Meeting documents

Also present at the invitation of the Chairman

Ms Abigail Barron, Senior Transformation Project Manager, Hambleton, Richmondshire and Whitby Clinical Commissioning Group –for Item 4

Mr Pete Dwyer, Corporate Director – Children and Young People’s Services, North Yorkshire County Council – for Item 5

Ms Debbie Newton, Chief Operating and Finance Officer, Hambleton, Richmondshire and Whitby Clinical Commissioning Group –for Item 4

Mr Mike Proctor, Deputy Chief Executive, York Teaching Hospital NHS Foundation Trust – for Item 6

No declarations of interest were received.

To approve as a correct record and sign the Minutes of the meeting held on 29 July 2015.  (Minutes attached).

RESOLVED that the minutes of the meeting held on 29 July 2015 be approved as a correct record and signed by the Chairman.

The Chairman reported that no public questions had been submitted.

To receive a presentation by Abigail Tebbs, Senior Delivery Manager, and Debbie Newton, Chief Operating and Finance Officer, Hambleton, Richmondshire and Whitby Clinical Commissioning Group.

The committee received an update by Abigail Barron, Senior Transformation Project Manager, Hambleton, Richmondshire and Whitby Clinical Commissioning Group, on the new Community and Out of Hours Services contract and the redevelopment of Whitby Hospital.  Members were reminded that in September the CCG had been unable to conclude contract discussions with the preferred provider, Virgin Care, and so had appointed the reserve bidder Humber NHS Foundation Trust.  Negotiations were now progressing with the aim of contract signature on 1 December.  Once completed, this would give a better idea of timescales and service commencement date.  The legal transfer of the hospital site to NHS Property Services was scheduled for 1 November, to help expedite the redevelopment of the hospital.  The CCG had recently launched Phase 4 of the redevelopment, a longer engagement period to share key developments to date, to seek views of the public and other stakeholders on the requirements for the hospital, and to share the next steps and timescales.  The CCG was working with their appointed architect, Medical Architecture, to configure spaces for services, and develop plans for submission in 2016.  Following planning permission, the aim was to start construction in Autumn 2016 and then to open the new, remodelled hospital in January 2018.  Members were reminded how the new contract with Humber NHS Foundation Trust would bring key service transformations including:  a systems integrator for health and social care services, better use of technology and mobile working, development of a single point of access and Health and Wellbeing Hub, integration of GP Out of Hours with Minor Injuries, and development of new care pathways.  In reply to Members’ questions, Ms Barron confirmed that the Heartbeat Alliance, a local GP alliance which was radically rethinking how general practice could deliver community services and extend access to primary care, was a key strategic partner for the CCG in transforming local services.  Ms Barron and Ms Newton also assured the committee that the newly appointed provider, Humber NHS Foundation Trust, would build on Virgin Care’s work with the third sector which was an important aspect of the service specification.  The Chairman thanked both representatives of the CCG for attending and answering Members’ questions.

RESOLVED that the presentation be received.

To consider a briefing by Pete Dwyer, Corporate Director – Children and Young People’s Services, North Yorkshire County Council, on how the County Council and its partners are responding to the issues raised in the Growing Up in North Yorkshire Survey 2014 (Scarborough district) (attached) to help narrow the gap in learning and wellbeing indicators between Scarborough Borough and the rest of North Yorkshire.

