Agenda and minutes

Councillor Margaret Mead gave her apologies, Councillor Steve Hollands attended in her absence. 

Gary Hickey, Healthwatch gave his apologies.

To approve the minutes of the meeting held on 26 September 2017 as an accurate record.

The minutes of the meeting held on 26 September were agreed as an accurate record.

In considering the Minutes, the Chair informed the Sub- Committee that a response had been received from the Secretary of State acknowledging receipt of the referral made regarding the withdrawal of IVF and ICSI treatment by Croydon CCG and stating that the referral had been passed to the Independent Reconfiguration Panel for consideration.

In accordance with the Council’s Code of Conduct and the statutory provisions of the Localism Act, Members and co-opted Members of the Council are reminded that it is a requirement to register disclosable pecuniary interests (DPIs) and gifts and hospitality to the value of which exceeds £50 or multiple gifts and/or instances of hospitality with a cumulative value of £50 or more when received from a single donor within a rolling twelve month period. In addition, Members and co-opted Members are reminded that unless their disclosable pecuniary interest is registered on the register of interests or is the subject of a pending notification to the Monitoring Officer, they are required to disclose those disclosable pecuniary interests at the meeting. This should be done by completing the Disclosure of Interest form and handing it to the Democratic Services representative at the start of the meeting. The Chair will then invite Members to make their disclosure orally at the commencement of Agenda item 3. Completed disclosure forms will be provided to the Monitoring Officer for inclusion on the Register of Members’ Interests.

There were none.

To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.

There were no items of urgent business.

The Following officers were in attendance for this item:

·         John Goulston, Chief Executive, (Croydon Health Services NHS trust and Chair of Croydon A&E Delivery Board)

·         Jayne Black, Deputy CEO and Chief Operating Officer, (Croydon NHS)

·         Stephen Warren, Director of Commissioning (Croydon CCG)

·         Andrew Eyres, CEO and Accountable Officer, (Croydon CCG)

·         Clinton Beale, Stakeholder Engagement Manager (LAS)

·         Graham Norton, Assistant Director of Operations, (LAS)

·         Pratima Solanki, Director of Adult Social Care & All Age Disability

Members were given a presentation which detailed the delivery plan for winter 2017/2018 and included plans from the multiagency organisations that would be working in conjunction with Croydon NHS trust to ensure best outcomes for patients.

Officers highlighted three key areas of development and improvement work that included:

·         Addressing ongoing workforce issues

·         Patient flow and Discharge

·         Re-Direction of patients

Officers informed the Committee that challenges were being faced due to increased presentation of patients with mental health issues, an increase of 8% compared to 2016. Members were advised that South London and Maudsley was considering new initiatives such as a 24hr core psychiatric reablement team to meet the increased demands presented by these patients.

Members were advised that the delivery plan included:

·         Greater emphasis on person centred care

·         The use of physicians to supplement A&E consultants

·         Improved out of hospital business case- LIFE team

The Sub Committee was advised that the new resuscitation unit at the hospital was now completed and was in use. Officers advised that the hospital was working towards a target of 3% improvement against 95% A&E targets.

In response to Members’ queries, the Sub Committee was informed that there would be several GP hubs open during the Christmas and New Year period to manage urgent primary care. National and local communications campaigns were being produced to place information on this in the public domain.

Members queried the background to the rise of patients presenting with mental health issues. Officers responded that this was a national issue and further analysis was being carried out to establish the underlying issues surrounding this increase. Officers stated that this figure was predominantly new patients who have only just come to the attention of services. Measures have been put in place with mental health nurses working closely with London Ambulance Service to minimise the impact on A&E.

In response to Members’ questions on issues with workforce, the Sub-Committee was informed that there was a national challenge in recruiting A&E consultants and work was being done nationally to address this issue. In areas of nursing there was a recruitment drive and a lot of work was being carried out in training and development which had been attracting staff to Croydon.

