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Hampshire County Council
Councillors: 78
Wards: 76
Committees: 49
Meetings (2025): 165
Meetings (2024): 156

Meeting

Health and Adult Social Care Select Committee - Hampshire

Meeting Times
Scheduled Time
Start:
Tuesday, 14th January 2025
10:00 AM
End:
Tuesday, 14th January 2025
2:00 PM
Meeting Status
Status:
Confirmed
Date:
14 Jan 2025
Location:
Ashburton Hall, Elizabeth II Court, The Castle, Winchester
Meeting Attendees
Councillor Tim Groves photo
Liberal Democrats Deputy
Councillor Tim Groves

Liberal Democrat

Not required

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Councillor Jackie Porter photo
Liberal Democrats Deputy
Councillor Jackie Porter

Liberal Democrat

Not required

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Councillor Alex Crawford photo
Labour Deputy
Councillor Alex Crawford

Labour

Not required

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Councillor Bill Withers Lt Col (Retd) photo
Chairman
Councillor Bill Withers Lt Col (Retd)

Conservative

Present, as expected

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Councillor Lesley Meenaghan photo
Vice-Chairman
Councillor Lesley Meenaghan

Conservative

Present, as expected

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Councillor Pamela Bryant photo
Committee Member
Councillor Pamela Bryant

Conservative

Present, as expected

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Councillor Tonia Craig photo
Committee Member
Councillor Tonia Craig

Liberal Democrat

Present, as expected

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Councillor Debbie Curnow-Ford photo
Committee Member
Councillor Debbie Curnow-Ford

Conservative

Present, as expected

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Councillor Alan Dowden photo
Committee Member
Councillor Alan Dowden

Liberal Democrat

Present, as expected

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Councillor David Harrison photo
Liberal Democrats Spokesperson
Councillor David Harrison

Liberal Democrat

Present, as expected

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Councillor Wayne Irish photo
Committee Member
Councillor Wayne Irish

Liberal Democrat

Present, as expected

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Councillor Adam Jackman photo
Committee Member
Councillor Adam Jackman

Conservative

Absent

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Councillor Andrew Joy photo
Committee Member
Councillor Andrew Joy

Conservative

Present, as expected

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Councillor Phil North photo
Committee Member
Councillor Phil North

Conservative

Apologies

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Councillor Kim Taylor photo
Labour Spokesperson
Councillor Kim Taylor

Labour

Present, as expected

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Councillor Andy Tree photo
Independent Group Spokesperson
Councillor Andy Tree

Whitehill & Bordon Community Party

Present, as expected

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Co-opted Member
Councillor Cynthia Garton

Eastleigh Borough Council

Present, as expected

Councillor Ryan Brent photo
Conservative Deputy
Councillor Ryan Brent

Conservative

Not required

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Councillor Pal Hayre photo
Conservative Deputy
Councillor Pal Hayre

Conservative

Not required

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Councillor Lance Quantrill photo
Conservative Deputy
Councillor Lance Quantrill

Conservative

Not required

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Councillor Jacky Tustain photo
Labour Deputy
Councillor Jacky Tustain

Labour

Not required

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Councillor Sarah Pankhurst photo
Independent Group Deputy
Councillor Sarah Pankhurst

Independent

Not required

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Councillor Peter Latham photo
Committee Member
Councillor Peter Latham

Conservative

Present, as expected

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Councillor Stephen Reid photo
Committee Member
Councillor Stephen Reid

Conservative

Present, as expected

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Councillor Patricia Stallard photo
Committee Member
Councillor Patricia Stallard

Conservative

Apologies

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Councillor Michael Thierry photo
Conservative Deputy
Councillor Michael Thierry

Conservative

Not required

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Councillor Jackie Branson photo
Committee Member
Councillor Jackie Branson

Conservative

Present, as expected

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Liberal Democrats Deputy
Councillor Adrian Collett

Not required

Liberal Democrats Deputy
Councillor Dominic Hiscock

Not required

Agenda
1 Apologies for Absence
Minutes An apology for absence was received from Councillor Phi North and Councillor Patricia Stallard.
2 Declarations of Interest
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 Non-Pecuniary 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.

