Agenda and minutes
PDF 215 KBVenue: Ashcombe Suite, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions
Contact: Andy Baird, Democratic Services Officer
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APOLOGIES FOR ABSENCE AND SUBSTITUTIONS
Minutes: Apologies were received from Cllr Darryl Ratiram. |
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MINUTES OF THE PREVIOUS MEETING: 4 September 2017
To agree the minutes of the previous meeting as a true and accurate record of proceedings. 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: ·
Members are reminded that they must not participate
in any item where they have a disclosable pecuniary interest ·
As well as an interest of the Member, this includes
any interest, of which the Member is aware, that relates to the
Member’s spouse or civil partner (or any person with whom the
Member is living as a spouse or civil partner) · Members with a significant personal interest may participate in the discussion and vote on that matter unless that interest could be reasonably regarded as prejudicial. Minutes: Mr David Mansfield declared an interest in relation to item 4. Public questions had been submitted to the Adults & Health Select Committee which related to the Sexual Health and HIV Services contract and Mr Mansfield stated that he had previously worked with Central & North West London NHS Foundation Trust who were responsible for delivering sexual health and HIV services in Surrey. Mr Mansfield stated his intention to abstain from involvement in any discussions related to item 4.
Mr Bill Chapman declared an interest in relation to items 5 and 6 on the agenda. Mr Chapman advised that he was on the Board of Governors for Surrey and Borders Partnership NHS Foundation Trust but indicated that he intended to participate in discussions on these items.
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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 (3 November 2017).
2. The deadline for public questions is seven days before the meeting(2 November 2017).
3. The deadline for petitions was 14 days before the meeting, and no petitions have been received. Minutes: The Adults and Health Select Committee received a number of public questions. Questions submitted to the Committee are attached to these minutes as Annex 1.
A supplementary question was asked by Ms Sheila Boon at the meeting. The question along with a response to the Committee is attached to these minutes as Annex 2. |
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Relocation of Mental Health Wards from Epsom to Chertsey
Purpose of the report:
To update the Committee on their Recommendations following the relocation of Delius and Elgar wards (Epsom) to the Abraham Cowley Unit (Chertsey).
Additional documents: Minutes: Declarations of interest:
An interest was declared by Mr Bill Chapman as a member of the governing body of Surrey & Borders Partnership NHS Foundation Trust.
Witnesses:
Don Illman, Chairman, Surrey & North East Hampshire Independent Mental Health Network Matthew Parris, Deputy Chief Executive, Healthwatch Surrey Lorna Payne, Chief Operating Officer, Surrey and Borders Partnership Dr Justin Wilson, Chief Medical Officer, Surrey and Borders Partnership
Key points raised during the discussion:
Mr John O’Reilly and Mr Graham Ellwood arrived at the meeting 10.12am.
1. The item was introduced by officers who advised the Committee that the purpose of the report was to update Members on progress by Surrey and Borders Partnership NHS Foundation Trust against a series of recommendations which had been put forward by Surrey County Council’s Wellbeing and Health Scrutiny Board (WHSB). Members were informed that positive progress had been made against the majority of recommendations made by WHSB.
2. The WHSB had also requested that the report include an update on Missing Persons rates from the Trust and Members were informed that an overall reduction had been recorded in the number of patients absconding from mental health inpatient wards operated by SABP despite a spike in cases of patients being reported as Absent Without Leave (AWOL) during late summer/ early autumn 2017. New practices had been introduced at the Abraham Cowley Unit (ACU) which had contributed to reducing the number of patients absconding from the ward and had led to a reduction in Missing Persons rates across the Trust as a whole.
3. Discussion took place regarding the relocation of inpatient service from the Delius and Elgar wards at Epsom Hospital to the ACU at St Peter’s Hospital in Chertsey. Members inquired as to what lessons SABP had drawn from the move which could be applied to any future proposals for reconfiguring mental health inpatient services in the county. Officers stated that the Trust had learned a great deal from its experience in relocating the Delius and Elgar wards particularly around communicating with key stakeholders as well as with patients and their families on proposed changes to service provision.
4. Members highlighted the results of SABP’s patient satisfaction survey which demonstrated that Delius was the most popular ward among inpatients and inquired as to why this was. The Committee was informed that there were a range of factors that influenced patients’ views on a particular ward and so it was hard to pinpoint a specific reason as to why Delius was the most popular ward among those surveyed by the Trust. Officers did, however, highlight that the challenging environmental conditions did not prevent good practice from taking place at Delius Ward.