The committee received a presentation by Pete Dwyer, Corporate Director – Children and Young People’s Services, North Yorkshire County Council, on the results of the Growing Up in North Yorkshire Survey (GUNY) 2014 for Scarborough District, and the initiatives being taken to help narrow the gap in learning and wellbeing indicators between Scarborough Borough and the rest of North Yorkshire.  Members were reminded that GUNY was a survey undertaken every two years of the views, opinions and lifestyles of over 15,000 schoolchildren from all parts of the county.  Scarborough District performed poorly among children at Key Stages 2, 3 and 4 across a range of indicators in respect of diet, cigarettes, alcohol, resilience, wellbeing and family breakdown.  However, happily there had been some improvements since 2012, e.g. on bullying and remembering school lessons about bullying at Year 6, awareness of body changes and rating school lessons on this topic at Year 6, and on physical activity at Years 8 and 10.  Mr Dwyer then explained how children’s health and wellbeing was a strategic priority for the County Council, reflected in a number of key documents: ‘Young and Yorkshire’ Children and Young People’s Plan, the 2015 Annual Report of the Director of Public Health and the all age Mental Health Strategy and the North Yorkshire Joint Health and Wellbeing Strategy.  ‘Young and Yorkshire’ centred on three priorities: ensuring that education is our greatest liberator, helping all children enjoy a happy family life, and ensuring a healthy start to life.  The one year review of ‘Young and Yorkshire’ had revealed that the gap in outcomes between children at Key Stage 2 in Scarborough and the rest of the county had narrowed significantly.  The GUNY drove improvement in itself since data was submitted on a school by school basis and interventions planned accordingly.   The County Council had recommissioned the Healthy Child Programme bringing a new Healthy Lifestyle Service and Compass Reach to help address children’s emotional wellbeing.  The County Council was working with CCGs to deliver more localised and coherent mental health support for children, including mental health workers in schools.  Work in Scarborough Borough to increase awareness of sexual health issues had led to a 30% increase in young people coming forward for tests.  Similar work was being undertaken to improve take up of MMR vaccinations in the Borough.  On a generic basis, the County Council was working with other partners including the Borough Council through its regeneration and skills agenda to raise aspirations and improve educational outcomes and life chances for young people on the coast.  The Scarborough Education Summit held in March 2015 had led to the development of the Scarborough Pledge – a set of objectives, measures and action plans to provide a vision of what the outcomes and experiences for children in the Scarborough area would be by 2018. The County Council had committed to invest £250k per year for the next three years to fund enhanced activity based on three main work streams: early help, improving schools  ...  view the full minutes text for item 5.

To receive a briefing by Mike Proctor, Deputy Chief Executive, York Teaching Hospital NHS Foundation Trust

The committee received a presentation by Mike Proctor, Deputy Chief Executive, York Teaching Hospital NHS Foundation Trust, which reviewed progress at Scarborough Hospital since acquisition by YTHFT in July 2012.  Mr Proctor began by outlining the challenges facing the NHS as a whole: the budget freeze at £120b which had now been extended to 2021, and the need to find year on year efficiency savings to manage the inevitable areas of growth; the rapidly deteriorating finances of the provider sector (80% of Foundation NHS Trusts were now in deficit); the required increase in staffing levels as a consequence of the Mid-Staffordshire scandal, recruitment difficulties and reliance on agency and locum staff; and the demographic pressures of an ever increasing elderly population.  Members were then reminded of the background to the acquisition of Scarborough Hospital: Scarborough and North East Yorkshire NHS Trust’s worsening financial position; the damning Care Quality Commission inspection and report of 2010 which found that the Trust only complied with one of 16 essential standards of quality and safety; poor reputation; low staff morale; and frequent changes in senior management.  The key benefits of acquisition were achieving a clinical mass of specialists, overcoming previous difficulties in recruiting single-handed specialists; better recruitment and retention; more robust governance arrangements; and a stronger financial position.  Since acquisition Scarborough Hospital had seen a number of improvements.  These included the introduction of a Core Patient Database and risk management and incident reporting systems; improved recruitment in some specialties, but not all; access to new specialist ophthalmology clinics; a new Elective Orthopaedic Centre in Bridlington; significant recruitment in Child Health and a new on call consultant service and autism pathway; developed sub-specialisation to improve vascular and breast services; a new triage and assessment pathway for stroke patients recognised as a model of good practice; new and developing renal and hepatology outpatient services; and the new state of the art surgical ward, Lilac Ward.  Further, there had been a significant reduction in mortality rates, and staff at the hospital now had access to more training and development opportunities.  A new A&E was being planned and YTHFT was working closely with Scarborough and Ryedale CCG and other agencies through the Ambition for Health Programme to address the financial challenges and preserve the future of the hospital.  The most recent CQC inspection undertaken in March 2015 and published in September, demonstrated the huge strides forward made at the hospital since 2010.  Although YTHFT only just fell short of ‘good’, there were many positives including caring and compassionate staff, commitment to the best treatment with the best outcomes, examples of innovation, excellence in End of Life Care, praise for community services and good partnership working.  The key findings contained no surprises.  Recruitment of nurses and to some key posts remained a challenge.  Mr Proctor wished to see universities which provided pre-nursing registration courses start recruiting more local trainees.  Other highlighted areas such as statutory and mandatory training and staff engagement, the Trust was beginning to put right,  ...  view the full minutes text for item 6.