A declarations of interest was received from:

Councillor Andy Tree in respect of agenda item 6a “Whitehill and Bordon Health and Wellbeing Hub Update” in his capacity as Deputy Leader of East Hampshire and the planning authority for the Whitehill and Bordon area.
3 Minutes of the Previous Meeting
To confirm the minutes of the previous meeting held on 26 November 2024 (to follow)
Minutes
4 Chairman's Announcements
To receive any announcements the Chairman may wish to make.
Minutes Members Briefing – Joint Strategic Needs Assessment (JSNA)

As part of continued learning and development the Member’s briefing session held on 8 January included a presentation by the Public Health team on the JSNA. The learning would support the Committee when scrutinising the JSNA as it is presented at a future meeting the Select Committee.

Suicide Prevention Training

Everyone has a role to take in preventing suicide, through talking about mental health and suicide and encouraging people to reach out when they need help and support. Knowing how to spot the signs and take appropriate action can help to save a life. In Hampshire, there are a range of training options available that we can all undertake.

Zero Suicide Alliance (ZSA) offered free suicide awareness online training and was recommended to be undertaken by everyone and took just 20-30 minutes to complete. This training helps to identify when someone is presenting with suicidal thoughts/behaviour, to gain confidence to speak out in a supportive way and signpost to services or help.

For more in depth training on suicide prevention, Suicide First Aid ‘Lite’ provided basic knowledge and tools to help someone with thoughts of suicide stay safe from their thoughts and stay alive; and Suicide First Aid goes further to explore and practice the skills and knowledge needed.

Recommendations on the National Review of Maternity Services in England 2022-2024

Members noted the draft written response from Hampshire and the Isle of Wight to the national review of maternity services recommendations. A full report and officer presentations from both Hampshire and Isle of Wight and Frimley ICBs to be received at the next meeting of the Select Committee.

Building Better Emergency Care

A second visit had been offered by Portsmouth Hospitals to visit the Emergency Department based at the Queen Alexandra Hospital when Members met with senior clinicians and key members of staff.
5 Deputations
To receive any deputations notified under Standing Order 12.
Minutes No deputations had been received.
6 Whitehill and Bordon Health and Wellbeing Hub Update
To consider a report on proposals from NHS providers of health services to vary or develop health services in the area of the Committee.
Minutes The Chairman welcomed James Roach, Primary Care Director and Lisa Medway and Martyn Rogers of Hampshire and Isle of Wight ICB. The Select Committee heard:

- The development of the health and wellbeing hub was viewed as an opportunity for a new service model and future models of care and would deliver the appropriate size from the outset. Built into the flexible site design were opportunities to expand, and it had been future proofed for population growth.

- There had been no decision on the status of the Chase Hospital which ultimately would be the responsibility of NHS Property Services.

- Possible options for the relocation of community mental health service included Surrey.

- The proposals were considered an enhancement to meet complex medical needs and not a substantial variation to future service provision and would support the out of hospital model of care. IT would be explored to enhance and deliver care.

As part of the continued commitment to the delivery of a new service model at the health hub, negotiations between the Chase Hospital resident GP, pharmacy and developer continued towards the signing of the lease. The Chase Hospital remained a working concern with no immediate service changes and would remain in operation until a viable option had been delivered

In terms of context, inpatient beds had previously been relocated in 2013 and that the planned health hub aligned with the national direction and consultation outcome. The Hub would include a single point of access for diagnostics and again was an alignment with government health initiatives. The overall service model had been driven by results of consultation.

The Select Committee remained concerned about the resident GP continuing with their planning application on the Chase Hospital site. Officers confirmed that there had been no plans for expansion on the hospital site and discussions around the practice relocation continued.

The Committee had a discussion in terms of the report content and did the proposal represent a substantial change to services, if so, would a recommendation to Council to make a referral to Secretary of State be appropriate at this stage. Legal support clarified the report did not represent a substantial change to services and that the Committee could not make a referral to Council on a matter that was in future.

