Hampshire County Council
Councillors:
78
Wards:
76
Committees:
49
Meetings (2026):
57
Meetings (2025):
155
Meeting
Health and Adult Social Care Select Committee - Hampshire
Meeting Times
Scheduled Time
Start:
Tuesday, 17th June 2025
10:00 AM
Tuesday, 17th June 2025
10:00 AM
End:
Tuesday, 17th June 2025
2:00 PM
Tuesday, 17th June 2025
2:00 PM
Meeting Status
Status:
Confirmed
Confirmed
Date:
17 Jun 2025
17 Jun 2025
Location:
Ashburton Hall, Elizabeth II Court, The Castle, Winchester
Ashburton Hall, Elizabeth II Court, The Castle, Winchester
Meeting Attendees
Independent Group Spokesperson
Council Staff
Clare Hedgecock
Expected
Council Staff
Charlotte Koster
Expected
Liberal Democrats Spokesperson
Independent Group Deputy
Vice Chairman of the Council
Council Staff
Kerry Bean
Expected
Co-opted Member
Councillor Cynthia Garton
Eastleigh Borough Council
Apologies
Agenda
1
Apologies for Absence
To receive any apologies for absence.
Minutes
Apologies for absence were received from Cllr Cythia Garton, Cllr Wayne Irish, Cllr Phil North and Cllr Neville Penman.
2
Declarations of Interest
All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to Part 3 Paragraph 1.5 of the County Council’s Members’ Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Personal Interest in a matter being considered at the meeting should consider, having regard to Part 5, Paragraph 4 of the Code, whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.
Minutes
Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Non-Pecuniary interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.
A declaration of interest was received from Cllr Andy Tree in respect of agenda item 6 “Proposal to Vary Services – Whitehill and Bordon Health and Wellbeing Hub” in his capacity as Deputy Leader of the planning authority for the Whitehill and Bordon District.
A declaration of interest was received from Cllr Andy Tree in respect of agenda item 6 “Proposal to Vary Services – Whitehill and Bordon Health and Wellbeing Hub” in his capacity as Deputy Leader of the planning authority for the Whitehill and Bordon District.
3
Minutes of the Last Meeting
To confirm the minutes of the last meeting held on 4 March 2025. (to follow)
Minutes
Minutes of the last meeting held on 4 March 2025 were unavailable for review and decision and would be presented at the next meeting of the Select Committee.
4
Deputations
To receive any deputations notified under Standing Order 12.
Minutes
No deputation request had been received.
5
Chairman's Announcements
To receive any announcements the Chairman my wish to make.
Minutes
The Chaiman welcomed new Members Cllr Marge Harvey and Cllr Neville Penman and welcomed back existing Members to the Select Committee. Thanks was given on behalf of the Committee to Cllr Curnow-Ford and Cllr Jackman for their 4 years’ service to the committee.
Annual Appointments
For information, Cllr David Harrison’s would be nominated to the JHOSC Frimley Park Hospital at the next meeting of Council. This would replace the previous nomination, Cllr Stuart Bailey.
Cllr Kim Taylor was welcomed Cllr Kim Taylor to the membership of the JHOSC Hampshire Together.
SP25 Task and Finish Working Group
At the halfway point of the consultation of proposed savings plan to cease the operation of two Adult Day Care facilities based in Winchester and Basingstoke, the Working Group (WG) met for a second time. Members heard details of consultation responses and were advised of initial feedback.
The WG met again in June when early indications of public opinion and some interpretation of data was received. A further meeting was scheduled to receive more in-depth data interpretation.
Members of the WG took part in site visits to both day care sites when it was noted that at the Winchester facility, a number of additional services to support users and carers had not been originally known to Councillors prior to their visit.
Joint Health Overview and Scrutiny Committee Frimley Park Hospital
The JHOSC Chairman and Vice Chairman received a private briefing from Frimley Park Hospital Foundation Trust. A full meeting of the JHOSC will take place at a later date.
Members were reminded that confidential information shared should remain confidential in public interest as covered by the general obligations (members’ code of conduct) set out in the constitution:
Part 4 appendix A - 3.8 Restricting access to information when the wider public interest, the County Council’s Constitution, or the law requires it.
