Agenda and minutes

Scrutiny Health & Social Care Sub-Committee
Tuesday, 25th June, 2019 6.30 pm

Venue: Council Chamber, Town Hall, Katharine Street, Croydon CR0 1NX. View directions

Contact: Simon Trevaskis
02087266000  Email: simon.trevaskiss@croydon.gov.uk

Items
No. Item

14/19

Minutes of the Previous Meeting pdf icon PDF 85 KB

To approve the minutes of the meeting held on 13 May 2019 as an accurate record.

 

Minutes:

The minutes of the meeting held on 13 May 2019 were agreed as an accurate record.

 

15/19

Disclosure of Interests

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.

 

Minutes:

There were no disclosures made at the meeting.

 

16/19

Urgent Business (if any)

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.

 

Minutes:

There were no items of urgent business.

 

17/19

South London & Maudsley NHS Foundation Trust pdf icon PDF 2 MB

The Sub-Committee are presented with a copy of the Quality Report for the South London and Maudsley NHS Foundation Trust (SLaM) for noting.

 

An update on will also be provided on Slam’s priorities for the forthcoming year.

Minutes:

The Sub-Committee was presented with the Quality Report for the South London and Maudsley NHS Foundation Trust (SLaM) for their information and comments. A presentation summarising the Quality Report along with an update on the plans for SLaM in the forthcoming twelve months was given by the Interim Service Director for Croydon and the BDP Operations Directorate, Doctor Faisil Sethi. During the presentation delivered by Doctor Sethi the following pointes were noted:-

·         SLaM was in the second year of a three year plan to deliver on identified priorities. These priorities included the reduction of violence, reducing restrictive practices, improving access to care, increasing the involvement of patients and carers in service improvement and planning, and improving the satisfaction of patients and staff.

·         The report included a summary of the Care Quality Commission (CQC) inspection results. The overall rating for SLaM remained ‘Good’, but the CQC had given a warning notice last year relating to acute pathways which required improvement to be made by April 2019. This had led to a range of planned work to deliver the required improvement, with the service recently re-inspected by the CQC. Initial feedback from the CQC indicated that the required improvement had been made, which once confirmed would mean that the service was no longer on notice.

·         SLaM would be delivering a number of big programmes linked to the quality agenda in the forthcoming year. Key areas targeted in Croydon included improving the patient experience particularly the flow through the service and also the recruitment and retention of staff.

Following the presentation from Doctor Sethi, the Sub-Committee was given the opportunity to ask questions on the content of the Quality Report. The first related to the status of Croydon as one of the boroughs covered by SLaM as the Quality Report seemed to have less of a focus upon Croydon than other boroughs. In response Doctor Sethi highlighted that as Service Director for Croydon it had not been his experience that Croydon was treated differently. There was currently a lot of activity in Croydon involving work with stakeholders and in particular Community Care. It was noted that Croydon was at the start of its journey whereas other areas had progressed further, which may give the impression that they were being given a greater focus.

As a follow up it was questioned whether there were targeted local action plans for each directorate. It was confirmed that action plans were being developed in a number of different areas including patient flow. It was intended that these plans would have both a Trust wide and a local focus.

Members were pleased to note that the pace of change in delivering service improvement was starting to increase. However it was questioned when this would start to be seen on a practical level. It was advised that improvement could already be seen through changes in how staff dealt with violence intervention including a reduction in the use of restraint. In other areas initial work had focussed on implementing improved  ...  view the full minutes text for item 17/19

18/19

Croydon Health Service NHS Trust pdf icon PDF 2 MB

The Sub-Committee are presented with a copy of the Quality Accounts for the Croydon Health Service NHS Trust for noting.

 

An update on will also be provided on their priorities for the forthcoming year.

 

Additional documents:

Minutes:

The Sub-Committee was presented with the Quality Accounts for Croydon Health Service NHS Trust (CHS) for their information and comments. In attendance at the meeting on behalf of CHS was:-

·         Matthew Kershaw – Interim Chief Executive

·         Dr Nnenna Osuji – Medical Director

·         Elaine Clancy – Joint Chief Nurse

A presentation was delivered to the Sub-Committee on the Quality Accounts and the plans for CHS over the forthcoming twelve months. During the presentation the following points were noted:-

·         The vision for CHS was to deliver integrated care at every stage of a patient’s life, including at home, in the community and at the local hospitals. It was recognised that the changing needs of the population would increasingly be met through working with partners to deliver services.

