Agenda and minutes
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Contact: Andrew Spragg
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APOLOGIES FOR ABSENCE AND SUBSTITUTIONS
Minutes: Apologies were received from Ben Carsco and Graham Ellwood. Barabra Thomson acted as a substitute for Ben Carsco. |
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MINUTES OF THE PREVIOUS MEETING: 3 May 2016
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 received. |
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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 (1 July 2016). 2. The deadline for public questions is seven days before the meeting (30 June 2016). 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 thanked the three representatives from the Boroughs and Districts that had been required to withdraw. A copy of this report is included as an annex to these minutes. |
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SOUTH EAST COAST AMBULANCE SERVICE UPDATE
Purpose of the report:
This briefing note is to update Board members with recent information as to South East Coast Ambulance Service’s (SECAmb’s) performance, outline the findings of the recent CQC inspection and the Trust’s plan to address the issues raised. Alongside this a further update is provided as to the risks associated with patient handover delays at acute hospitals. Minutes: Declarations of interest: None.
Witnesses: Jon Amos, Acting Director of Commissioning, South East Coast Ambulance Trust
Key points raised during the discussion:
1. The Acting Director of Commissioning began the item by giving the Board a brief introduction. It was noted that Geraint Davieshad given his apologies for the meeting. The Board was informed that a further response would be published following the Care Quality Commission (CQC) report and that improvement actions in response to the report recommendations were ongoing.
2. The Acting Director of Commissioning spoke of challenges around commissioning and the strains of finances and resources. The Board was then informed of challenges that the South East Coast Ambulance Service (SECAmb) faced. It was highlighted that activity had risen by 6-7% while funding had only been increased by 2%.
3. The Acting Director of Commissioning reassured the Board that SECAmb were very aware and honest with the challenges they faced. It was highlighted that there had been significant changes in leadership, and that the Trust were working more closely with commissioners and NHS England through a Strategic Partnership Board in order to combat previous challenges. It was confirmed that the actions plans would be in the public domain.
4. The Acting Director of Commissioning stated that the Trust’s improvement plan addressed many problems that would improve the service, it was highlighted that these were not quick fixes. It was confirmed that SECAmb would work closely with the Strategic Partnership Group and would share reports with the Wellbeing and Health Scrutiny Board.
5. The Board asked if SECAmb intended to improve how complaints were dealt with, and if they are aware of what the public were saying. It was explained that SECAmb was redeveloping the complaints process.
6. The Board discussed staff bullying as highlighted in the CQC inspection, and the increased expectation of staff in the service to report same. The Acting Director of Commissioning informed the Board that new training was being undertaken to encourage greater challenge of behaviours amongst staff. It was also highlighted that a HR advisor had been appointed to the Trust’s board, in order to ensure that there was collective learning from bullying and harassment issues.
7. The Board discussed how data could be presented by the Trust to improve understanding and relay specific and relevant information. The Board asked why quarterly Quality Review meetings had been stopped as it allowed the Board to feedback on issues and concerns. It was explained that the Acting Director of Commissioning was not aware of this and would look into getting it reinstated.
8. The Board raised a question on the number of new ambulances and trained paramedics and other ground staff. The Board was informed that paramedics were challenging to recruit. It was outlined that SECAmb was planning on recruiting 200 extra paramedics over 2016. The Board was also informed that a lease had been granted to recruit from abroad.
9. The Board queried what was being done to identify good ... view the full minutes text for item 36/16 |
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24/7 ASSESSMENT AND TREATMENT REVIEW SECOND MENTAL HEALTH HOSPITAL
Purpose of the report: Consultation on substantial developments
To update the Committee on Surrey and Borders Partnership Foundation NHS Trust’s public engagement and consultation to develop plans for a second mental health hospital in Surrey. Minutes: Declarations of interest: None.
Witnesses: Justin Wilson, Medical Co-Director, Surrey and Partnership Foundation NHS Trust
Key points raised during the discussion:
1. The Medical Co-Director introduced the item and informed the Board. It was outlined that the number of hospital beds required to treat mental health patients had reduced since 2008, as many were been treated at home. This had led to a review of the decision made in 2008, with the consultation focussed on proposals to develop a second hospital. The Board was informed that there a set of options being considered, including a new site in Redhill; a new build at the Cowley unit in Chertsey; or a redevelopment at Epsom general.