To consider a report by the Director (TW) (Reference 15/288 attached).

The committee considered a report by the Director (TW) (Reference 15/288) in respect of the economic impact of the Tour de Yorkshire 2015 both regionally and locally.  Members were advised that the total value of the event to the regional economy was estimated to be well over £30m.  An estimated 1.5 million spectators lined the route over the three days and over 735,000 hotel beds were booked generating an estimated £24.7m for the accommodation sector.  Across all media, it was estimated the event attracted £104m of media coverage in the UK.  Thirty-three % of those researched cited Scarborough as an additional destination while they were in Yorkshire to follow the race.  To support the Welcome to Yorkshire research, the Council commissioned Create Arts Development to undertake independent research into the event finish in Scarborough.  A sample of 116 questionnaires were completed.  The research identified that an estimated 10,753 people attended the event in Scarborough town on 1 May.  Of the 66% who attended the event from out of town, 20% were day visitors and 80% were staying overnight.  For the 5678 overnight visitors, the average length of stay was 3.08 nights.  The average Total Direct Economic Impact to the town had been calculated as £710,730 and the Total Induced Economic Impact was £1,048,849.  However, the race covered a lot of the Borough including Whitby, which would increase the total economic impact for the whole Borough.  The Tourism Manager, Janet Deacon commended the great local involvement in the event outlined in paragraphs 3.6 and 3.7 of the report.  Members then discussed the report and asked the Tourism Manager questions. In response, Ms Deacon referred to some of the legacy activities flowing from the event: the establishment of bike libraries with the support of Yorkshire Bank to promote cycling for all; the focus on inclusive cycling with Scarborough and Ryedale Community Cycling, and cycle training in schools. She added that would be some further research to ascertain how many more people were cycling as a result of the Tour de Yorkshire and legacy programmes, which would be shared with Members.  Some Members felt that more detail was required in the report, for example, more information about the research organisation GRASP, the methodology behind their findings, and analysis of return on investment in the race for each participating authority.  Members commended the high levels of community engagement and cohesion the event had inspired, but asked if this could be measured and assessed in a meaningful way for the next Tour de Yorkshire in 2016.  Ms Deacon undertook to circulate the full GRASP report to Members when it was published.  The Chairman thanked the Tourism Manager for presenting a very positive report and looked forward to receiving further details of the event evaluation.

RESOLVED that the report be noted.

To consider a report by the Director (LD) (Reference 15/270 attached)

The committee considered a report by the Director (LD) (Reference 15/270) in respect of the committee’s work programme for the current year, noting the additional items for the meeting in February 2016.  Members requested two further items: update on Whitby Hospital and new Community and Out of Hours Service (Hambleton, Richmondshire and Whitby CCG) (February) and report on winter pressures on Emergency Department at Scarborough Hospital in 2015/16 and planning for 2016/17 (YTHFT/ Scarborough and Ryedale CCG) (April).

RESOLVED that, subject to the above amendments, the report be received.