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Agenda item

Motions

To consider the following motion submitted by the Shadow Leader of the Council in accordance with Standing Order 10:

 

That….

 

 

This Council notes:

 

·         That at the Policy Overview Committee meeting of 21 march 2017 it was revealed that Dartford Gravesham and Swanley Clinical Commissioning Group (CCG) was predicting a £17 million deficit for the financial year 2016/2017 and this was forecast to rise to £42 million by 2020/2012. The main driver for this was population growth of around 2% per annum which outstripped funding based on 1% per annum growth. This was despite the CCG finding £13 million in efficiency savings.

 

·         That in the same meeting, the Chief Executive of Darent Valley Hospital Trust expressed her concern that the current uncertainty around Brexit was having an adverse effect on recruitment of EU and Non-EU staff as well as causing concern for c.300 EU nationals currently employed at Darent Valley Hospital.

 

 

This Council believes:

 

·         That because of the pace and speed of development within the Borough, a fair funding settlement is needed to meet existing and forecast increased demand.

 

·         That dedicated healthcare professionals working at Darent Valley Hospital are being let down by the current inadequate funding settlement and this could have an impact on the care they are able to deliver.

 

·         That the public sector pay freeze introduced in 2010 is contributing to the difficulty in recruitment of doctors, nurse and other healthcare professionals locally.

 

 

The Council Resolves:

 

·         To endorse and fully support the letter sent by the Policy Overview Committee to the Chief executive of NHS England highlighting the growing gap in funding to the CCG.

 

·         To support demands for a fair funding settlement for the CCG and calls on the Secretary of State for Health to ensure that local health services in Dartford are adequately funded and resourced to provide care to Dartford’s growing population.

Minutes:

The Shadow Leader of the Council moved the following motion of which he had given notice in accordance with Standing Order 10:

 

This Council notes:

 

·         That at the Policy Overview Committee meeting of 21 March 2017 it was revealed that Dartford Gravesham and Swanley Clinical Commissioning Group (CCG) was predicting a £17 million deficit for the financial year 2016/2017 and this was forecast to rise to £42 million by 2020/2021. The main driver for this was population growth of around 2% per annum which outstripped funding based on 1% per annum growth. This was despite the CCG finding £13 million in efficiency savings.

 

·         That in the same meeting, the Chief Executive of Darent Valley Hospital Trust expressed her concern that the current uncertainty around Brexit was having an adverse effect on recruitment of EU and Non-EU staff as well as causing concern for c.300 EU nationals currently employed at Darent Valley Hospital.

 

 

This Council believes:

 

·         That because of the pace and speed of development within the Borough, a fair funding settlement is needed to meet existing and forecast increased demand.

 

·         That dedicated healthcare professionals working at Darent Valley Hospital are being let down by the current inadequate funding settlement and this could have an impact on the care they are able to deliver.

 

·         That the public sector pay freeze introduced in 2010 is contributing to the difficulty in recruitment of doctors, nurses and other healthcare professionals locally.

 

 

The Council Resolves:

 

·         To endorse and fully support the letter sent by the Policy Overview Committee to the Chief executive of NHS England highlighting the growing gap in funding to the CCG.

 

·         To support demands for a fair funding settlement for the CCG and calls on the Secretary of State for Health to ensure that local health services in Dartford are adequately funded and resourced to provide care to Dartford’s growing population.

 

The motion was seconded by Councillor M A Maddison.

 

The Shadow Leader of the Council expressed his deep concern at the inadequate level of funding for the NHS locally to keep pace with the growth of the population of Dartford and neighbouring areas and at the problems experienced by the Dartford Gravesham and Swanley Clinical Commissioning Group and Daren’t Valley Hospital in recruiting and retaining qualified staff. He cited the valuable contribution of the NHS and noted a funding gap which he said would grow from £17 million in year one to £42 million in year three, despite the CCG having made savings of £13 million. He said that currently there was a national shortage of nursing staff amounting to 40,000 posts and that nurses and doctors deserved to be paid a decent wage for the work they carried out. 

 

Councillor M A Maddison spoke of the need to secure a fair funding settlement for the CCG and claimed that there was a 30% shortage in the number of nursing staff at Darent Valley Hospital. He said that the hospital was understaffed and also did not have staff with the right specialisms to support specialist wards. He cited the ongoing use of “expansion beds” as an indicator of a service in crisis and highlighted the problems in recruiting and retaining staff given the higher wages available at hospitals in London. He asked Members to support the motion to try and secure the best possible financial settlement to meet Dartford’s growing health needs.

 

The Leader of the Council moved the following amendment to the motion:

 

Para 1:
Delete “was predicting’ and replace with ‘forecast”

Delete “and this was forecast to rise to” and replace with “rising to”
add “
despite the CCG finding £13 million in efficiency savings.”

 

Para 2:

Delete “The main driver for this was population growth of around 2% per annum which outstripped funding based on 1% per annum growth  and replace with “That growth of 1% per annum in the CCG budget would not keep pace with a forecast population growth of 2% per annum.”

 

Add new para,  “and values the excellent relationship described by the CCG between it and Dartford Borough Council and notes the benefit of the partnership to the health of local people. “

 

Para 5.

Add “and to ensure that the dedicated healthcare professionals working at Darent Valley Hospital and throughout the Borough can continue to provide quality care to local people. “

 

Para 6. Delete “That dedicated healthcare professionals working at Darent

Valley Hospital are being let down by the current inadequate funding settlement and this could have an impact on the care they are able to deliver.

