Health and Adult Social Care Overview and Scrutiny Committee
Thursday, 16 January 2020 6.30pm

Venue: Civic Suite - Level 2, Gun Wharf, Dock Road, Chatham ME4 4TR. View directions

Contact: Jon Pitt, Democratic Services Officer 

No. Item


Apologies for absence


Record of meeting pdf icon PDF 346 KB

To approve the record of the meeting held on 15 October 2019.


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.




Gillingham and Chatham GP Surgery Proposals Update and Response to Patient Concerns pdf icon PDF 53 KB

The report provides an update on proposals, previously considered by the Committee, to reconfigure GP services provided at some Gillingham and Chatham GP surgeries. NHS Medway CCG has advised that this proposal is no longer under consideration.


This report also advises the Committee of action taken by the CCG, in collaboration with DMC Healthcare, in response to patient concerns raised in relation to GP access, telephone access and prescriptions.

Additional documents:


Dermatology Services pdf icon PDF 92 KB

This paper provides the Committee with an update on the North Kent Dermatology service following the contract award to DMC Healthcare in April 2019. This includes an overview of current performance and the next steps.


Development of Single Kent and Medway Clinical Commissioning Group pdf icon PDF 103 KB

HASC has previously received reports on the proposed establishment of:


  • A single CCG operating at a Kent and Medway level from April 2020 (formed through the merger of the existing eight CCGs)
  • Integrated Care Partnerships, operating across local geographies of circa 250,000 to 750,000 resident population
  • GP-led Primary Care Networks (PCNs), serving a registered population of circa 30,000 to 50,000, acting as the provider and delivery vehicle for local care.


This report provides an update summary of the work to date in establishing these arrangements, and in particular the development of the single CCG.


Additional documents:


Kent and Medway Wheelchair Service pdf icon PDF 48 KB

This report provides an update on progress to deliver improvements in service performance and quality for Kent and Medway’s wheelchair service users.


Kent and Medway Safeguarding Adults Board (KMSAB) Annual Report 2018-19 pdf icon PDF 75 KB

In accordance with the Care Act 2014, the Kent and Medway Safeguarding Adults Board is required to publish an Annual Report each financial year.This report introduces the Kent and Medway Safeguarding Adults Board’s (KMSAB) Annual Report for April 2018–March 2019.

Additional documents:


Kent and Medway Five Year Plan pdf icon PDF 43 KB

The NHS Long Term Plan, published in January, sets out the future of healthcare over the next 10 years. To respond to this, the local area is required by NHS England to prepare and implement a local plan to cover the next five years. The draft five year plan set out within the Exempt Appendix for discussion by the Committee.


Exclusion of the Press and Public pdf icon PDF 31 KB

This report summarises the content of agenda item 11, which, in the opinion of the proper officer, contains exempt information within one of the categories in Schedule 12A of the Local Government Act 1972. It is a matter for the Committee to determine whether the press and public should be excluded from the meeting during consideration of document.


Additional documents:


Kent and Medway Nuerodevelopmental Pathway pdf icon PDF 99 KB

Kent and Medway CCGs have agreed to the procurement of a Kent and Medway Neurodevelopmental (ND) Health Service for Adults (18+) which will improve quality and value for money and is fully supported and identified as a priority need by the Sustainability and Transformation Partnership (STP) and NHS Long Term Plan (2019). The primary purpose of the proposed Kent and Medway ND pathway is to reduce the health inequalities and improve the quality of life for Medway residents with Autistic Spectrum Conditions (ASC) and/or Attention Deficit Hyperactivity Disorder ADHD.

Additional documents:


Draft Capital and Revenue Budget 2020/21 pdf icon PDF 116 KB

This report provides an update on progress towards setting the Council’s draft capital and revenue budgets for 2020/21. In accordance with the Constitution, Cabinet is required to develop ‘initial budget proposals’ approximately three months before finalising the budget and setting council tax levels at the end of February 2020. The draft budget is based on the principles contained in the Medium Term Financial Strategy (MTFS) 2019-2024 approved by Cabinet in September and reflects the latest formula grant assumptions. 

Additional documents:


Council Plan Performance Monitoring Report and Risk Register Review - Quarter 2 2019/20 pdf icon PDF 200 KB

Medway’s Council Plan 2016/21 sets out the Council’s three priorities. This report and appendices summarise how we performed in Q2 2019/20 on the delivery relevant for this Committee: Supporting Medway’s people to realise their potential.

Additional documents:


Work programme pdf icon PDF 44 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. 

Additional documents: