Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 10th November, 2015
Time:
16.00
Place:
Jim Cooke Conference Suite, Stockton Central 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 Michael Clark(Vice-Chairman), Cllr Sonia Bailey, Cllr Kevin Faulks, Cllr Lynn Hall, Cllr Mick Moore, Cllr Tracey Stott
Officers:
Liz Hanley, George Irving, Carol Malham(CESC), Ruby Poppleton(PH), Peter Mennear and Kirsty Wannop(LDS)
In Attendance:
Carley Ogden, Stuart Harper Reynolds, Barbara Carr(North Tees and Hartlepool NHs Foundation Trust), Chris Graham, Paul Ellis(Tees, Esk and Wear Valleys NHS Foundation Trust)
Apologies for absence:
Cllr Evaline Cunningham and Cllr Stefan Houghton,
Item Description Decision
Public
ASH
42/15
DECLARATIONS OF INTEREST
 
ASH
43/15
DRAFT MINUTES - 13 OCTOBER 2015
AGREED that the minutes be approved.
ASH
44/15
MINUTES FOR SIGNATURE - 8TH SEPTEMBER 2015
The minutes of the meeting held on 8th September 2015 were signed by the Chair as a correct record.
ASH
45/15
MONITORING IMPLEMENTATION OF PREVIOUSLY AGREED RECOMMENDATIONS
AGREED that the Progress Updates be noted and the assessments for progress be confirmed subject to the amendments outlined above.
ASH
46/15
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST QUALITY ACCOUNT 2015-16
AGREED that the information be noted.
ASH
47/15
SCRUTINY REVIEW OF ACCESS TO SERVICES FOR PEOPLE WITH LEARNING DISABILITIES AND AUTISM
AGREED that the information be noted.
ASH
48/15
REGIONAL HEALTH SCRUTINY UPDATE
AGREED that the information be noted.
ASH
49/15
HEALTH AND WELLBEING BOARD MINUTES
AGREED that the minutes of the Health and Wellbeing Board held on 30th September 2015 were noted.
ASH
50/15
WORK PROGRAMME 2015-16
AGREED the work programme be noted.
ASH
51/15
CHAIR'S UPDATE
 
4.00pm/5.45pm.

Preamble

ItemPreamble
ASH
42/15
There were no interests declared.
ASH
43/15
Consideration was given to the minutes of the meeting held on 13th October 2015.
ASH
45/15
Members considered the assessments of progress contained within the Progress Updates on the implementation of previously agreed recommendations. There were outstanding recommendations from the review of Home Care.

Members were then given the opportunity to ask questions and make comment and these could be summarised as follows:-
- Completion date of recommendation 3a was October 2015 but the assessment of progress was on-track was this correct? A revised completion date of 2016 would be updated on the progress report as commissioning timescales had changed.
- The new living wage would come into force from April 2016, had providers expressed any concerns? The minimum wage was included in their unit cost and it was a concern as one provider had already been in contact to say they would pull out of the contract if we did not provide the extra money for this.
- Detail on zero hour contracts was being surveyed from providers
- Members queried the range of pilot scheme and involvement of the voluntary sector. The sector was involved in the Multi Disciplinary Service scheme, and Synergy was developing ‘welfare calls'
- Providers had responded positively to being involved in the Quality Standards Framework
ASH
46/15
Members received a presentation from senior representatives of North Tees and Hartlepool NHS Foundation Trust's (NTHFT). The presentation covered the consultation into the priorities for inclusion in next year's Quality Account, progress on the current year's priorities, and an update on key issues as requested at the last meeting of the Committee.

NHS Acute Trusts are under a duty to produce yearly ‘Quality Accounts' and these were intended to set out:

- what an organisation was doing well;
- where improvements in service quality were required;
- what the priorities for improvement were for the coming year;
- how the organisation had involved service users, staff and others with an interest in that organisation in determining those priorities for improvement.

The Quality Account process enabled Members to review key information on the performance and quality of local health services.

Providers were encouraged to engage with local stakeholders throughout the production of each year's Quality Account. Representatives from NTHFT were in attendance at the meeting and provided a presentation to report on progress so far this year and to consult on priorities for inclusion in the 2015-16 Quality Account.

For each Account, the relevant commissioning CCG would need to provide a statement of assurance. Health overview and scrutiny committees had a voluntary opportunity to comment on draft Accounts. The Committee would have the opportunity to comment on NTHFT's draft 2015-16 Account at the meeting on 15th March.

