Agenda and minutes

Scrutiny Health & Social Care Sub-Committee - Monday, 13th May, 2019 6.30 pm

Venue: Council Chamber, Town Hall, Katharine Street, Croydon CR0 1NX. View directions

Contact: Simon Trevaskis
02087266000  Email:

No. Item


Minutes of the Previous Meeting pdf icon PDF 128 KB

To approve the minutes of the meeting held on 26 March 2019 as an accurate record.



The minutes of the meeting held on 26 March 2019 were agreed as an accurate record.


Disclosure of Interests

In accordance with the Council’s Code of Conduct and the statutory provisions of the Localism Act, Members and co-opted Members of the Council are reminded that it is a requirement to register disclosable pecuniary interests (DPIs) and gifts and hospitality to the value of which exceeds £50 or multiple gifts and/or instances of hospitality with a cumulative value of £50 or more when received from a single donor within a rolling twelve month period. In addition, Members and co-opted Members are reminded that unless their disclosable pecuniary interest is registered on the register of interests or is the subject of a pending notification to the Monitoring Officer, they are required to disclose those disclosable pecuniary interests at the meeting. This should be done by completing the Disclosure of Interest form and handing it to the Democratic Services representative at the start of the meeting. The Chair will then invite Members to make their disclosure orally at the commencement of Agenda item 3. Completed disclosure forms will be provided to the Monitoring Officer for inclusion on the Register of Members’ Interests.



There were no disclosures of interest made at the meeting.


Urgent Business (if any)

To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.



There were no items of urgent business.



Working together for a healthier Croydon - Update for Health & Social Care Sub-Committee pdf icon PDF 695 KB

The Sub-Committee is asked to receive a presentation from representatives from the Clinical Commissioning Group about the changes arising as a result of NHS Long Term Plan.


(Presentation to follow)


The Sub-Committee received a presentation on the proposed changes at the Croydon Clinical Commissioning Group (CCG) and Croydon Health Service (CHS) as a result of the NHS Long Term Plan.

The Chair welcomed the following representatives who were in attendance at the meeting for the discussion of this item:

Attendees from the Clinical Commissioning Group

·         Doctor Agnelo Fernandes – Clinical Chair

·         Andrew Eyres – Accountable Officer

·         Elaine Clancy – Joint Chief Nurse

·         Martin Ellis – Director of Primary Care and out of Hospital

Attendees from Croydon Health Service

·         Mike Bell – Chair

·         Doctor Nnenna Osuji - Medical Director

Attendees from Croydon Borough Council

·         Guy Van Dichele – Executive Director for Health, Wellbeing and Adults


Mike Bell & Doctor Agnelo Fernandez delivered the presentation to the Sub-Committee, during which the following was noted:-

·         The NHS Long Term Plan was published in January 2019, a key part of which was an emphasis being placed on delivering integrated care systems. Arising from this the Government agreed to provide local health authorities with a guaranteed five year financial settlement on the proviso that they produced a ten year plan detailing how integration would be achieved.

·         There would be a joint meeting of CHS and CCG on 14 May to present the ideas behind the plan to the public, which would include the publication of the strategic case for greater alignment of the two organisation.

·         There was also a proposal for the Croydon CCG to become part of the wider South West London CCG. Should this happen, it was envisioned that 80-90% of decision making relating to care in the borough would still be taken at a local level.

·         The alignment of the CCG and CHS was seen as a fundamental stepping stone, which would present a significant opportunity to take out costs from within the system from reducing duplication. From 1 April 2019 the two organisations had produced a joint budget, operational plan and a financial savings targets.

·         To ensure joint decision making a number of joint management executive posts would be created, which would create savings that would be transferred to frontline services. Elaine Clancy was the first of the joint managerial appointments as Joint Chief Nurse.

·         Work had begun on bringing the safeguarding teams together, which would deliver improved services and savings through a reduction in duplication.

·         It was important that any changes made were focussed upon improving the quality of care and the long term health of residents in Croydon.

·         The LIFE (Living Independently for Everyone) scheme had been successful. With over 1,000 referrals in the first year to either get patients home from hospital faster or avoid unnecessary hospital admission.

·         The Integrated Care Networks (Huddles) had also been successful. This involved multi-disciplinary meetings to discuss the care of people with complex and escalating health needs. As a result of the Huddles there had been a 6% reduction in urgent and emergency admissions in over 65s. The Huddles were initially difficult to implement, but were now an embedded practice within the borough.  ...  view the full minutes text for item 12/19


Exclusion of the Press and Public

The following motion is to be moved and seconded where it is proposed to exclude the press and public from the remainder of a meeting:


“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”



This motion was not needed.

At the close of the meeting a motion was formally moved to extend a vote of thanks to the Chair in what was to be his last meeting in the role.