Agenda and minutes

The minutes of the meeting held on 17 November were taken as read, confirmed and signed.

The Board also noted the Action Log, which provided an update on actions agreed by the Board at its previous meetings.

There were no urgent items for consideration.

The Chairman invited members who wished to do so to declare any interest in respect of items on the agenda for the meeting.

No declarations were made.

The Board considered a report of Better Care Together which set out the draft Sustainability and Transformation Plan (STP) for Leicester, Leicestershire and Rutland (LLR).  A copy of the report marked ‘Agenda Item 4’ is filed with these minutes.

Arising from discussion the following points were raised:-

(i)    The Board commended officers on producing an accessible document which was easy to read.  The importance of listening to the outcome of public engagement and consultation was emphasised.  It was also suggested that engagement with the public should focus on the positive health offer that would be made for each locality.

(ii)   Concern was expressed that the draft STP did not make reference to patients who accessed services outside of LLR.  In addition, the STPs of neighbouring areas included proposals to change service provision in those hospitals which were used by Leicestershire residents.  The Board was advised that, as STPs were only now being published, it had not previously been possible to access them.  However, the STP programme office was working with neighbouring areas to assess the impact of their plans. 

(iii)  The draft LLR STP included proposals for outpatient services for patients who had initially been treated in an out of county hospital to be provided in Community Hospitals.  For example, there was a proposal for Kettering Hospital to offer outpatient services in Lutterworth.  It was confirmed that these proposals would not have an impact on patient choice.

(iv) The draft STP stated that Leicester was unusual in that it had three big acute hospitals for the size of population it service.  It was suggested that a chart comparing service provision in Leicester with that of other, similar sized areas would be useful.  The Board was advised that there were similar numbers of staff in Leicester to comparator areas, but the need to maintain safe services across three sites often resulted in the triplication of services and staff being spread too thinly.

RESOLVED:

That the draft Leicester, Leicestershire and Rutland Sustainability and Transformation Plan be noted.

The Board considered a report which provided an overview of the proposed role of the three Leicester, Leicestershire and Rutland Health and Wellbeing Boards within the new Sustainability and Transformation Plan governance and delivery arrangements.  A copy of the report marked ‘Agenda Item 5’ is filed with these minutes.

Members of the Board welcomed the proposals, which demonstrated the strength of partnership working across health and social care.

RESOLVED:

(a)  That the proposal to take on a greater role in relation to the Sustainability and Transformation Plan, as described in paragraphs 8 to 14 of the report, be approved;

(b)  That the five specific functions for the Health and Wellbeing Board outlined in paragraph 10 of the report be approved;

(c)  That the specific areas of service reconfiguration and new model of care focus for each Health and Wellbeing Board set out in the table in paragraph 12 of the report be approved;

(d)  That the areas that would remain within the governance of other parts of the system be noted.

The next meeting of the Health and Wellbeing Board will be held on Thursday 5 January 2017 at 2.00pm.

It was noted that the next meeting of the Board would take place on Thursday 5 January at 2.00pm.