Forest of Dean – 30 August 2018
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Joint Seminar between Gloucestershire Care Services Gloucestershire Governing Body Thursday at 14.00 – 15.30pm on 30 August 2018 Forest Hills Golf Club, Mile End Rd, Coleford GL16 7QD https://foresthillsgolfclub.co.uk/ AGENDA No. Time Item Lead 1 14.00 Welcome to the joint seminar Candace Plouffe and Becky Parish 2. 14.05 – 14.20 Engagement Report Caroline Smith and Katie Parker 3 14.20 – 14.35 Transport Study Malcolm Oswald 4. 14.35 – 14.50 Equality Impact Analysis Mina Jesa & Hari Sewell 5 14.50- 15.20 Citizen’s Jury Report Malcolm Oswald 6. 15.20 – 15.35 Health and Wellbeing for the Candace Plouffe future: Community Hospitals in the and Becky Parish Forest of Dean Recommendations for Next Steps following the engagement and Citizens’ Jury recommendations relating to the Location of a New Community Hospital in the Forest of Dean Governing Body Meeting to be held at 4pm on Thursday 30 August 2018 Forest Hills Golf Club, Coleford, Forest of Dean Following the joint seminar with GCS and GCS Board meeting AGENDA No. Item Lead Recommendation 1 Apologies for absence Chair Information 2 Declarations of interest Chair Information Forest of Dean 3 Public Questions Chair Discussion 4. Health and Wellbeing for the Chair Discussion / future: Community Hospitals in consideration the Forest of Dean Engagement Report Transport Study Equality Impact Assessment Citizen’s Jury Report Recommendations for Next Steps following the engagement and Citizens’ Jury recommendations relating to the Approval Location of a New Community Hospital in the Forest of Dean 5. Any other business Chair Date and time of next meeting: Thursday 4 October 2018 at 2pm in Board Room at Sanger House Agenda Item 1 Governing Body Meeting Date Thursday 30 August 2018 Report Title Health and Wellbeing for the future: Community Hospitals in the Forest of Dean Recommendations for Next Steps following the engagement and Citizens’ Jury recommendations relating to the Location of a New Community Hospital in the Forest of Dean. Executive Summary The joint engagement undertaken by NHS Gloucestershire Clinical Commissioning Group (GCCG) and Gloucestershire Care Services NHS Trust Board (GCS) ended on 3 July 2018. The engagement formed part of the evidence presented to a Citizens’ Jury which took place from 30 July – 3 August 2018. This paper sets out recommendations for consideration by the GCCG Governing Body and GCS Trust Board following this six week engagement and Citizens’ Jury recommendations relating to the location of a New Community Hospital in the Forest of Dean. In line with national guidance, while recognising that NHS bodies are not bound by the views of expressed by those who took the opportunity to respond to the engagement and participated as members of the Forest of Dean Citizens’ Jury, both GCCG and GCS are committed to ensuring that these views are fully considered and taken into account as part of any decision making process. The Governing Body/Trust Board is being asked to consider the recommendation of the Citizens’ Page 1 of 3 Jury to build a new Community Hospital in the Forest of Dean in Cinderford; and to consider other recommendations/observations made by the Citizens’ Jury. The Governing Body/ Trust Board will wish to consider the Outcome of Engagement, independent Equality Impact Analysis and Travel and Transport Analysis as part of its decision making. In reviewing these reports, the Governing Body/Trust Board may also wish to consider any recommendations made, to ensure these are addressed in the final business case and/or future CCG commissioning intentions. Key Issues The Citizens’ Jury recommendation is that the new community hospital for the Forest of Dean is located in, or near, Cinderford. Risk Issues: Original Risk (CxL) Residual Risk (CxL) Management of Conflicts of Interest Financial Impact Legal Issues In carrying out the engagement and the decision (including NHS making process the CCG has ensured it is Constitution) compliant with the relevant legislation, including Section 14Z2 of the NHS Act 2006 and the Public Sector Equality Duty 2011, and the advice obtained from its legal advisors. Impact on Health See Equality Impact Analysis (Appendix 4) Inequalities Impact on Equality See Equality Impact Analysis (Appendix 4). In and Diversity addition, an Equality Impact Analysis was carried out on the communications and engagement plan and this is available at www.fodhealth.nhs.uk Impact on The impact on sustainable development will be Sustainable considered as part of the choice of site and in the Development development of the Full Business Case for the new community hospital. Page 2 of 3 Patient and Public See Outcome of Engagement Report (Appendix Involvement 3) Recommendation The GCCG Governing Body/GCS Board is therefore asked to: 1) Consider recommendations 1 – 4 detailed in the report below 2) In consideration of the full evidence, which was also be made available to the Citizens’ Jury, approve the location of the new community hospital in the Forest of Dean will be in, or