Agenda and draft minutes
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Contact: Daniel Kerr, Strategy, Policy and Performance Officer
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APOLOGIES FOR ABSENCE To receive any apologies for absence.
Minutes: Apologies for absence were received from Councillors Sabina Akhtar (LBTH); Ben Hayhurst (LBH); Anthony McAlmont (LBN); and Richard Sweden (LBWF). |
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DECLARATIONS OF INTEREST Any Member of the Committee or any other Member present in the meeting room, having any personal or prejudicial interest in any item before the meeting is reminded to make the appropriate oral declaration at the start of proceedings. At meetings where the public are allowed to be in attendance and with permission speak, any Member with a prejudicial interest may also make representations, answer questions or give evidence but must then withdraw from the meeting room before the matter is discussed and before any vote is taken.
Minutes: There were no declarations of disclosable pecuniary interest were received from Members present.
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To agree the minutes of the meeting held on 25th July, 2016.
Additional documents: Minutes: The Chair Moved and it was:-
RESOLVED
That the unrestricted minutes of the meeting of the Committee held on 25th July, 2016 be approved as a correct record of the proceedings.
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Additional documents:
Minutes:
The Committee was reminded that at its meeting on 25th July 2016, Members had requested that the Chair and Vice-Chair meet with senior officers from the relevant Clinical Commissioning Groups (CCGs) to discuss bringing more detailed reports regarding the Transforming Services Together (TST) programme to committee.
It was noted that the Chair and Vice-Chair met with CCG Chief Officers on 29th September 2016 and it was agreed that INEL would host two meetings in November for more detailed scrutiny of the TST across specific areas of concern identified by members.
The report and its accompanying summary included items covering:
1. The financial implications of TST and progress on delivery; and 2. Modelling for the future of the primary care workforce.
Whilst the following meeting scheduled to take place on 17th November it was noted would explore TST further, receiving a report covering plans for self-care, elective care, and movement of services and patient journeys. In addition, the Committee received a submission from Dr Jackie Applebee, Chair Tower Hamlets Local Medical Committee which is set out in Appendix A of these minutes.
The Committee considered the report and Dr Applebee’s submission and this was followed by questions and comments from Members who stated:
1. Cllr Munn – Whilst I note that acute care hubs are to bring together clinical areas focused on initial assessment and rapid treatment without the need for hospital admission. However, how will these hubs deliver the anticipated savings; 2. Cllr Masters – It would be helpful to know what conditions are considered appropriate for the Ambulatory Care Pathway (ACP). 3. Cllr Masters – There is considerable focus on integrated care but consideration must also be given to the reduction in funding across all partner agencies. 4. Cllr Masters and Cllr Mustaquim – Has the cost of living for key worker’s also been factored into the consideration regarding the development of this new structure. 5. Cllr Mead – Whilst noting that it is not considered feasible to provide outpatients services unchanged in the current financial climate of a real reduction in revenue against a backdrop of increasing demand. How is it envisaged that the service will work through the local clinics e.g. what will be the cost and how will the individual needs of patients be addressed? 6. Cllr Potter – Will hospitals outside of the Barts Health NHS Trust be able to access the new structure; 7. Cllr Mead – What assurances have we that there will not be any misdiagnoses? 8. Cllr Harrison – Can we be assured that clinician’s will have access to the resources to meet the needs of those communities that they seek to serve? 9. Cllr Masters – Where will the finances come from to deliver expansion at Whipps Cross Site? 10.Cllr Masters – If we had known in 2011 what we now know about the population increase would we have closed King George’s emergency department? 11.Cllr Harrison – What is the difference between the Physician Associate and General Practice ... view the full minutes text for item 4. |