Public Document Pack JOINT HEALTH OVERVIEW AND SCRUTINY COMMITTEE (YORKSHIRE & THE HUMBER) Meeting to be held in Civic Hall, Leeds, LS1 1UR on Friday, 13th September, 2013 at 10.30 am (A pre-meeting will take place for all Members of the Committee at 10.00 am) MEMBERSHIP Councillors J Worton – Barnsley Council M Gibbons – Bradford Metropolitan Council A McAllister – Calderdale Council C Funnell – City of York Council T Revill – Doncaster Metropolitan District Council B Hall – East Riding of Yorkshire Council D Brown – Hull City Council L Smaje – Kirklees County Council J Illingworth (Chair) – Leeds City Council J Hyldon-King – North East Lincolnshire Council J Bromby – North Lincolnshire Council J Clark – North Yorkshire County Council B Steele – Rotherham Metropolitan Borough Council M Rooney – Sheffield City Council B Rhodes – Wakefield Council Item Ward/Equal Item Not Page No Opportunities Open No 1 APPEALS AGAINST REFU SAL OF INSPECTION OF DOCUMENTS To consider any appeals in accordance with Procedure Rule 25* of the Access to Information Procedure Rules (in the event of an Appeal the press and public will be excluded). (*In accordance with Procedure Rule 25, notice of an appeal must be received in writing by the Chief Democratic Services Officer at least 24 hours before the meeting.) 2 EXEMPT INFORMATION - POSSIBLE EXCLUSION OF THE PRESS AND PUBLIC 1 To highlight reports or appendices which officers have identified as containing exempt information, and where officers consider that the public interest in maintaining the exemption outweighs the public interest in disclosing the information, for the reasons outlined in the report. 2 To consider whether or not to accept the officers recommendation in respect of the above information. 3 If so, to formally pass the following resolution:- RESOLVED – That the press and public be excluded from the meeting during consideration of the following parts of the agenda designated as containing exempt information on the grounds that it is likely, in view of the nature of the business to be transacted or the nature of the proceedings, that if members of the press and public were present there would be disclosure to them of exempt information, as follows: No exempt items have been identified on this agenda. B Item Ward/Equal Item Not Page No Opportunities Open No 3 LATE ITEMS To identify items which have been admitted to the agenda by the Chair for consideration. (The special circumstances shall be specified in the minutes.) 4 DECLARATION OF DISCL OSABLE PECUNIARY INTERESTS To disclose or draw attention to any disclosable pecuniary interests for the purposes of Section 31 of the Localism Act 2011 and paragraphs 13-18 of the Members’ Code of Conduct. 5 APOLOGIES FOR ABSENC E AND NOTIFICATION OF SUBSTITUTES To receive any apologies for absence and notification of substitutes. 6 MINUTES - 3 DECEMBER 2012 AND 10 APRIL 2013 To confirm as a correct record, the minutes of the meetings held 3 December 2012 and 10 April 2013. (Copies to follow) 7 SAFE AND SUSTAINABLE PROPOSALS FOR 1 - CHILDREN'S CONGENITAL CARDIAC 242 SERVICES IN ENGLAND: ADVICE FROM THE INDEPENDENT RECONFIGURATION PANEL (IRP) To receive and consider a report from the Head of Scrutiny and Member Development presenting the advice of the Independent Reconfiguration Panel (IRP) reported to the Secretary of State for Health on 30 April 2013. C Item Ward/Equal Item Not Page No Opportunities Open No 8 THE NEW REVIEW OF CO NGENITAL HEART 243 - SERVICES IN ENGLAND 276 To receive and consider a report from the Head of Scrutiny and Member Development presenting details associated with the new review of congenital heart services in England. 9 CHILDREN'S CONGENITA L CARDIAC 277 - SURGERY: SERVICE PROVISION AT LEEDS 342 TEACHING HOSPITALS NHS TRUST To receive and consider a report from the Head of Scrutiny and Member Development providing an update on; a) The current provision of children’s heart surgery at Leeds Teaching Hospitals NHS Trust (LTHT); and, b) Progress of the subsequent phases of the review of quality of children’s heart surgery services at LTHT. 10 FUTURE OF THE JOINT HEALTH OVERVIEW 343 - AND SCRUTINY COMMITTEE (YORKSHIRE 346 AND THE HUMBER) To receive and consider a report from the Head of Scrutiny and Member Development to consider the future role of the Joint Health Overview and Scrutiny Committee (Yorkshire and the Humber), as currently constituted. D Agenda Item 7 Report author: Steven Courtney Tel: 24 74707 Report of the Head of Scrutiny and Member Development Report to the Joint Health Overview and Scrutiny Committee (Yorkshire and the Humber) Date: 13 September 2013 Subject: Safe and Sustainable Proposals for Children’s Congenital Cardiac Services in England: Advice from the Independent Reconfiguration Panel (IRP) Are specific electoral Wards affected? Yes No If relevant, name(s) of Ward(s): Are there implications for equality and diversity and cohesion and Yes No integration? Is the decision eligible for Call-In? Yes No Does the report contain confidential or exempt information? Yes No If relevant, Access to Information Procedure Rule number: Not applicable Appendix number: Not applicable Purpose 1. The purpose of this report is to formally present the advice of the Independent Reconfiguration Panel (IRP) reported to the Secretary of State for Health on 30 April 2013. Background 2. In November 2012, the Joint HOSC formally referred proposals for Children’s Congenital Cardiac Services in England, agreed by the Joint Committee of Primary Care Trusts (JCPCT) following the Safe and Sustainable Review, to the Secretary of State for Health. The referral was subsequently passed to the IRP for consideration, review and advice. 