Joint Health Scrutiny - 30 November - Cancelled
I have just been told that the Joint Health Scrutiny Meeting on 30 November has been cancelled. Below are a number of good reasons why this is a good thing if that is the case:
1. There would be little to report as Better Health Care Closer to Home (BHCH) at an acute level has clearly been overtaken by events. The London wide review will determine acute service provision. I suspect effective campaigning will led to less change in London than people think.
2. The Acute Trust financial position is more urgent. Surrey County Health Scrutiny Committee has already voted for formal consultation to occur in view of the loss of a quarter of beds. Merton and Sutton Health Scrutiny Committees may well also choose to support this. Surrey have suggested a joint meeting, but since the Acute Trust happens to be a provider to both PCT's and it is their commissioning that determines most of the cuts, it is probably best this is discussed at individual PCT level.
3. All other aspects of BHCH are now dealt with through PCT commissioning and the operation of their Turnaround Plan, which is now driven by a PCT level BHCH agenda. Future community provision will also be determined by PCT bids and I believe they may have bid for funds for development of the Shotfield and adjoining land for a Local Care Centre.
As a result of the above, I would suggest it makes much more sense for Merton and Sutton Health Scrutiny Committees to come together from time to time to discuss overall PCT policy. Any meetings with Surrey will be about the commisioning intnetions of two separate PCTs that just happen to use the same provider of services. It makes much more sense to look at those commissioning policies separately.
1. There would be little to report as Better Health Care Closer to Home (BHCH) at an acute level has clearly been overtaken by events. The London wide review will determine acute service provision. I suspect effective campaigning will led to less change in London than people think.
2. The Acute Trust financial position is more urgent. Surrey County Health Scrutiny Committee has already voted for formal consultation to occur in view of the loss of a quarter of beds. Merton and Sutton Health Scrutiny Committees may well also choose to support this. Surrey have suggested a joint meeting, but since the Acute Trust happens to be a provider to both PCT's and it is their commissioning that determines most of the cuts, it is probably best this is discussed at individual PCT level.
3. All other aspects of BHCH are now dealt with through PCT commissioning and the operation of their Turnaround Plan, which is now driven by a PCT level BHCH agenda. Future community provision will also be determined by PCT bids and I believe they may have bid for funds for development of the Shotfield and adjoining land for a Local Care Centre.
As a result of the above, I would suggest it makes much more sense for Merton and Sutton Health Scrutiny Committees to come together from time to time to discuss overall PCT policy. Any meetings with Surrey will be about the commisioning intnetions of two separate PCTs that just happen to use the same provider of services. It makes much more sense to look at those commissioning policies separately.
posted by Charlie Mansell at 5:37 pm
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