Health and Adult Social Care Overview and Scrutiny Committee
Tuesday, 18 June 2019 7.00pm

Venue: Meeting Room 9 - Level 3, Gun Wharf, Dock Road, Chatham ME4 4TR

Contact: Jon Pitt, Democratic Services Officer 

No. Item


Apologies for absence


Record of meeting pdf icon PDF 151 KB

To approve the record of the Committee meetings held on 12 March and 14 March 2019 and the record of the Joint Meeting of Committees held on 22 May 2019.

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Urgent matters by reason of special circumstances

The Chairman will announce any late items which do not appear on the main agenda but which he/she has agreed should be considered by reason of special circumstances to be specified in the report. 


Disclosable Pecuniary Interests or Other Significant Interests and Whipping pdf icon PDF 212 KB

Members are invited to disclose any Disclosable Pecuniary Interests or Other Significant Interests in accordance with the Member Code of Conduct.  Guidance on this is set out in agenda item 4.




All Age Eating Disorder Service Update pdf icon PDF 576 KB

The Committee has asked for a further update and presentation on the Eating Disorder Service. This follows consideration of a report at the December 2018 meeting. Eating disorders are serious, often persistent, mental health disorders associated with high levels of impairment to everyday functioning and development, and a high burden on families and carers. They can be associated with life-long physical, psychological, educational and social impairment and in some cases can be fatal.

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South East Coast Ambulance Service Update pdf icon PDF 232 KB

This report updates the Committee on the progress being made by the South East Coast Ambulance Service (SECAmb) to improve its CQC rating, Executive leadership development, the Demand and Capacity review and resulting Service Transformation and Delivery Programme, alongside other strategic performance updates and local performance for Medway.

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Variation in Provision of Health Service - Improving Outpatient Service in Medway and Swale in Line with the Medway Model and Community Service Redesign pdf icon PDF 445 KB

This report updates the Committee on improving the outpatient services across Medway and Swale. This is in line with the Medway Model and community service redesign which will enable care to be delivered closer to people’s homes. The improvement programme will be bringing services together, this will enable health and care staff to work more closely together and develop services that focus on the needs of the patients.


This report from NHS Medway Clinical Commissioning Group (CCG) updates the Committee on the progress of the programme since the previous paper on the Community Service Redesign and the Medway model that was sent to the Committee in January 2019 and the paper related to Improving Outpatient Services sent to the Committee in March 2019. At this meeting, the Committee deemed that the proposal to reconfigure the delivery of outpatient services does represent a substantial development of, or variation to, the health service in Medway. The Committee requested that a further update report be provided.

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Dermatology Services pdf icon PDF 321 KB

In September 2018, Medway NHS Foundation Trust (MFT) served notice on their Dermatology service (including the cancer pathways), following which the North Kent CCGs jointly commenced procurement to identify a new provider to deliver Dermatology services. Following a successful procurement process the contract for the North Kent Dermatology Service was awarded to DMC Healthcare. The new service commenced on 1 April 2019.


In view of concerns raised, it was agreed at the agenda planning meeting held on 29 May that a report should be included on the agenda for the June 2019 meeting.


Suicide Prevention Update pdf icon PDF 216 KB

In Medway, the Public Health team provide strategic leadership for suicide prevention, including the suicide prevention strategy and steering group.


In 2018, new funding of £667,978 was secured from NHS England for suicide prevention work across the Kent and Medway Sustainable Transformation Partnership (STP) area in 2018/19. Sustainable Transformation Partnerships (STPs) bring together a range of stakeholders including the NHS and local government. Kent and Medway was one of eight areas nationally to receive funding.


This paper provides an overview of suicide prevention work that has taken place during 2018/19 and plans for 2019/20. The programme was agreed by the multi-agency suicide prevention steering group that supports this work in Kent and Medway. The proposed interventions are based on the best evidence available to inform suicide prevention.


Board Members are asked to note the progress to date and future plans for the suicide prevention programme.


Medway, North and West Kent CCGs Operating Plan 2019/20 pdf icon PDF 204 KB

As a Medway, North and West Kent footprint system, we have developed a single operating plan for 2019/20. This has helped deliver the consistency in planning aspired to in the Medway, North and West Kent (MNWK) Planning Approach (submitted to February 2019 Governing Body at Medway CCG).


The attached document has been adjusted to reflect local feedback from across Kent and Medway and national feedback from regulatory partners. Formal feedback is still to be received following 4 April 2019 submission and thus in-year amendment may be required. The plan documents the key developments for 19/20: Local Care, Outpatient Transformation and the development of Primary Care Networks, Integrated Care Partnerships and Integrated Care Systems.

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Work programme pdf icon PDF 117 KB

This item advises Members of the current work programme and allows the Committee to adjust it in the light of latest priorities, issues and circumstances. It gives Members the opportunity to shape and direct the Committee’s activities over the year. 

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