A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Council and councillors

Agenda item

Cambridgeshire & Peterborough Sustainability and Transformation Plan

To receive Report No. 32/2017 from David Astley, Independent Chair, Sustainability and Transformation Programme System Delivery Unit, Cambridgeshire and Peterborough NHS Trust giving an overview of the priorities of the Sustainability and Transformation Plan for Cambridgeshire and Peterborough

 

Minutes:

Report No. 32/2017 was received from David Astley, Independent Chair and Aidan Fallon, Senior Communications and Engagement Manager from the Sustainability and Transformation Programme System Delivery Unit, Cambridgeshire and Peterborough NHS Trust.  During discussion the following points were noted:

 

a)    The Cambridgeshire and Peterborough STP had the same drivers as the Leicester, Leicestershire and Rutland STP with both locations facing financial challenges.

b)    The plan was to bring together ‘health’ and ‘local government’ in the provision of services to the public.

c)    The aim was to avoid hospital admissions where necessary and instead deliver care to people through other means e.g. at home, health centres or GP surgeries.

d)    There was a need to reinvigorate primary care.

e)    A governance group had been established to manage the delivery of the STP.

f)     A local ‘Urgent Care Board’ had also been established which included colleagues from Leicestershire, Rutland, Cambridgeshire and Lincolnshire in order to ensure integrated working.

 

AGREED:

 

1.    The Board NOTED the Cambridgeshire and Peterborough Sustainability Transformation Plan.

 

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The Chair agreed to take the question from Mrs K Reynolds

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QUESTION

Could the Health and Wellbeing Board please explore the rationale behind the maternity proposals?

 

The STP say they follow NICE Guidelines and of course 2016 saw Baroness Cumberlege's recommendations in Better Births, both are clear women should be given a full choice of place of birth. But the STP appears to restrict choice to a centralised LRI hub catering for almost 10,000 births per year, a Home birth or a very ambiguous suggestion that there might be a midwife led unit at Leicester General Hospital. Is the desire to ensure greater equality of access to services across the City and Counties actually reducing choice and access for those living in Rutland and Melton?

 

RESPONSE

Tim Sacks informed attendees that he had spoken with Ian Scudamore, Divisional Director for Women’s and Children’s Services at University Hospitals of Leicester (UHL) and could confirm the following:

 

a)    The proposal was for one single unit at LRI to include a labour ward and a midwife led service.

b)    This proposal would meet NICE guidelines on how and where you have your birth i.e. home or LRI.

c)    An additional site for a midwifery led unit had been discussed but this would in effect be the same as a ‘home’ birth with the patient being taken to LRI should any issues arise.

d)    The patient could still choose any hospital i.e. Peterborough City Hospital, LRI, UHL, Hinchingbrooke Hospital or Kettering General Hospital for their pre-birth and birth treatments.

e)    No Peterborough Consultant currently holds surgeries in Rutland.  If a patient wanted treatment at Peterborough City Hospital, they would first be seen by a Leicestershire Consultant who would then refer the patient to a Peterborough Consultant.  This was national policy and not just local practice.

 

AGREED:

 

1.    The Board AGREED that Tim Sacks and David Astley would arrange discussions between Cambridgeshire and Peterborough Clinical Commissioning Group and East Leicestershire and Rutland Clinical Commissioning Group regarding integrated working. 

2.    The Board AGREED that Tim Sacks would update the board at the next meeting.

 

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2.54 pm David Astley and Aidan Fallon left the meeting

At the request of the Chair and with agreement of the Board, Item 8 on the agenda was discussed next.

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Supporting documents: