Agenda item - Formal Public Involvement

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Agenda item

Formal Public Involvement

This is the part of the meeting when members of the public can formally ask questions of the Board or present a petition.  These need to be notified to the Board in advance of the meeting Contact the Secretary to the Board at penny.jennings@brighton-hove.gov.uk

Minutes:

25(a)   Written Questions

 

25.1    There were none.

 

25.(b)  Petitions

 

25.2    There were none.

 

25(c)   Deputation – Saving our NHS – NHS Long Term Plan

 

25.3    The Chair, Councillor Moonan, referred to the Deputation which had been received and invited the Lead Deputee, Madeleine Dickens to address the Board in support of their Deputation. The Chair went on to explain that the Board would be asked to agree to note the contents of the Deputation. As a number of the points raised could be addressed and responded to by representatives from the CCH who when considering the report dealing with the local response to the in respect of the Long Term Plan they would be dealt with at that point  in the proceedings.

 

25.4    The Deputation (circulated with the agenda papers), stated that there were five key asks on which they were demanding action:

            Demands:

 

            “1) Stop any Long Term Care Plan (LCP) planning until the measures below have been carried out and the results analysed:

 

            2) The Council to organise a public consultation via its consultation portal – Citizen Space;

 

            3) Carry out urgent economic and equality impact assessments on LCP proposals;

 

            4) Clearly the LCP represents a substantial variation in service in service and as such before any decision is implemented it such that it be referred to the Health Overview and Scrutiny Committee for consideration;

 

            5) In view of the extremely concerning far reaching implications of the proposed Plan and its impact on Brighton and Hove residents across all wards of the city, we ask it to be referred to Full Council for approval.

 

25.6    Ms Dickens stated that campaigners were concerned about “integrated care” considering that the NHS was adopting an American approach, which was a direct result of years of underfunding. It was of particular concern that the report stated

 

            “A significant proportion of contracts are already “deliver aligned incentive contracts for 2019-20 and we are exploring risk - sharing models risk-sharing models to stimulate delivery of our new models of care. The partnership is committed to identifying innovative and benefit sharing options to engage both providers and commissioners.”

 

25.7    Ms Dickens stated that in recent years government initiatives government and NHS policies had primarily sought to bear down on funding. If all initiatives were required to save money, with integrated care, healthcare would become restricted by a fixed population budget. Clinically effective commissioning had already removed access to 110 NHS treatments. They were concerned that integrated care systems would restrict NHs budgets and would result in an institutionalised denial of care and was why campaigners were fighting to preserve the NHS.

 

25.8    The Chair thanked Ms Dickinson and the Deputees for their Deputation, the views they had expressed in support of their Deputation were noted. Their concerns would be responded when considering the report itself (referred to elsewhere in the body of these minutes (Item 27) “Local Response to the NHS Long-Term Plan”), where the discussion and decision making process in respect of that item are set out.

 

25.9    It was explained that the Health and Wellbeing Board had been delegated power by Full Council to make decisions in relation to all matters which affected the health and wellbeing of residents of the city. Further, it was a Partnership Board made up of representatives not just from the council but from the CCG, Healthwatch and the local safeguarding boards. Whilst it was technically possible for the board to agree to refer the item to Full Council for decision and not to agree to note the Local Plan that would be against custom and practice for a decision delegated to committee to be taken back to Full Council. The impact of not noting the report would be that it could create some uncertainty and delay on funding which needed to be put into place going forward. The Plan must be submitted in order to meet the agreed deadlines and would therefore need to be submitted by the CCG by the due date with a summary of the consultation undertaken to date. There was no legal requirement to consult but there was an expectation that there would be full local engagement.”

 

25.10  RESOLVED – That the contents of the Deputation be noted and received.

 


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