Joint Health Overview and Scrutiny Committee Hampshire Together
The NHS reported some good news, the Government had approved a budget to purchase land at junction 7 location of the M3 and A303. This decision considered future increases in the cost of land in the next 5 years, any new town and business development in the area and would ensure that the Trust was ready to purchase land in advance without specific definition that a hospital would be built on that site in 2035-2038.
Update on Passenger Transport Service Reductions
Universal Services confirmed that the previously agreed saving proposal to implement Passenger Transport service reductions were delayed until September 2025, any impact of the reductions, where these were still planned, were yet to go live. The exception to this was the changes to the disabled and older person's concessionary bus pass, where the previous Hampshire enhancements to the scheme were removed from the 1April. The Wheels to Work moped loan scheme had also now ceased, however this was focused on 16- to 25-year-olds.
Further information on future provisions and plans for the service can be found and viewed via the Highways and Passenger Transport Decision Day meeting papers which took place on Friday 16 May. https://democracy.hants.gov.uk/ieListDocuments.aspx?CId=887&MId=13287&Ver=4
Annual Appointments
For information, Cllr David Harrison’s would be nominated to the JHOSC Frimley Park Hospital at the next meeting of Council. This would replace the previous nomination, Cllr Stuart Bailey.
Cllr Kim Taylor was welcomed Cllr Kim Taylor to the membership of the JHOSC Hampshire Together.
SP25 Task and Finish Working Group
At the halfway point of the consultation of proposed savings plan to cease the operation of two Adult Day Care facilities based in Winchester and Basingstoke, the Working Group (WG) met for a second time. Members heard details of consultation responses and were advised of initial feedback.
The WG met again in June when early indications of public opinion and some interpretation of data was received. A further meeting was scheduled to receive more in-depth data interpretation.
Members of the WG took part in site visits to both day care sites when it was noted that at the Winchester facility, a number of additional services to support users and carers had not been originally known to Councillors prior to their visit.
Joint Health Overview and Scrutiny Committee Frimley Park Hospital
The JHOSC Chairman and Vice Chairman received a private briefing from Frimley Park Hospital Foundation Trust. A full meeting of the JHOSC will take place at a later date.
Members were reminded that confidential information shared should remain confidential in public interest as covered by the general obligations (members’ code of conduct) set out in the constitution:
Part 4 appendix A - 3.8 Restricting access to information when the wider public interest, the County Council’s Constitution, or the law requires it.
Joint Health Overview and Scrutiny Committee Hampshire Together
The NHS reported some good news, the Government had approved a budget to purchase land at junction 7 location of the M3 and A303. This decision considered future increases in the cost of land in the next 5 years, any new town and business development in the area and would ensure that the Trust was ready to purchase land in advance without specific definition that a hospital would be built on that site in 2035-2038.
Update on Passenger Transport Service Reductions
Universal Services confirmed that the previously agreed saving proposal to implement Passenger Transport service reductions were delayed until September 2025, any impact of the reductions, where these were still planned, were yet to go live. The exception to this was the changes to the disabled and older person's concessionary bus pass, where the previous Hampshire enhancements to the scheme were removed from the 1April. The Wheels to Work moped loan scheme had also now ceased, however this was focused on 16- to 25-year-olds.
Further information on future provisions and plans for the service can be found and viewed via the Highways and Passenger Transport Decision Day meeting papers which took place on Friday 16 May. https://democracy.hants.gov.uk/ieListDocuments.aspx?CId=887&MId=13287&Ver=4
6
Proposals to Vary Services
To consider a report on issues brought to the attention of the Committee
which impact upon the planning, provision and/or operation of health
services with Hampshire, or the Hampshire population.
Whitehill and Bordon Health and Wellbeing Hub – Update (to follow)
which impact upon the planning, provision and/or operation of health
services with Hampshire, or the Hampshire population.
Whitehill and Bordon Health and Wellbeing Hub – Update (to follow)
Attachments:
- Document 2025-06-17 HASC Proposal Report 09 Jun 2025
Minutes
Whitehill and Bordon Health and Wellbeing Hub.
The Chairman advised the Select Committee that he had been in discussions with the Trust, who confirmed that they were at a crucial point in moving the project to the next stage. Once information could be shared with Members, the Trust would report these developments to the Select Committee.
The Select Committee agreed that the Whitehill and Bordon Health and Wellbeing Hub was an important development in the area and should remain on the Committee’s work programme for scrutiny.
