Agenda and draft minutes
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Contact: Andrew Spragg
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APOLOGIES FOR ABSENCE AND SUBSTITUTIONS
Minutes: Apologies were received from Peter Hickman and Chris Pitt. There were no substitutions. |
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MINUTES OF THE PREVIOUS MEETING: 17 FEBRUARY 2017
To agree the minutes as a true record of the meeting. Minutes: The minutes were agreed as an accurate record of the meeting.
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DECLARATIONS OF INTEREST
All Members present are required to declare, at this point in the meeting or as soon as possible thereafter (i) Any disclosable pecuniary interests and / or (ii) Other interests arising under the Code of Conduct in respect of any item(s) of business being considered at this meeting NOTES:
Minutes: There were no declarations of interests made. |
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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 (Tuesday7 March 2017). 2. The deadline for public questions is seven days before the meeting (Monday 6 March 2017). 3. The deadline for petitions was 14 days before the meeting, and no petitions have been received. Minutes: There were no questions or petitions submitted to the Board. |
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RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME
The Scrutiny Board is asked to monitor progress on the implementation of recommendations from previous meetings. This is the last Wellbeing and Health Scrutiny Board meeting of the council year. Following the election, the Board will agree a Forward Work Programme for 2017/18. Additional documents: Minutes: The Board reviewed the recommendations tracker. There were no comments.
The Chairman informed the Board that item 7 on the agenda, sexual health integrated services, had been deferred at the request of the Strategic Director for Adult Social Care & Public Health due to sensitive ongoing contract negotiations. The Chairman assured the Board that Members would be informed of the outcomes upon completion of the negotiations, and that the item would be placed on the forward work programme for scrutiny by the Board post election. The Chairman stated that despite the uncertainty surrounding the contract, service provision would be in place from 1 April 2017 in line with the original mobilisation date of the new contract.
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A&E WINTER PRESSURES
Following the high level of demand on NHS A&E units across the country and its effect on performance, the Board requested a response from each of the county’s acute hospital trusts regarding their performance against the winter pressures.
Additional documents: Minutes: Declarations of interest:
None
Witnesses:
Daniel Elkeles, Chief Executive, Epsom & St Helier University Hospitals NHS Trust Caroline Landon, Chief Operating Officer, Epsom & St Helier University Hospitals NHS Trust Jim Davey, Director of Service Development, Surrey & Sussex Healthcare NHS Trust Giles Mahoney, Director of Strategy & Partnerships, Royal Surrey County Hospital NHS Foundation Trust Dr Jonathan Robin, Divisional Director for Acute Medicine & Emergency Services, Ashford & St Peter’s Hospitals NHS Foundation Trust Karen Thorburn, Director of System Redesign, North West Surrey CCG. Kate Scribbens, Chief Executive, Healthwatch Surrey.
Key points raised during the discussion:
1. The Chairman began by informing Members and witnesses that two additional documents had been prepared by officers; a comparison of 2015/16 and 2016/17 Quarter 3 (October-December) A&E data by Trust and a tabular comparison of Trust responses to the letter sent by the Chairman in January 2017. These documents are attached to these minutes at annex 1. The Chairman invited each Trust to speak of their performance over the winter period. A response from Frimley Health is attached at annex 2.
Ashford & St Peter’s Hospitals NHS Foundation Trust
2. The Director of System Redesign at North West Surrey CCG explained that she was the Chair of the Local A&E Delivery Board (LAEDB) and that its purpose was to work with all system partners in order to own their performance and hold partners to account to deliver the 4-hour standard and a resilient system. It was explained that North West Surrey system partners, including Ashford and St Peter’s Hospitals NHS Foundation Trust (ASPH), had analysed performance from the previous two winters and developed a planning and preparation process with a prepared escalation procedure. Alongside a live data system, desktop planning exercises were used to test resilience and support early discharge.
3. Members were informed that the data presented in the Q3 document for ASPH was not accurate as it was data for St Peter’s Hospital only and not the combined data for the Trust. The Director of System Redesign informed the Board that the Trust’s Q3 4-hour standard result was 90.7%, an improvement on the previous years’ result despite increased demand and attendance.
4. The Board was informed that ASPH saw an additional 9 ambulance attendances per day over the Christmas period compared to 2015/16. The LAEDB was currently preparing for the anticipated surges of demand experienced over the Easter period. Members noted that the CCG had invested in additional GP cover and a weekend X-ray service at community hospitals. The witness also explained that patient flow had been sustained through additional funding to provide Adult Social Care packages via Alpenbest to support discharges over the Christmas period.
5. The Director of Acute Medicine explained that the Trust had declared Opel 3, signifying major pressures which were compromising patient flow, twice since January 2017 however the system response to this escalation on both occasions had demonstrated sound resilience.
6. Members enquired whether the 4-hour standard was for a patient to be triaged or for ... view the full minutes text for item 16/17 |
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INTEGRATED SEXUAL HEALTH SERVICES
The Board has requested an update on the mobilisation of the integrated sexual health services contract from 1 April 2017 Additional documents: Minutes: The Chairman informed the Board that this item had been deferred at the request of the Strategic Director for Adult Social Care & Public Health due to sensitive ongoing contract negotiations. The Chairman assured the Board that Members would be informed of the outcomes upon completion of the negotiations, and that the item would be placed on the forward work programme for scrutiny by the Board post-election. The Chairman stated that despite the uncertainty surrounding the contract, service provision would be in place from 1 April 2017 in line with the original mobilisation date of the new contract.
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