Agenda item

Integrated Urgent Care in South Tees - Outcome of Patient/Stakeholder Engagement

Representatives 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 Care (IUC).
  • 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 attend.
  • 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 in the area.  Further work would be undertaken to look at potential ways of improving accessibility. 
  • In terms of cost implications, it was explained that current services and resources would be reutilised.  Exploratory work would be carried out to look at capital investment support for the James Cook University Hospital site.  In response to a comment made regarding additional costs equating to additional services, it was explained that there was, but there was a need to look at existing resources and a skill mixing model to determine favourable options.  Examination of facilities in other localities had been undertaken to identify what worked well.  It was indicated that there was a need to look at A&E and urgency support.


Following the formal presentation, a Member made reference to the slides and commented that these did not feature an image representative of Middlesbrough.  In response, it was agreed that images were important to ensure inclusion; this would be looked at.


The Chair thanked the representative for the information presented.