5. The Deputy Chief Executive of Healthwatch Surrey informed the Committee that Healthwatch, as an independent watchdog, had held 15 events in the catchment area of Delius and Elgar since April 2017 but had not heard any issues related to the handling of the transfer which supported the Trust’s assessment of the success of the transfer. ... view the full minutes text for item 22/17 |
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Developing Mental Health In Patient Services in Surrey
Purpose of report:
To provide an update to the Adults & Health Select Committee on the progress of plans to improve mental health hospital facilities.
Minutes: Declarations of interest:
An interest was declared by Mr Bill Chapman as a member of the governing body of Surrey & Borders Partnership NHS Foundation Trust.
Witnesses:
Don Illman, Chairman, Surrey & North East Hampshire Independent Mental Health Network Matthew Parris, Deputy Chief Executive, Healthwatch Surrey Lorna Payne, Chief Operating Officer, Surrey and Borders Partnership Dr Justin Wilson, Chief Medical Officer, Surrey and Borders Partnership Diane Woods, Associate Director of Mental Health Commissioning, Surrey Clinical Commissioning Group collaborative.
Key points raised during the discussion:
1. The Committee received an introduction to the report from officers who highlighted that the Trust had learned lessons from the consultation process which had taken place on the relocation of inpatient mental health services from Epsom to Chertsey and that this learning would inform future consultations undertaken by SABP regarding any future service reconfigurations. Modelling work commissioned by the Trust had demonstrated that SABP needed to build capacity in order to deliver inpatient services capable of meeting future demand. Members were informed that SABP was focussed on refurbishing its existing sites to maximise the use of resource and to ensure the continued provision of effective care in spite of the increasing demand. This included a plan to create 80 beds at the ACU which would move away from dormitories to private rooms for patients as well as introducing gendered wards.
2. More detail was provided on Phase 3 of the Trust’s plan to build capacity within its inpatients services and it was highlighted that SABP would progress its plans to provide inpatient services in the east of the county which would most likely involve refurbishing the existing West Park site but other options were being discussed which included the construction of a new facility. The Committee was informed that there would be some changes to service delivery while SABP was building capacity within its inpatient services but that plans would be clearly communicated to partners in order to minimise disruption. Planning for phases 2 and 3 would also take place concurrently to ensure a joined up approach to developing inpatient capacity across the County.
3. Further clarity was sought on the modelling which had informed the number of beds that the Trust required within its inpatient services. Witnesses from SABP stated that modelling had looked at demographic changes taking place across Surrey in conjunction with an increasing trend in people experiencing mental health problems and had concluded that more inpatient provision would be required over the coming years than had originally been anticipated.
4. Attention was drawn to the length of time that it would take for the plans to be fully realised and Members asked how the Trust intended to ensure that services would deliver for those who needed them. The Committee was told that the Farnham Road facility in Guildford had been built prior to the most recent modelling of likely demand which had been commissioned by SABP. The Trust was committed to creating inpatient provision in the east of the County which would ... view the full minutes text for item 23/17 |
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Suicide Prevention Framework
Purpose of report:
To provide assurance on the quality of the multi-agency Surrey Suicide Prevention Plan in response to the recommendation of the House of Commons Health Select Committee inquiry into suicide prevention.
Additional documents: Minutes: Declarations of interests:
None
Witnesses:
Helen Atkinson, Strategic Director of Adult Social Care & Public Health, Surrey County Council Nanu Chumber-Stanley, Public Health Development Worker, Surrey County Council Billy Hatfani, Director of Quality Improvement, Surrey & Borders Partnership Trust Helen Harrison, Public Health Consultant, Surrey County Council Don Illman, Chairman, Surrey & North East Hampshire Independent Mental Health Network Matthew Parris, Deputy CEO, Healthwatch Surrey
Key points raised during the discussion:
1. Officers introduced the report to the Committee highlighting that the number of completed suicides in Surrey was lower than the national average. The risk factors that contributed to people attempting suicide were similar to those across the rest of the country with substance misuse and mental health among the most prevalent contributory factors. Members were advised that there were a range of partners involved in Surrey’s Suicide Prevention Framework and that these organisations worked together to address the risk factors that led to people attempting suicide. The Committee was further informed that initiatives were being planned with the Coroner’s Service and the Multi-Agency Safeguarding Hub (MASH) to improve safeguarding in relation to suicides.
