Agenda item

A presentation is attached.

Healthwatch have been invited to comment. Southwark Healthwatch have provided the attached briefing.

The chair invited council officers and NHS staff  to update the Committee by running through the presentation provided in advance.

The following people contributed to section one and two of the presentation; recapping on the previous meetings, providing a progress report on the formal consultation and taking questions:

• David Bradley, Chief Executive , South London and Maudsley NHS Foundation Trust (SLaM)
• Jane Bowie - Director of Integrated Commissioning, Lambeth Council
• John Lavelle - lead mental health Lambeth Council/ SlaM
• Fiona Connolly, Executive Director Adults and Health, Lambeth Council
• David Orekoya, Assistant Director, Integrated Commissioning: Mental Health, Lambeth Council
• Jane Bowie, Director, Integrated Commissioning (with CCG)
•  Andrew Eyers, Strategic Director of Integrated Health and Social Care (with CCG)

The chair then invited Lambeth and Southwark Healthwatch to input.

Catherine Pearson, Lambeth Healthwatch reported that people on various wards had been spoken with and were unanimously in agreement with the proposed changes, however the following issues had been raised: 

• Green space and outside space; could better access be provided to balconies and to Ruskin Park.
• Could there be a reconfigurations of bus services to allow  better connectivity to Brixton and  Bethlem Royal Hospital. 
• People want service change to focus not just on the building, but also service design. Can patients  also be involved in the service development.

SLaM and CCG officers responded that there are plans to improved access to green space and Ruskin Park. There is a planning requirement to improve the route access and pathways to green space in the Maudsley as a condition of the permission granted to redevelop the site. Consideration is also being given to improving the present bus access between the Maudsley and Bethlem Royal Hospital. There is support for input into service delivery. 

Catherine Negus, Southwark Healthwatch referred to the paper submitted in advance to the JHOSC and commented that Southwark had not been as involved in the reconfiguration as the proposals  principally relate to Lambeth beds, although there will be some impact on Southwark  She requested clarity on how much Southwark  residents had been consulted. She also asked about the age range of people consulted, particularly as a digital consultation can be orientated to younger people, although she is pleased about Blackfriars Settlement consultation.

SlaM and CCG officers said that the age spread was quite well distributed and drew attention to slide 16 in the presentation which showed the percentages of respondents across the borough, with preponderance around Lambeth Hospital. Facebook ads and focus groups had taken place in both boroughs. The majority of patients are from Lambeth, so the spread of respondents reflects differential impact across both boroughs.

The chair then invited members to ask questions and the following points were made in response:

·  Stakeholders in bold in slide 11 are those groups that have been significantly engaged in the process.

·  A piece of work is being done with the Living Well Community Centre to improve  access to pharmacies to address concerns about access to medication. Staff said that they want the focus to be on strengthening community links and meeting patients needs there.

·  People who were unable to attend a focus group because of a joint decision made with Blackfriars Settlement not to proceed with the planned event because of a passing away, have all been contacted directly. This was considered a better option than rescheduling in a couple of weeks, particularly as there was a small number of people signed up to the event. A focus group with black men of working age has also been held as they were most impacted by the cancellation.

·  159 responses have been received.

·  There will be a last push to get these up and in response to members concerns that as the consultations draws to a close people are more anxious that they will have a chance to provide their views.

·  Three main questions were utilised in the consultation  had been crafted with reference to similar consultations in Camden and Islington, with staff considering the case for change was put positively, rather than being leading.

Mathew Longmate, Director, Strategy and Development Consultant, Health Advisory Partnerships continued the presentation on broader programme and the case for change. There were no further questions on this section.

The chair said that members have received serval emails from constituents who have been asking if there is still time to engage, and these people would prefer a short extension.  While she appreciated the difficulties she asked if it would be possible to extend by a week or two?  Staff said that that they will consider this as  they do want a breath and depth of respondents, however an extension  of the deadline would likely  impact in coming back to the JHOSC next month as planed, and on the delivery timetable of a much needed change.  People do still have up to the 28^th May to respond  by phone and the 31st May to email in comments . Staff undertook to get back in touch with constituents directly where members provide details.

Action: Officers and NHS staff will provide consultation  information to JHOSC members.