The Chairman advised the Select Committee that he had been in discussions with the Trust, who confirmed that they were at a crucial point in moving the project to the next stage. Once information could be shared with Members, the Trust would report these developments to the Select Committee.
The Select Committee agreed that the Whitehill and Bordon Health and Wellbeing Hub was an important development in the area and should remain on the Committee’s work programme for scrutiny.
7
Issues Relating to the Planning, Provision and/or Operation of Health Services
To consider a report on issues brought to the attention of the Committee which impact upon the planning, provision and/or operation of health services within Hampshire, or the Hampshire population.
a. Basingstoke Urgent Treatment Centre
b. Whole Hospital System Discharge Performance
a. Basingstoke Urgent Treatment Centre
b. Whole Hospital System Discharge Performance
Attachments:
- Document 2025-06-17 HASC Issues Report 09 Jun 2025
- Document Basingstoke Urgent Treatment Centre 09 Jun 2025
- Document 2025-06-17 HASC PHU Winter Pressures 09 Jun 2025
Minutes
The Committee received an introductory report on the health scrutiny issues presented today.
a) Basingstoke Urgent Treatment Centre
The Chairman reported that in March, as part of NHS England’s criteria to designate the facility at Basingstoke Hospital as an Urgent Treatment Centre (UTC), a letter to the Trust on behalf of the HASC confirmed the HASC engagement with the Trust and noted support for the facility in that part of Hampshire.
The Chairman welcomed Matt Shehan, Associate Director of Operations for North and Mid Hampshire to present details and progress of the UTC since operations commenced in November 2025 (item 7a of the minute book).
An overview of the operating times, the number of patients seen and what impact the facility had on supporting residents when at their most vulnerable. A snapshot of operations, including opening hours, patient flow figures, confirmation of average patients seen (around 85 a day, 97.7% of which being seen within 4 hours).
Some positives post the opening of the facility included a reduction in paediatric wait times, enhanced team working, direct links with services and other health care professionals. NHS 111 links had enhanced reductions in waiting times. There had also been an increase in the number of patients reporting to both the UTC and emergency departments, officers were investigating the causes.
Responses to Member questions included:
- Several actions were required to reduce waiting times
- The UTC and the emergency departments were co dependant and do refer patients between the two facilities, there was no evidence of either being used as a holding place for either facility.
- The intention of the facility should not be viewed by patients as a replacement service provided by the GP or pharmacist, however some individuals were using the facility to negate the GP practice or to make better use of a pharmacist.
- Officers confirmed that the UTC is required to operate within budget and that financial information would be detailed to the Select Committee in addition to the locations of patients GPs.
RESOLVED: that the Health and Adult Social Care Select Committee received the update and noted the content of the report.
b) Whole Hospital System Discharge Performance
The Select Committee received a presentation (item 7b in the minute book), from representatives from Hampshire County Council Adult’s Health and Care, Hampshire and Isle of Wight Integrated Care Board andFrimley Integrated Care Board, which provided an overview of key activities undertaken across the Health and Social Care system in 2023/24 to maintain system resilience in the discharge of Hampshire residents from hospital settings. A draft report would be prepared for Cabinet at their meeting on 17 July.
The Committee were taken through the methodologies around discharging residents and shared learning because of it. National Pathways explained, the majority of which in Hampshire were Pathway 1 and examples were shared of the various Pathways and the impacts of these. The presentation also covered opportunities to improve as well as examples of successes. Frimley ICB shared their levels and outcomes demonstrated using pathway definition.
Officers made the following in response to Member questions and queries:
- The work around discharge continued to reduce the impact of occupancy for the acute hospital Trust. Records showed a 4% growth in same day access to services and 12% increase in A&E attendance with an overall increased in admission rates of 32%. Pinch points in the process had been identified and the difference in provision from weekdays to weekends remained evident.
- Patients categorised as “no reason to stay” (delayed discharge/overstayers) 80% of which were related to process and interface issues, officers were attempting to understanding the causes for delays. This had included diagnostic reasons as data coming from the hospital systems had become more sophisticated. Hospital discharge remained a focus for multidisciplinary teams as they continued to seek models which would prove fit for purpose.
- In November the discharge standard framework had been signed off for the Hampshire system.