2. It was outlined that the aim for the second hospital was to improve the consistency of care by consolidating resources and creating a centre of excellence in the east of Surrey. Workshops were being held to consult the public on the proposals over the summer. The Board was informed that further consultation could be a requirement once a final preferred option was identified. The Board queried how the proposals would be funded. It was confirmed that a disposal of assets by the Trust would contribute towards funding.
3. The Board asked if the police were currently involved in stakeholder meetings as some mental health patients were detained in police cells under Section 136 of the Mental Health Act. The Medical Co-Director highlighted to the Board that there had been a big change in the Section 136 assessment, and that partners had been working very closely with the police to reduce the number of mental health patients detained in cells during assessment. The role of the Crisis Concordant in supporting this work was noted.
4. The Board asked for information on the security of mental health wards and how confident witnesses were that patents and staff were kept safe. It was outlined that a number of improvements had been made to the two working age adults wards at Epsom hospital, and that changes had been made to procedures in order to managing the risk of absconding. It was highlighted that security was one of the reasons why they hope to build a new state of the art mental health hospital as this would be greatly improved.
5. The Board was informed that dementia did relate to mental health, but was treated differently as specialist dementia beds were needed. It was highlighted that most dementia patients would be based at home rather than at a specialist mental health provision. The Board was informed that the Trust worked with commissioners and providers to ensure that those with mental health needs were also supported in care home environments.
6. A discussion was had around the difficulty of retaining staff in Surrey and the factors that cause this. It was confirmed that workforce location was a factor in the proposals under consideration. A point was raised around geographical issues and how many people were choosing to commute into London.
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INTERNAL AUDIT: HIV SERVICE 2015/16
Purpose of the report: Scrutiny of Services
To review the summary of audit findings and Management Action Plan produced as a result of an internal audit review of the HIV Service 2015/16 Additional documents: Minutes: The meeting adjourned from 12:00pm – 12:10pm
Tim Hall left the meeting at 12:00pm
Declarations of interest: None.
Witnesses: David John, Audit Performance Manager Helen Atkinson, Strategic Director for Adult Social Care and Public Health Liz Uliasz, Deputy Director of Adult Social Care Lisa Andrews, Senior Public Health Lead
Key points raised during the discussion:
1. Officers introduced the item and informed the Board that the audit was conducted at the beginning of the 2015/16 financial year. Publication of the audit report was deferred with the agreement of the Adult Social Care Services during a period of financial negotiations with the Clinical Commissioning Groups (CCGs). It was highlighted that progress had been made against the action plan since it was published in April 2016, and that joint commissioning arrangements were in place in an effort to align the HIV services delivered by the Council with other sexual health services.
2. The Board raised a question regarding the planned 25% reduction to the Public Health budget, and how the service intended to reduce costs to match this. Officers informed the Board that it is not yet decided how these reductions will be implemented, but that work was underway with providers to identify ways of being more efficient with funding. It was highlighted that a re-tendering exercise was to be undertaken in relation to advocacy services for those diagnosed with HIV, and that this would also impact on how services were supported and delivered.
3. The Board raised a number of questions related to HIV clinical services and expressed an interest in scheduling a future item clarifying how these services were commissioned and budgeted.
4. The Board asked about preventative work and how services were commissioned for those in high risk categories, such as those with substance misuse issues. It was noted that there were a range of preventative services commissioned and that this was a primary focus of Public Health’s work in this area.
Recommendations:
· That Internal Audit share the findings of its follow-up audit with the Board
· That officers meet with the Chairman to outline how changes in sexual health service provision and re-tendering of advocacy services will impact on residents and carers
· That the Board receives a future report on HIV clinical services
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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 work programme. Additional documents: Minutes: Declarations of interest: None.
Witnesses: None.
Key points raised during the discussion:
1. The Board were asked to note its recommendations tracker and to review its forward work programme. The Chairman highlighted that a number of outstanding recommendations would result in items being added to the forward work program and that he would discuss with officers as to manage this.
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 next meeting of the Board will be held at 10:30am on 14 September 2016. |