Hampshire and IOW ICB officers agreed to continue to provide updates on planned site and lease agreement status and on the accommodation size and an on update milestones.

Councillor Andy Tree proposed an alternative recommendation to the report, in the absence of a seconder, the proposal was not supported by the Committee.

Under 1.13.8.3. of Part 3: Chapter 3 of the Constitution this committee does not consider this proposal in the best interests of the health service in Hampshire, taking into consideration potential population increases in Whitehill & Bordon area (and/or anything else that may come up in agenda item)

The committee resolves that the conditions of 1.13.9 are satisfied aside from 1.13.9.4 where the committee agrees to make a request under 1.13.9.4 to Council, to refer to the Secretary of State under 1.13.9.

RESOLVED

That the Health and Social Care Select Committee noted the update and progress of the development of the health hub.
6 Hampshire Orthopaedic Centre (Proposal to Create an Elective Hub)
To consider an update report from NHS providers of health services to vary or develop health services in the area of the Committee.
Minutes Ms Julie Maskery, Strategic Projects Director for Hampshire Hospitals was welcomed to the meeting and invited by the Chairman to make her presentation.

The Select Committee heard that

- The construction programme had experienced some delays but was back on track with an expected completion in July and the opening scheduled in October.

- Positive reporting regarding recruitment and staffing with both Portsmouth and Southampton hospitals sharing their clinicians with the hub. Recruitment of lead practitioners and internationally recruited nurses was due to start in February.

- Clinical practices and processes would utilise best practice from across the country with a particular focus on clinical, digital and practice processes to maximise patient treatment.

- The facility would house a larger OPD with dedicated orthopaedic and fracture clinic facilities.

The hub, similar to other nationwide centres of excellence would perform elective planned surgeries with patients from across Hampshire. Post operative care would be delivered for the first 14 days by the hub following this period patients would be discharged back to their home trust.

Members were keen to hear if Hampshire had experienced an increase in requests for weight loss injections to meet surgery requirements. The Director of Public Health emphasised the need to change behaviours as opposed to relying on medication.

The Health and Adult Social Care Select Committee

RESOLVED to note the update and progress of the proposals.
6 PROPOSALS TO VARY HEALTH SERVICES IN HAMPSHIRE
To consider a report on issues brought to the attention of the Committee which impact upon the planning, provision and/or operation of health services with Hampshire, or the Hampshire population.

6a) Whitehill and Bordon Health and Wellbeing Hub Update

To further consider the report on proposals from NHS providers of health services to vary or develop health services in the area of the Committee.

6b) Hampshire Orthopaedic Centre (Proposal for an Elective Hub)

To receive an update on the developments and progress made to deliver a new Elective Hub.
Minutes The Committee received a report (item 6 in the minute book) which provided

Members with information about the issues brought to the attention of the

Committee which impacted upon proposals to vary health services in Hampshire as follows:

a. Whitehill and Bordon Health and Wellbeing Hub Update

b. Hampshire Orthopaedic Centre (Proposal to Create an Elective Hub)
7 2025/26 Revenue Budget, Public Health Grants and Saving Report for Adult's Health and Care.
The Health and Adults’ Social Care Select Committee are requested to pre-scrutinise the proposals for the 2025/26 budget for Adults’ Health and Care.
Minutes The Director of Adults’ Health and Care, Director of Public Health and Financial Planning Manger delivered a presentation to the Select Committee for approval in advance of the decision being taken by the Leader and Cabinet of the revised budget for 2024/25, proposed 2025/26 budget and officer proposed SP25 phase 2 savings for Adults’ Health and Care. The final decision would be made by the County Council in February 2025.

The Select Committee commented that details of proposed savings were not immediately evident within the report, and that some of the details of proposed savings were found within the equalities impact assessment. Officers confirmed that there had been several aspects to the phase 2 proposals unlike that of the existing phase 1 savings. There had been several proposal and aspects of the budget that were under review with no options confirmed, however areas of review were investigation of what the current spend would be, high-cost placement with small extension of work already happening. As a service the direction of travel was to move away from residential care and the department would seek to look at efficiencies and retain effectiveness whilst limiting the impact of the public.

