Agenda and minutes

Health Services Task and Finish Group - Friday, 18th December, 2020 2.00 pm

Venue: This will be a remote meeting held via Microsoft Teams in accordance with The Local Authorities and Crime Panels (Coronavirus)(Flexibility of Meetings)(England and Wales) Regulations 2020

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No. Item



Schedule 12 of the Local Government Act 1972 requires a record be kept of the Members present and that this record form part of the minutes of the meeting. Members who cannot attend a meeting should tender apologies to the Town Clerk.



Apologies for absence were received and accepted from Diana Blackmun of HealthWatch Central Bedfordshire.




(i)    Under the Localism Act 2011 (sections 26-37 and Schedule 4) and in accordance with the Council’s Code of Conduct, Members are required to declare any interests which are not currently entered in the Member’s Register of Interests or if he/she has not notified the Monitoring Officer of it.

(ii)  Should any Member have a Disclosable Pecuniary Interest in an item on the agenda, the Member may not participate in consideration of that item unless a Dispensation has first been requested (in writing) and granted by the Council (see Dispensation Procedure).



Members were asked to declare any interests, including the nature of those interests, which they had in any of the items under consideration at this meeting.


No declarations were made or dispensations requested.




To receive questions and statements from members of the public in respect of any item of business included in the agenda, as provided for in Standing Order No.s 3(f) and 3(g).



There were no questions from members of the public.



(a)   To receive and approve as a correct record the minutes of the Task and Finish Group meeting held on 5 March 2020 (attached) in accordance with Standing Order 12.


(b)   To formally receive the letter and presentation provided by Bedfordshire Clinical Commissioning Group in May 2020 in response to the queries raised at the above meeting (attached) (previously circulated by email to all councillors on 12 May 2020).



Additional documents:


(a)      The Task and Finish Group received the minutes of the Health Services Task and Finish Group meeting held on 5 March 2020.


RESOLVED that the minutes of the Health Services Task and Finish Group meeting held 5 March  2020 be approved as a correct record and would be signed at a later date, when safe to do so.


(b)      The Task and Finish Group formally received the letter and presentation submitted by the Bedfordshire Clinical Commissioning Group in May 2020, in response to the queries raised at the meeting held on 5 March 2020. The information had been circulated previously by email for information.


RESOLVED to note the information.




To receive the report on Integrated Care Services presented to the Central Bedfordshire Health and Wellbeing Board meeting held on 28 October 2020 (attached).



The Task and Finish Group received a copy of a report on the Integrated Health Hub programme which had been presented to the Central Bedfordshire Health and Wellbeing Board on 28 October 2020 and a verbal update was given by N Barnes of the Bedfordshire Clinical Commissioning Group and P Coker of Central Bedfordshire Council.


By way of background, it was clarified that the wider context was a programme to deliver five integrated health care hubs across Bedfordshire. Significant progress had been made with the first hub in Dunstable and this would be used as a blueprint for the development of the remaining hubs. Dunstable had been designated the first hub for development as Dunstable GPs were most constrained by their premises, whereas Leighton-Linslade as a collective of practices had more capacity than other areas.


The hub programme was not simply the delivery of a larger building but moving towards delivery of healthcare services by multiple providers in a much more integrated way. This would include primary care but also community healthcare, mental health services and social care.


Dr Henderson advised that the Leighton-Linslade Primary Care Network (“PCN”) was already working together in a more integrated way and was in the process of appointing to some new, additional roles such as physiotherapists, prescribers and pharmacists. A kind of “interim hub” would be based at the Leighton Road surgery as the premises with the greatest capacity for additional services.


As far as the Leighton-Linslade hub, a strategic outline case had been developed and the next stage would be to commission service model work. This was anticipated to take place in the middle of 2021. The service modelling would provide input and help shape what service delivery might look like and help identify the size of building which would be required and therefore the likely cost. At that point, options to identify capital requirements could start be to be explored.


P Coker and Cllr T Stock of Central Bedfordshire Council noted the inevitable delay caused by the Covid-19 pandemic and that future timescales were also subject to uncertainty for this reason. The roll-out of vaccine delivery was the overriding focus for the NHS at this time. Any updates to timescales would be reported to the Health and Wellbeing Board.


A number of Town Councillors spoke to comment and ask questions. The geographical location of a Leighton-Linslade hub was felt to be crucial and it was questioned whether one location would be easily accessible to all, given the existing traffic and transport issues in the town. It was noted that the population of the town was ageing and that provision of minor injury care was important to reduce the number of people going to hospital accident and emergency departments.


Questions were raised regarding how the prioritisation of the five hubs had been undertaken, why the strategic outline case was not available to town councillors and residents, how the hub would be funded, what the proposed timescales were and whether local councillors would have  ...  view the full minutes text for item 11.



To discuss and agree any next steps


P Coker advised that the strategic outline case was a working document for officers and would need further work before it could be shared. However, the engagement work which had helped inform the strategic outline case could be shared.


Continuing to deal with the Covid-19 pandemic would be a necessary priority for the immediate future and time would be needed before there would be any meaningful progress to report. It was suggested that a next meeting be held in June 2021 with the possibility of Town Councillors meeting sooner to discuss any information coming forward after the meeting.


Everyone present was thanked for giving their time to attend the meeting, given the ongoing pressures of the current pandemic situation.