Agenda and draft minutes

To consider and approve the minutes of the previous meeting held on 22 Januarly 2026 as a true and correct record of the proceedings and to be signed by the Chair.

Resolved:-

That the minutes of the meeting held on 22 January 2026 were approved as a true and correct record of the proceedings.

To receive declarations of interest from Members in respect of items listed on the agenda.

The following declarations of interest were made:-

To receive questions relating to items of business on the agenda from members of the public or press who are present at the meeting.

There were no questions from members of the public or the press.

To consider whether the press and public should be excluded from the meeting during consideration of any part of the agenda.

There were no items on the agenda that required the exclusion of the press or members of the public.

This item is to receive an update from South Yorkshire Cancer Alliance in relation to the success and impact of the Rotherham Hospital based Lung Clinic since its relocation as part of the non-surgical oncology transformation programme.

This item was to receive an update report and presentation in relation to the Non-Surgical Oncology Transformation Programme and resultant Joint Lung Clinic implementation serving both Rotherham and Barnsley patients from the Rotherham Hospital site.

Members had previously received information regarding the proposals for the Lung Clinic in May 2025, following a broader update provided to the South Yorkshire, Derbyshire and Nottinghamshire Joint Health Overview and Scrutiny Committee earlier that year.  Consideration of this item was augmented by a site visit to the facility undertaken by members of the Health Select Commission, along with their counterparts from Barnsley Council on 19 March 2026.  The Chair offered sincere thanks to all of the staff involved in supporting that valuable scrutiny activity.

The Chair welcomed Jo Evans, Improvement Director,Specialised Cancer Services at Sheffield Teaching Hospitals, Richard Maxted, Operations Director, Specialised Cancer Services at Sheffield Teaching Hospitals, Mark Tuckett, Chief Strategy Officer at Sheffield Teaching Hospitals and Julia Jessop, South Yorkshire and Bassetlaw Cancer Alliance Managing Director to the meeting and invited them to introduce the report and presentation.

The Chief Strategy Officer at Sheffield Teaching Hospitals explained that the purpose of the presentation was to report on progress since implementation of the Joint Lung Clinic, and noted their expectation that Members had had the opportunity to read and digest the report provided in the agenda pack ahead of the meeting, and noted that some members had visited the clinic.

They set out the intended flow of the presentation:

·       Context

·       What had been implemented

·       How it was operating

·       Next steps

The Improvement Director, Specialised Cancer Services at Sheffield Teaching Hospitals described their role in co-ordinating the work to open and embed the Joint Clinic.

They summarised the case for change which was a national shortage of Consultant Oncologists alongside rising demand driven by new treatments and increasingly complex pathways, compounded by regional variation that created uneven patient experiences and inconsistent service resilience.

The Improvement Director explained that these pressures had led to the Non-Surgical Oncology (NSO) Transformation Programme. Although this had started with outpatient redesign, it had broadened to consider end-to-end pathways, including how outpatient assessment and decision-making shaped the onward patient journey.

They outlined the programme’s aims which were:

·       To improve clinical safety and reduce clinical risk

·       Address inequalities in access and experience across the region

·       Strengthen workforce sustainability by planning around known workforce constraints.

They added that the programme had been organised into three phases and that the Joint Lung Clinic sat in Phase 1, the ‘Stabilisation’ phase.

The Improvement Director explained that the model for Barnsley and Rotherham patients had been shaped by patient, public and staff feedback.  There was the need to consolidate the number of sites providing face-to-face appointments, as the system did not have sufficient consultant capacity to run multiple separate clinics with the required resilience.

They explained that the change was expected to:

·       Increase consultant cover and senior oversight so clinics were less vulnerable to single-handed working and vulnerabilities through absence

·       To standardise  ...  view the full minutes text for item 57.

This item is to receive an update from The Rotherham NHS Foundation Trust (TRFT) in relation to the success and impact of the SDEC since its implementation, following funding being secured to develop the facility.

This item was to receive an update in relation to the success and impact of the Same Day Emergency Care (SDEC) Centre since implementation.  This followed the initial proposal regarding the SDEC being presented to the Health Select Commission in March 2025.

The Chair welcomed Bob Kirton, Managing Director of TRFT (The Rotherham NHS Foundation Trust) and Jodie Roberts, Director of Operations at TRFT to the meeting and invited them to introduce the presentation.