- Officers reported that the 2025-26 improvement plans were a little behind schedule. The existing government arrangements had not enabled the level of partnership-based conversations that officers would have liked however the team were looking at community and LA partners.
- Frimley ICB reported that improvements were moving at pace with 75% discharge rates meeting optimum standards, 52% of bed days were on pathway 1. Investment had been made for additional beds to enable efficient flow through the system. The increased capacity, dependent on the better care fund saw the funds directed to more home care against hospital provision in a bid to improve pathway 1 performance. There was recognition that length of stay could be influenced by planned discharge delays
- When comparisons were made with other areas, no concerns were reported in Hampshire.
- It was reported that 93% of patients discharged were not readmitted, achieved by ensuring that at the point of discharge this cohort required less care when they left hospital which was in part due to the partnership approach to care. This partnership approach continued to be employed when utilising the better care fund. In addition, it was recounted that the COVID epidemic was a good demonstration of better working relationships and how to move patients through the system. To help support the interface between systems and organisations the Select Committee Members would review the work programme as a way of focusing on the patient pathway.
The disparity between weekend and weekday working was highlighted, officers reported that resources could be directed from weekday to enhance weekend provisions which was acceptable to the Trust. In addition, care home provision was a consideration as their resources at the weekend could be reduced. Recognition was given to the shift from in patient bed occupancy to the increase in resources to support people in their own homes with packages of support.
More information was requested in terms of data to further scrutinise the reported internal partnership within the ICB and the NHS. Officers offered future reporting in terms of admissions and proactive admissions through to discharge.
The Select Committee found the presentation informative however commented that the data would have been easier to scrutinise if it has been received in advance of the meeting which would have framed questioning. Officers agreed to return to a future meeting, circulate the data in advance to provide a full opportunity for questioning and scrutiny.
RESOLVED: That the Health and Adult Social Care Select Committee received the update and noted the content of the report.
Portsmouth Hospitals Whole Hospital Discharge System
As part of the whole hospital discharge system update, Portsmouth Hospitals reported separately to the Select Committee. The main focus was to review the impact of hospital admissions and discharge rates since the Emergency Department opened in November 2024.
The Select Committee Chairman invited Dr John Knighton, Chief Medical to make his presentation which included the operation of the new emergency department based at Queen Alexandra Hospital and the impact on performance across the whole hospital system.
Following a successful opening of the new emergency facility in November which had built in a long term plan to ran alongside the old department to manage potential capacity. However the seamless transition without any adversity meant that the old facility could be closed in less time than originally thought with a recognition that the department would serve as a single point of access for patients to access all aspects of emergency care.
Portsmouth also operated in healthy partnerships to facilitate sound discharge and primary care, with hospital admissions made when required. This was enabled by the location having a primary care centre at the front door.
Improvements included a focus on the most acute elements of the patient pathway, ambulance times, marked reduction in waiting times had resulted in the Trust no longer part of the list of national out layers, the Trust were close to meeting the 15min transfer wait time standard and officers reported the 4 hr A&E waiting time to see a clinician was around 70% of the time.
Overall, the department had seen a steady increase in patient numbers, with less than anticipated numbers of those with non-medical reasons for admission.
Officers responses to Members questions included the following:
- Waiting times for planned care ranged from 18 weeks for highest priority to 52 weeks.
- Improvements had been seen in ambulance handover times had been a direct result of changes in design and working with the South Central Ambulance Service.
- Waiting areas a used more efficiently however the perception that the area is too small may originate from the increased number of patients in attendance. The style and design of the reception area was an example of learning in terms of infection control.
The Committee noted that the drop off areas were working well, as was the children’s area which showed a marked improvement and good design features.
The Select Committee noted the update and changes made in the service and recommended that officers report back to the Select Committee at a future meeting.
RESOLVED: That the Health and Adult Social Care Select Committee received the update and noted the content of the report.
a) Basingstoke Urgent Treatment Centre
The Chairman reported that in March, as part of NHS England’s criteria to designate the facility at Basingstoke Hospital as an Urgent Treatment Centre (UTC), a letter to the Trust on behalf of the HASC confirmed the HASC engagement with the Trust and noted support for the facility in that part of Hampshire.
The Chairman welcomed Matt Shehan, Associate Director of Operations for North and Mid Hampshire to present details and progress of the UTC since operations commenced in November 2025 (item 7a of the minute book).
