Agenda item

An information report to supplement the presentation on the NHS Call to Action.

This is an information report to supplement the presentation on the NHS Call to Action.

The Chairman invited Ian Biggs (NHS England Director for Bath, Gloucestershire, Swindon and Wiltshire area) and Dr Ian Orpen to give the presentation called ‘NHS Call To Action’.

The presentation ‘NHS Call To Action’ (attached as Appendix 1 to these minutes) highlighted the following issues:

• 65 years of the NHS
• Future pressures on the health service
• What is ‘Call to Action’?
• The national debate
• Aging populations
• What are we doing locally?
• Enhanced nursing home service
• ‘Bath care home 'world-class' - Health Secretary Jeremy Hunt
• Early success for the CCG
• Long term conditions
• Top 5 long term conditions statistics in B&NES
• Community Cluster Teams
• Dementia and what is done locally
• Emergency Care
• Local Actions
• Call To Action for General Practice
• The Integration Transformation Fund
• Seizing future opportunities
• Our refreshed strategic objectives
• The BIG questions we are asking the public
• Health planning timetable

The Chairman said that the conversation on the NHS Call To Action conversation needs to be in public and understood by the community.  The community needs to understand the future of the health and social care services.  One of the key questions is how to keep this conversation on-going within the community considering that things, such as ageing population, etc. are progressing and changing.  The Chairman highlighted excellent history of the close working relationship between the Council and the NHS.  The Integration Transformation Fund will empower us to get faster to desired goals.

Councillor Dine Romero commented that the NHS Call To Action seems to be targeting adults and older age population and it should also target young people to take part.

Dr Ian Orpen responded that there is absolutely no minimum age in the NHS Call To Action.  As an example – one of the areas targeted by the NHS Call To Action is the obesity amongst the children.

Jo Farrar welcomed the joined-up approach highlighted in the presentation and suggested that this, or similar presentation could be presented to the Public Services Board.  Jo Farrar also highlighted the importance of data sharing between the Council and the NHS.

John Holden praised the work of Dr Ian Orpen and Ian Biggs for coming up with new ways of doing things better and more efficient.  John Holden also said people need to be assured that the NHS still belongs to them.

Ian Biggs responded that the NHS England needs to provide some sort of resource to help local conversation with the public.  It is important to have conversation with the public; this must not be seen as public consultation. 

Councillor John Bull (Board Observer and Paulton Ward Councillor) asked how far we are with the ‘7 day GP surgeries’ in B&NES and how far are we with the best practice when people are making appointments with their GP surgeries.

Dr Ian Orpen responded the CCG is obliged to improve the quality though the GP practices are under control of the NHS England.  The ‘7 day GP surgeries’ – the workforce is not there, which is the reality.  Those employed in GP surgeries cannot work 7 days without the rest day/s.  There is an aspiration for this to go ahead but there is a need to shift resources to allow this to happen.  In terms of the appointments – whole ethos of change is in question.  There are some interesting discussions between the GPs on this subject.

Bruce Laurence commented that he is optimistic on how much energy, imagination and will to work together is seen across the CCG, NHS and the Council.  However, his pessimism is about the bigger system, the bigger picture. 

The Chairman summed up the debate by saying that we were always good locally with local solutions.

It was RESOLVED to have a review on the NHS Call To Action in 6 months’ time and then have regular updates as standing item on the agenda.