Agenda and minutes

Scrutiny Committee
Wednesday, 8th July, 2015 7.00 pm

Venue: Civic Offices, St Nicholas Way, Sutton SM1 1EA

Contact: Angela Guest, Senior Business Support Officer (Democratic Services)  Tel: 020 8770 5122 Email:

No. Item


Apologies for absence and notifications of substitutes


Apologies for absence were received from Councillor Pathumal Ali and from Lawrence Newman, Chair of ESH NHS Trust Board.

An apology for lateness was received from Councillor Mary Burstow who arrived at 8.25pm.


Minutes of the last meeting pdf icon PDF 73 KB

Minutes of the meeting held on 22 April 2015 to be approved as a correct record.


The Minutes of the meeting held on 22 April 2015 were approved as a correct record and signed by the Chair.



Future of Epsom and St Helier Hospitals pdf icon PDF 293 KB

Daniel Elkeles, Chief Executive of Epsom and St Helier Hospital Trust, Jonathan Bates, Chief Operating Officer, Sutton Clinical Commissioning Group and Lawrence Newman, Chairman of the Epsom and St Helier NHS Trust, will be presenting information to the Committee which will cover the recent dialogue in the local press between the Trust and the CCG “Traingate” and discussing future plans.


Papers for discussion include:

·         Performance and Strategy briefing paper from Daniel ElkelesAttached

·         Estates Strategy paper – Attached


Additional documents:


Daniel Elkeles, Chief Executive Epsom and St Helier Hospital Trust (ESH), supported by Dr Rabbani and Jonathan Bates, Chief Operating Officer for Sutton Clinical Commissioning Group (CCG), attended for this item.


Daniel Elkeles presented a report that set out the trust’s strategy for the next five year to continue to provide services from both the Epsom and St Helier Hospitals.  He explained how the hospital buildings were not fit for purpose and how that was impacting on the four key targets of providing quality care, infection control, patient experience and managing maintenance costs.  He also went on to explain the key features of buildings that support twenty-first century healthcare, some of which included being safe, environmentally friendly, easy to maintain, provided patient dignity, affordable and control of infection.  The Trust Board wanted to have conversations over the summer with public and stakeholders about the buildings and what they wanted.  This would feed into an ‘options for the future’ paper in the autumn for further discussion and consultation.


In response to Member questions Daniel Elkeles responded that:


a)    There were no options and that there was no consultation as yet but that he was offering to attend meetings to discuss with organisations/local communities to gauge the support in having services delivered from modern buildings and to ask what the Trust should consider when they look at the options for the future.  There would also be two open days at the hospitals for anyone to have a look around which would be interesting to people that had not actually used the hospitals, to know what was there at present.


b)    Options presented for consultation would be much richer because of the conversations taking place from now.  Whilst ESH had a catchment area of 482,000 there was not a percentage target for contact as this was not a consultation at this stage.


c)    In response to questions regarding future funding of improvement work Daniel Elkeles explained that the days of Public Finance Initiative was over and there was a new method (PF2) – He gave examples of funding from some recently built new hospitals that used many different funding streams to gain the finance.  Tom Brake MP had asked Chancellor George Osborne if the £217m was still available for ESH and was told that yes it was, subject to a business case.  Epsom Hospital was almost as run down as St Helier and whilst the £217m would make a difference it would not solve the issues.  To get to a business case, the process of having conversations with local communities/organisations needed to happen and the Trust to work up some options on the back of those conversations.  It was expected that any options would need to include at least 50% single rooms.


d)    Improvements had been made already without a great deal of expense by improving standards and working closely with GPs.  It was confirmed that the Trust were looking to keeping both Epsom and St Helier Hospitals open for the at  ...  view the full minutes text for item 3.


Care Quality Commission (CQC) Inspection Findings on local GP Surgeries pdf icon PDF 146 KB

The Sutton Clinical Commissioning Group (CCG) has provided information on their role and responsibilities with regard to the recent CCG inspections of The Beeches Surgery and Sutton Medical Practice. 


Jonathan Bates introduced an update report on the recent Care Quality Commission (CCG) inspections of Sutton GP practices.  In January/February 2015, seven GP practices in the London Borough of Sutton were selected for CQC Inspections.  The selection of practices for inspection was prioritised for those where there were concerns already. Two of those practices ‘require improvement’ and two practices received ‘inadequate’ ratings.  Those GP Practices were commissioned by NHS England at the time of inspection, but since April 2015 are co-commissioned by the CCG. 


Jonathan Bates was keen to assure Members that these results were not indicative of the overall performance across Sutton.  He also reported that NHS England were happy with action taken by the CCG since the reports.  The CCG were visiting one practice one a week and the other on a fortnightly basis to give support to those practices.


Dr Rabbani gave examples of some of the concerns picked up by the CQC and how they were addressed, for example putting safeguarding processes in place, having an action plan and purchasing any necessary emergency equipment.  He was confident that both practices would be rated adequate when the CQC revisit.


In response to Member questions it was reported that:


a)    There was one practice that didn’t have a patient participation forum but now do.


b)    That there are patient participation forums in all CCG practices and rated green by NHSE for patient contact.


c)    If the CQC cancelled a practices registration then patients on the registered list would have to register with other practices.


d)    The CQC had said that they would be visiting the other 20 practices in the borough but not this calendar year.


The Chair thanked Jonathan Bates and Dr Rabbani for their attendance.




Annual Workplan 2015/16 pdf icon PDF 108 KB

To agree the draft annual workplan. 



The Committee reviewed and discussed the draft workplan.


The Senior Policy Officer explained the process of doing scrutiny investigations:

·         Hypotheses presented by Members

·         Officers will prepare a scoping document

·         Committee to decided on areas to investigate and identify witnesses

·         Ends with a final report with recommendations and guidance for improvement.


Members were encouraged to contact policy officers with questions on process.


The Chair talked about two potential pieces of work that he had put on the plan; the probation service and victim support.  The probation service had been suggested by the Leader of the Council and the Chair undertook to get more information from her regarding the reason for suggestion.


Resolved: To note the workplan.