Hampshire County Council
Councillors:
78
Wards:
76
Committees:
49
Meetings (2025):
165
Meetings (2024):
156
Meeting
Joint Health Overview and Scrutiny Committee - Hampshire Together - Hampshire
Meeting Times
Scheduled Time
Start:
Monday, 22nd July 2024
2:00 PM
Monday, 22nd July 2024
2:00 PM
End:
Monday, 22nd July 2024
4:25 PM
Monday, 22nd July 2024
4:25 PM
Meeting Status
Status:
New
New
Date:
22 Jul 2024
22 Jul 2024
Location:
Ashburton Hall - HCC
Ashburton Hall - HCC
Meeting Attendees
Committee Member
Chair Health Scrutin Committee
Councillor Martha Vickers
West Berkshire Unitary Council
Apologies
Committee Member
Councillor Marie Finn
Southampton City Council
Apologies
Liberal Democrats Deputy
Councillor Dominic Hiscock
Present, as substitute
Agenda
1
Apologies for absence
To receive any apologies for absence.
Minutes
Apologies were received from Councillor Martha Vicker and Councillor Maria Finn.
2
Declarations of Interest
All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to Part 3 Paragraph 1.5 of the County Council's Members’ Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Personal Interest in a matter being considered at the meeting should consider, having regard to Part 5, Paragraph 4 of the Code, whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.
Minutes
Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the
circumstances described in Part 3, Paragraph 1.5 of the County Council's
Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Personal interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.
Cllr A Joy declared an non-pecuniary interest as a past patient of Hampshire Hospitals.
Cllr Porter declared an interest as portfolio holder for Place at Winchester City Council.
circumstances described in Part 3, Paragraph 1.5 of the County Council's
Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Personal interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.
Cllr A Joy declared an non-pecuniary interest as a past patient of Hampshire Hospitals.
Cllr Porter declared an interest as portfolio holder for Place at Winchester City Council.
3
Minutes of the previous meeting
To review the minutes of the meeting held on 31 October 2023.
Attachments:
- Document Minutes of Previous Meeting 12 Jul 2024
Minutes
The minutes of the previous meeting held on 31 October 2023 were agreed.
4
Deputations
To receive any deputations notified under Standing Order 12.
Minutes
There were no deputations.
5
Chairman's Announcements
To receive any announcements the Chairman may wish to make.
Minutes
None.
6
Hampshire Together Consultation Feedback
For the Joint Committee to consider the feedback from the public consultation on the Hampshire Together proposals and to consider the Committee’s response to being consulted on the proposals.
Attachments:
- Document Hampshire Together consultation cover report 12 Jul 2024
- Document Appendix 1 Hampshire Together Consultation Document 12 Jul 2024
- Document Appendix 2 Hampshire Together consultation activity report 12 Jul 2024
- Document Appendix 3 Hampshire Together Consultation Feedback Report 12 Jul 2024
- Document Appendix 4 Letter to JHOSC Chairman 08.07.24 12 Jul 2024
- Document Map of services v2 12 Jul 2024
Minutes
The Committee received a presentation from the Hampshire and Isle of Wight Integrated Care Board (the ICB) and Hampshire Hospitals NHS Trust (the Trust) who revisited the purpose and background of the Hampshire Together programme, provided an update in terms of recent developments and presented the outcome of an extensive public consultation exercise which had been undertaken. As part of the presentation the following was noted:
Modernising the Trust’s Hospitals and Health Services programme had the opportunity to deliver a new hospital to serve the people of north and mid Hampshire, to explore many other healthcare benefits included as part of the government’s New Hospital Programme. There is a continued case for change to meet the needs and challenges of a changing population size, ensuring clinical sustainability, financial resilience and the current building estate requiring extensive maintenance.
· The Trust were assured of financial investment to £900 million to deliver the new model, having assurances from central Government that as part of their manifesto arrangements should continue at pace; the reduction of waiting and operation lists remain a high priority.
· The consultation opened on 11 December 2023 and closed on 17 March 2024, the overview and engagement activity was set out for Members.
The Committee welcomed the detailed presentation and were pleased to be in a position to view the consultation process, the comprehensive overview, independent analysis and research activities which enabled in depth scrutiny of the process and exposure to outcomes. Furthermore Members were encouraged that comments and considerations had been sought in advance of the ICB and the Trust formally submitting the business case to NHS England’s South East leadership team.
The data demonstrated the range and depth of engagement with comments received from a wide sample group that included not only patients and service users but had considerations from the acute and community sectors, senior/ junior clinicians and other staff groups, partners and stakeholders. The paper before the Committee was to consider and determine the success of the consultation process, the detail and outcomes of the exercise would be subject to further scrutiny and debate.
The Joint Committee’s comments would be submitted in writing to NHS Hampshire and Isle of Wight Integrated Care Board. During the meeting the Committee discussed initial outcomes, detail and trends identified within the data, when the following points were raised:
· The consultation allowed for comment on site selection, workforce, transport, configuration of services, stakeholders and partner engagement to build the business case. The in-depth process resulted in a requirement to present the best possible option for discussion with the Options Development Group and partners, information from the consultation data will help to form the preferred option.
