Agenda and minutes

To note the attendance at this meeting of any Substitute Members, in accordance with paragraph 12.7 of the Harrow Partnership Governance Handbook.

AGREED:  To note

(1)               that there were no Substitute Members present at this meeting;

(2)               the apologies received.

(if any).

Agenda Item 4 – Royal National Orthopaedic Hospital, Stanmore – Briefing to Harrow Strategic Partnership on the Proposed Redevelopment of the Site

Howard Bluston declared a personal interest in that he was a Member of the original Planning Committee which had provided outline planning permission for development on the Royal National Orthopaedic Hospital.  He would remain in the room whilst the matter was considered and voted upon.

That the minutes of the Board Meeting held on 29 March 2012, having been circulated, be taken as read and signed as a correct record.

AGREED:  That the minutes of the meeting held on 29 March 2012 be taken as read and signed as a correct record subject to at page 8, in the second paragraph, the word ‘starting’ be replaced by ‘strategic’.

Following the agreement of the minutes, the Chair advised that the Council had received some further information regarding the funding provided from Central Government to the Council to perform its public health functions.  A Member of the Board commented that Harrow had received the 5^th lowest level of funding within London which was disappointing.  The Council would be appealing this decision.

Report of the Royal National Orthopaedic Hospital, Stanmore.

The Chairman welcomed representatives from the Royal National Orthopaedic Hospital (RNOH) to the meeting.  The representatives explained that they had attended the meeting to provide a briefing on the proposed redevelopment of the RNOH site.

The representatives made the following points:

·                     the hospital was one of the top 3 orthopaedic hospitals in the world and had staff who performed at an excellent level to produce excellent outcomes for its service users.  However 60% of the building was more than 60 years old and redevelopment was required in order for the hospital to develop and maintain its reputation;

·                     the master plan for the redevelopment of the site was currently in the process of being refreshed.  A difficult national economic climate had been experienced and it had been important to ensure an enabling strategy was in place together with reliable financing sources;

·                     the redevelopment had received full Government approval and part of the funding for the redevelopment would include the sale of land;

·                     the programme for the development of the Master Plan involved consultation events which had been attended by local residents and local organisations.  A further consultation event was scheduled during July 2012.  Regular workshops had also been conducted and the hospital was working closely with the Council, the Greater London Authority and Transport for London;

·                     ecological surveys had taken place on the site and any redevelopment would be respectful of the local ecology;

·                     there were currently issues relating to highways and car parking.  It was envisaged that the redevelopment would fully address these issues.  An inner ring road would be developed for the various zones;

·                     as the redevelopment would take place within a green belt area, a visual impact study had taken place to assess issues of height, mass and trees in addition to a study of the ecology.  Additionally an Energy Concept Plan had been developed for the Central Zone;

·                     the development would be separated into three different zones, an Eastern, Central and Western Zone;

·                     the redevelopment would take place on a reduced area of land to make the development more compact with an ability to grow in the future;

·                     the Western Zone of the redevelopment would be used for establishing private residential accommodation.  The Eastern Zone would be utilised for staff accommodation and the Central Zone used for the hospital.  The zone to the north of the redevelopment would not be built upon but would simply be used as an access to the green belt area.

During the discussion on this item, Members of the Board raised a number of issues which the representatives responded to as follows:

·                     consultation would be held with the Stanmore Society on the proposed redevelopment;

·                     views received on the proposals so far had included support for the hospital and pleased with the direction of travel;

·                     a consultation event would be held with local councillors in July 2012.  An open day would also be held on 18 July 2012 within the teaching centre in the hospital between 9.00 am to 9.00 pm;

·                     the proposals  ...  view the full minutes text for item 95.

Report of the Clinical Commissioning Group.

The Board received a report which detailed an out of hospital strategy within the borough.  The Chief Executive of NHS Harrow reported that there was a programme of works across North West London on services within and outside of hospitals and further consultation would also be held on reshaping the portfolio of services provided.  The report provided to the Board focused on a local element of an out of hospital strategy.

A representative from the Clinical Commissioning Group addressed the Board and reported the following points:

·                     due to the current national financial difficulties, it was a difficult challenge to keep within budget. In addition to this neighbouring boroughs had received a greater amount of funding allocation from Central Government;

·                     there were several drivers for the strategy.  These included that new standards in hospital care involving 24 hours a day access to Accident and Emergency, Acute Paediatrics and Consultants. Outcomes for patients would be even better;

·                     it was recognised that there were not enough doctors and nurses to provide and manage care;

·                     medicinal improvements had been made, allowing for better treatments for illnesses;

·                     there had been major development in diagnostic tools;

·                     outcomes in conditions improved when key services were centralised;

·                     if matters continued as at present, this would lead to increased costs.  Additionally sending people to hospital who did not require a hospital care led to worse outcomes for that client;

·                     the vision for Harrow was to improve Primary and Community Care in its locality providing the right care at the right time;

·                     the vision would be achieved by improving patient care in 5 areas.  This included:

·                     up to 50% of patients who had a mental illness also had a disability.  More integrated work was required to ensure that patients’ needs were addressed in this scenario;

·                     the Integrated Care Pilot (ICP) had been launched approximately 2 weeks before the date of this meeting;

·                     the STARRS project would bring about vast improvements in social care.  This project would involve investing in resources within the community.  The project would ensure that a range of expertise was available to support patients and more services could be offered;

·                     there was a lack of a medical centre in the east of the borough which had to be rectified;

·                     there was a 3 year plan to offer more care in the right places for patients and rely less on hospitals.

During the discussion on this item, Members of the Board raised a number of issues which the representative responded to as follows:

·                     a stakeholder meeting on these proposals would involve the voluntary sector and it was recognised that this was a key sector to work with in relation to the proposals;

·                     it was recognised that there would be short term costs involved but it was  ...  view the full minutes text for item 96.

Verbal Update of the Borough Commander, Harrow Police.

The Borough Commander explained to the Board that the new policing model was still being determined and a further update was currently awaited.  However in broad terms it was anticipated that the 5 sergeants lost under the previous Safer Neighbourhood Teams arrangements would be replaced and there would be additional resources for Safer Neighbourhood Teams.  These were positive steps for the Police.

An update would be provided to the Board once further details were available.

AGREED: That the verbal update be noted.

Report of the Assistant Chief Executive, Harrow Council.

The Chairman requested that this item be deferred to the next meeting due to time constraints. Any Member of the Board who had any questions to raise in the interim could contact the officers directly.

AGREED:  That the report be deferred until the next ordinary meeting of the Board.

Verbal Update of the Assistant Chief Executive, Harrow Council.

The Board received a report providing an update from the Harrow Chief Executives.  The Service Manager for Policy and Partnerships explained that at its last meeting the HCE had looked at and considered the Putting Families First and Out of Hospital Strategy report.  The HCE had also received updates regarding the Integrated Care and Telehealth projects.  Whilst the Telehealth project had not had the best of starts, the HCE had been assured that the plans would come to fruition as developments were taking place at the right time within the health service.

The HCE had also agreed that further awareness was required of funding relating to the project to assist people getting back into work.

AGREED:  That the verbal update be noted.

The next Board Meeting is scheduled for Monday 24^th September 2012.

AGREED:  To note that the date of the next meeting of the Board would be held on Monday 24 September 2012.