2. Members sought clarity on the role of data in helping agencies to identify those that may be at risk of suicide. Officers highlighted that data was an important tool but that the constraints on information sharing between public sector partners arising from the data protection act made it difficult to build an accurate picture of suicide risk particularly in relation to adults.
3. The Committee inquired as to whether SCC seeks information from other organisations which help to identify those who may be at risk. It was highlighted that the Council does receive information from organisations that work with groups considered to be high risk such as the homeless and the Lesbian, Gay, Bisexual and Transgender (LGBT) community. Members were informed that officers had links into these hard to reach groups which helped to intervene with individuals where necessary.
4. Discussion turned to the initiative that SCC had undertaken with Network Rail and Southwest Trains to reduce instances of suicide at specific train stations in Surrey. Officers stated that an inter-organisational group had been established to reduce instances of suicide at Woking Station, a location which had seen a growing number of people taking their own life in previous years. The inter-organisational group, which included a range of stakeholders, had educated those working within half a mile of the station, who someone on route to attempt suicide at Woking Train Station may come into contact with, training them to interpret or identify signs and to alert the appropriate agencies where they have concerns. Suicide prevention champions and Street Angels were also operating at Woking Station to help identify and intercept those seeking to attempt suicide. The plan was to introduce this at other train stations in Surrey which had been identified as having a high number of suicides.
5. Attention was drawn to Figure 1 within the report which demonstrated that there had been no tangible reduction ... view the full minutes text for item 24/17 |
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Purpose of report:
To provide an update on scrutiny that has been undertaken into the performance of South East Coast Ambulance Service (SECAmb) as conducted by a Regional HOSC Sub-Group.. Given the recent publication of the Care Quality Commission’s (CQC) findings following an inspection of SECAmb coupled with the release of Professor Lewis’ report into bullying and harassment at the Trust it is timely for the Select Committee to receive an update on the work of the Sub-Group.
Minutes: Declarations of interests:
None
Witnesses:
None
Key points raised during the discussion:
1. Members of the SECAmb Regional Health Overview & Scrutiny Committee Sub-Group introduced the report and addressed concerns regarding the Care Quality Commission’s (CQC) rating of SECAmb as inadequate. It was clear that there remained some ongoing challenges at the Trust but it was also evident that plans to improve the performance of SECAmb against the areas outlined by the CQC were beginning to deliver although they would take time to be fully embedded.
2. Attention turned to SECAmb’s performance against national call response time targets. The Healthwatch Surrey representative referred to three recent case studies regarding particularly long waits for ambulances which probably fell into the ‘Green Calls’ category. He asked that this be considered an area for particular scrutiny by the SECAmb HOSC Regional Sub-Group. Members discussed the Trust’s declining performance on meeting nationally mandated target on the timeframe for responding to Red 1 and Red 2 calls. It was suggested that there were systemic issues with meeting nationally mandated response times which required further scrutiny. The Committee was informed that SECAmb was on the verging of moving to new call response targets as part of the Ambulance Response Programme and it was agreed that an update would be provided to the Committee on performance against this ne framework at its meeting on 4 April 2017.
Recommendations:
The Adults and Health Select Committee:
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RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME
The Board is asked to review and approve the Forward Work Programme and Recommendations Tracker and provide comment as required. Minutes: Declarations of interests:
None
Witnesses:
None
Key points raised during the discussion:
The Chairman stated that the Terms of Reference for the Sexual Health Services Task Group formed by the Committee to consider consultation and communication on the reconfiguration of services arising from the new Sexual Health & HIV Services contract had been submitted to the Overview & Budget Scrutiny Committee for approval. In anticipation of the Terms of Reference being agreed by the Overview and Budget Scrutiny Committee, Members were asked to volunteer to be part of the Task Group. It was agreed that the following three Members would constitute the Task Group: Sinead Mooney (Task Group Chair), Nick Darby and John O’Reilly. |
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DATE OF THE NEXT MEETING
The next public meeting of the committee will be held on Thursday 25 January in the Ashcombe Suite at County Hall. Minutes: The Committee noted that its next meeting would be held on 25 January 2018. |