Agenda and minutes

Venue: Council Chamber, Redbridge Town Hall

Contact: Anthony Clements 

Items
No. Item

20.

CHAIRMAN'S ANNOUNCEMENTS pdf icon PDF 294 KB

The Chairman will announce details of the arrangements in case of fire or other events that might require the meeting room or building’s evacuation.

 

(Directions to venue attached).

Minutes:

The Chairman gave details of arrangements in te case of fire or other event that should require the evacuation of the meeting room.

21.

APOLOGIES FOR ABSENCE AND ANNOUNCEMENT OF SUBSTITUTE MEMBERS (if any) - receive.

Minutes:

Apologies were received from Councillors Syed Ahammad (Barking & Dagenham) and Khevyn Limbajee (Waltham Forest). Apologies were also received from Richard Vann, Healthwatch Barking & Dagenham (Frances Carroll substituting).

 

 

22.

DISCLOSURE OF PECUNIARY INTERESTS

Members are invited to disclose any interests in any of the items on the agenda at this point of the meeting. Members may still disclose an interest in an item at any point prior to the consideration of the matter.

Minutes:

There were no disclosures of interest.

23.

MINUTES OF PREVIOUS MEETING pdf icon PDF 97 KB

To agree the minutes of the meeting held on 8 October 2013 as a correct record (attached).

Minutes:

Members made the following comments:

 

On page 3M, the date of the first Care Quality Commission listening event had not been known to the Joint Committee at the time of the meeting and health officers were in fact unable to give these details during the meeting itself.

 

On page 5M, officers had been asked to confirm whether Barts Health had spoken to TfL re helping patient and relatives from outlying districts to get to Whipps Cross, rather than solely those from the Redbridge area.

 

The Chairman also asked if it could be fed back to the Care Quality Commission that, as mentioned at the meeting, a guide for what Councillors should look out for when visiting hospitals etc would be very useful.

 

Subject to the comments above, the minutes of the meeting held on 8 October 2013 were AGREED as a correct record and signed by the Chairman.

24.

REVISED COMMITTEE MEMBERSHIP

The Committee is asked to note that Malcolm Wilders has recently resigned as a co-opted member of the Committee.

Minutes:

The Committee noted that Malcolm Wilders had recently resigned from the Committee due to ill health. The Committee AGREED that it should record its thanks to Mr Wilders for his contribution whilst a member of the Committee.

25.

CHANGES TO CANCER AND CARDIOVASCULAR SERVICES pdf icon PDF 253 KB

To receive a presentation and discuss with NHS officers the proposed changes to cancer and cardiovascular services in the sector (case for change document attached).

Additional documents:

Minutes:

Presentation from NHS Officers

 

NHS officers explained that cancer and cardiovascular disease were the two biggest reasons for early mortality. It was felt that current services were not coordinated enough and that specialist centres such as the Hyper Acute Stroke Unit at Queen’s Hospital led to better outcomes for patients. Centres such as these would also give a better patient experience.

 

There were proposals affecting several different types of cancer including bladder, prostate, kidney, leukaemia, brain, head & neck and stomach. It was emphasised that the strongest drivers for change were improving patient outcomes and improving the patient experience.

 

Many cancer services in the region were not meeting national guidelines and it was wished to have specialist care available on a 24:7 basis. This would include better technology such as the use of robotic surgery for prostate cancer, specialist nursing and access to clinical trials.

 

All pre and post operation services would continue to be delivered on a local basis. BHRUT would see a rise in some operations such as those for brain cancer and upper oesophago-gastric (OG) cancers, although the latter was planned to eventually move to one site at UCLH. There would be fewer bladder, prostate and renal cancer operations at BHRUT under the proposals. Overall, BHRUT would see a 3% reduction in episodes of care under the proposals.

 

Feedback to date had shown overall support for the proposals to consolidate specialist services but people had also indicated that services should be kept local where possible. In Outer North East London, there had been support to move from 3 to 2 OG centres but concerns had been raised over the plan to move to a single centre eventually and this proposal was still being considered. There had also been feedback that a second centre for prostate cancer should be located at BHRUT in order to reduce travel difficulties. It was accepted by NHS officers that travel issues were very important although patients had stated they would be willing to travel further for better outcomes.

 

UCLH would provide a number of travel support initiatives for patients including procuring more disabled parking bays, giving better information on travel options and, in some cases, supplying hotel accommodation for patients and their families. Similar support would be available from the Royal Free Hospital for kidney cancer patients.

 

It was not anticipated that there would be much impact of the cardiovascular proposals on Outer North East London as patients from this area already travelled to the London Chest Hospital which would transfer to the Barts site at Farringdon from 2014. As with the cancer services, officers explained that there would be a concentration of very specialist services with no change to local services which would continue to be provided at BHRUT and Basildon Hospitals.

 

The heart unit at Barts would be the largest in the UK and it was expected this could save 1,000 extra lives per year if even the average outcomes for England could be reached. 24:7 specialist care could however only  ...  view the full minutes text for item 25.