An overview of the operating times, the number of patients seen and what impact the facility had on supporting residents when at their most vulnerable. A snapshot of operations, including opening hours, patient flow figures, confirmation of average patients seen (around 85 a day, 97.7% of which being seen within 4 hours).
Some positives post the opening of the facility included a reduction in paediatric wait times, enhanced team working, direct links with services and other health care professionals. NHS 111 links had enhanced reductions in waiting times. There had also been an increase in the number of patients reporting to both the UTC and emergency departments, officers were investigating the causes.
Responses to Member questions included:
- Several actions were required to reduce waiting times
- The UTC and the emergency departments were co dependant and do refer patients between the two facilities, there was no evidence of either being used as a holding place for either facility.
- The intention of the facility should not be viewed by patients as a replacement service provided by the GP or pharmacist, however some individuals were using the facility to negate the GP practice or to make better use of a pharmacist.
- Officers confirmed that the UTC is required to operate within budget and that financial information would be detailed to the Select Committee in addition to the locations of patients GPs.
RESOLVED: that the Health and Adult Social Care Select Committee received the update and noted the content of the report.
b) Whole Hospital System Discharge Performance
The Select Committee received a presentation (item 7b in the minute book), from representatives from Hampshire County Council Adult’s Health and Care, Hampshire and Isle of Wight Integrated Care Board andFrimley Integrated Care Board, which provided an overview of key activities undertaken across the Health and Social Care system in 2023/24 to maintain system resilience in the discharge of Hampshire residents from hospital settings. A draft report would be prepared for Cabinet at their meeting on 17 July.
The Committee were taken through the methodologies around discharging residents and shared learning because of it. National Pathways explained, the majority of which in Hampshire were Pathway 1 and examples were shared of the various Pathways and the impacts of these. The presentation also covered opportunities to improve as well as examples of successes. Frimley ICB shared their levels and outcomes demonstrated using pathway definition.
Officers made the following in response to Member questions and queries:
- The work around discharge continued to reduce the impact of occupancy for the acute hospital Trust. Records showed a 4% growth in same day access to services and 12% increase in A&E attendance with an overall increased in admission rates of 32%. Pinch points in the process had been identified and the difference in provision from weekdays to weekends remained evident.
- Patients categorised as “no reason to stay” (delayed discharge/overstayers) 80% of which were related to process and interface issues, officers were attempting to understanding the causes for delays. This had included diagnostic reasons as data coming from the hospital systems had become more sophisticated. Hospital discharge remained a focus for multidisciplinary teams as they continued to seek models which would prove fit for purpose.
- In November the discharge standard framework had been signed off for the Hampshire system.
- Officers reported that the 2025-26 improvement plans were a little behind schedule. The existing government arrangements had not enabled the level of partnership-based conversations that officers would have liked however the team were looking at community and LA partners.
- Frimley ICB reported that improvements were moving at pace with 75% discharge rates meeting optimum standards, 52% of bed days were on pathway 1. Investment had been made for additional beds to enable efficient flow through the system. The increased capacity, dependent on the better care fund saw the funds directed to more home care against hospital provision in a bid to improve pathway 1 performance. There was recognition that length of stay could be influenced by planned discharge delays
- When comparisons were made with other areas, no concerns were reported in Hampshire.
- It was reported that 93% of patients discharged were not readmitted, achieved by ensuring that at the point of discharge this cohort required less care when they left hospital which was in part due to the partnership approach to care. This partnership approach continued to be employed when utilising the better care fund. In addition, it was recounted that the COVID epidemic was a good demonstration of better working relationships and how to move patients through the system. To help support the interface between systems and organisations the Select Committee Members would review the work programme as a way of focusing on the patient pathway.
The disparity between weekend and weekday working was highlighted, officers reported that resources could be directed from weekday to enhance weekend provisions which was acceptable to the Trust. In addition, care home provision was a consideration as their resources at the weekend could be reduced. Recognition was given to the shift from in patient bed occupancy to the increase in resources to support people in their own homes with packages of support.
More information was requested in terms of data to further scrutinise the reported internal partnership within the ICB and the NHS. Officers offered future reporting in terms of admissions and proactive admissions through to discharge.
