Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 15th November, 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 Mohammed Javed(Chairman), Cllr Lisa Grainge(Vice-Chairman), Cllr Sonia Bailey, Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Lynn Hall, Cllr Stefan Houghton,
Officers:
Angela Connor (AH), Lindsey Robertson, Keith Wheldon (North Tees and Hartlepool Foundation Trust), Peter Mennear and Kirsty Wannop (DCE).
In Attendance:
Cllr Jim Beall (Cabinet Member for Adult Services and Health)
Apologies for absence:
Cllr Allan Mitchell and Cllr Mrs Sylvia Walmsley
Item Description Decision
Public
ASH
49/16
EVACUATION PROCEDURE
 
ASH
50/16
DECLARATIONS OF INTEREST
 
ASH
51/16
DRAFT MINUTES 13 SEPTEMBER 2016
AGREED that the minutes be approved.
ASH
52/16
MINUTES FOR SIGNATURE - 29 MARCH 2016, 12 APRIL 2016, 14 JUNE 2016, 12 JULY 2016
The minutes of the meetings held on 29th March 2016, 12th April 2016, 14 June 2016 and 12th July 2016 were signed by the Chair as correct record.
ASH
53/16
SCRUTINY REVIEW OF MENTAL CAPACITY ACT DEPRIVATION OF LIBERTY SAFEGUARDS
AGREED that the final report be accepted and forwarded to Executive Scrutiny Committee, prior to submission to Cabinet for approval.
ASH
54/16
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST QUALITY ACCOUNT 2016-17

RESOLVED that the information be noted, and information requested be provided.
ASH
55/16
BETTER HEALTH PROGRAMME UPDATE
AGREED that the information be noted.
ASH
56/16
REGIONAL HEALTH SCRUTINY UPDATE
AGREED that the information be noted.
ASH
57/16
MINUTES OF THE HEALTH AND WELLBEING BOARD
The minutes of the Health and Wellbeing Board were noted.
ASH
58/16
WORK PROGRAMME 2016-17
The Committee noted its work programme.
ASH
59/16
CHAIR'S UPDATE
 
4.30pm/5.15pm

Preamble

ItemPreamble
ASH
49/16
The evacuation procedure was noted.
ASH
50/16
There were no interests declared.
ASH
51/16
Consideration was given to the minutes of the meeting held on 13th September 2016.
ASH
53/16
Consideration was given to the draft report for the Scrutiny Review of Mental Capacity Act Deprivation of Liberty Safeguards. Members considered each recommendation individually and agreed the final report.

It was noted that a separate report on DoLS produced by Adult Services would be considered by Cabinet at the same time as the Committee's. This would go into further detail in relation to the improvement work that has taken place, and the resources needed to fulfil the Council's DoLS responsibilities on an ongoing basis.

Members noted that the backlog in assessments had reduced to 28 as of the meeting, and was on track to be eliminated by December. However the ongoing workload of new cases and reassessments would continue into the future.
ASH
54/16
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 on the key issues this year.

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 2016-17 Account in the new year.

Member were given opportunity to ask questions/make comments that could be summarised as follows:-
- - Members noted that the mortality data had significantly improved over the previous year, and a lot of work had gone into understanding and improving the data. There was no indication as to why there has been a recent small increase as yet but the overall trend was downwards. The Trust has previously had the highest HSMR rate in the country and this had improved. The Trust was now 6th lowest in the North East.

- Recent newspaper reports had identified the Trust as having delays in relation to the time taken to scan patients presenting with a stroke. It was noted that this was not currently an identified issue by the Trust, but this would be taken back and investigated.

- The Nursing Dashboard was being replaced by the Safety, Quality and Infections Dashboard which would show key indicators for each ward in realtime.

- it had been reported previously that the reason targets had not been met in relation to Clostridium Difficile was due to a decant ward not being available, was this still the case? It was reported that the decant ward was now available to allow for cleaning of wards but numbers still weren't coming down. The Trust was on course to undertake fogging of all wards by Christmas.

The Trust was looking into why this was happening and what could be done. A summit led by a non-Executive Director would investigate the issue and produce an action plan. Each case was investigated and any one cause was not standing out at present.

The Secretary of State had undertaken to look into the prevalence of Ecoli in hospitals and this was being looked at by the Infection Control lead.

- Members discussed the Friends and Family Test and requested a breakdown of the results by service area/ward.

- The detailed action plan following the CQC inspection report was available on the Trust website. The CQC was now in contact with the Trust on a quarterly basis, instead of two-monthly, as the CQC was satisfied that the Trust was working well.

The Committee was reminded of the Quality Account Marketplace event taking place on 14th December at the North Tees Site. Members were also asked to consider if there was other ways in which they would like to receive the information on the Quality Account.

Members queried whether there was national benchmarking information available on infection rates.
ASH
55/16
The Committee considered an update on the work of Better Health Programme Joint Health Scrutiny Committee.

The Better Health Programme was a major service transformation project covering healthcare based in County Durham, Tees Valley and parts of North Yorkshire. The Programme was centred on ensuring the quality of a range of urgent and acute hospital based services. The Programme had developed over several years and had now been included as a major element of the Sustainability and Transformation Plan (STP) that covered the same geographical area.

A Joint Committee consisting of Stockton, Durham, Darlington, Hartlepool, Middlesbrough, Redcar and Cleveland, and North Yorkshire Councils had been established to review the proposals, and eventually respond to the consultation that was planned in relation to service reconfiguration.

To date, the Better Health Joint Committee had met three times. The minutes of the meeting on 8th September were provided.

The most recent meeting was on 13th October and the presentations from the meeting were also provided. Information on the new timescales for the process and potential options was included, as well as a section outlining the work of the Non In Hospital Workstream. The next meeting was on 1 December.

Members queried the STP and its objectives and an update was provided at the meeting. Each sub-region needed to develop an STP to ensure its services were sustainable and met the financial challenge over the medium to longer term.
ASH
56/16
Members considered an update on the work of the Tees Valley and Regional Joint Health Scrutiny Committee.

Tees Valley Joint Health Scrutiny Committee

The minutes of the meeting on 28 July were provided. The Committee met on 21 October and received an update on the shape of local Child and Adolescent Mental Health Services, the regular Ambulance Service update, and a briefing on upcoming engagement process in relation to NHS Commissioned Learning Disability Respite services in the Tees area. Presentations were provided.


North East Regional Health Scrutiny Committee

Hartlepool BC was currently supporting the Committee. The minutes of the meeting of 27 October were provided.This meeting covered:
- An update on the North East and Cumbria Learning Disabilities Fast Track Transformation Plan
- Sustainability and Transformation Plans for ‘County Durham, Darlington, Teesside, Hambleton, Richmondshire and Whitby', and ‘Northumberland, Tyne and Wear'
- Specialised Commissioning Update from NHS England North

All papers and presentations from this meeting had been previously circulated and were available on request.

The meeting on 3 November included an update from the Ambulance Service following its CQC inspection report, and general performance.

There was also an update on the NE Urgent and Emergency Care Vanguard Project. Presentations were provided.
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59/16
The Chair had nothing to update.

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