near, Cinderford. Author Becky Parish and Caroline Smith Designation Associate Director, Engagement & Experience Senior Manager Engagement & Inclusion Sponsoring Director Ellen Rule (if not author) Director of Transformation and Service Redesign Page 3 of 3 Health and Wellbeing for the future: Community Hospitals in the Forest of Dean Recommendations for Next Steps following the engagement and Citizens’ Jury recommendations relating to the Location of a New Community Hospital in the Forest of Dean 1 Introduction This paper sets out recommendations for consideration by the NHS Gloucestershire Clinical Commissioning Group (GCCG) Governing Body and Gloucestershire Care Services NHS Trust Board (GCS) following the 6 week engagement and Citizens’ Jury recommendations relating to the location of a New Community Hospital in the Forest of Dean. In line with national guidance, while recognising that NHS bodies are not bound by the views of expressed by those who took the opportunity to respond to the engagement and participated as members of the Forest of Dean Citizens’ Jury, both GCCG and GCS are committed to ensuring that these views are fully considered and taken into account as part of any decision making process. The Governing Body/Trust Board is being asked to consider the recommendation of the Citizens’ Jury to build a new Community Hospital in the Forest of Dean in Cinderford; and to consider other recommendations/observations made by the Citizens’ Jury. In making this decision, the Governing Body/ Trust Board will wish to consider the Outcome of Engagement, independent Equality Impact Analysis and Travel and Transport Analysis. In reviewing these reports, the Governing Body/Trust Board may also wish to consider any recommendations made, to ensure these are addressed in the final business case and/or future CCG commissioning intentions. 2 Background and Context The Forest of Dean Review was established in 2015. The purpose of the review was to: develop a plan for delivering high quality and affordable community health and care services to the people of the Forest of Dean which meet their needs now and in the future, and is developed with patients, the Community Hospitals in the Forest of Dean: Location of a New Hospital Recommendations for Next Steps Following Engagement – Final Report Page 1 public and our key partners. The review will encompass all community services in the Forest of Dean, including those within the community hospitals Following extensive engagement throughout the lifetime of the Forest Health and Care Review, GCCG and GCS, with the support of the wider One Gloucestershire Sustainability and Transformation Partnership (STP), approved the Case for Change in July 2017. The Case for Change informed the development and consideration of options for the future delivery of community hospital services, resulting in the identification of a preferred option for public consultation. GCCG and GCS launched a 12 week formal consultation at the Gloucestershire Health and Care Overview and Scrutiny Committee (HCOSC) on 9th September 2017. The consultation closed on 10th December 2017. Following the Consultation, and having given careful consideration to the feedback received, the GCCG Governing Body and GCS Board approved the preferred option for a new community hospital in the Forest of Dean. In response to the issues identified through the public consultation, the GCCG Governing Body and GCS Board also endorsed all ten recommendations set out in Health & Wellbeing for the Future: Community Hospitals in the Forest of Dean - Outcome of consultation Report, January 2018 (see Appendix 1). The following recommendations are of particular relevance to the decision regarding the location of the new hospital: Recommendation 3: Travel and Access Ensure that travel and access issues are reflected in any consideration of location. Commit to work with partners to support wider ambitions to improve public transport and access routes within the Forest of Dean. Commit both organisations to continuing to work with community transport providers to promote the use of their services. Recommendation 6: Detailed Service Planning Commit to ensuring that there will be a process established to ensure that local people are engaged and involved in the detailed service planning, reflecting an ongoing commitment to co-production. Recommendation 9: Impact Assessment Recommit to ensuring that there will be a clear process to assess the quality and equality impact, with particular reference to people with protected characteristics. Recommendation 10: Criteria and approach for appraising location and site Confirm the criteria to be used to enable an objective consideration of a preferred location (in or near Cinderford, Coleford or Lydney). Community Hospitals in the Forest of Dean: Location of a New Hospital Recommendations for Next Steps Following Engagement – Final Report Page 2 Confirm that a Combined Panel1 will be commissioned with the purpose of applying the agreed criteria and making a recommendation on location. Confirm the criteria that will be used for the site of the new hospital.