Health Overview and Scrutiny Committee (HOSC) – Work Programme

Current Scrutiny Reviews

Title of Review

Detail

Proposed Completion Date

Cardiology

The NHS East Sussex Clinical Commissioning Group (CCG) and East Sussex Healthcare NHS Trust (ESHT) are proposing the following changes to acute inpatient cardiology services provided by ESHT:

  • locate the most specialist cardiac services, including surgical procedures or investigations that might require an overnight or longer stay in hospital, at one of the two acute hospitals;
  • introduce a “front door model” involving forming a Cardiac Response Team to support patients on their arrival at A&E, alongside ‘hot clinics’ that will provide consultant-led rapid assessment at both acute hospital sites; and
  • retain outpatients, non-invasive diagnostics, cardiac monitored beds, cardiac rehabilitation and heart failure services at both hospitals, or in the community.

HOSC agreed at its meeting on 2nd December 2021 that this proposal was a ‘substantial variation to services’ requiring formal consultation with the Committee under health regulations. The consultation will be conducted via a Review Board comprising the following members:

·         Cllr Colin Belsey

·         Cllr Christine Robinson

·         Cllr Mike Turner

·         Cllr Penny di Cara

·         Cllr Sorrell Marlow-Eastwood

The Review Board will submit its report and recommendations for consideration by the full HOSC at a future meeting. The report will then be submitted to the CCG ahead of its final decision. The Committee will then consider whether the decision is in the best interest of health services locally.

Timelines for the review are subject to NHS decision-making    

June-September 2022

Ophthalmology

The NHS East Sussex Clinical Commissioning Group (CCG) and East Sussex Healthcare NHS Trust (ESHT) are proposing the following changes to day case and outpatient ophthalmology services provided by ESHT:

Locate ophthalmology services at two hospital sites, Eastbourne District General Hospital and Bexhill Hospital, supported by one stop clinics at both hospitals and a diagnostic eye hub at Bexhill Hospital.

HOSC agreed at its meeting on 2nd December 2021 that this proposal was a ‘substantial variation to services ‘requiring formal consultation with the Committee under health regulations.

The consultation will be conducted via a Review Board comprising the following members:

·         Cllr Colin Belsey

·         Cllr Christine Robinson

·         Cllr Christine Brett

·         Cllr Abul Azad

·         Geraldine Des Moulins

The Review Board will submit its report and recommendations for consideration by the full HOSC at a future meeting. The report will then be submitted to the CCG ahead of its final decision. The Committee will then consider whether the decision is in the best interest of health services locally.  

June-September 2022

 

Initial Scoping Reviews

Subject area for initial scoping

Detail

 Proposed Dates

To be agreed.

To be scheduled once the reviews of Cardiology and Ophthalmology have been completed.

 

List of Suggested Potential Future Scrutiny Review Topics

Suggested Topic

Detail

 

 

 

Scrutiny Reference Groups

Reference Group Title

Subject Area

Meetings Dates

University Hospitals Sussex NHS Foundation Trust (UHSussex) HOSC working group

A joint Sussex HOSCs working group to consider the performance of UHSussex and any upcoming issues that may be of interest to the wider East Sussex HOSC.

 

Membership: Cllrs Belsey, Robinson and one vacancy

*meetings postponed due to COVID-19.

Last meeting: 9 September 2020*

Next meeting: TBC 2022

 

Sussex Partnership NHS Foundation Trust (SPFT) HOSC working group

6-monthly meetings with SPFT and other Sussex HOSCs to consider the Trust’s response to CQC inspection findings and other mental health issues.

Membership: Cllrs Belsey, Robinson, and Osborne

Last meeting: 21 December 2021

Next meeting: June 2022 TBC

The Sussex Health and Care Partnership (SHCP) HOSC working group

Meetings of Sussex HOSC Chairs with SHCP leaders to update on progress and discuss current issues. Wider regional HOSC meetings may also take place on the same day from time to time.

Future arrangements for the meeting being discussed due to changing governance of SHCP.

Membership: HOSC Chair (Cllr Belsey) and Vice Chair (Cllr Robinson) and officer

Last meeting: 20 November 2020

Next meeting: TBC

Reports for Information

Subject Area

Detail

Proposed Date

Future Car parking arrangements at Conquest Hospital

Confirmation from ESHT about the planned car parking arrangements at the Conquest Hospital under the Building for our Future programme

2022

Development of the new Inpatient Mental Health facility

A future update via email on the progress of the development of the new facility in North East Bexhill.

 

2022

Integrated Care System (ICS) and implementation of the Health and Social Care Bill

A report or away day session on the new health structures that are part of the Sussex Integrated Care System (ICS) which will be formally implemented when the Health & Social Care Bill receives Royal Assent (this is anticipated to be from 1 July 2022). Sussex Health & Care Partnership / Sussex Integrated Care Board (ICB)

Autumn 2022

Training and Development

Title of Training/Briefing

Detail

Proposed Date

Joint training sessions

Joint training sessions with neighbouring HOSCs on health related issues.

