Agenda and draft minutes

In accordance with previously agreed arrangements, Councillor Brenda Massey would act as Chair for the duration of the Meeting and Councillor Toby Savage, Chair of the South Gloucestershire Health Scrutiny Committee and Councillor Roz Willis, Chair North Somerset Health Overview and Scrutiny Panel, acted as joint Vice-Chairs.

The Chair welcomed attendees to the meeting and outlined the following procedural information:

·         The meeting had been arranged as a ‘meeting in common’ between the Bristol City Council People Scrutiny Commission, the North Somerset Health Overview and Scrutiny Panel and the South Gloucestershire Health Scrutiny Committee. 

·         The meeting has been arranged to consider the Bristol, North Somerset & South Gloucestershire (BNSSG) Sustainability and Transformation (STP) Plan.  This was an informal arrangement and each Committee remained independently constituted. 

·         It was not the remit or role of the meeting in common to accept or reject the STP.  The meeting had been arranged to receive the first iteration and to pave the way for further scrutiny and consultation. 

·         The People Scrutiny Commission would be responsible for the health scrutiny function in Bristol but the Neighbourhood Directorate has responsibility for Public Health.  Therefore the Neighbourhoods Scrutiny Councillors were also invited to participate in the discussion. 

·         Colleagues from HealthWatch had been invited to attend and contribute to the meeting as expert witnesses.

The Chair welcomed Health colleagues in attendance. 

The Chair outlined the meeting approach:

·         Public Forum – questions, statements and petitions

·         Supplementary questions (if any)

·         Substantive item – presentation on the STP (aprox 20 mins) followed by questions from Councillors and expert witnesses. 

The following apologies for absence were noted:

Bristol City Council

·       Councillors Lesley Alexander, Martin Fodor, Carole Johnson and Anna Keen

·       Alison Comley (Strategic Director, Neighbourhoods)

·       Becky Pollard (Director of Public Health).

Councillor Paul Goggin attended as a substitute for Councillor Keen.

North Somerset Council

·       Councillor Liz Wells, Sarah Codling (substituted by Tom Leimdorfer), Andy Cole (substituted by Donald Davies), Ann Harley, David Hitchins, Ruth Jacobs, Reyna Knight, Liz Wells (substituted by David Jolley)

·       Sheila Smith (Director, People and Communities)

South Gloucestershire Council

·       Councillors Kaye Barrett, Robert Griffin (substituted by Councillor Ben Stokes), Marian Lewis

·       Mark Pietroni (Dr Sara Blackmore, Deputy Director of Public Health attended as a substitute)

Health Colleagues

·       Jane Gibbs (Chief Officer, Clinical Commissioning Group)

·       Jon Hayes (Clinical Chair, Clinical Commissioning Group)

·       Claire Thompson (Bristol, North Somerset and South Gloucestershire Delivery Director)

To note any declarations of interest from the Councillors.  They are asked to indicate the relevant agenda item, the nature of the interest and in particular whether it is a disclosable pecuniary interest.

Please note that the Bristol City Council Register of Interests is available at https://www.bristol.gov.uk/councillors/members-interests-gifts-and-hospitality-register

Any declarations of interest made at the meeting which is not on the register of interests should be notified to the Monitoring Officer for inclusion.

None received.

To note any announcements from the Chair

The Chair highlighted the importance of the STP for health and social care and citizens across all three of the Local Authorities.  Councillors understood the importance and recognised the opportunities and challenges.

Up to 30 minutes is allowed for this item.

Any member of the public or Councillor may participate in Public Forum.  The detailed arrangements for so doing are set out in the Public Information Sheet at the back of this agenda.  Public Forum items should be emailed to democratic.services@bristol.gov.uk and please note that the following deadlines will apply in relation to this meeting:-

Questions - Written questions must be received 3 clear working days prior to the meeting.  For this meeting, this means that your question(s) must be received in this office at the latest by 5 pm on 11^th October 2016.

Petitions and Statements - Petitions and statements must be received on the working day prior to the meeting.  For this meeting this means that your submission must be received in this office at the latest by 12.00 noon on 14^th October 2016.

