Agenda and draft minutes

Apologies were received for Mr Bartlett, who was substituted by Mr Messenger and Councillor Murray, who was substituted by Councillor McDonald.

There were no declarations of interest.

RESOLVED that the minutes of the meeting held on 1 February 2019 are correctly recorded and that they be signed by the Chair.

·         Draft JCCCG Minutes – 14 February 2019 (pages 33 – 43)

·         JCCCG Meeting Pack – 14 February 2019 (pages 45 – 99)

·         Response to JHOSC Feedback (pages 101 – 108)

·         Review of Growth Assumptions in the DMBC (pages 109 – 115)

The Decision-Making Business Case was included in the previous agenda pack.

Rachel Jones (Senior Responsible Officer, Kent and Medway Stroke Review), Glenn Douglas (Accountable Officer, Kent and Medway CCGs) and James Pavey (Regional Operations Manager, South East Coast Ambulance Service NHS Foundation Trust (SECAmb)) were in attendance for this item.

(1)      The Chair welcomed the guests to the Committee.  The Chair acknowledged receipt of a number of representations from members of the public.  The Chair said that she had read all of the representations carefully, noted the points made and referred to the key themes – consideration of referral to the Secretary of State, travel times and an American research paper. 

(2)      Ms Jones drew the Committee’s attention to the Joint Committee of Clinical Commissioning Groups (JCCCG) resolutions and that an additional resolution had been included regarding prevention. 

(3)      The Chair enquired specifically about the American research paper.  Ms Jones said that the paper focussed on mechanical thrombectomy and described the process involved.  She confirmed that such services were available in London and that consideration had been given to this.  Ms Jones said that discussions had been held with the author but reiterated that if mechanical thrombectomy was thought to be the best treatment for the patient then it would be okay, in discussion with the team, to move them to London.  She said that the network would continually look at developments in technology and gave assurance that plans were in place to support patients if the process was required.

(4)      A Member enquired about the removal of services at the Queen Elizabeth The Queen Mother Hospital (QEQM), travel times and reducing health inequalities.  Ms Jones said she understood the concerns raised and that the focus of the stroke review and work with partners was focussing on prevention and reducing inequalities as strokes were preventable.  She said that work was being undertaken with relatives, carers and those in remote areas following the development of travel advisory groups and that a commitment had been made to work with people in their local areas.

(5)      A Member referred to the JCCCG minutes and sought clarity on the timeline for the rehabilitation business case and work on prevention.  Ms Jones said in relation to rehabilitation services all services will be delivered locally but emphasised that careful consideration was being given to not destabilising neuro rehabilitation.  She confirmed that the live audit had been completed and said that gaps in knowledge were still there.  Ms Jones confirmed that the terms of reference of the JCCCG was following through and that a commitment had been made for the business case to be completed by the end of May, with follow up pieces being delivered locally.

(6)      Ms Jones said that the Kent and Medway Sustainability and Transformation Partnership (STP) had a prevention workstream and that work already existed.  She continued that everyone recognised causes of stroke and that the prevention workstream, assisted by public health were looking at the associated factors such as diabetes, atrial fibrillation and obesity.  Ms Jones said that the JCCCG  ...  view the full minutes text for item 23.