MINUTES OF A MEETING OF THE PARTNERSHIP BOARD FOR HEALTH AND WELL BEING HELD IN THE COUNCIL CHAMBER COUNTY HALL, NEWPORT, ISLE OF WIGHT ON THURSDAY, 13 SEPTEMBER COMMENCING AT 3.00 PM
Present :
Mr P Bingham - Chairman - Isle of Wight, Portsmouth and South East Hampshire Health Authority
Isle of Wight Council
Mr J A Bowker, Mr M Cunningham, Mr R Mazillius, Mr A Sutton
Isle of Wight, Portsmouth and South East Hampshire Health Authority
Ms G Edwards, Ms P Humphries
Isle of Wight Primary Care Trust
Mrs V A Anderson, Mr D Crawley
Isle of Wight Healthcare NHS Trust
Mr G Elderfield, Mr A Munds
Voluntary Sector
Mrs P Lee, Ms S Neharai, Ms C Piggott
Also in Attendance :
Mr C Waddicor, Mrs S Bennett, Ms K Green, Mr P Thistlewood - Isle of Wight Council
Mrs E Garrett - Isle of Wight Health Authority
Apologies :
Dr M Denham - Johnson, Mrs D Gardiner, Mrs G Squibb
1. ELECTION OF CHAIRMAN
RESOLVED :
THAT Mr P Bingham be elected Chairman for the ensuing year.
2. ELECTION OF VICE CHAIRMAN
RESOLVED :
THAT Mr R Mazillius be elected Vice Chairman for the ensuing year.
3. MINUTES
RESOLVED :
THAT the Minutes of the meeting held on 20 March 2001 be confirmed.
4. MATTERS ARISING
(a) Patient Involvement in the New NHS
The Board was advised that it had been proposed, that a new type of organisation called ‘Voices’ be established to take the place of the Community Health Council. Its development was still in the consultation process, the closing date for consultation was towards the end of October.
(b) Frank James Hospital
The Board was advised that the planning and design work of the facility at Newcroft which would take Frank James patients had been delayed. Completion was now expected in Spring 2002. There would be no movement of patients from Frank James Hospital during the winter.
5. URGENT BUSINESS
(a) Associated Health Action Zone
The Board was advised of the success of the Associated Health Action Zone. Zones received £5,000 funding and the Primary Care Trust would be making the sum available to the project to develop Pan as a community. Such designation could also assist in attracting grant aid from other agencies.
RESOLVED :
THAT the report be noted.
(b) Terms of Reference for Health and Well - Being Partnership Board.
Members of the Board were advised of the need to amend the Constitution of the Board due to changes in the status of the Primary Care Group.
RESOLVED :
THAT the membership contained in the Constitution be amended from :
Primary Care Group Chairman and another member of the Board to
Primary Care Trust Chairman and a non Executive member of the Board.
6. FINANCIAL POSITIONS OF THE ISLAND HEALTH AND SOCIAL CARE ORGANISATIONS
The joint report of the Chief Executive of the Isle of Wight Primary Care Trust, the Chief Executive of the Isle of Wight Healthcare and NHS Trust and the Director of Social Services and Housing was received. The report provided a summary of each organisations financial position. Due to cost pressures already existing in the system a deficit had arisen from the outset. The number of beds blocked had risen from 5 to currently 20. Projected figures showed that St Mary’s Hospital would not be able to undertake elective operations after December 2001.
The Board was advised that without additional Government funding the existing problems would escalate. The organisations had been advised by regional representatives to write a joint position statement detailing the difficulties they were facing to try and obtain additional funding from Ministers. Members agreed that it was necessary for all agencies to work together and put forward a case for additional funding. Similar situations were being encountered throughout the region. It was however felt that the issue of funding needed to be looked at over the long term.
RESOLVED :
THAT the position be noted.
7. LOCAL CAPACITY PLAN
In an oral report the Chief Executive of the Isle of Wight Healthcare Trust indicated that the agencies on the Island had compiled a Local Capacity Plan for the forthcoming winter. Last years plan had been critically reviewed and there had been a number of successes, including the Community Outreach Team and the Flu Vaccination Programme.
