South Tees Health Scrutiny Joint Committee Minutes

South Tees Health Scrutiny Joint Committee Minutes

Monday 2 October 2017
10:30 a.m.
Mandela Room, Town Hall, Middlesbrough

Attendance Details

Councillor E Dryden, Councillor R Goddard, Councillor J McGee, Councillor D Rooney, Councillor J A Walker, Councillor M Walters
C Breheny and E Kunonga
Declarations of interest:

There were no declarations of interest.

Item Number Item/Resolution

RESOLVED that the Minutes of the meeting held on 20 February 2017 be confirmed and signed by the Chair as a correct record.


The Draft Protocol for this Committee, which was developed as a framework for carrying out scrutiny of relevant health service providers and commissioners in Middlesbrough and Redcar & Cleveland was presented to the Joint Committee. Members’ were provided with the opportunity to comment on, make amendments to and then approve the document as necessary.  


AGREED as follows:-


That the Draft Protocol be approved subject to the inclusion of the joint public health service as a relevant authority for which the Joint Committee had responsibility for carrying out scrutiny. 


The Associate Director of Commissioning, Delivery and Operations and the Director of Operations for ELM Alliance Limited gave a presentation on the CQC’s inspection of the recently commissioned out of hours and urgent care service.


As part of the ensuing discussion, the following points were raised:

  • STCCG had increased its scrutiny of the service and was monitoring the recovery plan produced by the provider.
  • The necessary steps had been taken to put right any issues raised regarding safety.
  • Standard protocols were now in place across the 4 bases.
  • During the re-inspection ELM Alliance would need to fully evidence that the concerns raised by the CCQ had been addressed.
  • STCCG estimated over 65,000 people had used the service to date in 2017/18 and there was capacity for 90,000 by the year end.
  • A&E waiting times at South Tees Hospitals NHS Foundation Trust remainder a national outlier, with 98 per cent of patients seen within 4 hours, which helped evidence that the service was working.
  • People accessing the out of hour’s service reported being treated with kindness and respect.
  • Real improvements had been made to the service and a further update would be provided in early December.:- NOTED

AGREED that a special meeting of the Joint Committee be arranged for early December 2017 to receive an update on the provider’s performance along with any further feedback from the CQC.


The Associate Director of Commissioning, Delivery and Operations and Commissioning Manager (Health Inequalities, Cancer, Maternal and Child Health) at STCCG, gave a presentation on the future delivery of Breast Radiology Services at James Cook University Hospital.


As part of the ensuing discussion, the following points were raised:


  • Plans to develop a redesigned, bespoke breast clinic for South Tees’ patients within James Cook University Hospital by 1 July 2017 had not been achieved.
  •  Northern Cancer Alliance had been commissioned (in 2016) to undertake a Regional Breast Cancer Service Review for North East and Cumbria, as a regional solution was required.
  • North Tees NHS Foundation Trust provided screening services for the whole of Teesside and part of Durham and North Yorkshire (55,000 patients per year). Symptomatic services were provided for Stockton, Hartlepool, South Durham, Redcar and Cleveland and Middlesbrough from North Tees and Hartlepool sites.
  • In considering possible solutions four options were considered.
  • Model 4, which was the ‘Hub and Spoke’ model had been approved by STCCG and HaST CCG Executive as the preferred model.
  • Model 3, Breast Screening Unit Hub (centralisation) had also been approved by STCCG and HaST CCG Executive as the interim model.
  • The panel was dissatisfied that the assurances made previously in respect of recruitment and retention had not been fulfilled and 2 to 3 years on the same issues had still not been resolved.
  • The patient survey had shown that 41 per cent of patients had given an answer other than yes definitely to the question were you happy to travel to this specialist breast clinic.
  • Access to the service remained a key issue and given the levels of deprivation across South Tees transport was a key concern :-NOTED

The Director of Public Health for Middlesbrough and Redcar and Cleveland presented a briefing note on the establishment of the South Tees Joint Public Health Service, which would come into effect as of 1 April 2018.


As part of the ensuing discussion, the following points were raised:

  • The joint Public Health Service model would provide increased resilience and sustainability from the outset and was founded on true partnership working.
  • The two separate public protection teams which delivered the environmental health, trading standards, environmental protection and housing advise functions would remain independent.
  • Reductions of 20 per cent in Public Health funding by 2020 required the service to be futureproofed. The new service would be fully established before financial pressures were realised.
  • Phase 4 of the business case was in progress. A 45 day consultation with staff and stakeholders was currently underway.  
  • The main benefit was that the joint Public Health Service aligned with the South Tees CCG, South Tees Acute Hospital Trust and the GP Federation, all key organisations were working at that footprint.
  • Governance arrangements would include regular attendance at scrutiny, although it was acknowledged that duplication of attendance needed to be avoided.  
17/6 WORK PROGRAMME 2017- 2018

The Democratic Services Officer presented a report to invite Members’ ideas for potential topics for the 2017/18 Work Programme.


AGREED that the following items be included for 2017/18:-


1. Urgent Care
2. Breast Radiology Services
3. Sexual Health Services


The Chair advised Members that the CCGs had recently undertaken a public consultation on proposed changes to respite opportunities for people with complex needs, learning disabilities and/or autism. The proposals represented a substantial variation in service delivery and a Respite Opportunities and Short Breaks Joint Health Scrutiny Committee had been established.


The next meeting of the Joint OSC was scheduled to take place on Monday 20 November in Stockton. The purpose of the meeting was to receive further information from the CCGs, along with views from social care representatives, independent advocates and parents / carers affected by the proposals.

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