Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 15th April, 2014
Time:
4.00pm
Place:
Gorund Floor Committee Room, Town Hall, Hight Street, Stockton, TS18 1AU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Mohammed Javed(Chairman), Cllr Kevin Faulks(Vice-Chairman), Cllr Paul Baker, Cllr Elliot Kennedy, Cllr Ray McCall, Cllr Mrs Sylvia Walmsley, Cllr Norma Wilburn, Cllr Mrs Mary Womphrey.
Officers:
Peter Kelly(Public Health), Liz Hanley, Glyn Roberts(CESC), Peter Mennear and Kirsty Wannop(LDS)
In Attendance:
Dr Mansoor, Mr Mohib Ellahi, Pamela Turnedge (Elm Tree Surgery).
Apologies for absence:
Cllr Evaline Cunningham and Deborah Miller
Item Description Decision
Public
ASH
1/14
DECLARATIONS OF INTEREST
 
ASH
2/14
MINUTES FOR SIGNATURE - 14TH JANUARY 2014
The Minutes of the meeting held 14th January 2014 were signed by the Chair as a correct record.
ASH
3/14
DRAFT MINUTES - 11TH FEBRUARY 2014 AND 4TH MARCH 2014
AGREED the minutes be approved.
ASH
4/14
PROPOSED CLOSURE OF BRANCH SURGERY, ELM TREE SURGERY (TO FOLLOW)
AGREED the information be noted and the Committee's comments be forwarded to the Area Team.
ASH
5/14
SCRUTINY REVIEW OF ACCESS TO GP, URGENT AND EMERGENCY CARE


AGREED the information be noted and the draft recommendations be included in the draft final report for consideration at the next meeting.
ASH
6/14
WORK PROGRAMME
 
ASH
7/14
CHAIR'S UPDATE
 
4.00pm/6.00pm

Preamble

ItemPreamble
ASH
1/14
Cllr Mohammed Javed declared a disclosable pecuniary interest as he was employed by Tees, Esk and Wear Valleys NHS Foundation Trust. Cllr Javed had been granted a dispensation in this regard.

Cllr Ray McCall declared a personal interest as he was an Associate Hospital Manager and Governor for Tees, Esk and Wear Valleys NHS Foundation Trust.
ASH
3/14
Consideration was given to the minutes of the meeting held on 11th February 2014 and 4th March 2014.
ASH
4/14
The Committee was provided with information surrounding the proposed closure of the Elm Tree Branch Surgery at Endurance House. The Practice proposed to concentrate its services at its Thornaby site. The Practice had applied to the NHS England Area Team which would make the final decision.

Members were provided with information on the following:-
- Background of the surgery and how it has progressed and moved services to fit the needs of patients. The Practice had closed its site in the Elm Tree area four years ago and moved to Endurance House. Over time the majority of its new patient registrations were closer to its separate Thornaby site in Westbury Street.
- When the surgery was operation on different sites it was considered potentially unsafe having certain doctors services on one site and nurses services on a different site.
- The surgery list at the Thornaby site had increased and it left questions surrounding the viability of the Endurance House surgery.
- Patients survey was carried out and 94% of people were happy with the proposed changes to close the Branch Surgery.

Members raised the following point/comments/questions:-
- For any patients who wished to move with the Surgery to Thornaby it could require more than 1 bus therefore thought had to be given to those patients as bus frequency changed after 6pm. It was noted that the bust stop at Westbury Street was closer to the surgery compared to Endurance House, and there was extra parking being provided near to Westbury Street.
- It was queried why the Practice would leave Endurance House which was a new building and co-located with other GPs. It was reported that the Practice believed they should be nearer the majority of the patients which was now Thornaby and very few appointments were being made in Endurance House. The Practice believed that patient needs had priority over building location. The Practice outlined that it hoped to develop new premises in Thornaby in the near future.
- It was noted that the Practice was also accessible for patients in Ingleby Barwick which may assist with pressure on services in the South of the Borough.

The Practice had good performance information and the work that had been undertaken to discuss the changes with patients was very good and Members were overall happy with the proposed changes being made.
ASH
5/14
The Committee were provided with the local position in relation to delayed discharges following the request from the Committee after comments made on the Panorama programme that investigated A and E services and visited North Tees Hospital. Information and a position statement had been received from both North Tees and Hartlepool NHS Foundation Trust and SBC Adult Services.

Members were provided with a breakdown of recorded delays between April 2013 and February 2014 and the reasons behind the delays. It was noted that overall Stockton Council had a good record in relation to supporting timely discharges and performed well in the region. Where delays did occur at the Trust, this was mostly in relation to NHS-related reasons (for example assessment processes related to Continuing Health Care), or family and patient choice. Patients may choose to be discharged to a care home where there was not a vacancy immediately available.

It was noted that it was a complex issue, and each case required the availability and input of both social care and health professionals. The Council's Adult Services received daily reports to be able to monitor and respond to demand.

The Committee also received a summary of evidence for the Review of Access to GP, Urgent and Emergency Care. Members agreed the findings of the review and recommendations would be drafted and considered at the next meeting with the draft report
ASH
6/14
Members were reminded that the offer had been made to visit the Out of Hours Service and arrangements were being made for an evening or weekend.
ASH
7/14
The Chair had nothing to update.

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