Health Scrutiny Panel Minutes

Health Scrutiny Panel Minutes

Tuesday 4 September 2018
10:30 a.m.
Mandela Room, Town Hall, Middlesbrough

Attendance Details

Councillor E Dryden (Chair), Councillor S Biswas, Councillor A Hellaoui, Councillor C Hobson, Councillor L Lewis, Councillor J McGee, Councillor L McGloin, Councillor J A Walker, Councillor M Walters
Item Number Item/Resolution

The minutes of the Health Scrutiny Panel meeting held on 12 June 2018 were approved as a correct record.


In terms of matters arising the panel discussed the agreements and recommendations made at the June meeting in relation to the item entitled planning policy for Hot Food takeaways. 


Agreed that the following actions be progressed:-


1. That the Democratic Services Officer arrange a meeting between the Executive Member for Economic Development and Infrastructure, the Chair of the Panel, the Director of Public Health and the Head of Planning to:-


a) Agree and take forward actions to adopt an approach similar to Gateshead and Newcastle City Council in respect of their approach to limiting the proliferation of Hot Food takeaways.


b) Discuss how Hot Food takeaway planning applications that failed to meet the requirements of a health impact assessment could be referred to the Planning Development Committee for Member consideration. 


c) Enable a formal submission to be drafted on behalf of the panel in respect of the Local Plan Preferred Options consultation.


The Chair advised that the Primary Care Commissioning Manager (Dental) at NHS England (Cumbria and the North East) had been in touch to inform the panel that a procurement of orthodontic services would be undertaken in 2018/19. It was explained that orthodontic treatment was often used to improve the appearance and alignment of crooked, protruding or crowded teeth and to correct problems with the bite of the teeth, usually with braces. Clinical provision of orthodontic services was currently delivered across the locality through a number of different service contracts, largely commissioned under Personal Dental Services (PDS) agreements. These contracts were due to come to an end in 2019/2020. NHS England was therefore required to re-procure these contracts in accordance with Procurement Regulations.


The panel was informed that an orthodontic need assessment had been undertaken by Public Health England to ensure that services commissioned would meet local needs. The estimated need had been calculated using a nationally accepted methodology which estimated that 33% of 12 year olds would need and want orthodontic treatment (average number of 12 year olds calculated from the 2014 base projections from the Office of National Statistics extrapolated up to 2027). The required Units of Othodontic Activity (UOAs) had been calculated based on a projection of 600 patients in Middlesbrough, which equated to 13,492 UOA based on an indicative 22.5 UOAs per patient.


The procurement was being managed on a regional basis however contracts would be split into geographical contract lots which had been informed by the local health needs assessment, natural patient flows and feedback from the stakeholder engagement undertaken. A summary of the proposed commissioning intentions, i.e. the capacity NHS England was proposing to secure within each locality was detailed at Appendix 2 of the report. The proposal was for a single contract to be awarded within Middlesbrough, for a contract size of 10,700 UOAs, which equated to treatment for 476 patients.


The point was made that the proposed commissioning intentions fell short of the estimated need for Middlesbrough and therefore further clarity was required from NHS England in respect of the overall capacity to be commissioned for Middlesbrough.


Reference was also made to a forthcoming Public Health England (PHE) event on Water Flouridation that was scheduled to be held at the Stadium of Light in Sunderland on 19 September 2018. An invitation had been extended to the Chair of the panel but unfortunately he was unable to attend and so enquired as to whether any other Member(s) would be available.


AGREED as follows:-


a) That further clarification be sought from the Primary Care Commissioning Manager (Dental) at NHS England (Cumbria and the North East) in respect of the figures detailed in Appendix 1.


b) That Councillors Biswas and McGloin attend the forthcoming PHE event on Water Fluoridation at the Stadium of Light in Sunderland.  


The Health Scrutiny panel work programme report was outlined for Members.


The main investigations for the panel were as follows:-

  • Vulnerable and fragile health services
  • Suicide prevention with a focus on self harm 

The panel also agreed that it wished to receive updates in relation to:

  • Breast Radiology Diagnostic Services in South Tees
  • Transforming Care: Review of Repsite Services for people with Learning Disabilities, Complex Needs and / or Autism.

AGREED that the Health Scrutiny panel work programme for 2018/19 be undertaken, as detailed in the report.


The Chair introduced the panel's draft final report stating that in October 2015 the relocation of breast diagnostic services from James Cook University Hospital (JCUH) to University Hospital North Tees was meant to be a temporary measure. On that basis the proposal was accepted by South Tees Health Scrutiny Joint Committee. However, given that a period of three years had now passed it was evident that this was no longer a temporary measure. 


The view was expressed by the panel that the change to service provision represented a 'significant' change and a statutory consultation ought to have been undertaken. The panel had been repeatedly advised that a 'hub and spoke' model was the best model for South Tees patients and yet there was no tangible action plan for a 'spoke' to be developed at JCUH anytime in the near future.    


In light of the above the panel was of the view that it was not in a position to agree any recommendations on its draft final report at this stage. Clarification was first required as to whether a statutory consultation would be undertaken by STCCG on the changes to breast radiology diagnostic services in South Tees and if so when that consultation would take place.


In the interim period an invitation had been extended to STCCG, South Tees Hospitals NHS Foundation Trust and North Tees and Hartlepool Hospitals NHS Foundation Trust to attend a meeting of the panel in January 2019 to respond to queries already raised by the panel.


Members of the panel had also agreed to partake in some engagement work with STCCG to gather feedback from patients affected by the change in location of service provision.


AGREED that clarification be sought on STCCG's intention to undertake a statutory consultation on the changes to breast radiology diagnostic services in South Tees.        


The Chair provided an update in respect of the work recently undertaken by Health Scrutiny Joint Committees as follows:-


Durham, Darlington, Teesside, Hambleton, Richmondshire and Whitby STP Joint Health Overview Scrutiny Committee

The Committee met on the 13 June 2018 and received a verbal update from the STP Lead Officer on the following issues:-


• The future of Sustainability and Transformation Plans;
• The development of Integrated Care Partnership/System/Network and what that meant in relation to the STP;
• Progress updates on the STP workstreams including the Better Health Programme and Acute Hospitals Model development.


Tees Valley Health Scrutiny Joint Committee


The Committee met on the 18 June 2018 and receieved information on the following issues:-


• Work Programme for 2018/19
• Roseberry Park


North East Joint Health Scrutiny Committee


The committee met on 21 June 2018 and received information on the following issues:-


• Work Programme for 2018/19

• Durham County Council - Adults Wellbeing and Health Overview and Scrutiny Committee - Member Feedback / Recommendations On NHS England’s Proposed Review Of Specialised Vascular Services across the North East
• Specialist Services Update (Neonatal Intensive Care) - Update Letter fromthe Chair


AGREED that the report be noted.  


The Chair provided a verbal update in respect of the matters considered by the Overview and Scrutiny Board on 2 August 2018.

Powered by E-GENDA from Associated Knowledge Systems Ltd