Funding for a responsible adult to be present when children and young adults were being questioned in custody remained a statutory requirement however for those vulnerable adults this was not a requirement and it had been recognised that the police would receive funding from other revenue streams, this may represent an area of savings. The department had been in conversations with the police regarding future appropriate adult funding and had engaged with the OPCC to ask about the impact of HCC proposals, the outcome of these discussions may for the subject of a future executive member decision in the spring. Officers reported that it would be a surprise if there was any substantive change. There is a continued requirement to have a responsible adult when interviewing a vulnerable adult.

The Committee commented that the national efforts to retain and attract an efficient workforce were crucial and felt that this should be aligned with future funding.

With the increase in residential care costs as the number of patients entering residential care increases this would increase financial pressures on HCC to support them. Officers noted the difficulty in sharing the detail around those not receiving care as the HCC only provides 40% of domiciliary care in Hampshire.

The Health and Adults’ Social Care Select Committee

RESOLVED to:

Support the recommendations being proposed to the Executive Lead Member for Adult Social Care and Public Health the attached report.
7 PRE DECISION SCRUTINY
To consider items due for decision by the relevant Executive Member, and scrutiny topics for further consideration on the work programme.

a) 2025-2026 Revenue Budget

b) 2025-2026 to 2027- 2028 Adult Services Capital Programme
Minutes To Committee received a report (item 7 in the minute book) due for decision by the relevant Executive Member, and scrutiny topics for further consideration on the work programme.

a. 2025/26 Revenue Budget, Public Health Grant and Savings

Report for Adults’ Health and Care.

b. Adults Services Capital Programme for 2025/26 to 2027/28.
7 Adults Services Capital Programme for 2025/26 to 2027/28
The Adults Health and Care Select Committee are requested to review and consider the Adults Services Capital Programme for 2025/26 to 2027/28.
Minutes The Chairman invited the Director of Adult’s Health and Care supported by the Adult’s Financial Planning Manager to present the report to allow Members to pre-scrutinise the proposals for the Adults Services Capital Programme for 2025/26 to 2027/28 which was due for consideration at the decision day of the Executive Lead Member for Adult Social Care and Public Health on 21 January 2025.

The presentation outlined a capital programme budget of 29,857 for 2025/2026.

The reported top challenges included

- An increase in the number of adults with eligible care needs accelerated demand for services, coupled with growing complexity of need and increased frailty in the over 75’s (forecast to grow 20% by 2029).

- High demand and cost pressures within the NHS which continued to have an impact on demand for social care services and placement costs.

- Increased volatility in the provider market as cost pressures associated with uplifts to national insurance contributions and the national minimum wage come into effect in 2025.

The departments top priorities included:

- The achievement of further financial savings as part of the SP25 programme.

- The development of the demand management strategy to divert customers away from long term care wherever possible and to allow social work teams to focus on those with more complex needs.

- The continued focus on independent living at home, including take up of technology and direct payments.

- Partnership working with the NHS to ensure that Better Care Funds are being used to protect and enhance social care provision.

- A focus on accommodation options which promote independence (Supported Living for younger adults and Extra Care schemes for older adults) and in-house services that support the more complex/dementia needs in areas of greatest demand.

The Health and Adult Care Select Committee

RESOLVED:

To Support the recommendations being proposed to the Executive Lead Member for Adult Social Care and Public Health the attached report.
8 Task and Finish Working Group
The Health and Adult Social Care Select Committee are asked to consider initiating a Task and Finish Working Group to oversee and scrutinise the approach and outcomes of the Stage 2 consultation related to Adults’ Health and Care SP25 phase 2 savings proposals.
Minutes The Committee considered the report setting out proposals to initiate a Task and Finish Working Group to oversee and scrutinise the approach and outcomes of the Stage 2 consultation relating to Adults’ Health and Care SP25 phase 2 savings proposals.