Para 7. Delete “That the public sector pay freeze introduced in 2010 is contributing to the difficulty in recruitment of doctors, nurses and other healthcare professionals locally.

 

 

Resolutions: amend existing to read:


To endorse and fully support the letter sent by the Chairman of the Policy Overview Committee to the Chief executive of NHS England highlighting concerns regarding  CCG funding allocations relative to forecast population growth and to support a fair funding settlement for the CCG

 

To welcome confirmation given to the Chairman of the Policy Overview Committee by the Chief Executive of NHS England that resource allocations may be re-opened to take account of significant changes in population growth.

 

To call upon NHS England and the Secretary of State for Health to ensure that those powers be used to ensure funding for local health services in Dartford fully reflects local population growth.

 

 

The amendment was seconded by Councillor C J Shippam.

 

The Leader of the Council highlighted the support already provided to the CCG arising from detailed consideration of this matter by the Policy Overview Committee on 21 March 2017. The Chairman of the Committee had written to the Chief Executive of NHS England following the meeting to express the Committee’s deep concern at historic underfunding of the CCG and the current and future funding allocations which would not keep pace with the area’s growing population. The letter asked the Chief Executive of NHS England to recognise the disconnect between the assumptions made in arriving at the funding allocation for the CCG and the actual increases in population growth and demand for local health services. As a result of the Committee’s action the issue had also been brought to wider public attention by the Kent Messenger. He stated that there was unequivocal support across the Chamber for a fair settlement for the CCG and explained the proposed amendment to the motion which was designed to clarify the motion and to enhance the prospect of a favourable response. He stated that it had been clear from the evidence presented to the Policy Overview Committee by the Chief Executive and the Director of Finance of Darent Valley Hospital that rather than any feeling of being let down the management wished to secure a fair and equitable funding allocation that would meet growing local needs. The public sector pay cap had not been raised as an issue at that meeting and it was also inappropriate to attempt to address a national issue in a motion lobbying for a solution to a local funding problem.

 

The leader quoted from the response received from the Chief Executive of NHS England dated 20 June 2017. This made it clear that where local populations grew significantly above projections there was an option to re-open the allocations and that latest population figures, based on GP registered lists, and revised population projections, would be taken into account in the funding allocations for 2019/20.   He re-iterated the Council’s support for the local NHS and the need for fair and realistic funding and commended the work of the Policy Overview Committee and the media in raising this issue.

 

A Member expressed the view that the public sector pay cap was relevant to difficulties in recruiting and retaining staff as well as the proximity of London where higher salaries could be earnt and was also concerned that even if a fair financial allocation was secured there was no guarantee that this would be reflected in increases to staff pay. Another Member highlighted his experience of working for the NHS for over twenty years and his view that the public sector pay cap was having an adverse impact on recruitment and retention. Other Member’s expressed their support for the NHS and drew on their personal experiences of using NHS services. Another Member spoke of the strong working relationship that the Council had with local health services and other partner organisations and of the need to support fair funding for these services.

 

The Shadow Leader of the Council said that he was committed to securing a fair funding allocation for Dartford but that it was necessary to consider the impact of the public sector pay cap as this was both relevant and being talked about by local people.

 

The Leader of the Council stressed the damage caused by any attempt to politicise NHS issues and the negative impact this could have on staff morale at a time when the NHS had recently been identified as the leading healthcare provider in the world. He felt that the Council should give its full support to securing a fair and appropriate local funding solution to deliver the healthcare services required for the growing population of Dartford.    

 

The amendment was put to the vote and unanimously carried.

 

The substantive motion was then put to the vote and carried unanimously.

 

RESOLVED:

This Council notes:

 

That at the Policy Overview Committee meeting of 21 March 2017 it was revealed that Dartford Gravesham and Swanley Clinical Commissioning Group (CCG) forecast a £17 million deficit for the financial year 2016/2017  rising to £42 million by 2020/2021 despite the CCG finding £13 million in efficiency savings.

 

That growth of 1% per annum in the CCG budget would not keep pace with a forecast population growth of 2% per annum.

 

That in the same meeting, the Chief Executive of Darent Valley Hospital Trust expressed her concern that the current uncertainty around Brexit was having an adverse effect on recruitment of EU and Non-EU staff as well as causing concern for c.300 EU nationals currently employed at Darent Valley Hospital.

 

and values the excellent relationship described by the CCG between it and Dartford Borough Council and notes the benefit of the partnership to the health of local people.

 

This Council believes:

 

That because of the pace and speed of development within the Borough, a fair funding settlement is needed to meet existing and forecast increased demand and to ensure that the dedicated healthcare professionals working at Darent Valley Hospital and throughout the Borough can continue to provide quality care to local people.

The Council Resolves:

 

To endorse and fully support the letter sent by the Chairman of the Policy Overview Committee to the Chief Executive of NHS England highlighting concerns regarding a gap in funding to the CCG relative to forecast population growth and to support a fair funding settlement for the CCG

 

To welcome confirmation given to the Chairman of the Policy Overview Committee by the Chief Executive of NHS England that resource allocations may be re-opened to take account of significant changes in population growth.

 

To call upon NHS England and the Secretary of State for Health to ensure that those powers be used  to ensure that funding for  local health services in Dartford fully reflects local population growth.