3. The IRP concluded its review of the Safe and Sustainable proposals (and the associated referrals by Health Overview and Scrutiny bodies) and reported its findings and recommendations to the Secretary of State for Health on 30 April 2013. Main issues and considerations 4. On 12 June 2013, an announcement from the Secretary of State for Health called a halt to the previous Safe and Sustainable review of Children’s Congenital Cardiac Services in England. The IRP’s full report and appendices, alongside a covering letter form the Secretary of State for Health, are attached to this report for consideration. Page 1 5. Details associated with the new review of congenital heart services in England are presented elsewhere on the agenda. 6. It should be noted that representatives from the IRP were invited to attend the meeting to present its report. However, this invitation to attend was declined as this would not ‘… fit comfortably with our terms of reference as set out by the Secretary of State for Health. Our advice on Safe and Sustainable was commissioned by SofS and that is who we reported to. Advice was submitted on 30 April 2013 and that is the end of our involvement. ’ Recommendations 7. That the Joint HOSC: a. Notes the IRP’s report and recommendations, as presented. b. Considers and comments on the IRP’s report and recommendations (as appropriate) and identifies any specific action points in terms of the new review of congenital heart services in England and/or any scrutiny activity necessary at this stage. Background documents 1 8. None used 1 The background documents listed in this section are available to download from the Council’s website, unless they contain confidential or exempt information. The list of background documents does not include published works. Page 2 Page 3 Page 4 IRP Independent Reconfiguration Panel ADVICE ON SAFE AND SUSTAINABLE PROPOSALS FOR CHILDREN’S CONGENITAL HEART SERVICES Submitted to the Secretary of State for Health 30 April 2013 Page 5 Safe and Sustainable IRP IRP Independent Reconfiguration Panel 6th Floor 157 – 197 Buckingham Palace Road London SW1W 9SP Tel: 020 7389 8045/8046 Email: [email protected] Website: www.irpanel.org.uk Press Office Tel: 020 7025 7530 Email: [email protected] 2 Page 6 Safe and Sustainable IRP CONTENTS Summary and recommendations 1 Our remit what was asked of us 2 Our process how we approached the task 3 Context a brief overview 4 Information what we found 5 Our advice adding value 3 Page 7 Safe and Sustainable IRP Appendices 1 Independent Reconfiguration Panel general terms of reference 2 Letter of referral to Jeremy Hunt, the Secretary of State for Health from: Cllr Christine Talbot, Chair of the Health Scrutiny Committee for Lincolnshire Health Michael Cooke and Ruth Camamile, Chairman and Vice Chair of the Leicester, Leicestershire and Rutland Joint Health and Overview Scrutiny Committee Cllr John Illingworth, Chair, Yorkshire and the Humber Joint Health Overview and Scrutiny Committee 3 Letters to the Secretary of State for Health from Lord Ribeiro, IRP Chairman, providing initial assessment advice, 21 September 2012 and 7 December 2012 4 Letters to Lord Ribeiro from Secretary of State for Health 22 October 2012, 10 December 2012 (with revised terms of reference) and 15 March 2013 5 IRP press release and media statements, 6 November 2012 and 11 December 2012 6 Site visits, meetings and conversations held 7 Information made available to the Panel 8 Panel membership 9 About the Independent Reconfiguration Panel 10 List of locations of cardiology outreach clinics 11 Profile of children's congenital cardiac centres 4 Page 8 Safe and Sustainable IRP SUMMARY AND RECOMMENDATIONS The Secretary of State for Health asked the IRP to advise whether it is of the opinion that the proposals for change under the “Safe and Sustainable Review of Children’s Heart Services ” will enable the provision of safe, sustainable and accessible services and if not why not. Overall, the Panel is of the opinion that the proposals for change, as presented, fall short of achieving this aim. The Panel’s view is that people - children and adults - with congenital heart disease in England and Wales will benefit from services commissioned to national standards for the whole pathway of their care.