Agenda and minutes

Apologies for absence were received from Councillor Cleaver.

Members are asked to declare any interests they may have in the business on the agenda.

Members were asked to declare any interests they might have in the business on the agenda.  No such declarations were made.

To receive an update on how mental health will be catered for within the proposals in the STP, subject to formal public consultation.

Peter Miller, Chief Executive, Leicestershire Partnership NHS Trust and Jim Bosworth, Associate Director Commissioning & Contracting, East Leicestershire & Rutland Clinical Commissioning Group will attend the meeting to make a presentation.

The Commission received an update on how mental health would be catered for within the proposals in the STP, subject to formal public consultation.

Peter Miller, Chief Executive, Leicestershire Partnership NHS Trust and Jim Bosworth, Associate Director Commissioning & Contracting, East Leicestershire & Rutland Clinical Commissioning Group attended the meeting to make a presentation and respond to Members comments.  Members were also invited to make comments on the strategy and the principles of what should be included.

During the presentation the following comments and observations were made:-

a)         The draft STP had little content on mental health mainly because the guidance on preparing STPs was focused on how sustainable systems could be created in 5 years’ time.  The STP focused on the frail and elderly emergency care and prevention in response to the challenges of making the system more sustainable.

b)         It was felt that an improved strategy with a stronger emphasis on resilience, prevention and recovery was needed in order to relieve the pressure on the acute mental pathway which was currently under pressure.  The current spend of £100m on mental health services was focused on specialist inpatient type services and more needed to spent in providing support in the community setting.

c)         The strategy related mainly to adults, improving resilience and recovery and supporting primary and secondary in-patient and community care to ensure it was timely and robust.  CAMHS was in another work-stream as so was population based prevention.  Dementia as a specialised service was also covered in another work stream.

d)         Key targets in the strategy were

·         Providing a crisis response in 4 hours and 24 hours as appropriate.

·         Providing support with 2 weeks of the 1^st episode of Psychosis.

·         IAPT target of 25% for support for some lower levels of anxiety and depression.

·         Liaison psychiatry – Core 24.

·         Perinatal Access.

·         Zero out of area admissions.

·         Reduction in suicides by 10%.

·         Parity of esteem.

e)         The strategic direction aimed to bring about a change in philosophy, attitude and practice to put greater focus on prevention and resilience in a more structured and robust way.  This would entail working with GP practices and health professionals on placed based area, whilst recognising that there would be different place based areas and different models of care within localities.  Community capacity needed to be captured and built into the models with clear end to end pathways to provide efficient and high efficacy clinical care.  The models would also be recovery focused.

f)          Achievements to date included:-

·         The Crisis house which provided an alternative offer for treatment without the patient going into hospital by providing a respite away from the home environment.  It was well used and very successful.

·         Improving the 4 hour urgent response to 71%.

·         The strengthened liaison service was now at 80%.

·         The all-age Mental Health Act place of safety had been rebuilt and was due to open on 5^th July 2017.

·         The new CAMHS crisis service would come into operation on 10th April 2017. 

g)            LPT were working  ...  view the full minutes text for item 70.

At 6.50 pm the Chair adjourned the meeting for 10 minutes to allow those officers and members of the public who had attended for the previous item to leave the meeting.

At 7.00 pm the meeting reconvened with Councillors Dempster, Fonseca, Cassidy, Chaplin, Sangster and Unsworth present.  

To hear views from public, patients groups and other interested community organisations on the draft sustainability and transformation plan, prior to formal public consultation. Members of the public will have registered their interest to speak prior to the meeting and presented a written submission.

The Chair stated that the Commission had previously invited members of the public, patients’ groups and other interested community organisations to submit their views on the draft Sustainability and Transformation Plan (STP).  A number of individuals and representatives of community organisations had registered their interest to address the Commission and had submitted written submissions.  Each person would be given 5 minutes to summarise their submission and the submission would be published with the minutes unless the person asked for this not to be done.

The primary purpose of people presenting their submission was for the Commission to hear at first hand the views being expressed and there would be no opportunity for members of the Commission to ask questions on the presentations.  Representatives of the CCG were present but they would not be asked to respond to the submissions, but they would take note of the submissions for future reference.

Consideration of the draft STP was part of a long process and there would be other opportunities to for members to discuss any issues raised in the submissions.

The Chair then invited the following to address the Commission for a maximum period of 5 minutes each:-

a)         Dr Rupert Earl, Honorary Lead on Care Policy, Spinal Injuries Association.  A copy of the submission is attached as Appendix A to these minutes.

b)         Dt Sally Ruane, Health Policy Research Unit, DeMonfort University. A copy of the submission is attached as Appendix B to these minutes.

c)         Tahita Sinfield – 38 Degrees Loughborough.  A copy of the submission is attached as Appendix C to these minutes.

d)         Andrew Ross, Unite the Union Community Branch Leicester Area. A copy of the submission is attached as Appendix D to these minutes. 

e)         Jane Lane, Health Visitor, Leicestershire Unite Health Sector Branch.  A copy of the submission is attached as Appendix E to these minutes.

f)          Kathy Reynolds, Leicester Mercury Patients’ Panel.  A copy of the submission is attached as Appendix F to these minutes

g)         Robert Ball, Campaign Against NHS Privatization.  A copy of the submission is attached as Appendix G to these minutes

h)        Margaret Pitcher, Member of the Public.  Made the following comments and observations:-

·         GPs are under considerable pressure now and when a misdiagnosis happens it can become costly in terms of the costs of long term treatments.  Putting additional responsibilities on GPs could make the likelihood of misdiagnosis more likely.

·         Patients with long term complex issues often volunteered for studies and allowed their data to be for shared medical research and training and that was not likely to happen at a GP level.  Also, medical students were often present with consultants and this element of training would be lost if care was transferred to GPs.

·         Reservations that that giving GPs and primary care more complex work would not be beneficial.  GPs didn’t have enough time at the present and putting more pressure on them did not make sense. There was a need for more trained specialist staff.

·         Who  ...  view the full minutes text for item 72.

The meeting closed at 8.10 pm.