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Agenda item

Report of the Devon Clinical Commissioning Group, attached

 

 

 

Minutes:

(Councillor M Wrigley declared a personal interest by virtue of his membership of the Teignbridge District Council’s Executive)

 

The Committee considered a report from the Devon Clinical Commissioning Group (CCG) on an Update on Modernising Health and Care Services in the Teignmouth and Dawlish area. The CCG Report summarised the response from the Secretary of State for Health and Social Care to the referral from the Scrutiny Committee; reported on the progress on the Health and Wellbeing Centre project in Teignmouth; and outlined  the CCG’s response to the recommendations made by the IRP following the referral made by this Committee in March 2021.

 

The Independent Reconfiguration Panel, advising the Secretary of State had considered the referral on its merits and concluded that NHS Devon Clinical Commissioning Group had consulted adequately with Devon County Council’s Health and Adult Care Scrutiny Committee on its proposal. The Panel had provided its view on the impact of the proposal on equality issues and also considered the effects of the COVID-19 pandemic.  A series of recommendations, accepted by the Secretary of State, had been set out for consideration by this Committee and the Clinical Commissioning Group.

 

The Clinical Commissioning Group’s Report detailed its response to the Panel’s recommendations as detailed in the Panel’s response.

 

Members’ observations, comments and discussion with the Director of Commissioning Primary, Community and Mental Health Care; the Chief Medical Officer, NHS Devon; the Deputy Programme Director – Devon Long Term Plan, NHS Devon; and the System Director, Torbay and South Devon NHS Foundation Trust included:

 

·         explanation by the officers of the background to date and the response by the Independent Reconfiguration Panel (IRP) in relation to the initial referral, and in particular the IRP acknowledging the Clinical Commissioning Group’s CCG) evidence on reducing hospital admissions and that the integrated care model was able to care for around four times as many patients at home when compared to caring for patients on a ward at Teignmouth Community Hospital;

·         the national and local ‘direction of travel’ with integrated care systems developing home care where appropriate to provide safe and optimum outcomes for patients;

·         the community benefits of providing health, GP and care services under one roof with multi-disciplinary teams at the proposed Brunswick Road site   and the commitment of the CCG (through a stakeholder group) to work with this Committee, other partners/stake holders and the community in the development of services and the future use of the hospital site;

·         confirmation that the IRP recommendations had been made within the context of the pandemic, that the sale of the land for the Hub had been approved by the District Council, that planning permission was pending and that the anticipated building works were due to start in 2023; and that the development would also promote the economic and social benefits for the area (a new aim within ‘New Devon’ ICS objectives);

·         confirmation that the development of the Hub was not dependent on the sale of the hospital site and funds were in place for the health hub;

·         the local engagement proposals (through a local stakeholder group) in regard to the hospital site which could include a Committee member and noting proposals for designation of the hospital building as an ‘asset of community value’;

·         confirmation that of the two GP practices in the Town only the larger one would be moving to the Hub and this did not negate its rationale;

·         skilled work force sufficiency for care closer to home, the increasing acuity of home care patients and use of technology such as the development of the ‘virtual ward’ and improving patient record access;

·         question on local highway signage which had been removed by Devon Highways which would be investigated by the CCG; and

·         acknowledgment of the ongoing difficulties with local ambulance waiting times, delays in discharge from acute settings and access to accident and emergency and the objective of the new model of care (spearheaded in Devon) to help mitigate these issues.

 

It was MOVED by Councillor D Cox, and SECONDED by Councillor M Wrigley that this Committee refer to Rt Hon Sajid Javid MP, Secretary of State for Health and Social Care, that closure of Teignmouth Hospital is not in the interest of Health Service in the area in light of the: (a) covid emergency,

(b) ambulance service response times; and (c) Integrated Care Organisation.

 

The Motion was put to the vote and declared LOST.

 

It was then MOVED by Councillor S Randall Johnson, and SECONDED by Councillor J Yabsley and

 

RESOLVED that the progress and outcomes (as detailed in the Clinical Commissioning Group report) be noted and that the CCG (to become NHS Devon from 1 July 2022) and this Committee welcome the advice of the IRP in Recommendation 6 and continue to build on the recent progress in working more closely together.

 

(N.B. In accordance with Standing Order 32(4) Councillors J Bailey, D Cox and M Wrigley requested that their vote in favour of the first motion and against the decision taken be recorded)

 

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