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, 9th September 2025
10:00 AM
Tuesday, 9th September 2025
10:00 AM
End:
Tuesday, 9th September 2025
1:02 PM
Tuesday, 9th September 2025
1:02 PM
Meeting Status
Status:
Confirmed
Confirmed
Date:
09 Sep 2025
09 Sep 2025
Location:
Ashburton Hall, Elizabeth II Court, The Castle, Winchester
Ashburton Hall, Elizabeth II Court, The Castle, Winchester
Meeting Attendees
Co-opted Member
Councillor Cynthia Garton
Eastleigh Borough Council
Apologies
Council Staff
Kerry Bean
Expected
Council Staff
Clare Hedgecock
Expected
Council Staff
Charlotte Koster
Expected
Liberal Democrats Spokesperson
Independent Group Deputy
Vice Chairman of the Council
Independent Group Spokesperson
Co-opted Member
District/Borough Council - Vacancy
District/Borough Council
Expected
Co-opted Member
District/Borough Council - Vacancy
District/Borough Council
Expected
Co-opted Member
District/Borough Council - Vacancy
District/Borough Council
Expected
Agenda
1
Apologies for Absence
To receive any apologies for absence.
Minutes
Apologies for absence were received from Councillor Pam Bryant, Councillor
Patricia Stallard, Councillors Wayne Irish, Councillor Cynthia Garton and Councillor Marge Harvey.
The following Members were in attendance, Councillor Rod Cooper, deputising for Councillor Pam Bryant and Councillor Tim Groves, deputising for Councillor
Wayne Irish.
Also in attendance as the invitation of the Chairman was Councillor Liz Fairhurst, Executive Lead for Adult Social Care and Public Health.
Patricia Stallard, Councillors Wayne Irish, Councillor Cynthia Garton and Councillor Marge Harvey.
The following Members were in attendance, Councillor Rod Cooper, deputising for Councillor Pam Bryant and Councillor Tim Groves, deputising for Councillor
Wayne Irish.
Also in attendance as the invitation of the Chairman was Councillor Liz Fairhurst, Executive Lead for Adult Social Care and Public Health.
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.
Declarations of interest were received from the following:
The following Member declared an interest in item 6a on the agenda, “Whitehill and Bordon Health Hub Update”, Councillor Andy Tree as Deputy Leader of the Planning authority for Whitehill and Bordon area.
The following Member declared an interest in item 8 “Whole Hospital System Discharge”, Councillor Rod Cooper in his capacity as a Governor of the Frimley Park Hospital Trust.
Declarations of interest were received from the following:
The following Member declared an interest in item 6a on the agenda, “Whitehill and Bordon Health Hub Update”, Councillor Andy Tree as Deputy Leader of the Planning authority for Whitehill and Bordon area.
The following Member declared an interest in item 8 “Whole Hospital System Discharge”, Councillor Rod Cooper in his capacity as a Governor of the Frimley Park Hospital Trust.
3
Minutes of the Previous Meeting.
To confirm the minutes of the previous meeting held on 16 July 2025.
Attachments:
- Document Minutes, 16/07/2025 Health and Adult Social Care Select Committee 01 Sep 2025
Minutes
Minutes of the meeting held on 16 July 2025 were confirmed.
4
Deputations.
To receive any deputations notified under Standing Order 12.
Minutes
No deputation requests had been received.
5
Chairman's Announcements
To receive any announcements the Chairman my wish to make.
Minutes
The Chairman, Councillor Withers, highlighted the following:
SP25 Phase 2 Recommendations to Cabinet.
The Chairman began by updating Members on the outcome of the Cabinet’s consideration of the SP25 Phase 2 proposals. He confirmed that Cabinet had met on 8 August and had accepted the recommendations made by the Committee and the associated HASC Task and Finish Working Group. The Cabinet had given assurances that Chesil Lodge and Newman Court Resource Centres would remain under Council operation until a suitable alternative provider could be secured. The Committee’s work programme would include opportunities to review the implementation and impact of these changes in due course.
The HASC work programme would include opportunities to review the outcome of any changes in due course.
Task and Finish Working Group – Access to Primary Care Across Hampshire
The Working Group will hold its first meeting in September to scope the work and desired outcomes.
Update from Hampshire Hospitals
Members were informed that work was ongoing across Hampshire and the Isle of Wight to clarify which procedures the NHS would and would not fund, under the banner of “procedures of limited clinical value.” (PLCV’s). Communications were being coordinated by the ICB, and the Committee would be updated in due course.
The Chairman also noted that Hampshire Hospitals NHS Foundation Trust were exploring its estates and facilities services to determine if delivery could be through a wholly owned subsidiary. Early engagement with affected staff had begun, and elected Members had been briefed. The Chairman had received a briefing which would be shared with colleagues.
Finally, the Chairman took the opportunity to thank Alex Whitfield, outgoing CEO of Hampshire Hospitals, for her service and contributions to the Committee’s work. He welcomed her successor, Sue Harriman, and looked forward to working with her in the future.
Care Home Improvement Programme
At the last meeting of Full Council, a number of Members raised an issue with the County Council’s recommendation C, agenda item 16 ‘End of Year Financial Update 2024/25’, which was that Council approve:
‘The removal of the Care Home Improvement Programme (£173m) from the capital programme’(CHIP)
When an update becomes available, an item would be subject to scrutiny by the HASC and would be allocated to a meeting within the work programme. Currently there are no updates for Members.
In addition, Members had previously received an email from Chief Executive Gary Westbrook dated 31 July which provided the background and full details of how the CHIP would be managed and or taken forward.
SP25 Phase 2 Recommendations to Cabinet.
The Chairman began by updating Members on the outcome of the Cabinet’s consideration of the SP25 Phase 2 proposals. He confirmed that Cabinet had met on 8 August and had accepted the recommendations made by the Committee and the associated HASC Task and Finish Working Group. The Cabinet had given assurances that Chesil Lodge and Newman Court Resource Centres would remain under Council operation until a suitable alternative provider could be secured. The Committee’s work programme would include opportunities to review the implementation and impact of these changes in due course.
The HASC work programme would include opportunities to review the outcome of any changes in due course.
Task and Finish Working Group – Access to Primary Care Across Hampshire
The Working Group will hold its first meeting in September to scope the work and desired outcomes.
Update from Hampshire Hospitals
Members were informed that work was ongoing across Hampshire and the Isle of Wight to clarify which procedures the NHS would and would not fund, under the banner of “procedures of limited clinical value.” (PLCV’s). Communications were being coordinated by the ICB, and the Committee would be updated in due course.
The Chairman also noted that Hampshire Hospitals NHS Foundation Trust were exploring its estates and facilities services to determine if delivery could be through a wholly owned subsidiary. Early engagement with affected staff had begun, and elected Members had been briefed. The Chairman had received a briefing which would be shared with colleagues.
Finally, the Chairman took the opportunity to thank Alex Whitfield, outgoing CEO of Hampshire Hospitals, for her service and contributions to the Committee’s work. He welcomed her successor, Sue Harriman, and looked forward to working with her in the future.
Care Home Improvement Programme
At the last meeting of Full Council, a number of Members raised an issue with the County Council’s recommendation C, agenda item 16 ‘End of Year Financial Update 2024/25’, which was that Council approve:
‘The removal of the Care Home Improvement Programme (£173m) from the capital programme’(CHIP)
When an update becomes available, an item would be subject to scrutiny by the HASC and would be allocated to a meeting within the work programme. Currently there are no updates for Members.
In addition, Members had previously received an email from Chief Executive Gary Westbrook dated 31 July which provided the background and full details of how the CHIP would be managed and or taken forward.
6
Proposals to Vary Services.
To consider the report on proposals from the NHS or providers of health services to vary or develop health services in the area of the Committee.
Attachments:
- Document 2025-09-09 HASC Proposal Report 01 Sep 2025
Minutes
The Committee received one of a series of regular updates on the Whitehill and Bordon Health and Wellbeing Hub. .
6
Whitehill and Bordon Health Hub Update
Attachments:
- Document Whitehill and Bordon Health Hub Update 01 Sep 2025
Minutes
The Committee received a report (item 6 in the minute book) providing Members with an update in terms of the ongoing development of the Whitehill and Bordon Health and Wellbeing Hub.
Members heard from James Roach, Director of Primary and Local Care, who reiterated the commitment of all partner organisations in realising the delivery of the hub, despite the complex commercial and financial challenges involved. He explained that the ICB’s role was to secure the lease for the GP practice, which remained a key catalyst for the wider development.
Mr. Roach acknowledged that unforeseen factors, including inflation, market risk, and changes in return-on-investment expectations, had impacted the commercial viability of the scheme. He confirmed that all parties were working together to explore the options, including the potential for public ownership of the asset, but emphasised that these discussions were ongoing and subject to due diligence.
Members raised concerns about the affordability of the proposed rent and the long-standing nature of the issue, with some noting that similar concerns had been raised as far back as 2021. Mr. Roach confirmed that the rent remained the key issue and that the ICB had involved the District Valuer and NHS England to help reach a resolution.
Councillor Tree, expressed concern about the potential loss of the Chase Community Hospital site and the long-term implications for local health provision. He asked whether the ICB would commit to engaging directly with residents once commercial terms were agreed and that in terms of the future of the Chase Hospital site that this would remain in operation for the people of the Whitehill and Bordon area until a suitable local alternative could be found. Mr. Roach confirmed that the ICB would be happy to do so, alongside clinicians and other partners.
The Select Committee were in agreement that a confidential briefing on the financial and legal arrangements underpinning the project would assist in a greater understanding of the current position. The Chairman supported this request and asked Mr. Roach to explore whether all parties/partners would be willing to participate in such a session. Mr. Roach agreed in principle but noted that consent would be needed from the other partners involved, including the Defense Infrastructure Organisation (DIO) etc.
The Chairman asked whether the existing Chase Hospital facilities would meet the future complex needs of the medical services should they need expanding and Mr. Roach replied that the existing building would need to be demolished and a new building built.
RESOLVED: that the Health and Adult Social Care Select Committee noted the update and await further information once commercial discussions had progressed.
Members heard from James Roach, Director of Primary and Local Care, who reiterated the commitment of all partner organisations in realising the delivery of the hub, despite the complex commercial and financial challenges involved. He explained that the ICB’s role was to secure the lease for the GP practice, which remained a key catalyst for the wider development.
Mr. Roach acknowledged that unforeseen factors, including inflation, market risk, and changes in return-on-investment expectations, had impacted the commercial viability of the scheme. He confirmed that all parties were working together to explore the options, including the potential for public ownership of the asset, but emphasised that these discussions were ongoing and subject to due diligence.
Members raised concerns about the affordability of the proposed rent and the long-standing nature of the issue, with some noting that similar concerns had been raised as far back as 2021. Mr. Roach confirmed that the rent remained the key issue and that the ICB had involved the District Valuer and NHS England to help reach a resolution.
Councillor Tree, expressed concern about the potential loss of the Chase Community Hospital site and the long-term implications for local health provision. He asked whether the ICB would commit to engaging directly with residents once commercial terms were agreed and that in terms of the future of the Chase Hospital site that this would remain in operation for the people of the Whitehill and Bordon area until a suitable local alternative could be found. Mr. Roach confirmed that the ICB would be happy to do so, alongside clinicians and other partners.
The Select Committee were in agreement that a confidential briefing on the financial and legal arrangements underpinning the project would assist in a greater understanding of the current position. The Chairman supported this request and asked Mr. Roach to explore whether all parties/partners would be willing to participate in such a session. Mr. Roach agreed in principle but noted that consent would be needed from the other partners involved, including the Defense Infrastructure Organisation (DIO) etc.
The Chairman asked whether the existing Chase Hospital facilities would meet the future complex needs of the medical services should they need expanding and Mr. Roach replied that the existing building would need to be demolished and a new building built.
RESOLVED: that the Health and Adult Social Care Select Committee noted the update and await further information once commercial discussions had progressed.
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.
Attachments:
- Document ISSUES RELATING TO THE PLANNING, PROVISION ANDOR OPERATION OF HEALTH SERVICES 01 Sep 2025
Minutes
The Committee received a report (item 7 in the minute book) which provided
Members with information about the issues brought to the attention of the
Committee which impacted upon the planning, provision and/or operation of
health services within Hampshire, or the Hampshire population as follows:
- 7a Community Pharmacy Update
- 7b NHS 10-Year Plan and the Future of Integrated Care Boards
- 7c Hampshire Hospitals Maternity Services Update
- 7d Increasing Home-Based Rehabilitation
Members with information about the issues brought to the attention of the
Committee which impacted upon the planning, provision and/or operation of
health services within Hampshire, or the Hampshire population as follows:
- 7a Community Pharmacy Update
- 7b NHS 10-Year Plan and the Future of Integrated Care Boards
- 7c Hampshire Hospitals Maternity Services Update
- 7d Increasing Home-Based Rehabilitation
7
Community Pharmacy Hampshire Update
Attachments:
- Document Community Pharmacy Hampshire Update 01 Sep 2025
Minutes
The Committee received a presentation (item 7a in the minute book) provided by James Roach, Director of Primary and Local Care supported by Hinal Patel, Community Pharmacy Clinical Lead providing the details of the evolving role of community pharmacy in Hampshire and the wider NHS 10-Year Plan.
James Roach introduced the item, highlighting the increasing importance of community pharmacy in improving access to primary care. He noted that pharmacy services were now a key part of the wider neighbourhood health model and that the Pharmacy First initiative had significantly expanded the clinical role of pharmacists.
Hinal Patel, provided an overview of the current and upcoming developments in the Community Pharmacy Contractual Framework for 2025–26 and outlined several service expansions due to take effect from 29 October 2025. This included the addition of depression as a therapeutic area under the New Medicine Service (NMS), the inclusion of emergency hormonal contraception as part of the core Pharmacy Contraception Service, expansion of the Smoking Cessation Service to include additional pharmacological treatments, and enhancements to the Hypertension Case Finding Service. She also noted that pharmacy technicians would soon be able to deliver more services under Patient Group Directions (PGDs), following regulatory changes.
The Committee were informed that approximately 20,000 patients per month were now accessing services such as Pharmacy First, contraception, and hypertension monitoring through community pharmacies in Hampshire and it was emphasised that this represented a significant and growing contribution to primary care access.
The Select Committee also heard that the Community Pharmacy Independent Prescribing Pathfinder Programme, had been piloted in six sites across Hampshire and the Isle of Wight. Although the national pilot was due to end in December 2025, the ICB would seek to retain and expand the use of independent prescribers in community settings.
In response to Members concerns regarding pharmacy closures in deprived areas, the impact on access, financial sustainability, and the strategic shift in primary care; officers provided assurances that the ICB were working to support pharmacy viability through better use of national contracts, local commissioning, and planning engagement. The Committee agreed that the update had been informative and welcomed the continued development of community pharmacy as a key component of neighbourhood health.
RESOLVED: that the Health and Adult Social Care Select Committee noted the update and information contained within the report.
James Roach introduced the item, highlighting the increasing importance of community pharmacy in improving access to primary care. He noted that pharmacy services were now a key part of the wider neighbourhood health model and that the Pharmacy First initiative had significantly expanded the clinical role of pharmacists.
Hinal Patel, provided an overview of the current and upcoming developments in the Community Pharmacy Contractual Framework for 2025–26 and outlined several service expansions due to take effect from 29 October 2025. This included the addition of depression as a therapeutic area under the New Medicine Service (NMS), the inclusion of emergency hormonal contraception as part of the core Pharmacy Contraception Service, expansion of the Smoking Cessation Service to include additional pharmacological treatments, and enhancements to the Hypertension Case Finding Service. She also noted that pharmacy technicians would soon be able to deliver more services under Patient Group Directions (PGDs), following regulatory changes.
The Committee were informed that approximately 20,000 patients per month were now accessing services such as Pharmacy First, contraception, and hypertension monitoring through community pharmacies in Hampshire and it was emphasised that this represented a significant and growing contribution to primary care access.
The Select Committee also heard that the Community Pharmacy Independent Prescribing Pathfinder Programme, had been piloted in six sites across Hampshire and the Isle of Wight. Although the national pilot was due to end in December 2025, the ICB would seek to retain and expand the use of independent prescribers in community settings.
In response to Members concerns regarding pharmacy closures in deprived areas, the impact on access, financial sustainability, and the strategic shift in primary care; officers provided assurances that the ICB were working to support pharmacy viability through better use of national contracts, local commissioning, and planning engagement. The Committee agreed that the update had been informative and welcomed the continued development of community pharmacy as a key component of neighbourhood health.
RESOLVED: that the Health and Adult Social Care Select Committee noted the update and information contained within the report.
7
NHS National 10 Year Plan and the Future of the Integrated Care Boards
Attachments:
- Document NHS National 10 Year Health Plan Update and Future of Integrated Care Boards 01 Sep 2025
- Document NHS National 10 Year Health Plan for England Executive Summary App 01 Sep 2025
Minutes
The Committee received a presentation (item 7b of the minute book) from James Roach, Director of Primary and Local Care, on the NHS 10-Year Plan and its implications for Hampshire and the Isle of Wight Integrated Care Board (ICB).
Members were assured by the long-term planning horizon provided by the 10-Year Plan, which would allow for enhanced strategic investment and service transformation. It was noted that the plan had been shaped by extensive public consultation, including engagement events hosted by Hampshire MPs earlier in the year
The three key “shifts” at the heart of the plan were recognised: hospital to community, treatment to prevention, and analogue to digital, with an acknowledgement that the plan fell short of a greater emphasis on social care, which had been noted by other committees and it was stressed that the importance of addressing this gap locally could be achieved through partnership working with the County Council.
Financial pressures continued within the NHS and a need to make better use of existing assets was emphasised. The ICB’s role as a strategic commissioner would be central to the future delivering the plan, particularly in shaping neighbourhood health services and aligning resources to current and future population need.
During the discussion, Members raised several points regarding mental health investment, continuity of policy across governments, GP performance management, online consultations, and digital integration. Officers provided assurances that the where the ICB held GP contracts there were mechanisms in place to monitor and enforce performance standards.
Members found the presentation informative and looked forward to receiving further updates as the plan was implemented
RESOLVED: that the Health and Adult Social Care Select Committee agreed to note the update.
.
Members were assured by the long-term planning horizon provided by the 10-Year Plan, which would allow for enhanced strategic investment and service transformation. It was noted that the plan had been shaped by extensive public consultation, including engagement events hosted by Hampshire MPs earlier in the year
The three key “shifts” at the heart of the plan were recognised: hospital to community, treatment to prevention, and analogue to digital, with an acknowledgement that the plan fell short of a greater emphasis on social care, which had been noted by other committees and it was stressed that the importance of addressing this gap locally could be achieved through partnership working with the County Council.
Financial pressures continued within the NHS and a need to make better use of existing assets was emphasised. The ICB’s role as a strategic commissioner would be central to the future delivering the plan, particularly in shaping neighbourhood health services and aligning resources to current and future population need.
During the discussion, Members raised several points regarding mental health investment, continuity of policy across governments, GP performance management, online consultations, and digital integration. Officers provided assurances that the where the ICB held GP contracts there were mechanisms in place to monitor and enforce performance standards.
Members found the presentation informative and looked forward to receiving further updates as the plan was implemented
RESOLVED: that the Health and Adult Social Care Select Committee agreed to note the update.
.
7
Hampshire Hospitals Maternity Services Update
Attachments:
- Document UPDATE ON THE DEVELOPMENT OF ALONGSIDE MIDWIFERY UNITS AT HAMPSHIRE HOSPITALS 01 Sep 2025
Minutes
Select Committee Members received an update (item 7c in the minute book) delivered by Liz Macleod, Head of Maternity Services at Hampshire Hospitals NHS Foundation Trust (HHFT), on the development of an alongside midwifery-led unit (AMU) at the Royal Hampshire County Hospital in Winchester.
Officers outlined that the new AMU had been established to provide a fourth birth setting option in line with national NICE guidance, which recommended that women should have access to all four recognised birth settings: home birth, freestanding midwifery unit, alongside midwifery unit, and an obstetric unit. Prior to this development, HHFT had offered three options: obstetric-led units at Winchester and Basingstoke, a freestanding midwifery unit in Andover, and the home birth service.
The new AMU would be co-located within the Winchester obstetric unit provided a low-risk birthing environment with immediate access to emergency obstetric care if required; a model which proved particularly beneficial for women who may not meet the criteria for home birth or freestanding midwifery care but still wished to give birth in a midwife-led setting.
Early data from the first month of operation indicated improved outcomes for women using the AMU, included reduced rates of blood loss and birth trauma and a safe outcomes for babies. The service had also received positive feedback from women and staff.
Officers confirmed that the AMU was open to all women across the HHFT catchment area and that the next step would be to explore the development of a similar unit at the Basingstoke site. Confirmation was given that the new unit would represent an addition to existing services and that no obstetric-led provision had been removed.
The Chairman thanked officers for the update and noted the importance of maintaining regular oversight of maternity services, particularly in light of national concerns raised in recent years. Praise was given to the quality of maternity care in Hampshire and the continued development of service options for women and families was a welcomed addition to the overall provision.
RESOLVED: that the Health and Adult Social Care Select Committee noted the report and update.
Officers outlined that the new AMU had been established to provide a fourth birth setting option in line with national NICE guidance, which recommended that women should have access to all four recognised birth settings: home birth, freestanding midwifery unit, alongside midwifery unit, and an obstetric unit. Prior to this development, HHFT had offered three options: obstetric-led units at Winchester and Basingstoke, a freestanding midwifery unit in Andover, and the home birth service.
The new AMU would be co-located within the Winchester obstetric unit provided a low-risk birthing environment with immediate access to emergency obstetric care if required; a model which proved particularly beneficial for women who may not meet the criteria for home birth or freestanding midwifery care but still wished to give birth in a midwife-led setting.
Early data from the first month of operation indicated improved outcomes for women using the AMU, included reduced rates of blood loss and birth trauma and a safe outcomes for babies. The service had also received positive feedback from women and staff.
Officers confirmed that the AMU was open to all women across the HHFT catchment area and that the next step would be to explore the development of a similar unit at the Basingstoke site. Confirmation was given that the new unit would represent an addition to existing services and that no obstetric-led provision had been removed.
The Chairman thanked officers for the update and noted the importance of maintaining regular oversight of maternity services, particularly in light of national concerns raised in recent years. Praise was given to the quality of maternity care in Hampshire and the continued development of service options for women and families was a welcomed addition to the overall provision.
RESOLVED: that the Health and Adult Social Care Select Committee noted the report and update.
7
Increasing Home-Based Rehabilitation
Attachments:
- Document 2025 09 09 Increasing Home Based Rehabilitation ALTON 01 Sep 2025
- Document 2025 09 09 Increasing Home-Based Rehabilitation item 7D 01 Sep 2025
Minutes
The Committee received a report (item 7d in the minute book) presented by Eugene Jones, Chief Operating Officer of Hampshire and Isle of Wight Healthcare NHS Foundation Trust, supported by Nicky MacDonald and Gary Cleeve, regarding proposals to increase home-based rehabilitation and reconfigure inpatient rehabilitation services at Alton Community Hospital.
Officers explained that the proposals to enhance services were as a direct response to a shift in demand, a marked increase in the need for home-based rehabilitation and a reduced requirement for inpatient rehabilitation beds. The proposal aimed to rebalance resources by reducing the number of inpatient beds at Alton from 40 to 30 combined with an investment in community-based services.
The existing model and proposed changes were outlined and officers highlighted that the Trust had already been operating with 30 beds since May 2025 without any negative impact on patient flow or outcomes. The average length of stay had reduced from 42 days to 28 days, and the Trust aimed to further reduce this to 18 days through the introduction of seven-day therapy and medical cover.
The proposed model would also include a new “Day Hospital” model to support patients nearing the end of their rehabilitation journey, a “Stay at Home” approach would enable earlier discharge with continued therapy support, and improved use of therapy resources across inpatient and community settings.
