Declarations of Interest
any declarations of interest.
no declarations of interest received at this point in the meeting.
Minutes - Health Scrutiny Panel - 13 December 2022 PDF 153 KB
The minutes of the Health
Scrutiny Panel meeting held on 13 December 2022 were submitted and approved as
a correct record.
Foundations - Harris Street GP Practice - Update PDF 332 KB
from the North East and North Cumbria Integrated Care Board (NENC ICB) will be in
attendance to provide an update on the Foundations contract.
E Joyeaux, representative from the North
East and North Cumbria Integrated Care Board (NENC ICB), provided
Members with an update regarding the Foundations Harris Street GP Practice
contract; the following points were made:
- This update was provided from the perspective of the NENC ICB; unfortunately,
practice partners were unavailable to attend today’s meeting.
- Reference was made to the stakeholder letter circulated with the
- As per the terms and conditions of the
primary care contract, notice could be served at any time with standard
six months’ notice.
- 1,756 patients would be affected by the
closure, which had been a very difficult decision to make. The reasons for the decision could not
be disclosed by the representative.
- Usually, GP practices had in the region of
7,000 patients registered in order to make the
practice financially viable. This
was therefore a very small practice.
- The majority of the patients registered were
non-English speaking and therefore, as a vulnerable cohort, each would be
allocated an alternative practice and have registration completed on their
behalf. This would help ensure that
gaps in service provision were avoided as far as possible. Patients would be contacted via letter
again by the end of February 2023 with details of the practice they had
been registered to. The alternative
practice would be the closest to their home address.
- In acknowledging the current difficulties being experienced by GP
practices across Middlesbrough, it was explained that work was being
undertaken to support affected practices in coping with the additional
pressure of potentially taking on an extra 200 patients. Financial resource would be provided to,
for example, employ additional reception staff.
- The information had been conveyed to patients in seven different
languages via letters, text message and posters, the latter of which had
been displayed at such venues as the International Centre and Citizen’s
discussion that followed, Members raised several points with the
representative; the following information was provided in response:
- In terms of the number of affected patients that were asylum
seekers, and the measures put in place to ensure access to translators
during the 12-month transition period, it was explained that, nationally,
the NHS had contracted Language Empire to supply interpretation
services. All GP practices had
access to these services.
- Regarding the services that would be lost following amalgamation,
and the replication of these, it was explained that the services being
lost were standard General Medical Services (GMSs) for primary medical
care; Harris Street had become a ‘specialist’ enhanced service for asylum
seekers. The service was separate
from the core, but would be rolled out and linked
back to migrant health services.
Reference was made to GP practices being independent businesses,
and the different operating methods that they utilised, for example: some
triaged, some offered specific times for appointments, and some offered
online consultations. The support
package being offered would be in the form of a one-off payment for
practices to assist with the transition.
Work would be undertaken with partners, such as the ... view the full minutes text for item 21/143
Integrated Urgent Care in South Tees - Outcome of Patient/Stakeholder Engagement
from the NENC ICB, responsible for the proposals around Integrated
Urgent Care in South Tees, will present the outcome of the patient/stakeholder
engagement exercise to the panel.
C Blair, representative from the North East and
North Cumbria Integrated Care Board (NENC ICB), delivered a presentation to Members
regarding the outcome of the integrated urgent care in South Tees
patient/stakeholder engagement work. The
presentation covered the following topics:
- Background – a reminder of what was
being proposed for the populations of Middlesbrough and Redcar &
Cleveland, i.e. a new model of Integrated Urgent
- Engagement work that had been carried
out over an 11-week period from 1 August 2022 to 16 October 2022.
- Methods of engagement, which included:
surveys; public events; and targeted engagement with people from protected
characteristic groups (responses in this regard had been very good, with
120 being received).
- Survey results, which referred to
demographics; patients’ experiences of accessing urgent treatment out of
hours; ease of access to urgent treatment; patient transport methods;
support for the proposals; and whether relocating facilities would cause
any potential access issues.
- Additional responses from
individuals/groups, including: Middlesbrough
Primary Care Network (PCN); Tees Valley wide PCN; Meeting of the Tees
Valley Joint Health Scrutiny Committee; PCN Clinical Director; Local MPs;
Members of the Public; and comments on social media.
- Summary, which highlighted, through the
engagement work, the high level of support for the proposals.
During the discussion that followed, Members queried several points with
the representative - the following information was provided in response:
- Regarding the issue of mental health,
this had often been raised during the engagement process. It was indicated that further work
around mental health matters was required, but
would be heavily supported.
- 83% of respondents supported the
proposals; concerns had been raised in relation to access/transport to
services from East Cleveland. These
had been acknowledged and were currently being looked at.
- During the pandemic, out of hours
services at North Ormesby Health Centre were temporarily
suspended in order to deliver Covid-19 support. The out of hours service had since
resumed for those patients that, following contact with 111, needed to
- Regarding the availability of physical
space on the James Cook University Hospital site, it was explained that
this posed significant challenge because, although there was space, it was
being fully utilised at present. If
the decision was taken to implement the proposals, these would need to be
phased in as the estate may need to be changed.
- It was difficult to provide an
indication of how much capacity would be freed up in GP practices through
the proposals, as GP data sets were not as readily accessible as A&E
data sets. Members heard that it
was same day appointments that posed constraint.
- It was highlighted that the proposals
would be submitted to the ICB Executive with a view to proceed with a
phased implementation. The
representative would provide the Health Scrutiny Panel with an update
later in the year.
- Consideration was given to transport
issues that had been experienced in East Cleveland. It was explained that, owing to a lack
in footfall, it would not be feasible to build a new urgent treatment
centre ... view the full minutes text for item 21/144
Chair's OSB Update
The Chair provided a verbal update on the matters that were considered
at the Overview and Scrutiny Board meeting held on 12 January 2023.
Any other urgent items which in the opinion of the Chair, may be considered.
Letters - Heroin-Assisted
Treatment (HAT) Programme
request by the panel, letters had been drafted for the Secretary of State for Health and Social
Care and the Cleveland Police and Crime Commissioner in relation to the HAT
Programme. The Members reviewed the
letters and agreed that they could now be forwarded to the respective
AGREED that the letters pertaining to the
HAT Programme be distributed as required.
Councillor Hellaoui – Attendance at Tees Valley
Joint Health Scrutiny Committee
attendance at the 16 December 2022 meeting of the Tees Valley Health Scrutiny
Committee, Councillor Hellaoui provided an update on
business that had been considered. This
comprised the following:
- Winter Planning, Integrated Urgent Care Engagement, Vaccination and
Primary Care Access – Update;
- North East Ambulance Service Performance Update;
- Tees, Esk, and Wear Valley NHS Foundation
Trust – Quality Account Q2 Update;
- Tees, Esk and Wear Valley NHS Foundation
Trust – CQC Inspection Update; and
- Work Programme.