Agenda and minutes

Venue: Brunswick Room - Guildhall, Bath. View directions

Contact: Jack Latkovic  01225 394452

Note: Single issue contributors session 

Items
No. Item

52.

WELCOME AND INTRODUCTIONS

Minutes:

The Chairman welcomed everyone to the meeting.

 

53.

EMERGENCY EVACUATION PROCEDURE

The Chair will draw attention to the emergency evacuation procedure as set out under Note 6.

 

Minutes:

The Chairman drew attention to the emergency evacuation procedure.

 

54.

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

Minutes:

Councillor Loraine Brinkhurst had sent her apology to the Panel.

55.

DECLARATIONS OF INTEREST UNDER THE LOCAL GOVERNMENT ACT 1972

Members who have an interest to declare are asked to:

 

  a)  State the Item Number in which they have the interest

  b)  The nature of the interest

  c)  Whether the interest is personal, or personal and prejudicial

 

Any Member who is unsure about the above should seek advice from the Monitoring Officer prior to the meeting in order to expedite matters at the meeting itself. 

 

Minutes:

There were none.

56.

TO ANNOUNCE ANY URGENT BUSINESS AGREED BY THE CHAIRMAN

Minutes:

There was none.

57.

ITEMS FROM THE PUBLIC OR COUNCILLORS - TO RECEIVE DEPUTATIONS, STATEMENTS, PETITIONS OR QUESTIONS RELATING TO THE BUSINESS OF THIS MEETING

List of speakers is included in the Day Schedule (agenda item 7).

 

Minutes:

There were none.

58.

Contributor Session on proposed clustering arrangements between NHS Bath and North East Somerset and NHS Wiltshire pdf icon PDF 49 KB

This contributor session is to consider the context for the proposed clustering arrangements of NHS Bath & North East Somerset and NHS Wiltshire and the related implications for:

 

·  Our current arrangements in the form of Bath and North East Somerset’s Health and Wellbeing Partnership and joint commissioning arrangements.

 

·  Future organisational arrangements with the Clinical Commissioning Group and proposed Commissioning Support Units.

 

The Wellbeing Policy Development and Scrutiny Panel is asked to:

 

·  Hear from a variety of invited speakers and participate in question and answer discussions. Invited contributors include:

 

o  Joint Chief Executive of NHS Bath and North East Somerset and NHS  Wiltshire

o  Chair of NHS Bath and North East Somerset

o  Strategic Director for People and Communities

o  Local Involvement Network (LINks)

o  Clinical Commissioning Group

 

·  Consider, if appropriate, making recommendations on the clustering proposals to appropriate parties.

 

 

 

 

Additional documents:

Minutes:

The Chairman informed the meeting that the contributors will address the Panel according to the Day Schedule (attached as Appendix 1 to these minutes).

 

The Chairman invited Jeff James (NHS BANES and NHS Wiltshire Chief Executive) to address the Panel.

 

Jeff James took the Panel through his summary of the PCT Cluster Implementation Guidance summary, Shared Operating Model for PCT Clusters and the letter from Jim Easton (National Director for Improvement and Efficiency) issued on 29th September 2011 (all these documents attached as Appendix 2 to these minutes).

 

Councillor Hall said that Jim Easton said in his letter that ‘key principles of model 2 are adopted by all PCT clusters, by December 2011 or, exceptionally, by a date agreed with the SHA’ and asked what constitute ‘exceptional’.

 

Jeff James responded that the SHA should give an answer on what constitute ‘exceptional’.  Jeff James surmise was that the SHA felt there was no particular need to keep the PCTs separate hence why the deadline is moved to December 2011.

 

Councillor Clarke said that he questions what the SHA is trying to achieve here considering that the relationship between the Council and PCT in BANES is different than the one between Wiltshire Council and their PCT.

 

Jeff James said that part of the argument for clustering arrangements is to speed up the work between the Councils and Clinical Commissioning Groups and put the PCTs away as they, PCTs, will demise in April 2013.

 

Councillor Jackson commented that for this area we have a very good model of Council’s integration with the PCT.  As a result of that the Health Scrutiny worked well with and for both organisations.  Councillor Jackson also said that there is a mismatch between BANES and Wiltshire and expressed her concern that the new setup will not have the same standards across (i.e. waiting/referral times difference, etc.).

 

Jeff James responded that absolutely nothing will stop Health Scrutiny to express their views, or scrutinise, the new setup although Health Scrutiny will not be in the position to contend non-executive appointments on the new board.  Jeff James also said that there are differences between BANES and Wiltshire but he will be committed to honour and respect both areas.

 

Councillor Hall said that her concern was that the Council appeared to have inferior role in these arrangements and not consulted on these issues but expected to act as per requirement.

 

Councillor Clarke agreed with Councillor Hall and said that he criticise the decision made on the higher level and not on the local level.  The Panel has the right to put forward views of the people they represent.

Jeff James responded that clustering will not change legal issues in the Council and Members will still be able to represent their constituents.

 

The Chairman said that the biggest issue for this authority is that we are merging with another authority that is not quite into the PCT integration like we are.

 

Jeff James replied that nothing in the letter from Jim Easton  ...  view the full minutes text for item 58.

Appendix 1 - Day Schedule pdf icon PDF 21 KB

Appendix 2 - Cluster policy briefing pdf icon PDF 49 KB

Appendix 3 pdf icon PDF 138 KB

Appendix 4 pdf icon PDF 34 KB

Appendix 5 pdf icon PDF 43 KB

Appendix 6 pdf icon PDF 37 KB