Encouragingly the changes were based on patient feedback, which consistently showed a preference for receiving care at home. The changes in the delivery model had not resulted in staff redundancies and it was reported that staff engagement had been positive.
A case study was shared which illustrated the benefits of the home-first approach in terms of both outcomes and patient experience.
Select Committee Members raised several points during the discussion regarding population growth, long-term resilience, communication with local Members, mental health support, evidence base for reduced length of stay, and partnership working. Officers provided assurances and highlighted ongoing collaboration with Primary Care Networks and local authorities.
The Committee agreed that the proposals aligned with the broader shift towards prevention and community-based care. Members supported the direction of travel and requested a future update on the implementation and outcomes of the new model.
RESOLVED; that the Health and Social Care Select Committee noted the content of the report and supported the proposals.
Officers explained that the proposals to enhance services were as a direct response to a shift in demand, a marked increase in the need for home-based rehabilitation and a reduced requirement for inpatient rehabilitation beds. The proposal aimed to rebalance resources by reducing the number of inpatient beds at Alton from 40 to 30 combined with an investment in community-based services.
The existing model and proposed changes were outlined and officers highlighted that the Trust had already been operating with 30 beds since May 2025 without any negative impact on patient flow or outcomes. The average length of stay had reduced from 42 days to 28 days, and the Trust aimed to further reduce this to 18 days through the introduction of seven-day therapy and medical cover.
The proposed model would also include a new “Day Hospital” model to support patients nearing the end of their rehabilitation journey, a “Stay at Home” approach would enable earlier discharge with continued therapy support, and improved use of therapy resources across inpatient and community settings.
Encouragingly the changes were based on patient feedback, which consistently showed a preference for receiving care at home. The changes in the delivery model had not resulted in staff redundancies and it was reported that staff engagement had been positive.
A case study was shared which illustrated the benefits of the home-first approach in terms of both outcomes and patient experience.
Select Committee Members raised several points during the discussion regarding population growth, long-term resilience, communication with local Members, mental health support, evidence base for reduced length of stay, and partnership working. Officers provided assurances and highlighted ongoing collaboration with Primary Care Networks and local authorities.
The Committee agreed that the proposals aligned with the broader shift towards prevention and community-based care. Members supported the direction of travel and requested a future update on the implementation and outcomes of the new model.
RESOLVED; that the Health and Social Care Select Committee noted the content of the report and supported the proposals.
8
Whole Hospital System Discharges
To receive the combined report of Hampshire and Isle Wight Adults Health and Care, Frimley Integrated Care Board and Hampshire and Isle of Wight Integrated Care Boards.
Attachments:
- Document Whole Hospital System Discharge Performance 202425 and 202526 01 Sep 2025
Minutes
The Committee received (item 8 in the minute book) a comprehensive update on whole hospital system discharge performance and transformation from Michael Burton, Head of Hospital Social Work at Hampshire County Council, supported by Michelle Strickland and colleagues from the Integrated Care Board (ICB).
Officers confirmed that the presentation build on information received a the previous meeting and would seek to focus on progress following the last update. The presentation included evidence of the importance of shifting from reactive to proactive discharge planning, starting at the point of admission rather than waiting until a patient is medically fit for discharge.
Officers provided an outline of the structure of the Hampshire and Isle of Wight Discharge Transformation Programme, which had been established as a standalone initiative in 2023. The programme had brought together acute hospitals, community providers, social care, primary care, and the voluntary sector to improve patient flow and reduce delays. The programme was underpinned by a “Home First” ethos, with a strong focus on the reduction of the hospital length of stay, preventing readmissions, and where appropriate maximising independence.
The governance structure was explained, which included a system-wide transformation board and local delivery units aligned to each acute hospital footprint. These units were responsible for implementing discharge standards, improving data sharing, and embedding multidisciplinary working.
Data on discharge performance across Hampshire’s acute hospitals was demonstrated with a highlighted that Hampshire whilst performing relatively well compared to national averages, there remained significant variation between hospital sites. The aim was to increase the number of patients discharged without formal care packages, thereby improving flow and reducing pressure on services.
