An apology for lateness from Councillor Sean Fitzsimons who arrived at 7.04pm

The Sub-Committee RESOLVED to agree the Committee Membership, Charing and Terms of References as detailed in the previously distributed report.

Minutes of the meeting held on 10 May 2016 were approved and signed as a record of the meeting.

Councillor Andy Stranack disclosed that he is a member of the Specialist User Group for Outcome Based Commissioning for the Over 65s.

None

None

(Agenda Item 7)

The Sub-Committee RESOLVED to accept the nomination from HealthWatch Croydon that Darren Morgan become the Committee non voting Co-opted member of the Health and Social Care Sub-Committee for the remainder of the municipal year.

(Agenda Item 8)

Stephen Warren, Director of Commissioning attended the meeting on behalf of the CCG to provide Members with a whistle stop tour of the CCG priorities for 2016/17 and to take a backwards look at some of the achievements for 2015/16.

Officers reported that investment had been increased across the mental health provision due in part to an increase in inpatient bed occupancy. This is not unique to Croydon as nationally there has been an issue with finding inpatient beds.

GP variation remains high to the agenda and will report to this committee as a substantial item later in the work programme. Foxley Lane was mention specifically, a period of consultation will result in significant service changes.

Funding pressures remain high on the agenda with the CCG carrying an agreed overspend, however the reality is that it will need to make additional changes to end the year within target whilst delivering the quality improvement programme. These pressures continue to impact on front line services.

The "together for health" programme, pushed by public health seeks to achieve a high proportion of QIPP savings as these areas had been taken as far as they can with service redesign. Potential areas for change were discussed - the reduction of staffing costs, reviewing SLAs, introducing local incentive schemes, potentially looking to reduce the number of IVF episodes - currently services users are offered one cycle - in the future there would need to be representation to a board to make the final decision.

Members discussed health inequalities and asked officers how this was being resolved. Officers reported that the health and well-being agenda was a high priority and that through working with GP network practices it become evident that priorities changed on a per network basis.

The Committee reminded the CCG that significant variations to services would need to be considered by scrutiny especially if services are in danger of being discontinued.

Members were appreciative of the CCG setting the scene for those new Members to the Sub Committee and providing an update to the existing Committee Members; this would help when reviewing the work of the Sub Committee and setting the work programme.

The Sub Committee agreed that they would like to be kept informed regarding development of the out of hospital strategy, Foxley Lane and the results of the inpatient review.

Councillor Andrew Pelling left the meeting at 8.03pm

(Agenda item 9)

The Committee noted the previously circulated report and commented on the additional information provided by HealthWatch Croydon which gave some detail around GP Performance.

(Oral update)

The JHOSC had not met since the last meeting of the Sub-Committee.

The South East London JHOSC had been convened to discuss the proposed reconfiguration of SLaM's Place of Safety. The JHOSC have not met since the first meeting and are due to meet again in October 2016.

The Sub-Committee noted the additional meeting of the Health and Social Care Sub Committee on 7 September 2016, 3.00pm in the Council Chamber, Town Hall Katharine Street, to accept a pre decision item on Outcome Based Commissioning.