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Paper  4A - 29 November 2002 Meeting

ASSOCIATION OF HAMPSHIRE AND ISLE OF WIGHT LOCAL AUTHORITIES

29 November 2002

REVIEW OF HEALTH PROVISION IN HAMPSHIRE AND THE ISLE OF WIGHT

Report by the Chief Executives’ Group

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RECOMMENDATIONS

(1) That the Chief Executives’ Group reports further on arrangements for health review across the social services authorities and cross-border arrangements with neighbouring county areas; and

(2) That District Councils arrange to appoint three scrutiny representatives to attend the shadow meeting of the County Council’s proposed Health Review Committee, ensuring some geographical and political balance across the eleven districts.

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BACKGROUND

1. The Department of Health is consulting authorities on the regulations for Health Overview and Scrutiny. The Association discussed the original consultation paper at its March 2002 meeting, and called for adequate resourcing of the new role.

2. The Health Authority arranged a seminar at Sparsholt College which most authorities attended in June 2002. This provided an occasion to consider in depth how the new arrangements could work.

CURRENT DISCUSSIONS BETWEEN THE SOCIAL SERVICES AUTHORITIES

3. Southampton City Council is leading discussions between the four social services authorities in Hampshire/Isle of Wight. It is expected that these discussions (which include District Chief Executive representatives) will culminate in proposals for consideration by those authorities in December/January.

ARRANGEMENTS BETWEEN HAMPSHIRE COUNTY AND DISTRICT COUNCILS

4. The importance of local authority-health service co-ordination and partnership at District level is recognised. Normally this involves close working between Hampshire Social Services, the District Council and the NHS Primary Care Trust. This local level partnership and focus needs to be reflected in some appropriate and flexible way in the scrutiny arrangements. The County Council has consulted the District Councils on Health Review in Hampshire and the consultation paper is annexed. The County Council has asked for responses to its proposed approach by the end of December.

5. As the consultation paper suggests, District Councils could be asked to undertake work on particular reviews. If a review focussed on services and facilities of a particular Primary Care or other Trust, then local District Councillors could be represented. Although it is not spelt out in the paper, the proposed County Council Health Review Committee could invite particular District Councils to meetings about reviews affecting their area.

6. In addition the County Council proposes that the District Councils appoint three Members to serve on the Health Review Committee.

7. Pending completion of the consultation process it is recommended that District Councils agree between them three scrutiny representatives to attend the shadow meeting of the County Health Review Committee. They should report-back to the Association. Decisions on long-term representation would need to be taken in the light of the outcome of the consultation and the County Council decisions.

8. It is suggested that the choice of scrutiny representatives should ensure some geographic and political balance.

CHIEF EXECUTIVES’ GROUP

Date: 13 November 2002
Annex: 1 (copy of the Annex available on request)
Contact: Nick Goulder - 023 8068 8431, E-mail hiow@eastleigh.gov.uk

Last update: 20/11/2002
Author: Nick Goulder, Policy Manager

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