All of these measures had been repeated in this coming year’s plan. In addition critical care for this coming winter would be improved with the opening of a new Intensive Care Unit in October 2001, providing 10 beds. The plan also included the recruitment of 45 Filipino nurses who would be arriving in November. Members discussed the type of support that should be provided for such staff.
RESOLVED :
THAT the report be noted.
8. PERFORMANCE IMPROVEMENT PLAN
The Director of Social Services and Housing reported that he would await the outcome of the joint position statement of the Isle of Wight Primary Care Trust, the Isle of Wight Healthcare NHS Trust and Social Services and Housing Directorate before producing a Performance Improvement Plan.
RESOLVED :
THAT the position be noted.
9. ISLE OF WIGHT COMMUNITY STRATEGY
The Director of Social Services and Housing reported on the development of the Council’s Community Strategy. Members were advised of the objectives and components which had been set and the key themes that had been identified in the strategy. In particular 5 priority areas with specific elements for action had been identified; Improving Health and Social Care Services; Saving Lives, Fast and convenient Services; Caring for Vulnerable People and Modernisation Strategies. It was noted improving health and well-being was a cross-cutting theme that would need to be tackled in all sections of the strategy. All relevant bodies would be consulted and the proposed timetable for this was outlined. Existing local plans would form a link with the Community Strategy.
RESOLVED :
THAT the report be noted.
10. LOCAL MODERNISATION REVIEW
The Board were advised that a comprehensive local review was being produced which would assess how the NHS Plan would be implemented in conjunction with local authorities.
There had been 5 key areas identified which had been considered important to local community and local services. These were; Work Force Issues; Primary Care Facilities and Development; Patient Access; Intermediate Care, Mental Health Service. The next stage was to engage the community and staff to take these issues forward. The retention of staff was considered to be a very important issue in service delivery. Reference was also made to the forthcoming Conference on Modernisation being held on 31 October 2001.
RESOLVED :
THAT the position be noted.
11. STRATEGIC HEALTH AUTHORITIES
The Board was advised of progress on the National Reorganisation of NHS organisations, to ensure delivery of the modernisation programme set out in the NHS plan. The Board was advised that Primary Care Trusts would become the lead NHS organisation in assessing need, planning, securing all health services and improving health. The NHS Trusts would continue to provide services, working within delivery agreements with Primary Care Trusts.
Members were advised that the likely boundary for the local Strategic Health Authority would be the Isle of Wight and Hampshire. These proposals would be subject to consultation between September and November 2001. With regard to the new regional structures it was likely that these would be based at the locations where there were regional Government offices. It was anticipated however that the new Strategic Health Authority would be based at the existing office premises in Southampton. The timetable for the proposed national changes was noted.
RESOLVED :
THAT the report be noted.
12. HEALTH IMPROVEMENT AND MODERNISATION PLAN 2002-2005
The Board was advised of the proposed format and timetable for the development of the new Island Health Improvement and Modernisation Plan. A new format for the plan would significantly reduce its size by focussing on important priorities for health and the health services’ many improvements and not include the many process-based tasks as it had in the past. The plan would contain cross references to other detailed documents and give contacts for those documents.
The Board noted the actions proposed to monitor the implementation of the plan, which would include review meetings and six monthly monitoring reports. Members of the Board were advised that the proposed timetable for the modernisation plan could be subject to change once the requirements of the modernisation reviews had become clearer.
RESOLVED :
THAT the report be noted.
13. PARTNERSHIP IN ACTION
The Board received an oral report which gave an update on the progress towards implementation of lead commissioning and integrated provision within mental health and learning disability services. The Board were advised that the Partnership was still in the developing process, but was working well as staff continued to adapt to their new roles.
RESOLVED :
THAT the position be noted.
14. PARTNERSHIP WORKING AT BOARD LEVEL
The Board discussed the need to improve lines of communication between the Health Authorities and Members of the Council. It was agreed that there were no obvious channels of communication and this issue needed to be addressed.
RESOLVED :
THAT the issue be noted.
15. DATE OF NEXT MEETING
RESOLVED :
THAT the next meeting be held on Wednesday, 30 January 2002 in the Council Chamber, County Hall, Newport, commencing at 10.00 am.
CHAIRMAN