of Trustees for the Royal National Orthopaedic NHS Hospital Trust.

The covering report briefly sets out the Council’s position on the Sustainability Transformation Plan.  Appended to the report is the NW London Sustainability Transformation Plan (STP), V.1, issued 16 October 2016, together with the Implementation Business Case, also known as the Strategic Outline Case Part 1.

Councillor Rory Vaughan, Chair, welcomed members of the public and officers to the meeting.  He introduced Clare Parker, Accountable Officer, from the collaboration of clinical commission groups covering Central London, West London, Hammersmith and Fulham, Hounslow and Ealing, accompanied by Christian Cubitt, Director of Communications, North West London CCGs, Susan LaBrooy, Medical Director, SaHF (Shaping a Healthier Future) and Janet Cree, Managing Director, Hammersmith & Fulham CCG.  Cllr Vaughan explained that the presentation would be provided in two parts, the first covered Delivery Areas 1-4 (public health, primary care) of the Sustainability Transformation Plan (STP), followed by questions.  The second part of the presentation, would examine acute services and the Strategic Outline Case (SOC) Part 1, and, the planned consultation, on SOC Part 2, which was currently being developed and included Charing Cross Hospital.

Clare Parker briefly set out the background to the STP and the SOC Part 1, the supporting documents for which had been included in the Agenda.  As part of NHS England’s Five Year Forward View (FYFV), the CCGs in the North West London area had been required to develop local plans which demonstrated how they would deliver improved health and care services that addressed three aims: improve people’s health and wellbeing, the quality of care received and address the financial gap.  This new approach brought together local government and the NHS for the first time in terms of actively planning public health provision.

The recent budget announcement of additional funding for social care was welcomed, which could help address the £1.4 billion shortfall and close the financial gap between funding for social care and health.  During April 2016, it was explained that they had worked with partners to agree a set of nine priorities set out across five delivery areas (DA 1-5), to model demand against financial provision and which would allow them to be more radical and innovative, in terms of the way in which people could be supported in maintaining better health. 

Janet Cree set out how the DAs would look at a North London level, mapped alongside the Joint Health and Wellbeing Strategy (JHWS) priorities areas for Hammersmith & Fulham, as identified by the Health and Wellbeing Board (HWB).  She explained that at a recent development day workshop, the members of the HWB discussed joint working arrangements to develop the delivery plan.  The synergy between the priorities, in the evolution of both the STP and the JHWS, was a result of collaborative working and reflected local need.  The reference to the Strategic Commissioning Framework and the FYFV under DA2 was clarified.  This would ensure that there was sustainable primary care as part of the national strategy, delivered at a local level.

Details about the priorities under the different delivery areas and the implications for residents in terms of delivering change were highlighted, in particular under DA1, ensuring that children and young families get the best possible start (also supporting prevention).  The Child Health GP scheme, had recruited seven GPs to an education and leadership development  ...  view the full minutes text for item 123.

The Committee is asked to consider its work programme for the remainder of the municipal year.

The Work Programme noted items planned for the next meeting of the Committee.

RESOLVED

That the report be noted.

The final meeting of the current municipal year 2016/17 will be held on Monday 26th April 2015.

Please note the following dates of meetings for the forthcoming municipal year, 2017/18, as agreed at a meeting of the Council held on 22nd February 2017:

Tuesday, 13^th June 2017

Tuesday, 4^th July 2017

Tuesday, 12^th September 2017

Tuesday, 14^th November 2017

Tuesday, 12^th December 2017

Tuesday, 30^th January 2018

Tuesday, 13^th March 2018

Tuesday, 24^th April 2018

The Committee noted the date of the next meeting, to be held on Wednesday, 26^th April 2017.