Agenda and minutes

It was noted that following receipt of the temporary resignation of Councillor Guest from the Panel , the Service Director – Legal and Business operations acting under delegated powers, had appointed Councillor J Payne to replace them for the purposes of this meeting.

The Panel noted that it was the last meeting of the Panel that Stephanie Ramsey would attend before her retirement.  The Chair and Vice-Chair of the Panel expressed their thanks, and that of the Panel, for all her hard work and support that she had given to the Panel over the years and wished her well on the next chapter of her life.

To approve and sign as a correct record the minutes of the meeting held 9December 2021 and to deal with any matters arising, attached.

RESOLVED: that the minutes for the Panel meeting on 9December 2021 be approved and signed as a correct record.

The Panel considered the report of the Chief Executive of the Hampshire and Isle of Wight Integrated Care System (ICS) providing the Panel with an update on the development of the design of the Hampshire and Isle of Wight Integrated Care Partnership and Integrated Care Board.

Lena Samuels – Chair designate, Hampshire and Isle of Wight Integrated Care System, Maggie MacIsaac – Chief Executive, Hampshire and Isle of Wight Integrated Care System, Cllr White – Cabinet Member for Health and Adult Social Care, Guy Van Dichele – Executive Director Wellbeing (Health & Adults), Stephanie Ramsey – Managing Director, Southampton, and Debbie Chase - Director of Public Health were in attendance and, with the consent of the Chair, addressed the meeting.

The Panel discussed a number of points including:

·  The process of the legislation that would enable the Panel to fully understand the proposed operating structure for the ICS and the how Southampton would be able to interact with the new body;

·  The ongoing preparation for the changes and why the lack of legislation had limited the availability of information relating to the replacement for the current arrangements;

·  How the success of the new structure would be measured;

·  The requirement of the Panel to have a further review of the ICS developments at a future meeting to enable a fuller discussion on how the forthcoming legislation would shape governance, finances, timescales and appointments within the new structure.

RESOLVED that Panel requested that a further update on ICS developments is included on the 7 April HOSP agenda to enable discussions on the forthcoming legislation, governance, finances, timescales and appointments.

The Panel considered the report of NHS Hampshire and the Isle of Wight Clinical Commissioning Group providing the Panel with an update on the NHS response to COVID-19 and pressures on the system.

Derek Sandeman – Medical Director, Hampshire and Isle of Wight Integrated Care System, Joe Teape – Chief Operating Officer - University Hospitals Southampton, Stephanie Ramsey – Managing Director, Southampton, Debbie Chase - Director of Public Health and Guy Van Dichele – Executive Director Wellbeing (Health and Adults) were in attendance and, with the consent of the Chair, addressed the meeting.

The Panel discussed a number of points including:

·  The pressure on the NHS caused by the pandemic and the waiting list for treatment;

·  How the NHS, including UHS, were coping with these pressures including the introduction of surgery at the weekend;

·  The continuing high levels of attendance at Emergency Departments and efforts to divert those patients requiring assistance to more appropriate care pathways;

·  The success of the vaccination programme;

·  The developing issue relating to those suffering from long covid.

The Panel noted the report of the Service Director - Legal and Business Operations, enabling the Health Overview and Scrutiny Panel to monitor and track progress on recommendations made at previous meetings.

The Panel considered the report of the Executive Director – Wellbeing, updating the Panel on the status of the adult care market and operational pressures in Southampton.

Guy Van Dichele – Executive Director Wellbeing (Health & Adults), Councillor White - Cabinet Member for Health and Adult Social Care and Stephanie Ramsey – Managing Director, Southampton were in attendance and, with the consent of the Chair, addressed the meeting.

The Panel discussed a number of points including:

·  How the services were coping with the increased demand for adult social care services caused by the aging population and the effects of long term illnesses. Including steps taking to recruit social workers from South Africa.

·  The introduction of CareDirector and how the new system could enhance the Panel’s ability to review the performance of Adult Social Care in Southampton.

·  The concerns raised in the local press about the levels of care provided at Potters Court.  The Cabinet Member and Executive Director explained that they were confident that residents could get the care required.  It was noted that Potters Court was not a care home but rather a housing with care scheme where care could be provided at the resident’s request.

·  The adequacy of the Adult Social Care budget moving forward; and

·  The progress against the Adult Social Care roadmap introduced in March 2021.

RESOLVED that the Panel requested that:

(i)  following the bedding in of CareDirector, the Panel review Adult Social Care performance on a quarterly basis, commencing in June 2022.

(ii)  that the Panel review the progress made in delivering the targets outlined in the Adult Social Care transformation roadmap that was presented to the HOSP in March 2021.