In adult social care, work was also being done to recruit nurses in nursing homes. As a winter contingency to decrease admission to hospital, Better Care Funding had been used to block purchase a number of nursing beds for people with dementia. Funds had also been ring fenced for the recruitment and retention of  ...  view the full minutes text for item 59/17

The following officers were in attendance for this item:

·         Rachel Soni, Alliance Programme Manager

·         Kate Pierpoint, Chief Executive Age UK

·         Paul Etheridge, Personal Independence Co-Ordinator

Rachel Soni, Alliance Programme Manager introduced the item to the committee by advising that the item was being brought to Scrutiny for consideration and comment before the OBC business case is presented to Cabinet in January 2018.

Members were advised that a business case was being presented to request an extension following this transition year, with recommendations on a 2 -10 year plan that would include the extension of the programme beyond the current over 65’s model. The review included plans for the next phase and updated Members on the progress that had been made to date.

The programme had been focused on community intervention through partnership working to prevent and reduce recurrent admissions to hospital for over 65’s and this has been realised through a strategic approach and use of the following:

·         Personal Independence Co-ordinators;

·         Living Independently for Everyone (LIFE) Programme; and

·         Integrated Community Network.

Officers informed the Sub-Committee that some of the areas in the proposal for the next phase included:

·         Improved choice for service users;

·         Integration with Mental Health Services;

·         Use of specialist services and care homes;

·         Increased use of voluntary sector in delivery of care;

·         Increased support for carers;

·         Addressing patient length of admission in hospital; and

·         Integrated Network of GP practices by March 2018.

Officers explained to the Sub-Committee that the Alliance had been working with its partners on winter planning, preparation, and improvements for service users. The Sub-Committee were informed that strategies were in place to meet demand and that services such as adult care packages and assessments was easily accessible due to longer Brokerage arrangements have been put in place during the winter period.

Members were given an account of the work that had been done by Age UK and Personal Independence Co-Ordinators in the last twelve months that had enabled service users to experience improved long term outcomes. Officers informed the Committee that in the last twelve months there had been six Co-Ordinators employed who had been able to engage with 209 patients across surgeries for an average of 14 weeks. During the engagement period, 90% of service users achieved the personal subjective goals set around their health & wellbeing, empowering and maintaining independence. GP’s had expressed their happiness on the positive impact the scheme had on service users’ lives.

A case study was presented to the committee by Paul Etheridge, Personal Independence Co-Ordinator, detailing the work undertaken with service users.  The support involved tailoring services to individual needs, multiagency team working between GP services, occupational therapy and district nurses to assess and make provisions based on needs such as equipment, access to social activities and benefits.

In response to Members’ queries on challenges faced by Personal Independence Co-Ordinators, Officers advised that not being able to manage demand due to limited resources was problematic. They were currently mapping out gaps in service delivery and the information was being  ...  view the full minutes text for item 60/17

Oral Update on SEL JHOSC and SWL JHOSC

SOUTH WEST LONDON JOINT HEALTH AND OVERVIEW SCRUTINY COMMITTEE (ORAL UPDATE).

The Chair informed the Committee that at the pre-meet for the proposed 15 November meeting of the JHOSC, it was agreed that the meeting be postponed. This was to enable the South West London Collaborative (SWLCC) officers to complete a refresh of their plans on STP before the next meeting.

SOUTH EAST LONDON JOINT HEALTH OVERVIEW AND SCRUTINY COMMITTEE (ORAL UPDATE).

The Chair provided an update to the Sub- Committee on the South East London JHOSC that took place on 6 November 2017 at which members considered the proposal for SLaM provision of separate wards for older adults with varying degrees of mental health.

Members were informed that although there had been concerns raised about the possibility of patients having to travel across boroughs for treatment, the attendees had agreed that patients would benefit from being placed in specialised wards to receive treatment by specialist staff to meet their specific needs.

The JHOSC members had agreed that upon implementation of the plans an update would be required after 12 months to review functionality of the scheme.

Oral Update

There was none.

The following motion is to be moved and seconded where it is proposed to exclude the press and public from the remainder of a meeting:

“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”

This was not required.