Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 26th February, 2013
Time:
4.00 p.m.
Place:
Jim Cooke Conference Suite, Stockton Library, Stockton on Tees, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Mohammed Javed (Chairman), Cllr Paul Baker, Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Mrs Sylvia Walmsley, Cllr Norma Wilburn.
Officers:
Lesley King (RES); Fiona McKie, Peter Mennear (LD).
In Attendance:
Mr Richard Amir (Parent Governor), Shirley Erskine (LINk), Barbara Carr, Keith Wheldon (North Tees and Hartlepool NHS Foundation Trust)
Apologies for absence:
were submitted on behalf of Cllr Elliot Kennedy, Cllr Ray McCall, Cllr Mrs Mary Womphrey, Deborah Miller (Parent Governor), Sue Smith (North Tees and Hartlepool NHS Foundation Trust).
Item Description Decision
Public
ASH
77/12
DECLARATIONS OF INTEREST
 
ASH
78/12
MINUTES FOR SIGNING - 10 DECEMBER, 2012
AGREED that the minutes were signed by the Chairman as a correct record.
ASH
79/12
DRAFT MINUTES - 14TH JANUARY 2013
AGREED that the minutes be approved.
ASH
80/12
HEALTHWATCH AND NHS COMPLAINTS ADVOCACY UPDATE
AGREED that:-
1. Progress to date be noted.

2. The role of Local Healthwatch in relation to this Committee be noted.

3. A presentation by the Local Healthwatch provider and the NHS complaints advocacy provider be held on 11th April as part of the Member Seminar programme.
ASH
81/12
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST QUALITY ACCOUNT 2013-14
AGREED that:-

1. The draft Quality Account and the comments on the content and the selected priorities for improvement be noted;

2. A draft joint statement of assurance be circulated following the meeting, with final approval delegated to the Chair and Vice-Chair, in consultation with the nominated representative of Stockton LINk.
ASH
82/12
WORK PROGRAMME
AGREED that the Work Programme be noted.
ASH
83/12
CHAIR'S UPDATE
AGREED that the Chair's update be noted.

Preamble

ItemPreamble
ASH
77/12
Cllr Mohammed Javed declared a disclosable pecuniary interest as he was employed by Tees, Esk and Wear Valley NHS Foundation Trust. Cllr Javed had been granted a dispensation in this regard.

Cllr Norma Wilburn declared a personal non prejudicial interest in relation to Agenda Item No. 5 Health Watch and NHS Complaints Advocacy Update further to being a Board Member of Know How North East.

Cllr Evaline Cunningham declared a personal non prejudicial interest in relation to Agenda Item No. 5 Health Watch and NHS Complaints Advocacy Update further to being a Board Member of Know How North East.
ASH
78/12
The minutes of the meeting held on 10th December 2012 were signed by the Chairman as a correct record.
ASH
79/12
Consideration was given to the draft minutes of the meeting held on 14th January 2013.
ASH
80/12
Members were provided with a further update on progress towards the commissioning of Healthwatch Stockton-on-Tees and the NHS complaints advocacy service by Stockton Borough Council from April 2013 in compliance with its statutory duties identified in the Health and Social Care Act.

The need for a smooth transition from the LINk to HealthWatch, and the possible working arrangements with scrutiny committees were discussed.
ASH
81/12
The Committee were requested to consider the draft Quality Account of North Tees and Hartlepool NHS Foundation Trust, and comment as appropriate to assist with the production of a joint statement of assurance for inclusion in the published version, together with Stockton LINk. The statement must be received by the Trust by 4th March, 2013.

Discussion was held on infection control in particular tackling Clostridium difficile (C.diff) as the number of cases were higher than some other Trusts in the region. Members requested more detailed figures to be circulated by the Scrutiny Officer.

Members discussed the issue of dishcharging vulnerable patients and how this was tackled within the Trust. Members felt that it was a priority that discharged patients were returned home 'safe and warm' in line with the Council's Affordable Warmth agenda.

Members were informed that each ward had a 'Nursing Dashboard' which was a public display of ward based nursing performance targets. It was felt that this improved transparency, provided peer incentives and highlighted potential issues etc.

Members were informed that the 'Oasis Suite' for end of life care had been well received by patients and families.

Discussion was held on errors when prescribing medicines to patients. It was stated that a Nurse Prescribing Manager was now in post to tackle any issues.

Following the Francis Report into the Mid-Staffordshire Hospital scandal, the Trust had undertaken a gap analysis of the report to identify any areas for improvement. An inspection of the Trust by the CQC after the publication of the report showed no area for improvement or recommendations which was pleasing.

Discussion was held on intentional rounding which had been introduced by the Trust, it was felt that this had improved communications by providing a daily feedback to staff.

A joint statement would be produced by the Committee in conjunction with the LINk.
ASH
82/12
The next meeting would be held on Wednesday 6th March 2013.
ASH
83/12
The administration of the Tees Valley Joint Health Scrutiny would be undertaken by Stockton Council in the forthcoming year from April 2013. Cllr Javed would be the Chair for 2013/14.

Discussion was held on the proposed centralisation of acute medicine and critical care services in North Tees and Hartlepool. The chair had met with the National Clinical Advisory Team that had been reviewing the proposals.

A report and advice on next steps would be received in due course. Members would be given the opportunity to comment upon it during the consultation period.

Members were informed that the Community Dental Service was under review with a proposal to only operate it from Lawson Street Health Centre, and to stop the service provided in Hardwick.

Members were informed that the suggestions for review topics would be presented to Scrutiny Liaison Forum on 12th March for consideration then to Executive Scrutiny Committee on 26th March for final agreement.

Shirley Erskine expressed the LINk's thanks for the joint working with the Committee that had been developed over the previous few years.

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