Agenda and minutes

Policy Overview Committee
Tuesday 19 March 2019 7.00 pm

Venue: B12

Contact: Email: 

Note No. Item


Apologies for Absence


Apologies for absence were received on behalf of Councillors Brown, Burrell, Lees, J M Ozog, Page, Storey and Wells.


The Chairman welcomed Members, guests and officers to the final meeting of the Policy Overview Committee in the current municipal year, and his final meeting as Chairman of the Committee.


Members agreed the Chairman’s proposal to a change in the published order of business. In deference to guests from the Health Care sector who were making presentations to the Committee that evening, it was agreed that Item 8 Health Care Services for Dartford would be taken immediately following Member Declarations of Interest (Item 2).


Declarations of Interest

To receive declarations of interest from Members including the term(s) of any Grant(s) of Dispensation.


Councillors Coleman and T Maddison asked that it be noted for the record that members of their families worked at Darenth Valley Hospital.


Councillor Maria Kelly advised that she worked for the NHS Trust at Darenth Valley Hospital.


Councillor Sandhu advised that he was a Governor for both Dartford & Gravesham and Kent NHS Trusts.


None of the above declarations prevented the Members from participating in the meeting.


Health Care Services for Dartford

To receive presentations from Dartford, Gravesham & Swanley Clinical Commissioning Group, Dartford & Gravesham NHS Trust and Virgin Care Ltd.  followed by a joint Q&A session with Members.


The Chairman renewed his welcome on behalf of the Committee to: Sue Braysher, Director of System Transformation for Dartford, Gravesham & Swanley Clinical Commissioning Group (DGS CCG); Gail Arnold, Deputy Managing Director DGS CCG; Dr. Stephen Fenlon, Medical Director, Dartford & Gravesham NHS Trust; Lee Busher, Head of Clinical Services, Virgin Care Limited and Ash Capel, Quality & Clinical Effectiveness Lead, Virgin Care.


The Committee accepted the Chairman’s proposal that Sue Braysher and Gail Arnold update Members orally on their new joint roles for the CCG and the NHS Trust, followed by a PowerPoint presentation from Dr Fenlon detailing the D&G Trust operation, with a concluding PowerPoint presentation from Lee Busher and Ash Capel on behalf of Virgin Care.


Sue Braysher advised the Committee that she had taken up her new joint role as Director of Systems Transformation for both the DGS CCG and the D&G NHS Trust in October 2018. She explained that under the overall umbrella of NHS Kent & Medway, the current 8 (eight) separate Clinical Commissioning Groups currently operating across Kent would, over the next 18 month to 2 year period, gradually combine to form a single Strategic Commissioning Group for Kent, whilst continuing to operate on a regional basis using their local knowledge, in East Kent, North & West Kent, Dartford Gravesham and Swanley, Swale and Medway.


Gail  Arnold, Deputy Managing Director for the DGS CCG advised Members that the new focus for health was ‘Integrated Care’ viewed through the resident/patient lens, to optimise the ‘patient journey’ along a connected G.P.  Hospital, NHS Trust and CCG pathway.


She advised that both the Dartford & Gravesham NHS Trust and the Dartford Gravesham & Swanley Clinical Commissioning Group (DGS CCG) were now in funding deficit. In the absence of any further central funding to directly reduce those deficits it was proposed to bring all parties round the table to identify savings through the integration where possible of existing health services across both bodies, linked to existing and continued employment and training of staff, under an Integrated Care Partnership Board. Under these new arrangements, it was hoped to address the current difficulties over G.P. recruitment and the filling of Consultant posts by looking at the potential for different partnership and employment arrangements with other NHS Trusts and CCGs.


Going forward, it was envisaged that by March 2020 the DGS CCG would cease to exist as a separate entity and be integrated within the Strategic CCG for Kent as a whole. Under the new integrated care partnership model, new PCN contracts would be brought in where existing G.P. practices were integrated into a Primary Care Network (PCN) comprising G.P.s, Dentists, Pharmacists and Optometrists to care collectively for between 30,000 to 50,000 patients. The figure of 30,000 would be the standard minimum number for a PCN in terms of a critical mass of patients to obtain the maximum efficiency across all health care disciplines, whilst retaining local knowledge of those patients. The figure of 50,000 patients would be seen as a  ...  view the full minutes text for item 41.


Confirmation of the minutes of the Policy Overview meeting held on 11 December 2018 pdf icon PDF 140 KB




That the minutes of the meeting of the Policy Overview Committee held on 11 December 2018 be confirmed as accurate.


Urgent Items

The Chairman will announce his decision as to whether there are any urgent items and their position on the agenda.


The Chairman confirmed that there were no items of urgency for the Committee to consider.


