Agenda and minutes

There were no apologies for absence.

There were no declarations of interest in matters coming before this meeting. 

RESOLVED: That all items of business be considered in public. 

RESOLVED:  That the minutes of the meeting held on 23 November 2021 be agreed as a correct record.

It was noted that the GP pressures review had been completed in 2020 and the Committee had received an update on the implementation of recommendations at its meeting on 9 February 2021.  As the pandemic had hindered the implementation of some of the recommendations in the report, Members had requested that a further update be provided in 2022.  The Committee agreed that, with the continued influence of the pandemic, a further update on the implementation of the recommendations be brought back to the Committee in 2023.

Included in the recommendations was reference to the use of virtual GP consultations.  Members were aware that North West London Clinical Commissioning Group (NWL CCG) was currently looking at the provision of virtual GP consultations.  As this appeared to be a topic of interest to many residents, it was agreed that this issue be included on the agenda for the meeting on 22 February 2022 and that Mr Richard Ellis be invited to attend to speak to the item.

RESOLVED:  That:

1.    an update on the implementation of the recommendations from the GP Pressures review be considered at the meeting in February 2023;

2.    virtual GP consultations be included as an item at the meeting on 22 February 2022; and

3.    the discussion be noted. 

The Chairman welcomed those present to the meeting.  It was noted that the Committee had received a brief update on the development of the new Hillingdon Hospital at its meeting on 7 October 2021 and a fuller update at its meeting on 28 April 2021. 

Ms Rachel Benton, Hillingdon Hospitals Redevelopment Programme Director at The Hillingdon Hospitals NHS Foundation Trust (THH), advised that the project involved a three-stage business case process: Strategic Outline Case (SOC); Outline Business Care (OBC); and Full Business Case (FBC).  An indicative timeline was shared with the Committee.  The SOC stage had been completed and the project was currently in the OBC stage which involved a more detailed work up of the preferred way forward and progression of the planning application.  The FBC would involve a further detailed work up of the plans before entering into contracts. 

The Hillingdon Hospital team had been working closely with the New Hospitals Programme (NHP) team.  Development of the OBC had started in late 2020 and it was anticipated that this would be finalised and taken through internal governance processes in May and June 2022.  Subject to Trust Board approval, this would then be ready for submission to regulators.  The submission date would be subject to agreement with the NHP team. 

A lot of detailed work had been undertaken in relation to the design.  This work had included input from clinical teams from across the hospital as well as from clinical representation from outside of the hospital.  Feedback had also been received from staff and members of the public and the detailed designs were now nearing completion.  The estates strategy had been endorsed by the North West London Integrated Care System (NWL ICS) Estates Board and there had been a refresh of the clinical services strategy with partners to support the OBC. 

Five pre-application meetings had been held with local authority planners which had informed subsequent iterations of the new hospital design ready for anticipated submission of the planning application in April 2022.  Challenge had been made in relation to a range of issues including landscaping, tree retention, flood risk minimisation and buffer zones.  It was noted that the project would be in a stronger position if the OBC was completed with planning approval already in place.  The redevelopment team would be meeting with the Greater London Authority in the week commencing 31 January 2022.

Ms Benton advised that a public exhibition had been held in June 2021 which had helped to inform the development plans.  Although some of this engagement had been face to face, a large proportion had been undertaken online. 

Mr Graham Harris, Director at IBI Group, advised that the design had moved from the 1:500 stage (where the right type of accommodation was put in the right place) to the 1:200 stage, involving a more detailed work up of the designs.  A lot of work had been undertaken in the initial stages of the design to ensure that costs did not increase during the development of  ...  view the full minutes text for item 43.

Consideration was given to the Committee’s Work Programme.  It was noted that the Committee’s next meeting on 22 February 2022 would be looking at the new way of working that had been introduced through Hillingdon Health and Care Partners (HHCP).  Members would be looking at the reasons for the introduction of the place based partnership (HHCP) and any improvements that it had initiated.  Ms Caroline Morison, Managing Director of HHCP, would provide examples of how service delivery had been improved.  She would be talking about the wider context and about how the redevelopment of Hillingdon Hospital had provided the opportunity to increase the pace of change in the Borough. 

North West London Clinical Commissioning Group (NWL CCG) had brought together the CCGs from all NWL boroughs including Hillingdon CCG.  The Integrated Care Partnerships (ICPs) and NWL were now aligned and supportive of the Hillingdon Hospital rebuild.  Mr Richard Ellis, NWL CCG, would also be invited to attend the meeting on 22 February 2022 to talk to Members about the provision of virtual GP consultations.

It was agreed that an update would be sought on the implementation of the recommendations from the GP Pressures review at the Committee’s meeting in February 2023. 

Members discussed the best way to review the Trusts’ Quality Account reports.  In the past, there had been two meetings scheduled at the end of April with the Trusts’ attendance split between the meetings.  However, this had not proved to be the most effective use of time as the reports were not always ready to be discussed at those meetings.  As such, only one meeting had been scheduled and Members would need to determine how they would like to focus this meeting.  The Committee’s responses to each of the Trust Quality Account reports would be agreed outside of the meetings and submitted within the subsequent 30 day permitted response time. 

The Committee’s meeting on 22 March 2022 would be focussed on crime and disorder.  Members asked that a Neighbourhood Watch representative be invited to attend again for further discussion.  It was also suggested that the main focus of the meeting be on crime and disorder relating to licensed premises.  For example, in relation to the 172 licensed premises in the Borough, how was the associated crime and disorder being managed. 

It had become apparent that there were a limited number of Health Based Places of Safety (HBPoS) and that this impacted on police time.  The Chairman had had some informal meetings over the last couple of months with a range of different partners about this issue.  Although CAMHS had been provisionally scheduled for the meeting in June 2022, it was agreed that this be moved to July 2022.  In June, it was agreed that the Committee would consider a summary report of the findings regarding the role of the police in dealing with mental health patients at Hillingdon Hospital Emergency Department.  Representatives from CNWL, THH, HHCP, NWL CCG, MPS and the Council would be invited to attend. 

RESOLVED:  That:  ...  view the full minutes text for item 44.