TBC

Building for Our Future

A briefing on the Building for Our Future plans for the redevelopment of Eastbourne District General Hospital (EDGH), Conquest Hospital and Bexhill Hospital developed by East Sussex Healthcare NHS Trust (ESHT)

TBC

Visit to Ambulance Make Ready station and new Operations Centre – East.

A visit to the new Medway Make Ready station and new Operations Centre for 999 and 111 services once the new centre is operational.

Autumn 2022

Visit to the new Inpatient Mental Health facility at Bexhill

A visit to the new Inpatient Mental Health facility due to be built at a site in North East Bexhill to replace the Department of Psychiatry at Eastbourne District General Hospital (EDGH).

 

TBC but likely 2024

 

 

 

Future Committee Agenda

Items

Witnesses

22nd September 2022

Cardiology

Committee to consider whether the CCG’s decision in relation to the proposals to reconfigure inpatient acute cardiology services run by East Sussex Healthcare NHS Trust (ESHT) are in the best interests of the health service locally.

Please note: dates are dependent on the NHS own decision making process.

 

Representatives of CCG and ESHT

Ophthalmology

Committee to consider whether the CCG’s decision in relation to the proposals to reconfigure day case and outpatient ophthalmology services run by East Sussex Healthcare NHS Trust (ESHT) are in the best interests of the health service locally.

Please note: dates are dependent on the NHS own decision making process.

Representatives of CCG and ESHT

Child and Adolescent Mental Health Service (CAMHS)

An update report on CAMHS with particular emphasis on the progress being made to reduce referral and assessment waiting times for the various services provided by CAMHS and in particular those children and young people waiting for referrals and assessment from Autistic Spectrum Conditions (ASC), ADHD and eating disorders. The report is also to cover the use and impact of additional investment in CAHMS on service provision and performance.

 

Representatives of CCG and SPFT

Hospital Handovers

An update report on the hospital handover times to cover updated performance figures against the national targets and the eradication of over 60 minute handover times. This is to include the actions being taken to improve handover times at the Royal Sussex Hospital (University Hospitals Sussex NHS Foundation Trust - UHSussex) and Pembury Hospital (Maidstone & Tunbridge Wells NHS Trust - MTW).

Representatives of CCG, SECAmb and hospital trusts ESHT/MTW/UHSussex

Committee Work Programme

To manage the committee’s programme of work including matters relating to ongoing reviews, initial scoping reviews, future scrutiny topics, reference groups, training and development matters and reports for information.

 

Policy and Scrutiny Officer

15th December 2022

Primary Care Networks (PCNs), Emotional Wellbeing Services and mental health funding

A report on the performance of PCNs and the future plans for primary care in East Sussex. Report to also include:

·         an update on the roll out of Emotional Wellbeing Services, which will be co-ordinated across PCN footprints; and

·         the future of mental health investment.

Representatives of Sussex Health & Care Partnership (ICS), ESHT/SPFT/PCNs

Committee Work Programme

To manage the committee’s programme of work including matters relating to ongoing reviews, initial scoping reviews, future scrutiny topics, reference groups, training and development matters and reports for information.

Policy and Scrutiny Officer

2nd March 2023

Committee Work Programme

To manage the committee’s programme of work including matters relating to ongoing reviews, initial scoping reviews, future scrutiny topics, reference groups, training and development matters and reports for information.

Policy and Scrutiny Officer

Items to be scheduled – dates TBC

Transition Services

A report on the work of East Sussex Healthcare NHS Trust (ESHT) Transition Group for patients transitioning from Children’s to Adult’s services

Representatives of ESHT

Patient Transport Service

To consider proposals to recommission the Patient Transport Service (PTS) and to consider the outcome of the Healthwatch PTS survey.

Note: provisional dependent on CCG’s plans

Representatives of lead CCG and Healthwatch

Implementation of Kent and Medway Stroke review

To consider the implementation of the Hyper Acute Stroke Units (HASUs) in Kent and Medway and progress of rehabilitation services in the High Weald area.

Note: Timing is dependent on NHS implementation process

Representatives of East Sussex CCG/Kent and Medway CCG

Adult Burns Service

A report outlining proposals for the future of Adult Burns Service provided by Queen Victoria Hospital (QVH) in East Grinsted.

Note: provisional dependent on NHS England’s plans

NHS England and QVH

Implications of the Health and Care Bill

A report to the Committee on the impact of the Health and Care Bill including the replacement of CCGs with Integrated Care Systems (ICS) and the effect of the proposal to allow the Secretary of State to intervene in local service reconfigurations on HOSC’s powers to consider whether substantial variation to services are in the best interests of health services locally.

Representatives of the ICS and Policy and Scrutiny Officer.