Further to previous Committee concerns, the mortality indicators continued to show higher than expected values. the Trust was hoping to see an improved figure in January. The Trust was continuing to focus on undertaking clinician-led weekly reviews of deaths, improving documentation (‘coding'), and a third party review of processes was underway.

Members were then given the opportunity to ask questions and make comment and these could be summarised as follows:-

- the Trust was aiming to reduce the number of falls through encouraging call bells , tracking where incidents happening, and being aware of poor sightlines to some beds. It was noted that the average patient age in the Emergency Assessment Unit on 9 November was 80yrs.

- the importance of hand washing on reducing infection rates was discussed. Each General Manager was held to account on the levels of hand washing in their areas. As part of the refurbishment plans additional hand washing basins had been provided.

Members requests that reducing infection be included once again as a priority for the year 2016-17.

The Committee was invited to the Quality Accounts Market Place on 9 December which was a good opportunity to speak directly with the staff responsible for delivering services and contributing to the Quality Account.
ASH
47/15
The Committee considered information provided on the accessibility of how secondary health services were provided to people with learning disabilities and / or autism locally.

The information provided from the hospital included:-
- North Tees and Hartlepool NHS Foundation Trust had a specialist nurse for Learning Disability who provided support for patients with LD when in hospital.
- The Specialist LD Nurse provided easy read information for patients to understand what their hospital visit would entail and what they should expect to happen. Training was also provided to wards on how to adapt and look after patients with LD.
- Dental Surgery support was also provided by the LD Nurse and since this the LD passport uptake was higher. The pilot started with Adults in April 2014 but had since been widened to Children from January 2015 and introduced a Children's Passport.
- Information was provided on feedback that had been received along with examples of the responses and comments. Where any negative comments were given this was looked into and where necessary training was provided to the Ward.
- A quarterly feedback form was produced to spot trends in care, improve practice, form a work plan, measure the efficiency of the learning disability specialist role and give direction and focus to the Trust learning disability strategy group. Results from the data was provided and the future plan.
-

Members were then given the opportunity to ask questions and make comment and these could be summarised as follows:-
- the use of electronic communication to patients was a good idea and it needed to be considered to be used more.
- Did the specialist LD Nurse have input when a patients was being discharged? Yes support was given to wards and then information passed to the community leaning disability team.


Information provided from the Community LD team included:-
The support provided by TEWV to people with LD and/or Autism who needed access to Mental Health Services.
- Support provided to people leaving services to enable them to live in the Community, including services such as Health Facilitation.
- General advice on how they ensure accessible services in the wider community.


Further to the start of the enhanced Community Servcie there had been no admissions to the remaining Tees Assessment and Treatment Service from the Stockton area. Two staff member were available on call out of hours.

Members were then given the opportunity to ask questions and make comment and these could be summarised as follows:-
- Who were the LD awareness sessions aimed at? The sessions could be delivered to anyone who wanted them i.e. clients and carers etc.
- Is training offered to GP practises? GP practises were invited 3 times a year for training thought the uptake varied and some were better than others. In 2013 seven Practices had asked for guidance, and in 2014 sixteen Practices had done so.
- Was there a list of leisure activities venues that gave free access for carers or were particularly accessible? A list was not kept but community nurses would pass on any venues they knew done this. Accessibility of leisure facilities was highlighted and the benefit of pictorial symbols and other demonstrations of the services/activities available was thought to be helpful.
ASH
48/15
The Committee considered an update on the work of the Tees Valley and Regional Joint Health Scrutiny Committee.

Tees Valley Joint Health Committee minutes from the 24th July 2015 were provided. The Committee recently met on 14 October and considered the latest North East Ambulance Services Quarterly Monitoring Report, and update on the North of England Regional Back Pain Programme, and introduction to issue and scoping of review of Child and Adolescent Mental Health Services.

The NE Regional Health Scrutiny Committee minutes from the 31st July were provided. On 1st October, the North East Regional Committee received an update from the Ambulance Service on its Quality Account. The Committee received a briefing on the future of neonatal services in the North East. The regional committee requested further information on the proposals, which related to North Tees, and the plans for formal consultation. The next Regional Committee had been scheduled for 17 December.

The Committee also received a briefing on the recent work of the national review of congenital heart surgery (child and adult). The service standards that would be required had now been agreed and NHS England had decided to take a commissioning approach to achieving them. Providers were currently being supported to work in partnership wherever possible to be able to achieve them.
ASH
50/15
Members considered the Committee's work programme.
ASH
51/15
The Chair had nothing to update.

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