Agenda and minutes
PDF 341 KBVenue: Ashcombe Suite County Hall Penrhyn Road Kingston upon Thames KT1 2DN
Contact: Andrew Spragg or Lucy Collier
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APOLOGIES FOR ABSENCE AND SUBSTITUTIONS
Minutes: Apologies were received from Peter Hickman. There were no substitutions. |
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MINUTES OF THE PREVIOUS MEETING:
To agree the minutes as a true record of the meeting. Minutes: The minutes were agreed as a true record of the meeting. |
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DECLARATIONS OF INTEREST
To receive any declarations of disclosable pecuniary interests from Members in respect of any item to be considered at the meeting.
Notes: · In line with the Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012, declarations may relate to the interest of the member, or the member’s spouse or civil partner, or a person with whom the member is living as husband or wife, or a person with whom the member is living as if they were civil partners and the member is aware they have the interest. · Members need only disclose interests not currently listed on the Register of Disclosable Pecuniary Interests. · Members must notify the Monitoring Officer of any interests disclosed at the meeting so they may be added to the Register. · Members are reminded that they must not participate in any item where they have a disclosable pecuniary interest.
Minutes: None recieved |
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QUESTIONS AND PETITIONS
To receive any questions or petitions.
Notes: 1. The deadline for Member’s questions is 12.00pm four working days before the meeting (27 April). 2. The deadline for public questions is seven days before the meeting (Wednesday 25 April). 3. The deadline for petitions was 14 days before the meeting, and no petitions have been received. Minutes: None received |
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CHAIRMAN'S ORAL REPORT
The Chairman will provide the Board with an update on recent meetings he has attended and other matters affecting the Board.
Minutes: The Chairman updated the Board on recent meetings he had attended and other matters of note. A copy of this report is included as an annex to these minutes. |
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ASHFORD AND ST. PETER'S HOSPITALS AND ROYAL SURREY COUNTY HOSPITAL MERGER UPDATE
To provide members with an overview of the reasons for the pause in the proposed hospital merger planning. Additional documents: Minutes: Declarations of interest: None
Witnesses: John Denning, Chairman, Royal Surrey County Hospital Suzanne Rankin, Chief Executive, Ashford and St Peter’s Hospital Aileen McLeish, Chairman, Ashford and Saint Peter’s Hospital Giselle Rothwell, Head of Communications, Ashford and Saint Peter’s Hospital
Key pointed raised during the discussion:
1. The Chairman of Royal Surrey County Hospital introduced the report and informed the Board that the merger was on hold. It was outlined that an NHS Improvement investigation was underway and that both the Chief Executive and Finance Director of Royal Surrey had stood down. The Board was informed that a regulator approved Turnaround Director had been appointed for six months.
2. The Board questioned whether the merger between the two organisations would still be viable in light of the financial position of Royal Surrey County Hospital. The Chairman of Royal Surrey County Hospital expressed the view that the strategic principles for the merger were still applicable. The Board was informed that a merger would provide better opportunities for long-term sustainability of service and funding for both Trusts. It was noted that the external environment had changed and that the Sustainability and Transformation Plans (STPs) would develop a long term view as to how NHS services remained sustainable.
3. Witnesses confirmed that the merger had a potential to realise savings of £10 million per annum. The Board asked for detail on whether the merger would see closures at one of the three hospitals sites. It was confirmed that the merger proposal had described a situation where there was a future for each of the three sites, and continuing the services already provided.
Bob Gardner arrived at the meeting at 11.00 am.
4. The Board expressed concern over the financial governance and reporting arrangements for Royal Surrey County Hospital, and highlighted the sudden increase of the financial deficit in the final quarter of 2015/16. The Chairman advised the Board that he would write to NHS England Improvement to ensure they fully consulted with governors at the Royal Surrey County Hospital NHS Foundation Trust. He thanked Bill Barker for his hard work as a governor for Royal Surrey.
5. The Chairman of Royal Surrey explained to the Board that both organisations faced ongoing challenges in recruiting and retaining staff. The Board was informed that the recruitment issue was a national problem. It was suggested that a way to help resolve this issue would be to share staff and promote recruitment days at universities and overseas. It was stated that one of the main issues when recruiting staff is housing affordability in Surrey.