Members noted that, at its meeting in February 2025 as part of the 2025/26 revenue budget setting process the County Council would consider several services-specific SP25 phase 2 savings proposals which would be subject to Stage 2 consultation.

Members discussed the proposed membership of the Working Group as set out within the Terms of Reference (ToR) at section 6.1. A proposal was put forward, and agreed unanimously, that the membership be amended to the following:

x9 Working Group members comprising x5 Conservative group, x2 Liberal

Democrat Group, x1 Labour Group and x1 Independent Group.

The Chairman requested that the names of nominated Councillors from each

group be emailed to Democratic and Member Services following the meeting.

RESOLVED:

That the Health and Adult Social Care Select Committee:

Set up a Task and Finish Working Group to oversee and scrutinise the approach and outcomes of the Adults’ Health and Care directorates SP25 phase 2 savings proposals, which are subject to Stage 2 consultations.

Considered and agreed the proposed Terms of Reference for the Task and Finish Working Group.

Appointed to and agreed the membership of the Task and Finish Working Group, from current Members of the Health and Adult Social Care Select Committee with a membership of 9 comprising of x5 Conservative group, x2 Liberal Democrat Group, x1 Labour Group and x1 Independent Group

Appointed the Chairman of the Health and Adult Social Care Select Committee as the Chairman of the Task and Finish Working Group.

Delegated to the Select Committee Chairman (in consultation with the Director of Adults’ Health and Care), decisions on the timings for when the Task and Finish working groups would meet.
9 Recommendations on the National Review of Maternity Services in England 2022-2024
The Health and Adult Social Care Select Committee are requested to receive an of the Care Quality Commission (CQC) recommendations on the national review of maternity services in England 2022-2024 (2024) and the progress made by NHS Trusts and NHS Hampshire and Isle of Wight Integrated Care Board.
Minutes Hampshire and Isle of Wight Integrated Care Board provided a written briefing in response to the outcomes and recommendations following the national review of maternity services in England 2022-2024. Officers from Hampshire and the Isle of Wight and Frimley ICBs had agreed to provide a full report and presentation at the next meeting of the Select Committee.
10 Work Programme
To consider and approve the Health and Adult Social Care Select Committee Work Programme.
Attachments:
Minutes The Select Committee discussed the work programme and agreed that the following items be added to the work programme as future reports:

· Young Adults and Older Adults Supported Accommodation.

· Future Impacts of Housing on Primary Care Access.

RESOLVED:

That the Health and Adult Social Care Select Committee discuss and agreed potential items for the work programme that can be prioritised and allocated by the Chairman of the Health and Adult Social Care Select Committee in consultation with the Director of Adults’ Health and Care.
Previous Meetings
Meeting

4th Mar 2025

Health and Adult Social Care Select Committee

Meeting

14th Jan 2025

Health and Adult Social Care Select Committee

Meeting

26th Nov 2024

Health and Adult Social Care Select Committee

Meeting

15th Oct 2024

Health and Adult Social Care Select Committee

Meeting

17th Sep 2024

Health and Adult Social Care Select Committee

Meeting

3rd Sep 2024

Health and Adult Social Care Select Committee

Meeting

19th Jun 2024

Health and Adult Social Care Select Committee

Meeting

21st May 2024

Health and Adult Social Care Select Committee

Meeting

5th Mar 2024

Health and Adult Social Care Select Committee

Meeting

16th Jan 2024

Health and Adult Social Care Select Committee

Future Meetings
Meeting

17th Jun 2025

Health and Adult Social Care Select Committee

Meeting

16th Jul 2025

Health and Adult Social Care Select Committee

Meeting

9th Sep 2025

Health and Adult Social Care Select Committee

Meeting

14th Oct 2025

Health and Adult Social Care Select Committee

Meeting

25th Nov 2025

Health and Adult Social Care Select Committee

Meeting

13th Jan 2026

Health and Adult Social Care Select Committee

Meeting

3rd Mar 2026

Health and Adult Social Care Select Committee

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