·         CHS had approximately 500,000 annual contacts with patients in the community, which was many more than through either emergency or in-patient care. In the past year 3,500 babies had been delivered in the borough including through the award winning home delivery service.

·         More than a third of CHS staff worked in the community. This included the Community Nursing Teams, senior consultants and speciality doctors.

·         Work had commenced on delivering closer alignment between the Croydon Clinical Commissioning Group (CCG) and CHS services which should lead to service improvements for residents and was seen as the next step on the journey to Total Place service delivery.

·         CHS had performed better than the national average in three out of four national indicators, namely in cancer treatment being delivered within 62 days, carrying out planned surgery within 18 weeks and mental health therapy being provided within 6 weeks. The fourth indicator was treatment in Accident & Emergency (A&E) being within 4 hours which was at 84%.

·         Previous inpatient survey results had shown improvement, but the results from last summer’s survey had reported a slight deterioration. To address this the Executive Management team were meeting with staff to communicate expectations and were in the process of delivering an action plan targeted towards the areas highlighted in the survey.

·         Areas identified for improvement included embedding patient safety and shared learning, continued improvement in the reporting of incidents and lessons learnt, continued improvement in listening to patients, improving patient flow through and discharge from hospital. There was also a need to improve the support and care provided for patients with mental health issues such as dementia and alzheimers.

Following the presentation the Sub-Committee was given the opportunity to ask questions with the first asking the representatives from CHS what they thought were the key areas of weakness within their service. In response it was advised that it was proving challenging to achieve the target for emergency care pathways of treating patients within four hours, however this was a common weakness experienced by health services across the country.  Also within emergency care it was recognised that communication between staff, patients and other partners needed to be improved, particularly relating to general care and patient discharge. Although the patient outcomes for CHS were strong,  ...  view the full minutes text for item 18/19

19/19

Healthwatch Croydon - How Do I Register pdf icon PDF 1 MB

To receive a report from Healthwatch Croydon on their recent work on patient registration at GPs surgeries in Croydon.

Minutes:

Gordon Kay, the Manager of Healthwatch Croydon provided the Sub-Committee with an update on the current activities of his organisation, which included a report on the results of a mystery shopper exercise on the ease of registering with GPs surgeries across the borough.

During the introduction of the report it was highlighted that undertaking a mystery shopping exercise was an unusual piece of work for Healthwatch.  As part of the exercise each GP practice in the borough was telephoned three times over the course of three weeks. In total 150 calls were made to the 57 practices in Croydon, as there were some instances where calls could not be completed as it had been decided not to wait on the line more than 12 minutes. The exercise allowed Healthwatch to measure establish trends, which were then balanced against data on surgery websites and wider national trends. The average wait to get through to a surgery was 2 minutes 54 seconds. It was also found that the attitude of staff was positive at 70% of surgeries, with only 9% being found to be negative.

The exercise also found that 56% of surgeries provided consistent information about registration on their websites, while the other 44% did not have either the relevant information on their website or a website at all.

Arising from the exercise, a recommendation had been made for GPs to use the NHS General Medical Services standards to provide consistency across the borough. Another recommendations was made on the need to reinforce that address details were not required to register with a surgery. It was also recommended that dedicated staff and phone lines were used to improve the focus on the service provided. There were only four surgeries in Croydon that got everything right and these were all located in different areas of the borough. Initial feedback from the CCG to the exercise had been positive.

It was noted that the insight provided by the report was fascinating and the findings were a reflection of the variable performance that was experienced across the borough. It was agreed that it would be important going forward to track whether any long term changes were made as a result of the report, with it questioned whether the CCG would be providing a formal response. It was advised that there would be an opportunity to follow up on the report at the CCG board meeting in September, but any support from the Sub-Committee to reinforce the recommendations would be welcomed.  It was also under consideration to carry out a follow up exercise at a later date to find out whether improvement had been made.

The Chair thanked Healthwatch for their informative report and advised that the Sub-Committee would follow up with the CCG about their response to the findings. 

Conclusions

Following discussion of the report, the Sub-Committee welcomed the report and commended the findings contained within.

20/19

Exclusion of the Press and Public

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.”

 

Minutes:

This motion was not required.