Agenda and draft minutes

Venue: Conference Room, Argyle Road, Sevenoaks

Contact: Democratic Services 01732 227165  Email:

No. Item


Minutes pdf icon PDF 56 KB

To agree the Minutes of the meeting of the Board held on 6 November 2019, as a correct record



Resolved: That the Minutes of the Health Liaison Board held on 6 November be approved and signed by the Chairman as a correct record.


Declarations of Interest

Any interests not already registered.


No additional declarations of interest were made.


Action from Previous Meeting


There were none.


Update on Patient Transport Services pdf icon PDF 43 KB

Tom Maidman, Manager of G4S Patient Transport Services in attendance to update Members

Additional documents:


The Chairman welcomed Tom Maidman, Manager of G4S Patient Transport Services and James Ransom, Head of Surgical Elective Care at West Kent CCG, who was the lead Commissioner of the Service to the meeting. A supplementary agenda with additional information from G4S had been circulated. The non-emergency patient transport service had been provided by G4S across Kent and Medway CCGs since July 2016. Following a rebasing exercise in March 2018, supported by the CCG, there was a deployment of additional staff and vehicles which resulted in improved service levels and performance stabilisation by merging Kent & Medway, Darent Valley Hospital and Renal patients.


The data provided covered the period of November 2018 to November 2019. On average 27,000 journeys a month were carried out and the contract was the largest of its kind due to the number of residents. Members looked at the key performance indicators and were advised that the minimum standards expected was 80% for on time arrivals and not more than 75 minutes early for outpatient arrivals.


Members discussed the figures and asked questions of clarification. In response, Members were advised that during November 2019, the minimum standard had dropped to below the 80% target and this was due to one of the larger hospitals in Kent dealing with an emergency situation. As a result, those patients who were fit enough, were being discharged earlier which had a knock on effect for those requiring patient transport services. There were also road blocks which also had an impact.


The meeting was advised that it would not be possible to have a standard of 100% for outpatient arrivals, as there were too many variables outside the control of the team. To ensure that standards and patient expectations were met, calls were made the day before the journey to confirm that travel was still required and the collection time. A call or text to confirm that the driver was on route was also made. All vehicles were tracked and once on the ambulance the Hospital Liaison Officer was notified.


The Manager of G4S Patient Transport Services advised that in November 2019 there were 6 missed appointment time slots. If the appointment was missed due to the travel, there would be an assessment carried out for the risk of harm and the patients, in most cases, would be seen at the next available appointment slot. Missed appointments were reported weekly to the Commissioners.


In response to questions regarding journeys made from the hospital to home, Members were advised that no more than 1% would wait more than 4 hours for pick up. The Head of Surgical Elective Care advised that hospital discharge could take a variable amount of time due to staffing or other issues. It was acknowledged that waiting over 4 hours for pickup was a long time and it was hope that this would continue to improve.


Members discussed that need for designated collection and drop of points in hospitals which would help make the transition easier.


Action 1:  ...  view the full minutes text for item 25.

At 1pm the Chairman adjourned for the comfort of Members and Officers and at 1.10pm the meeting reconvened.  


The Chairman, with the Board’s agreement moved agenda items 5 and 6 to follow after agenda item 9.


Update on NHS Urgent Care Services in Dartford, Gravesham & Swanley pdf icon PDF 39 KB

Additional documents:


The Committee considered the report which detailed the requirement for all areas in England to have Urgent Treatment Centres offering the same NHS Services in a timely manner. An extra-ordinary meeting of the (DGS) Dartford, Gravesham and Swanley CCG took place on 16 January 2020, and Members were updated by Cllr Perry Cole on the new location of the NHS urgent care services.


Members were informed that Cllr Perry Cole’s notes had been published in the supplementary agenda and that, following a large number of mixed responses the consultation had received, a third option was discussed. It was highlighted that Bexley Health Overview & Scrutiny Committee had raised concerns over the further impact to their CCG if the DGS CCG were to conclude that the Gravesend Community Hospital site be chosen as the location for the new Urgent Treatment Centre. Other themes that emerged from the responses included proximity to sites, traffic, public transport and cost of parking.


As a result of feedback, a third option was agreed. As part of a networked urgent care services model, there would be Urgent Treatment Centres at Gravesham Community Hospital and one co-located with A&E at Darent Valley Hospital which would provide additional critical care.


It was expected that the two linked Urgent Treatment Centres would be in place by summer 2020 as part of the first phase towards fully networked sites providing ‘joined up’ urgent care services for the people of Dartford, Gravesham and Swanley.


Members expressed concern over whether there would be enough staff to cover the two sites.


The Chairman thanked Cllr Perry Cole for the update.


Resolved: That the report be noted.



Updates from Members pdf icon PDF 31 KB


­­­­­­­The Chairman tabled the amount of money received from section 106 agreements and how this was spent. He advised that he had also queried whether there was an increase in GP numbers rather than just facilities. He also informed the Board, that he had recently been a user of the ‘Hospital at Home Service’. It was a well-developed service which was particularly helpful for those who had extra support at home, rather than having to be in hospital.

Members discussed their concerns with staff shortages and retention of staff. Wages and hours of work were also discussed and members queried the number of GP vacancies and support workers within the district. Members discussed CCG Board meetings and whether any Member of the Board would wish to attend.


Action 2: For the Head of Housing and Health to circulate the future dates of the CCG Governing Body meetings



Workplan pdf icon PDF 35 KB


It was agreed that the Men’s Shed project, would be invited to attend the June meeting of the Board and GP Finance would be extended to include work force planning.


Update on Local Care Plans pdf icon PDF 44 KB

Rachel Parris in attendance from the Clinical Commissioning Group (CCG) to update Members.

Additional documents:


This item was deferred to a future meeting of the Board, to allow for the Clinical Commissioning Groups (CCGs) to attend.



Update on CCG District Nursing Services pdf icon PDF 45 KB

Rachel Parris in attendance from the Clinical Commissioning Group (CCG) to update Members on the Service.


This item was deferred to a future meeting of the Board, to allow for the Clinical Commissioning Groups (CCGs) to attend.


Back to top