· Equality of access was a concern for patients and some staff groups, in terms of additional travel, cost and opportunities. A interconnecting internal transport system was suggested to negate this concern. Specifics around travel included the additional journey times for expectant mothers; and additional costs incurred by those lower paid employees who have little or no access to private transportation.
· Across the workforce was a general sense of support regarding the proposed models of care, comments and considerations would feed into the business case.
· Members also discussed the importance of open dialogue with hard to reach patient groups – those who choose not to engage. The ICB advised of the continued engagement with all users and recognition that methods of patient choice would need to be communicated well to avoid any single service being overwhelmed.
· To manage expectation and outcomes of the programme, the Trust had discussions with neighbouring Dorset as they had delivered a similar health package and had provided real examples and demonstrations of best practice.
· The Trust and ICB have open dialogue with National Highways as the potential closure of Junction 7 had been raised as a concern, which would result in patients having travel further for treatment. The data showed that the majority of patients preference would be for the step down services to be delivered in Basingstoke.
· The changing demographic and where service delivery would be improved by location had been a topic of discussion in varied workshops with partners, LAs, NHS etc, to get a sense of what services would better service each community.
The Committee agreed to meet again to consider the detail contained in the presentation and were pleased that their considerations during this session would influence part of the next phase of the programme; future updates would be welcomed at various points throughout the suggested timeline of the programme seeking to go live between 2030 and 2035.
RESOLVED:
That the Joint Committee
1. Note the consultation activity report and the consultation feedback report on the Hampshire Together proposals and;
2. Agreed to submit a formal response to the consultation to NHS Hampshire and Isle of Wight Integrated Care Board.
Modernising the Trust’s Hospitals and Health Services programme had the opportunity to deliver a new hospital to serve the people of north and mid Hampshire, to explore many other healthcare benefits included as part of the government’s New Hospital Programme. There is a continued case for change to meet the needs and challenges of a changing population size, ensuring clinical sustainability, financial resilience and the current building estate requiring extensive maintenance.
· The Trust were assured of financial investment to £900 million to deliver the new model, having assurances from central Government that as part of their manifesto arrangements should continue at pace; the reduction of waiting and operation lists remain a high priority.
· The consultation opened on 11 December 2023 and closed on 17 March 2024, the overview and engagement activity was set out for Members.
The Committee welcomed the detailed presentation and were pleased to be in a position to view the consultation process, the comprehensive overview, independent analysis and research activities which enabled in depth scrutiny of the process and exposure to outcomes. Furthermore Members were encouraged that comments and considerations had been sought in advance of the ICB and the Trust formally submitting the business case to NHS England’s South East leadership team.
The data demonstrated the range and depth of engagement with comments received from a wide sample group that included not only patients and service users but had considerations from the acute and community sectors, senior/ junior clinicians and other staff groups, partners and stakeholders. The paper before the Committee was to consider and determine the success of the consultation process, the detail and outcomes of the exercise would be subject to further scrutiny and debate.
The Joint Committee’s comments would be submitted in writing to NHS Hampshire and Isle of Wight Integrated Care Board. During the meeting the Committee discussed initial outcomes, detail and trends identified within the data, when the following points were raised:
· The consultation allowed for comment on site selection, workforce, transport, configuration of services, stakeholders and partner engagement to build the business case. The in-depth process resulted in a requirement to present the best possible option for discussion with the Options Development Group and partners, information from the consultation data will help to form the preferred option.
· Equality of access was a concern for patients and some staff groups, in terms of additional travel, cost and opportunities. A interconnecting internal transport system was suggested to negate this concern. Specifics around travel included the additional journey times for expectant mothers; and additional costs incurred by those lower paid employees who have little or no access to private transportation.
· Across the workforce was a general sense of support regarding the proposed models of care, comments and considerations would feed into the business case.
· Members also discussed the importance of open dialogue with hard to reach patient groups – those who choose not to engage. The ICB advised of the continued engagement with all users and recognition that methods of patient choice would need to be communicated well to avoid any single service being overwhelmed.
· To manage expectation and outcomes of the programme, the Trust had discussions with neighbouring Dorset as they had delivered a similar health package and had provided real examples and demonstrations of best practice.
· The Trust and ICB have open dialogue with National Highways as the potential closure of Junction 7 had been raised as a concern, which would result in patients having travel further for treatment. The data showed that the majority of patients preference would be for the step down services to be delivered in Basingstoke.
· The changing demographic and where service delivery would be improved by location had been a topic of discussion in varied workshops with partners, LAs, NHS etc, to get a sense of what services would better service each community.
The Committee agreed to meet again to consider the detail contained in the presentation and were pleased that their considerations during this session would influence part of the next phase of the programme; future updates would be welcomed at various points throughout the suggested timeline of the programme seeking to go live between 2030 and 2035.
RESOLVED:
That the Joint Committee
1. Note the consultation activity report and the consultation feedback report on the Hampshire Together proposals and;
2. Agreed to submit a formal response to the consultation to NHS Hampshire and Isle of Wight Integrated Care Board.
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