The Select Committee found the presentation informative however commented that the data would have been easier to scrutinise if it has been received in advance of the meeting which would have framed questioning. Officers agreed to return to a future meeting, circulate the data in advance to provide a full opportunity for questioning and scrutiny.
RESOLVED: That the Health and Adult Social Care Select Committee received the update and noted the content of the report.
Portsmouth Hospitals Whole Hospital Discharge System
As part of the whole hospital discharge system update, Portsmouth Hospitals reported separately to the Select Committee. The main focus was to review the impact of hospital admissions and discharge rates since the Emergency Department opened in November 2024.
The Select Committee Chairman invited Dr John Knighton, Chief Medical to make his presentation which included the operation of the new emergency department based at Queen Alexandra Hospital and the impact on performance across the whole hospital system.
Following a successful opening of the new emergency facility in November which had built in a long term plan to ran alongside the old department to manage potential capacity. However the seamless transition without any adversity meant that the old facility could be closed in less time than originally thought with a recognition that the department would serve as a single point of access for patients to access all aspects of emergency care.
Portsmouth also operated in healthy partnerships to facilitate sound discharge and primary care, with hospital admissions made when required. This was enabled by the location having a primary care centre at the front door.
Improvements included a focus on the most acute elements of the patient pathway, ambulance times, marked reduction in waiting times had resulted in the Trust no longer part of the list of national out layers, the Trust were close to meeting the 15min transfer wait time standard and officers reported the 4 hr A&E waiting time to see a clinician was around 70% of the time.
Overall, the department had seen a steady increase in patient numbers, with less than anticipated numbers of those with non-medical reasons for admission.
Officers responses to Members questions included the following:
- Waiting times for planned care ranged from 18 weeks for highest priority to 52 weeks.
- Improvements had been seen in ambulance handover times had been a direct result of changes in design and working with the South Central Ambulance Service.
- Waiting areas a used more efficiently however the perception that the area is too small may originate from the increased number of patients in attendance. The style and design of the reception area was an example of learning in terms of infection control.
The Committee noted that the drop off areas were working well, as was the children’s area which showed a marked improvement and good design features.
The Select Committee noted the update and changes made in the service and recommended that officers report back to the Select Committee at a future meeting.
RESOLVED: That the Health and Adult Social Care Select Committee received the update and noted the content of the report.
8
Adults' Health and Care Commissioning Overview
To receive a report of the Director of Adults’ Health and Care.
Attachments:
- Document 2025-06-17 Adults' Health and Care Commissioning Overview 09 Jun 2025
Minutes
The Chairman invited Gail Kirby, Head of Strategic Commissioning and Jacqui Evans, Strategic Commissioning Lead to provide the Select Committee with an update of Adults’ Health and Care Commissioning (item 8 of the minute book)
Officers give an overview which included some key elements of work being undertaken, how the service had gained a better understanding of need, developed ways to support and make improvements and provided a snapshot of the range of services commissioned.
A demonstration of the Care Home framework evidenced context and consistency in rates paid against levels of care.
The Domiciliary framework showed achievements, the predicable rates and strong relationships with the market. Communication included welcome packs, weekly newsletters and maintaining regular contact. With the help of step-up beds where once the service has been flagged as an out layer was more regionally aligned. The framework supported residents remain at home with access to short term services. Through contract management an improvement was evident in the delivery of the framework supporting whilst retention of exiting quality standards, with savings reported in the extra care provision.
Select Committee Members heard the following:
- Access was restricted to Hampshire residents only. When seeking a placement, the families’ choice was a consideration with opportunities for resettlement within a 5 to 10 mile radius, however families may have a personal preference which the service would try to accommodate, any additional costs would be absorbed by the family.
- Extra care housing must be located within the Hampshire borders to comply with the criteria.
- Due diligence, credit score ratings and checks were part of the commissioning process.
- Specific areas of Hampshire would see a particular focus to ensure that extra care was affordable. Any capital investment would be in medium terms as LGR and devolution opportunities were unknown, with no clear direction of travel.
- In terms of an age profile, under 55 years or those with learning disabilities were considered a Younger Adult. Those over 55 would have access to older adults’ care packages.
- The residential and nursing market worked closely with HCC who were pleased with the accessibility around Hampshire. Officers were happy with those that had agreed to be part of the care home framework.
