Meeting documents

This will include an update regarding the application to open a Community Pharmacy in Waddesdon, consultation on the Bedfordshire and Milton Keynes Health review and changes in provider at the Mandeville Practice.

In response to a public question raised at the 24^th November meeting, Leaders of all District Councils were contacted regarding priority housing provision for healthcare workers. A sample letter is attached.

The Chairman highlighted:

The Public Account for Adult Social Care –Members were encouraged to read the document.  It was noted that Cllrs Noel Brown and Margaret Aston sit on the working group.

Waddesdon Pharmacy – The Chairman was approached about a pharmacy licence application for High Street Waddesdon in Buckinghamshire.

This was not considered to be an area that required pharmacy provision in the Pharmaceutical Needs Assessment (last updated April 2015) and signed off by the Health and Wellbeing Board. There is further concern that this might destabilise primary care provision in the area. The Chairman submitted concerns to NHS England. (South Central) NHS England is in the process of accessing the application and this will include a site visit and consideration of representations from interested parties and patient choice. HASC need to keep an eye on this in terms of changes to pharmaceutical provision.

The Lynton Practice – Consultation is taking place as the practice is deemed not fit for purpose. A letter was circulated to stakeholders in December, with a proposal that they will move to a smaller site within Wycombe Hospital. Public meetings were organised for late January and early: February: 3^rd Feb 6.30 -8.30pm at Hannover House, 4^th Feb 10.-12.30 and February 11^th at 6.30-8.30pm at Rights Medical Centre

The Mandeville Practice – This will have a new interim provider from April 2016, once the existing GP Partnership has dissolved. NHS England are stating there will be now significant change, with ‘many’ of the existing staff transferring over. Once the interim provider is in place NHS England and the AV CCG will commence a project during 2016 ‘to determine the future scope of services and potential opportunities for integration and innovation to improve access to services and health outcomes for patients.’ It has stated  ‘Public and patient involvement in this process will be critical and the feedback will be used to shape the commissioning of future services and it will be helpful to share this with the HASC.’ Recent telephone conferences have not identified what plans are proposed nor volume of staff who are transferring. A year is a short amount of time for planning, any integration and implementation. HASC will need to keep an eye on what is happening.

The Bedfordshire and Milton Keynes Healthcare Review - From the initial stages of the Review two options for the provision of acute care in Milton Keynes and Bedford had been formulated, with one hospital becoming an Integrated Care Centre, with the other remaining a Major Emergency Centre. However, as the Review progressed, the Bedfordshire Clinical Commissioning Group, Bedford Hospital and Bedford GPs came forward with a third option for an Integrated Acute and Community Services (IACS) model, which would provide streamlined urgent care across primary, community and acute care provision. A consultation timetable has now been issued.  It has been agreed that a monthly newsletter will be issued to councillors to update them and that the Healthcare Review team provides details of the population data being used to formulate proposals in the public consultation documents once they are produced. A list of local contacts has been provided to the CCG’s after concerns were raised about the lack of consultation in North Buckinghamshire.

The letter to leaders of District Council re affordable housing for healthcare workers

So far HASC has received one response from the Leader of South Bucks, Cllr Ralph Bagge: ‘The housing needs of key workers and private sector employers have been documented by the Local Economic Partnership. In supporting the delivery of key worker housing the Council has worked in partnership with its Registered Social Landlord partners and with organisations within the NHS to deliver key worker schemes for health care staff including doctors and nurses. SBDC and Catalyst Homes Ltd jointly

provide an equity loan scheme which is open to employees of Wexham park hospital and to healthcare workers working or living in the district able to demonstrate a residential connection for 1 year. As a major landowner the NHS has also brought forward sites to deliver key worker housing which have been supported through the Council policies. NHS key worker accommodation managed by L&Q has been provided at Wexham Park which although outside the district was supported by the Council. It is understood that this scheme has suffered from a number of voids which may have potential for use by health care staff across Bucks. Similar schemes have also had a number of voids and a Bucks wide approach to addressing the need for key worker housing may be opportune’

Once all the responses are received HASC will be able to see where it can recommend a Buck wide approach that might address areas such as the voids situation.

A new District Member was welcomed to the Committee, Cllr Sandra Jenkins from Aylesbury Vale District Council.