The following public forum items were received:

Questions

PQ01- Helen Thornton –Equalities Impact Assessment

PQ02- Steve Timmis – Weston Sustainability

PQ03 - Daphne Havercroft – Data Proposals

PQ04 - Mavis Zutshi - Capability & Capacity

PQ05- Mike Campbell – Regional Consultation

PQ06 -Emma Foote – Staffing Levels

PQ07 - Viran Patel – Health Service Consultation

PQ08 – Shaun Murphy (permitted by chair on the day)

Statements

PS01 -Kate Bower -Protect Our NHS

PS02 -Ben Glatt –BNSSG STP Public Stakeholder Group

PS03 -Barbara Harris –Local Healthcare Concerns

PS04 -Bristol City Councillors Gill Kirk, Ruth Pickersgill, Celia Phipps and Brenda Massey –Social Care Funding

PS05 -Pamela Trevithick –Mental Health

PS06 -Sid Ryan –Save the NHS

PS07 - Mike Campbell (Additional statement not included in the Public Forum pack)

Petition

PP01 -Charlotte Paterson –Protect Our NHS

Nancy Rollason, Bristol City Council Legal officer advised that petitions presented to a Committee must relate to the role and responsibilities of that Committee and information in the petition must be factually accurate.  The wording in the petition presented asked the Committee to ‘reject the STP’.  The three Local Authorities would not have the power to reject the STP so the wording presented in the petition would not be considered factually accurate.   A petition with the same wording had been submitted on the BCC e-petition web page but had not been accepted until the wording had been altered to be factually correct.

The Legal Officer advised that the Committee could accept the petition as presented but asked Members to note that the legal advice provided. 

For each question received one supplementary question would be permitted.  The following supplementary questions were received:

To receive the Sustainability and Transformation Plan for Bristol, North Somerset &
South Gloucestershire and to:

·         note that the STP in its current stage of development as the basis for further

detailed  work leading to implementation of specific proposals

·         consider the preferred approach to receiving further updates as this work is

progressed

(Robert Woolley, Chief Executive University Hospitals Bristol NHS Foundation Trust
& Senior Responsible Officer for the local STP).

A report had been provided in the agenda papers which asked the Committee:

1) to note the STP in its current stage of development as the basis for further detailed work leading to implementation of specific proposals, and

2) to consider the preferred option to receiving further updates as this work is progressed.

Presentation

Mr Robert Woolley (Mr Woolley), Chief Executive University Hospital Trust Bristol (UHB) was in attendance at the meeting as the Senior Responsible Officer for the local STP. 

Mr Woolley welcomed the questions and statements received.  Health colleagues recognised the emotive nature of the issue and welcomed the opportunity to speak on behalf of the partners who had so far contributed into the work.

Mr Woolley presented the Committee with an overview of the report which outlined the vision of the Sustainability and Transformation Plan (STP).  The initial development of the local STP has involved15 local organisations responsible for planning and providing your health and social care services (see page 5 of the agenda papers for the full list of partners).

The STP in its current stage of development included; a shared assessment of the service and financial challenges facing the local health and care system, a summary of the case for change and our vision for working together and working differently to meet this challenge.  Following a ‘checkpoint’ review by NHS England, the STP would now be progressed leading to the development of specific plans and proposals.

Mr Woolley made the following general points:

·         The report presented outlined a high level strategy and further work would be required to provide the detailed plans.  Mr Woolley apologised that the report could not be published earlier but felt this was at the vanguard of those being released nationally.

·         The aim of the STP was to do the best possible with available resources.  Mr Woolley referenced the ongoing crisis in health and social, the STP was required because of the ongoing austerity measures introduced by central government. 

·         The proposals were a result of collaborative work, undertaken with no extra funding which looked at what local people wanted and the challenges that face healthcare now and in the future. The concern raised over proper consultation had been noted and actions had been taken to address this, i.e. initial conversations have already involved HealthWatch patient engagement via existing surveys and feedback.

·         Further engagement would take place (which would include the public and Councillors) to assess the impact on communities and different groups with strategies to help people engage going forward.  The STP steering group were committed to absolute transparency and honesty and felt it was critical that communities and the public fed into the strategy to make it a workable plan.

The following health colleagues were also present to provide information on their work areas:

•          Julia Clark – Chief Executive at Bristol Community Health

•          Dr Sara Blackmore – Deputy Director of Public Health at South

Gloucestershire Council (Substituting for Mark Pietroni)

•          Andrea Young – Chief Executive –  ...  view the full minutes text for item 6.

Presentation delivered at the meeting on “Developing a Sustainability and Transformation Plan”.