Pauline Searle arrived at the meeting at 11.17 am.
6. The Board discussed the reasons for a formal merger, and what could be realised informally. Witnesses highlighted that there were achievable benefits being realised in this regard, but that a formal merger would provide clear reporting lines and clarity of vision for hospital staff.
Recommendations:
The Board resolved
· That the Chairman write to the NHS Improvement team seeking assurances that governors at Royal ... view the full minutes text for item 26/16 |
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NORTH WEST SURREY CCG COMMUNITY HEALTH PROCUREMENT REPORT
To provide the Wellbeing and Health Scrutiny Board with details of the process being employed by the CCG, an overview of plans, and where the CCG currently is in the process. Minutes: Declarations of interest: None
Witnesses: Rachel Graham, Head of non-acute contracts, North West Surrey CCG
Key points raised during the discussion:
1. The Board was informed that the current procurement exercise would see services being developed to address local priorities. The Board questioned whether the decision to procure for North West Surrey solely rather than a county-wide contract arrangement would mean a reduction in the economies of scale. It was acknowledged that there was a risk pertaining to this, though witnesses also highlighted that there were presently 81 different service specifications in place. The Board was informed that that the new procurement exercise would enable the Clinical Commissioning Group (CCG) to address local priorities.
2. The Board was informed that contract arrangements would seek to ensure a degree of fluidity in specifications, and ensure that there was a flexible element to the services provided.
3. The Board asked for details on how complaints and contract delivery would be monitored by the CCG. It was explained that there were a number of different quality metrics including staff training, timescales and the number of complaints received.
4. The Board discussed the importance of creating a clear governance structure for the contracts and suggested that local residents and clinicians should be involved in planning and setting priorities.
Bob Gardner left the meeting at 12.07pm
Recommendations:
The Board requests a further update on the procurement of the community health services is on its agenda for September 2016. It recommends:
· That the update in September 2016 brings examples of the quality metrics used in monitoring contract delivery
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SASH VIRGINIA MASON INSTITUTE COLLABORATION REPORT
This report provides members with an overview of the partnership between SASH and the US medical institution’s five year programme. Minutes: Declarations of Interest: None
Witnesses: Michael Wilson, Chief Executive, Surrey and Sussex Healthcare NHS Sue Jenkins, Director of Strategy and Kaizen Promotion Office Lead
Key points raised during the discussion:
1. The Chief Executive of Surrey and Sussex Healthcare NHS introduced the report and explained that the Trust was undertaking an ambitious development programme in partnership with Virginia Mason Institute (VMI) and NHS Improvement (NHSI).
2. The Board raised questions about the management of GP referrals and how processes could be simplified. Witnesses clarified the referral process and how non-urgent referrals were dealt with. The Board was informed that administrative policies and practice were being reviewed as part of the collaborative work, and this would assist in identifying areas that could be stream-lined and improved.
3. The Board was informed that certification for those undertaking training in relation to the VMI collaboration would take eight months. It was noted that of the four members of staff that would certified, one had completed the process and two would be completing their training in May and July 2016.
4. The Board highlighted that this collaboration was something it would wish to publicise more widely, and encouraged witnesses to provide a more detailed evidence base for future updates.
Recommendations:
The Board invites witnesses to come back to this Board and update on progress. The Board recommends:
o That the report covers the improvement projects with hard data on the target improvements e.g. on referral times
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RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME
Purpose of the report: Scrutiny of Services and Budgets/ Policy Development and Review.
The Board will review its Recommendation Tracker and draft Work Programme. Additional documents: Minutes: Declarations of Interest: None
Witnesses: None
Key points raised during the discussion:
1. The Board was asked note its recommendations tracker and to review its Forward Work Programme. The Chairman highlighted the role the Board could play in working with Surrey MPs on local issues pertaining to health services.
Recommendations:
None. |
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DATE OF NEXT MEETING
The next meeting of the Board will be held at 10.30 am on 16 September 2015. Minutes: The Board noted its next meeting will be held at 10.30 am on Thursday 7 July 2016 in the Ashcombe Suite. |