(a)

Members were thanked for their contribution and teamwork over the year and were reminded that at any point they were able to bring items to be considered for select committee hearings;

(b)

Councillor Mrs Foster was given good wishes for her year as Lord Mayor;

(c)

Councillor Mrs Aspinall had been invited to be a member of a task and finish group on the procurement of any new contracts for surgery provision for 2018; she would keep Members updated;

(d)

Councillor Mrs Aspinall thanked Councillor James for his support as Vice Chair, and also thanked Councillor Bowie, Portfolio Holders and Officers for their attendance and support.

(a)

the overall health contribution to the fund was forecast to be overspent against budget at £0.4m; shortfalls would roll over into the next year however further information would be provided to Members in writing;

(b)

the Children, Young People and Families Service reported a budget pressure of £0.306m a reduction of (£0.245m) in the month; the Budget Containment Board was monitoring this however the reduction was as a result of additional vacancy savings (£0.104m), reduced costs of legal agents (£0.015m) and a reduction in the cost of looked after children’s placements (£0.126m);

(c)

in the last 11 months, Plymouth observed an increase in the number of children in care of 5.4%. The continued increase in numbers of children in care was in line with national and regional trends. The overall number of children in care at the end of February was 408;

(d)

the Strategic Co-operative Commissioning (SCC) service reported an

overspend on budget of £0.200m at month 11 – a decrease of (£0.247m) from last month. This was due to a reduction in client numbers, a reduction in commissioned contracts and an assessment of high cost packages;

(e)

details surrounding an increase in possible privatisation in treatment would be provided to Members in writing;

(f)

reported savings in community connections increased by (£0.033m) to (£0.081m) as a result of further staff savings through recruitment to a new structure and additional income recharging staff to grant projects. It was legitimate for staff time to be put against projects; this was signed off by the 151 officer;

(g)

the CCG had a deficit position of £42.1m for the year following the release of the non-recurrent headroom reserve and a cumulative deficit of £120.5m;

(h)

acute care commissioned services had a budget allocation and forecast spend reflecting the anticipated final contract value of £176.7m; where the Trust didn’t have capacity to deliver, additional capacity was sourced from the system as a whole;

(i)

information from Plymouth Hospital’s Trust regarding ambulance handover targets and cancelled operations (breakdown of figures) would be provided to Members.

(a)

information contained within the report, where possible, included data for health and wellbeing from quarter 4 for 2016/17;

(b)

results from the Annual People Survey reported a drop in the percentage of people with low satisfaction and low happiness however there were increases in the percentage of people with low worthiness and high anxiety;

(c)

there had been an improvement in the percentage of re-referrals into children’s social care  and the number of children with child protection plans, however there were still challenges with referral to treatments, 4 hour waits in A&E and delayed transfers of care.

(d)

concerns with 18 weeks referral waiting times, A&E four hour waiting times and the failing Dementia diagnosis rates national target despite Plymouth being a Dementia Friendly City;

(e)

performance surrounding homelessness, including, benefit changes, young people and the correlation between B & B accommodation and homelessness;

(f)

the reduction in the number of children requiring child protection plans;

(g)

concerns surrounding the red trend relating to substance misuse in young people as well as hospital admissions relating to mental health admissions;

(h)

delayed transfer in care and the increasing trend presented above the national average as well as links to the sustainable transformation plan;

(i)

the red rating for breastfeeding data;

(j)

more detail surrounding the hospital admissions relating to self-harm for 10-24 year olds and why the trend was listed as ‘n/a’;;

(k)

concerns as to why the trend for the chlamydia detection figures had gone from green to red;

(l)

timescales relating to the Sustainable Transformation Plan.

(a)

the briefing indicated an emphasis on the orderly close-down of surgeries however it was considered that in reality patients were turned away as the close down dates approached without being given the information required to transfer to another surgery. There was concern that almost ¼ of patients needing to be transferred had not re-registered and it was considered that the majority of those were highly vulnerable people. The briefing failed to reflect the process undertaken and the consultation itself had failings as patients received letters regarding drop-in surgeries after they had taken place. There was an expectation that the briefing would include lessons learned by NHS England and a framework for learning, especially as there was an indication that the closure of the four surgeries was just the beginning;

(b)

it was considered that the four surgeries that had closed had a mobile population, with the Hyde Park surgery having a large number of students registered. Members questioned if patients not re-registered were still living in Plymouth;

(c)

Members were not happy with the closures, especially the closure of the Cumberland surgery;

1.

a response would be provided to Members in relation to the questions listed below:

·          

with regards to the GP surgeries that were accepting transferred patients, how were those surgeries monitoring the integration of the newly re-registered patients and what was the impact upon the service, specifically with regards to waiting times to see a doctor?

·          

an update was requested on the number of patients not re-registered as well as an indication as to what had happened to the staff for the closed surgeries;

·          

what plan was in place for the Ernesettle site once the contract had expired?

2.

an update on GP Commissioning would be added to the Committee’s work programme for further scrutiny;

3.

a further report on lessons learned relating to the handing back of contracts across GP surgeries for Plymouth would be provided to the Committee;

4.

Ross Jago (Lead Officer), once provided with more information, would direct Councillor Tuffin to the correct area of the Council for a response, with regards to a query he raised to problems experienced by a local surgery due to parking issues.