The Committee were shown examples of how delays often stemmed from process inefficiencies, such as poor information sharing, late referrals, or unclear responsibilities between agencies. Officers discussed the importance of early identification of discharge barriers and the use of conditional logic in digital referral systems to reduce errors and omissions.
The presentation included a series of anonymised patient case studies which illustrated the difference between traditional and improved discharge pathways. Each case demonstrated the benefits of early planning, proportionate care, and integrated working.
During the discussion, Members raised several points regarding data disaggregation, use of artificial intelligence, internal hospital delays, and partnership working. Officers provided assurances and highlighted ongoing efforts to streamline processes and improve outcomes.
The Committee welcomed the update and the use of real-life examples to illustrate the impact of the changes. Members supported the continued development of the discharge transformation programme and requested a future update on progress and outcomes.
RESOLVE: that the Health and Adult Social Care Select Committee noted the content of the report.
Officers confirmed that the presentation build on information received a the previous meeting and would seek to focus on progress following the last update. The presentation included evidence of the importance of shifting from reactive to proactive discharge planning, starting at the point of admission rather than waiting until a patient is medically fit for discharge.
Officers provided an outline of the structure of the Hampshire and Isle of Wight Discharge Transformation Programme, which had been established as a standalone initiative in 2023. The programme had brought together acute hospitals, community providers, social care, primary care, and the voluntary sector to improve patient flow and reduce delays. The programme was underpinned by a “Home First” ethos, with a strong focus on the reduction of the hospital length of stay, preventing readmissions, and where appropriate maximising independence.
The governance structure was explained, which included a system-wide transformation board and local delivery units aligned to each acute hospital footprint. These units were responsible for implementing discharge standards, improving data sharing, and embedding multidisciplinary working.
Data on discharge performance across Hampshire’s acute hospitals was demonstrated with a highlighted that Hampshire whilst performing relatively well compared to national averages, there remained significant variation between hospital sites. The aim was to increase the number of patients discharged without formal care packages, thereby improving flow and reducing pressure on services.
The Committee were shown examples of how delays often stemmed from process inefficiencies, such as poor information sharing, late referrals, or unclear responsibilities between agencies. Officers discussed the importance of early identification of discharge barriers and the use of conditional logic in digital referral systems to reduce errors and omissions.
The presentation included a series of anonymised patient case studies which illustrated the difference between traditional and improved discharge pathways. Each case demonstrated the benefits of early planning, proportionate care, and integrated working.
During the discussion, Members raised several points regarding data disaggregation, use of artificial intelligence, internal hospital delays, and partnership working. Officers provided assurances and highlighted ongoing efforts to streamline processes and improve outcomes.
The Committee welcomed the update and the use of real-life examples to illustrate the impact of the changes. Members supported the continued development of the discharge transformation programme and requested a future update on progress and outcomes.
RESOLVE: that the Health and Adult Social Care Select Committee noted the content of the report.
9
Work Programme.
To consider and approve the Health and Social Care Select Committee Work Programme.
Attachments:
- Document 2025-09-09 HASC Work Programme 01 Sep 2025
Minutes
The Chairman advised the Select Committee that the Work Programme had
been updated from the last meeting and sought any additional future items and subjects from Members.
The Select Committee were in agreement that a review of the implementation of the SP25 Phase 2 proposals as agreed by the Cabinet at their meeting of 8
August should be reviewed and scrutinised in terms of any impact of any
changes in service or potential review of charges.
Members noted that officers would advise the Select Committee when an update was available for scrutiny in relation to the Care Home Improvement Programme (CHIP).
The Chairman noted that Members and officers would look ahead in 18months to identify any important issues which could be scheduled to heard at a future meeting.
been updated from the last meeting and sought any additional future items and subjects from Members.
The Select Committee were in agreement that a review of the implementation of the SP25 Phase 2 proposals as agreed by the Cabinet at their meeting of 8
August should be reviewed and scrutinised in terms of any impact of any
changes in service or potential review of charges.
Members noted that officers would advise the Select Committee when an update was available for scrutiny in relation to the Care Home Improvement Programme (CHIP).
The Chairman noted that Members and officers would look ahead in 18months to identify any important issues which could be scheduled to heard at a future meeting.
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