Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 12th April, 2016
Time:
16.00
Place:
Jim Cooke Conference Suite, Stockton Central Library
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Michael Clark(In the Chair), Cllr Sonia Bailey, Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Derrick Brown(Vice Cllr Allan Mitchell), Cllr Mrs Sylvia Walmsley.
Officers:
Peter Kelly, Carol Malham(DAH), Keith Wheldon(NTHFT), Peter Mennear and Kirsty Wannop(DCE)
In Attendance:
Cllr Jim Beall (Cabinet Member for Adult Services and Health), Members of the Public
Apologies for absence:
Cllr Mohammed Javed, Cllr Allan Mitchell, Cllr Lynn Hall, Cllr Stefan Houghton,
Item Description Decision
Public
ASH
1/16
DECLARATIONS OF INTEREST
 
ASH
2/16
MINUTES FOR SIGNATURE - 16TH FEBRUARY 2016
The minutes of the meeting held on 16th February 2016 were signed by the Chair as a correct record.
ASH
3/16
SCRUTINY REVIEW OF ACCESS TO SERVICES FOR PEOPLE WITH LEARNING DISABILITIES AND/OR AUTISM
AGREED that the final report be accepted and forwarded to Executive Scrutiny Committee, prior to submission to Cabinet for approval.
ASH
4/16
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST QUALITY ACCOUNT 2015-16
AGREED that:
1. Further information requested be answered and sent to Members.
2. A draft statement of assurance be circulated and final approval be delegated to the Chair.
ASH
5/16
WORK PROGRAMME
 
ASH
6/16
CHAIR'S UPDATE
 

Preamble

ItemPreamble
ASH
1/16
Cllr Kevin Faulks declared a personal non prejudicial interest in agenda item 4 - Scrutiny Review of Access to Services for People with Learning Disabilities and/or Autism as he was a volunteer at Daisy Chain.

Cllr Sonia Bailey declared a personal non prejudicial interest in agenda item 5 - North Tees and Hartlepool NHS Foundation Trust Quality Account 2015-16 as she was a Peer Support for North Tees and Hartlepool Foundation Trust.
ASH
3/16
The Committee considered the draft final report for the Scrutiny Review of Access to Services for People with Learning Disabilities and/or Autism. Member considered each recommendation and agreed the final report, subject to some minor textual amendments.
ASH
4/16
The Committee considered the draft Quality Account of North Tees and Hartlepool NHS Foundation Trust (NTHFT).

Quality Accounts should 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.

In an update to the information provided in the draft Account, it was explained that the Trust was now fifteenth highest in the country in relation to the Hospital Standardised Mortality Ratio data, and the Summary Hospital Level Mortality Indicator had a time lag of six months. Further improvement on these indicators was expected over coming months.

Members were given opportunity to ask questions/make comments and these could be summarised as follows:-
- The quality account was really hard to read. It was explained that once agreed an easy read version would be put together.
- There was more Adult Safeguarding referrals from Stockton compared with Hartlepool and Durham, was there a reason why? It was explained that Durham figures related to patients from South Durham only, and alerts were recorded to the location of the healthcare facility where concerns were noted and not where the patient lived. An explanation on the rationale for the data was requested to be included.
- when using agency staff did the Trust try to put the same agency staff on wards they were familiar with? Where possible agency staff worked on wards they were familiar with. It was also noted that there had been nurses recruited from Romania and Philippines that would hopefully reduce the number of agency staff.
- Members requested information of agency numbers year on year for comparison.
- How was it investigated if patients had an incident of severe harm or death. It was explained that any incident was raised on the system that would be reviewed by a panel every Monday including clinicians and members of the Board to see what had happened and what learning could come from it. If it was a death that should not have occurred it would also go to the coroners. Levels of incidents were in line with across the region.
- On the action plan following the CQC inspection it stated there would be a walkabout of areas, would this be clinicians as well as lay people? It was noted that this would be clinicians and lay people. Members requested information on how the action plan following the CQC visit would be monitored.

- Members raised the issue of sepsis. It was noted that the Trust was part of the Regional Sepsis Group, and the issue would be reported on in the next Account. It was recognised that there was still some way to go on this.

- The total for C. diff cases was 36 when the target was 13, why was this? Unfortunately the decant ward was being used as a permanent ward so was unable to empty wards to undertake deep cleaning. This was going to change from April. Use of agency staff during busy periods may also cause C Diff. to increase as it was harder to maintain consistent standards. It was hoped after the further recruitment and also the decant ward opening it would decrease the numbers for the Hospital although the rise in cases was an issue nationally.
Further information on the planned operation of the decant ward was requested.

- When recruiting overseas what level of English does the Trust require for them to be eligible to work for the Trust? They did have to have a certain level qualification.
- Was there an independent review of the commercially sponsored studies research to make sure they wasn't commercially biased? A response would be sent after the meeting.


Members thanked the Trust's representative for the information provided but raised their frustration with the Trust for not sending staff to the meeting who were able to answer the full range of Committee questions, and unable to carry out a full informative discussion.

In addition the questions raised at the meeting, a number of queries had been generated by the Council's Public Health and Adult services, and the Trust stated they would provide a full response to all queries. These included queries on patient surveys, medicine safety, and discharge audits.
ASH
5/16
The Committee noted its work programme.
ASH
6/16
The Chair had nothing to update.

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