To consider references from other Committees (IF ANY)

None at this stage


The Chairman advised that there were no references from other Committees for Members to consider.


Regulation 9 Notice pdf icon PDF 66 KB

To consider any issues arising from the Regulation 9 Notice for the period 15 February 2019 to 30 June 2019.




1.    That Members note the contents of the Regulation 9 Notice for the period 15 February 2019 to 30 June 2019.



Action Points Arising from the Policy Overview Committee Meeting held on 11 December 2018 pdf icon PDF 63 KB

To note the list of action points arising from the Policy Overview Committee meeting held on 11 December 2018 as set out in the attached report.


The Chairman and Members agreed the following action with regard to the Action Points from the Committees previous meeting on 11 December 2018 as detailed in the Committee Co-ordinator’s report:


Item 1 Health Funding: Noted


Item 2 RELAT Medway & North Kent: Noted


Item 3 Kent Public Health Service Update: The Committee Co-ordinator would remind the Chairman of the HOSC that a response to the POC Chairman remained outstanding.


Item 4 Dartford Preventative Health Projects Annual Report 2017/18: It was hoped that the new Action Plan for 2019/20 would be made available to Members when the 2018/19 Annual Report was presented to the Committee in December.


Item 5 Welfare Reform Update: Noted


Item 6 Corporate Plan – Key Questions and Performance Indicators, Quarter 2 of 2018/19 Municipal Year: Noted




1.    That Members note the action taken in response to the points identified by the Committee at their meeting on 11 December 2018 as set out in the report.




Corporate Plan - Key Actions and Performance Indicators Monitoring Report, Quarter 3 of 2018/19 Municipal Year pdf icon PDF 54 KB

This report updates Members on the progress made with meeting the key actions and performance indicators for the Corporate Plan in the third quarter of the municipal cycle, as set out in Appendices A and B to the report.

Additional documents:




1.    That Members note the contents of the report.


Policy Overview Committee Rolling Work Plan pdf icon PDF 69 KB

This report and Appendix A sets out the Committee’s current Work Plan and seeks proposals for further items for consideration by the Committee in the ensuing 2019-20 municipal cycle and beyond.

Additional documents:


This report set out a rolling Work Plan for the Committee for the ensuing 2019/20 municipal year (attached as Appendix A to the report).


The Chairman proposed a new item for possible consideration by the incoming Chairman and the new Committee in September 2019, subject to the views of Officers, and the avoidance of duplicating any work being undertaken by other Committees.


He expressed his concern that the development in the Town Centre and the growing number of amenities becoming available to residents, especially during the hours of Dartford’s night-time economy, provided sufficient infrastructure measures for disabled customers in terms of wheelchair access, and in terms of transportation arrangements particularly at night for disabled passengers especially those in wheelchairs.


The Strategic Director (External Services) undertook to consider the proposal and advise the incoming Committee at its initial meeting in the new municipal year [18 June 2019].




1.    That Members note the report and the rolling Work Plan for the Committee as set out in Appendix A attached to the report;


2.    That Members consider any proposed additions to the Work Plan in light of Officer advice, at its next meeting. 


Chairman's Valedictory


In concluding his final meeting of the Policy Overview Committee the Chairman expressed his thanks to the Committee Co-ordinator (and his predecessor) for the support Member Services had provided throughout his term in office. He recorded his particular thanks to the Vice-Chairman for her support during his chairmanship, and to the Strategic Director (External Services) and the Policy Manager for their guidance throughout, together with his thanks to all Officers who had presented reports to the Committee over the years.


He thanked Members of the Labour Group currently on the Committee (and their predecessor’s) for their constructive contribution to the many debates the Committee had held during his stewardship. He also expressed his thanks to all Members of his own Group on the Committee, with special thanks to the Cabinet Portfolio Holder for Front Line Services, Customer Champion & Housing, whom he regarded as both the ‘Father’ of the Committee and of the Council Chamber.


On a more general note, the Chairman confirmed that he would not be standing for re-election as a Councillor on 2 May, and he wished to take the opportunity to thank the Leader of the Council for appointing him as Chairman of the Policy Overview Committee over many years. He also wished to record his thanks to his fellow Ward Councillor for Wilmington the Chairman of the Development Control Board, for his support and guidance as a Dartford Member for more than two decades. That period had featured many highlights for the Chairman, but none greater than his year as Dartford’s Mayor during the 2011/12 municipal cycle.


In concluding his comments, the Chairman wished his successor as Chairman, and the in-coming Committee as a whole, all the very best for the future, and expressed his hope that the work of the Policy Overview Committee would continue to make a positive contribution to the lives of the residents of Dartford.


The Vice-Chairman and all Members expressed their gratitude to the Chairman for his leadership of the Committee over many years, and wished him every success in the future.