Venue: Concorde Room, Council Offices, Farnborough
Contact: Lauren Harvey 01252 398827 Email: firstname.lastname@example.org
To confirm the Minutes of the Meeting held on 17th September, 2015 (copy attached).
The Minutes of the Meeting held on 17th September, 2015 were approved and signed by the Chairman.
North East Hampshire and Farnham Clinical Commissioning Group - Vanguard Programme
Ms. Sally Banister, the Vanguard Programme Lead, has been invited to the Panel to provide Members with an overview of their Vanguard Programme experience.
The Panel welcomed Ms. Sally
Bannister to the meeting. Ms. Bannister
was the North East Hampshire and Farnham Vanguard Programme Lead and had been invited to the meeting to provide an overview of
the Group’s Vanguard Programme.
Bannister advised the Panel that the North East Hampshire and Farnham Clinical
Commissioning Group, together with health and social care partners, had been awarded Vanguard status by NHS England. This would involve plans for moving services
away from hospitals and into the community and to bring together elements of
health and social care so that services could be provided
quicker. This could happen because
Vanguard status brought with it expert guidance and national resources to
provide support and flexibility to bring about the aims of the Programme. Essentially, it could be said that the
Programme provided a “turbo boost” to what had already been agreed that should
happen to ensure that people were supported to be happy and healthy at home for
as long as possible.
It was noted that Vanguard was a partnership of clinicians and
service managers from:
NHS North East Hampshire and Farnham Clinical
Frimley Health NHS Foundation Trust (which ran
Frimley Park Hospital)
Surrey and Borders Partnership NHS Foundation
Trust (mental health services)
Southern Health NHS Foundation Trust (community
Virgin Care (community services)
Hampshire County Council (social care)
Surrey County Council (social care)
South East Coast Ambulance Service NHS
North Hampshire Urgent Care (out-of-hours GP
programme would also work with patients and the public to help shape, develop and continually improve the way services were
provided by designing services with the local community, helping people to look
after themselves. It would also enable
staff to provide high quality joined up care by making sure that funding and
organisational boundaries did not hinder progress.
Bannister referred to the structure of the partnership, which comprised a Chief
Executives Group of the key partnership members and working groups for each of the
following work streams, details of which were also outlined:
prevention and self-care
integrated hubs and enhanced out of hospital
a new model of care for people with acute needs
supporting the development of primary care to
operate at scale
design and deliver a new commissioning model
determining the organisational arrangements
through which providers work as one
understanding the needs of local people and the
outcomes they seek
effective co-production, engagement and
access to electronic records for patients and
redesigning the workforce and ensuring
evaluating the impact of the changes
discussion, Members raised questions regarding the impact of the Government’s
Spending Review, patients’ electronic records and the sharing of such
information, the timescale for the Vanguard Programme, costs, outcomes and
On behalf of the Panel, the Chairman thanked Ms. Bannister for her informative presentation and it was AGREED that a clinician, Dr. Andy Whitfield, Chairman and Clinical Lead for the North East Hampshire and Farnham ... view the full minutes text for item 13.
Welfare Reform Update
To receive an update on from Mr. Ian Harrison, Corporate Director, on the latest position of Welfare Reform, nationally and locally.
The Panel welcomed Mr. Ian
Harrison, Corporate Director, who had been invited to
the meeting to give an update on the latest position of Welfare Reform both
nationally and locally.
Harrison referred to the current political landscape, post General Election and
the continuation of the Welfare Reform programme, including an acceleration and
extension of some elements. In the
Queen’s Speech, the Government had pledged to remove a further £12 billion from
the Welfare Bill whilst mainly protecting pensioner welfare. It was known that
Welfare Reform would play its part in the creation of a “budget surplus” by
2019/20. The specific measures
which had been announced were:
four year freeze on most working age benefits
reduction in the benefit cap from £26,000 to
£20,000 (£23,000 in London)
18-21 year olds not automatically entitled to
help with housing costs
most welfare support restricted to two children
programme of broad based reduction in tax credit
introduction of a National Living Wage for 25+
age (£7.20 rising to £9.00 per hour by 2020)
£800 million additional
Discretionary Housing Payment funding for five years for local authorities.
2015 budget had only set out around £17 billion of the £37 billion required to
achieve the surplus in 2019/20. The
remaining £20 billion would be announced in the autumn
Harrison referred to an Ipsos MORI poll that had been
carried out in September, 2015 to gather information
on people’s views on austerity measures.
In addition, Mr. Harrison briefed Members on research by the Resolution
Foundation on spending within the welfare budget, where it was stated that, by
2020, working-age adult welfare was set to fall to its lowest level since 1979;
spending on children would be back to its 2002 level; while pensioner spend
would fall to its immediate pre-crisis level. It was also advised that
pensioner spend reduction was being driven by increasing the State Pension to
66 by 2020. In respect of the focus of
welfare spending, it was noted that pensioner benefits
accounted for 45% of total welfare spending immediately pre-crisis, but were
set to account for 52% by the end of the decade. In contrast, tax credit and child benefit
spending would fall from 21% to 17% of the total. It was further noted
that, by 2020/21, the share of Government spending flowing to older people and
health could reach 43%, which was its highest level since comparable records
had begun in the 1990s. In contrast, it was forecast that the share allocated to education and
economic affairs would reach a new low of 19%.
In respect of the situation in Rushmoor, Mr. Harrison advised Members that, overall since March 2013, there had been a 6.3% decrease in the Housing Benefit and Council Tax Benefit caseload. The eligible population levels had increased over the years from 2009 to 2014 from 71,300 to 76,374 with the Benefits caseload as a percentage of the population increasing from 8.5% in 2009 to 10% in 2014. It was also ... view the full minutes text for item 14.
To note the Community Policy and Review Panel’s work programme for 2015/16 (copy attached).
The Panel NOTED the work programme and work schedule.