The Director of Operations delivered a presentation regarding TRFT’s development and implementation of the new Same Day Emergency Care (SDEC) Centre, and set out the pressures that had driven the change, the capital funding that had enabled it, and the early impact on flow, performance and both patient and staff experience.

They explained that Emergency Department (referred to as UECC, the Urgent and Emergency Care Centre) demand had been rising year on year and that attendances had increased by 12% from the previous year into the current financial year, which had contributed to crowding, limited assessment space, longer waits and a poorer experience for patients and staff.

In response, the Trust had pursued a time-limited NHS England capital opportunity, had prepared a business case at short notice, and secured £7 million in funding.  They emphasised that this funding had supported a broader programme of enabling works and service moves, not just the SDEC in isolation.

The Director of Operations outlined the delivery timeline, from bid to opening and the considerations taken at each stage. The Trust had then designed new ‘front door’ services with the intent that patients could be seen in the right place, at the right time, by the right clinicians. The new build had increased the Emergency Department footprint, eased overcrowding, created more clinical spaces and improved waiting times, whilst also enabling the creation of an urgent Primary Care area and relocating the Minor Injuries Unit into the new SDEC footprint to free additional space in the UECC.

She described the wider reconfiguration required to unlock the space:

·       The Fracture Clinic had moved from the front of the hospital, with the new location expected to open toward the end of 2026

·       Sexual Health had moved out to create the necessary Fracture Clinic space, with its revised front-of-hospital location due to open within the next few months

·       Pre-operative assessment had moved to allow Sexual Health to relocate, with pre-op assessment now based at the back of the hospital

The Director of Operations noted that several services had therefore benefited from improved accommodation, but that delivering this had required significant organisational operational and logistical effort, which had included moving around 600 staff whilst retaining focus on the wider benefits despite understandable sensitivities around change and disruption.

They described that a former corridor and room layout had been knocked through and rebuilt into the dedicated SDEC environment with individual cubicles, seating areas, two waiting rooms and multiple clinical spaces, including rooms supporting minor injuries as patients entered the service.

Turning  ...  view the full minutes text for item 58.

To consider the Health Select Commission’s work programme for 2025/26.

Resolved:-

That the Health Select Commission:

1.    Approved the work programme.

2.    Agreed that the Governance Advisor was authorised to make any required changes to the work programme in consultation with the Chair/Vice Chair and report any such changes back to the next meeting.

The last meeting of the South Yorkshire, Derbyshire and Nottinghamshire Joint Health Overview and Scrutiny Commission took place on 7 January 2026.  These meeting minutes were circulated to Health Select Commission members as soon as they became available.

They can also be accessed via the following link:

7 January 2026 South Yorkshire, Derbyshire and Nottinghamshire Joint Health Overview and Scrutiny Committee Meeting Minutes

There are no further scheduled meetings for the 2025/26 municipal year, and the dates for 2026/27 are yet to be agreed.  Further details will be shared with Health Select Commission Members once arrangements are in place.

The Chair advised Members that the most recent JHOSC meeting took place on 7 January 2025 as the meeting scheduled to take place on 11 March 2026 was cancelled.  The minutes of this January meeting were circulated to members upon publication, and a link to them was provided in the agenda pack for this meeting.

The next JHOSC meeting date was to be confirmed and would be shared with Health Select Commission members as soon as arrangements were in place.  It was anticipated there would be no further meetings in the 2025/26 municipal year.

The Chair requested that Health Select Commission Members who had comments, queries or questions they would like raised regarding the 7 January JHOSC minutes, or any suggestions of items for consideration by JHOSC in the 2026/27 municipal year refer these to the Health Select Commission Chair and Governance Advisor at the earliest opportunity so these could be addressed accordingly.

To receive a copy of the report presented to Cabinet on 16 March 2026, so that Health Select Commission Members are sighted on the Public Health spending plans for 2026/27 grants.

The Chair requested that Health Select Commission Members who had comments, queries topics they would like to suggest for consideration by the Health Select Commission arising from the Supplementary Public Health Grants for 2026/27 Cabinet Report channel these via the Chair or Governance Advisor.

To consider any item(s) which the Chair is of the opinion should be considered as a matter of urgency.

There was no urgent business to consider.