RESOLVED: That the Health and Social Care Select Committee noted the presentation and update, and requested an annual update which could be brought forward as a result of any key changes.
Officers give an overview which included some key elements of work being undertaken, how the service had gained a better understanding of need, developed ways to support and make improvements and provided a snapshot of the range of services commissioned.
A demonstration of the Care Home framework evidenced context and consistency in rates paid against levels of care.
The Domiciliary framework showed achievements, the predicable rates and strong relationships with the market. Communication included welcome packs, weekly newsletters and maintaining regular contact. With the help of step-up beds where once the service has been flagged as an out layer was more regionally aligned. The framework supported residents remain at home with access to short term services. Through contract management an improvement was evident in the delivery of the framework supporting whilst retention of exiting quality standards, with savings reported in the extra care provision.
Select Committee Members heard the following:
- Access was restricted to Hampshire residents only. When seeking a placement, the families’ choice was a consideration with opportunities for resettlement within a 5 to 10 mile radius, however families may have a personal preference which the service would try to accommodate, any additional costs would be absorbed by the family.
- Extra care housing must be located within the Hampshire borders to comply with the criteria.
- Due diligence, credit score ratings and checks were part of the commissioning process.
- Specific areas of Hampshire would see a particular focus to ensure that extra care was affordable. Any capital investment would be in medium terms as LGR and devolution opportunities were unknown, with no clear direction of travel.
- In terms of an age profile, under 55 years or those with learning disabilities were considered a Younger Adult. Those over 55 would have access to older adults’ care packages.
- The residential and nursing market worked closely with HCC who were pleased with the accessibility around Hampshire. Officers were happy with those that had agreed to be part of the care home framework.
RESOLVED: That the Health and Social Care Select Committee noted the presentation and update, and requested an annual update which could be brought forward as a result of any key changes.
9
SP25 Savings Proposals Phase 1 - Six month Review
To receive a report of the Director of Adults’ Health and Care.
Attachments:
- Document 2025-06-17 SP25 Savings Proposals Phase 1 - 6 month Review 09 Jun 2025
Minutes
The Chairman invited Jess Hutchinson, Director Adults’ Health and Care
Karen Andrews, Head of Service, Peter Stokes, Strategic Development Manager and Jacqui Evans, Strategic Commissioning Lead, to report on SP215 Savings Proposals Phase 1, Six month review (item 9 in the minute book).
Homelessness Support Services
Officers reported that the homelessness contract, as part of the non-statutory services currently provided by HCC would cease in March 2026 with district and local authorities continuing their statutory responsibility to provide these services. HCC would continue to work with all districts to support any changes. This included a series of meetings and requested training to allow the districts and LAs to gain a greater understanding of their duties.
West View House providing 24/7 housing related support for 29 residents, were given notice 11 months earlier than planned. HCC worked with and supported Winchester City Council, 8 referrals were made, with information and advice given. Under the Care Act 2014, HCC assessed one individual who was deemed to be appropriately managed and supported through social services.
Adult Social Care Charges
In April 2025, changes to charging from 95% to 100% of individual’s assessable earning commenced which impacted 37% of the client base. Support and communication to advise of the changes included an information being updated on HCC web pages, financial assessments, and FAQs had been included for staff to understand and support clients. Financial assessment officers provided links to the cabinet report and support to understand the changes.
No formal complaints were received and no client wanted to stop or cancel their care due to the additional cost.
Grants
The decision made by Cabinet in October 2025 had seen no marked changes to organisations who had continued to operate with HCC continued offers of support.
The organisations continued to engage with HCC statutory partners and played their part in the development of key strategies, attending the Health and Wellbeing Board place assembly, working with the ICBs, engaging with the
Equality impact assessment process.
Officer responses to the Select Committee questions included the following:
- Voluntary sector partners and all agencies remained keen and positive, which had helped to maintain those previously built relationships.
- Recognition of the vital role that the voluntary sector and agencies play.
- Training was well received with levels of referrals used as an indicator that the training had been successful.
- Too early to determine if the projected savings have been achieved.
The Chairman, with agreement of the Select Committee requested that officers provide a further update to the Select Committee in November 2025 and March 2026 on developments and emerging impacts on clients and service users.
RESOLVED:that the Health and Adult Social Care Select Committee (HASC) noted the progress made to deliver activities to mitigate the impact of the Adults’ Health and Care SP25 proposals that were approved by Cabinet on 14 October 2024, and the effectiveness of these activities.
