The following presentations and topics will be discussed during the health theme:
Dulwich Community Hospital
An update on matters relating to Dulwich Community Hospital from the Programme Director for Dulwich, (NHS Southwark Clinical Commissioning Group).
Public Health
Presentation on the Council’s new public health responsibilities from the Assistant Director of Public Health for Lambeth and Southwark.
Centre of Excellence for Dementia patients
Presentation from Head of Commissioning for Children’s and Adult’s Services.
Minutes:
The chair introduced the health and wellbeing theme.
Dulwich Community Hospital
Rebecca Scott, Programme Director (Dulwich) from NHS Southwark spoke about the proposed services and changes for the Dulwich Health Centre and the next stages of the programme.
The officer referred to the progress that had been made since last September when recommendations were agreed by the Clinical Commissioning body. Part of this process included confirmation on the range of services and detailing the amount of activity (e.g. the number of patients and GP appointments etc) the health authority should plan for in order to assess the size of the building that would be needed.
Services proposed for the Dulwich health centre
· Support for people with long term conditions and older people.
· Diagnostics: Phlebotomy, BP monitoring, ultrasound, ECG, x-ray, other near patient testing and mobile MRI etc.
· General practise: Routine GP consultations, management of long term conditions, integrated care programme, assessments and some out of hours care.
· Out-patients, in addition to the clinics associated with long term conditions.
· Children’s services: health visitor, child health clinics, immunisations and development checks.
· Pharmacy: Providing advice on medication and other enhanced services.
· Cafe /health information, voluntary sector space to support people with long term conditions and other wider health needs.
Robert Braham, Regional Asset Manager from NHS property services gave an overview of the key criteria for the development of the Dulwich Hospital site.
· Look at the appropriate facilities which would be undertaken by the commissioning group and NHS agency.
· Ensure that the facility would be the best value for the residents of Southwark.
· Proper consultation and configuration of the site.
The officer explained that only parts of the current facility were being used and was not up to the standard of a modern health care centre. The site would be undergoing a soft market testing in order to achieve the best criteria that would enable them to develop a master planning process. The council would ensure they work closely with the local health authority to achieve the best option for the scheme.
In response to questions, the officers confirmed that the council would be working with a panel of developers with the soft market testing. In addition the officer mentioned the estimated value for development of the site was £21 million. The officer explained NHS Southwark would work closely with Guys NHS Trust and other community based health groups.
Action: The community council requested a progress update on the development of the site including a detailed programme of works at a future meeting. They also agreed to keep the community fully engaged on this issue.
Public Health
Jin Lim, Assistant Director from Lambeth and Southwark Public Health Directorate presented the following:
Summary of presentation:
· Causes of early deaths – cancers, respiratory diseases, external causes and cardiovascular causes.
· Chronic health problems - heart disease, hypertension, diabetes, respiratory conditions, poor sexual health & HIV and mental wellbeing.
· Avoidable risks – smoking, health eating, physical activity, obesity and alcohol.
· Regular activity, walking can reduce CHD deaths by 14%.
· Lowers risk of developing Type 2 diabetes.
· Prevents or delays hypertension.
· Improves mental health.
· Weight bearing exercises maintain strength and strengthen bones in older people in falls and fracture prevention.
Council’s public health role:
· April 2013 – Statutory Public Health function for Council.
· Tackling the causes of ill-health, and reducing health inequalities.
· Promoting and protecting health.
· Commissioning some public health services.
· Providing public health expertise to health care commissioning (Southwark Clinical Commissioning Group).
Prevention
· Creating a healthier environment – planning, licensing, regeneration, and town centres.
· Improving signposting, brief advice & information.
· Improving uptake of immunisations.
· Promoting healthier living.
· Supporting people at greater risk of poor health to change e.g. stopping smoking, healthy eating, and physical activity.
Public Health advice and support to the clinical commissioning body
· Health care needs assessment
· Reviewing health service provision
· Individual funding requests (exceptional treatments)
· Prioritisation
· Service design
· Capacity planning and demand management
· Monitoring & evaluation
Centre of Excellence for Dementia Patients
Andy Loxton, from Children’s and Adult’s Services explained he attended the Dulwich community council meeting a year ago when the council decided to go ahead with changing the centre for dementia. He said now that the UK had an aging population, dementia had received more of a focus.
The centre is relocating its current services to Cator Street Resource in Peckham. Beside the centre would be a 42 care beds in residential units with support care on site. The design consultation group which had a membership of representatives from Age UK, Southwark Pensioners Centre, Age Concern and the council worked closely on developments.
Andree Mitchell, Programme Manager from Children’s and Adult Services highlighted the programme of works. He explained the proposed building was currently occupied and decommissioning work had been in place and would shortly be handed to contractors to manage the development of the site.
Preparations works took place in February and March 2014 and contractors had been selected to do the design and carry out the works. Refurbishment of the ground floor should be completed in May 2015.
The officers agreed to give feedback on progress at the community council meeting later on in the year.