Karen Andrews, Head of Service, Peter Stokes, Strategic Development Manager and Jacqui Evans, Strategic Commissioning Lead, to report on SP215 Savings Proposals Phase 1, Six month review (item 9 in the minute book).
Homelessness Support Services
Officers reported that the homelessness contract, as part of the non-statutory services currently provided by HCC would cease in March 2026 with district and local authorities continuing their statutory responsibility to provide these services. HCC would continue to work with all districts to support any changes. This included a series of meetings and requested training to allow the districts and LAs to gain a greater understanding of their duties.
West View House providing 24/7 housing related support for 29 residents, were given notice 11 months earlier than planned. HCC worked with and supported Winchester City Council, 8 referrals were made, with information and advice given. Under the Care Act 2014, HCC assessed one individual who was deemed to be appropriately managed and supported through social services.
Adult Social Care Charges
In April 2025, changes to charging from 95% to 100% of individual’s assessable earning commenced which impacted 37% of the client base. Support and communication to advise of the changes included an information being updated on HCC web pages, financial assessments, and FAQs had been included for staff to understand and support clients. Financial assessment officers provided links to the cabinet report and support to understand the changes.
No formal complaints were received and no client wanted to stop or cancel their care due to the additional cost.
Grants
The decision made by Cabinet in October 2025 had seen no marked changes to organisations who had continued to operate with HCC continued offers of support.
The organisations continued to engage with HCC statutory partners and played their part in the development of key strategies, attending the Health and Wellbeing Board place assembly, working with the ICBs, engaging with the
Equality impact assessment process.
Officer responses to the Select Committee questions included the following:
- Voluntary sector partners and all agencies remained keen and positive, which had helped to maintain those previously built relationships.
- Recognition of the vital role that the voluntary sector and agencies play.
- Training was well received with levels of referrals used as an indicator that the training had been successful.
- Too early to determine if the projected savings have been achieved.
The Chairman, with agreement of the Select Committee requested that officers provide a further update to the Select Committee in November 2025 and March 2026 on developments and emerging impacts on clients and service users.
RESOLVED:that the Health and Adult Social Care Select Committee (HASC) noted the progress made to deliver activities to mitigate the impact of the Adults’ Health and Care SP25 proposals that were approved by Cabinet on 14 October 2024, and the effectiveness of these activities.
10
Access to Primary Care In Hampshire Task and Finish Working Group
To receive a report of the Chief Executive.
Attachments:
- Document Task and Finish Working Group Proposal 09 Jun 2025
- Document 2025-06-17 Access to Primary Care Services Task and Finish Working Group tof 09 Jun 2025
Minutes
The Health and Adult Social Care Select Committee RESOVLED to:
1. Initiate a Task and Finish Working Group to review the Access to Primary Care Services in Hampshire on the basis of the proposed Terms of Reference.
2. Appoint members to the Task and Finish Working Group in accordance with the Terms of Reference.
1. Initiate a Task and Finish Working Group to review the Access to Primary Care Services in Hampshire on the basis of the proposed Terms of Reference.
2. Appoint members to the Task and Finish Working Group in accordance with the Terms of Reference.
11
Work Programme
To consider and approve the Health and Adult Social Care Select Committee Work Programme.
Attachments:
- Document 2025-06-17 HASC Work Programme 09 Jun 2025
Minutes
As referenced during discussions the following requests for updates will be added to the Committee’s work programme.
- 9 September 2025, Whole System Discharge Performance
- 25 November 2025 and 2 March 2026, SP25 Phase 1 Saving, Homelessness Support Service
RESOLVED: that the Health and Adult Social Care Select Committee
Agreed potential items for the work programme that would be prioritised and allocated by the Chairman of the Health and Adult Social Care Select Committee in consultation with the Director of Adults’ Health and Care.
- 9 September 2025, Whole System Discharge Performance
- 25 November 2025 and 2 March 2026, SP25 Phase 1 Saving, Homelessness Support Service
RESOLVED: that the Health and Adult Social Care Select Committee
Agreed potential items for the work programme that would be prioritised and allocated by the Chairman of the Health and Adult Social Care Select Committee in consultation with the Director of Adults’ Health and Care.
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