Councillors and committees

Agenda and minutes

Contact: Omid Nouri, Scrutiny Officer 

Media

Items
No. Item

9/23

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

    Purpose of the item: To report any apologies for absence and substitutions.

    Additional documents:

    Minutes:

    Apologies were received from Neil Houston and Angela Goodwin. David Lewis attended remotely.

     

     

10/23

MINUTES OF THE PREVIOUS MEETINGS: 16 FEBRUARY 2023 pdf icon PDF 283 KB

    Purpose of the item: To agree the minutes of the previous meeting of the Adults and Health Select Committee as a true and accurate record of proceedings.

    Additional documents:

    Minutes:

    The minutes of the Adults and Health Select Committee held on 16 February 2023 were formally agreed as a true and accurate record of the meetings.

     

11/23

DECLARATIONS OF INTEREST

    Purpose of the item: 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.

    Additional documents:

    Minutes:

    None received.

12/23

QUESTIONS AND PETITIONS

    Purpose of the item: To receive any questions or petitions.

    NOTES:

    1.    The deadline for Members’ questions is 12:00pm four working days before the meeting (5 April 2023).

     

    2.    The deadline for public questions is seven days before the meeting(6 April 2023).

     

    3.    The deadline for petitions was 14 days before the meeting, and no petitions have been received.

    Additional documents:

    Minutes:

    None received.

13/23

ACCESS TO GPs

    • Share this item

    Purpose of the item: For the Select Committee to receive updates from Surrey Heartlands Integrated Care System and Frimley Integrated Care System.

    Additional documents:

    Minutes:

    Witnesses:

    Mark Nuti – Cabinet Member for Adults and Health

    Liz Uliasz - Chief Operating Officer, Adult Social Care

    Nikki Mallinder – Director of Primary Care, Surrey Heartlands

    Pramit Patel – Primary Care Clinical Leader, Surrey Heartlands

    Katrina Watson - The Associate Director for Primary Care and Primary Care Network (PCN) Development for Surrey Heath, Frimley

     

    Key points raised during the discussion:

     

    1.    The Vice Chairman asked if plans existed to enable GP surgeries to return calls during times suitable for patients, particularly given that some patients may be working full-time, on zero hours contracts or caring for someone. The Primary Care Clinical Leader, Surrey Heartlands explained that work to manage the demand of unscheduled inbound calls was progressing, communication with patients was required to advise when they would receive a response as the urgency of need was dependant on the clinical query in question. Outbound planned appointment calls would continue in the same way as face to face appointment requests.

     

    2.    The Vice Chairman queried what provision was in place for weekend calls. The Primary Care Clinical Leader, Surrey Heartlands confirmed that extended access for routine appointments was available outside of the general practice contracted hours of 8.00am until 6.30pm, Monday to Friday adding that out of hours calls backs had been subcontracted to 111 resulting in urgent need callers receiving a call back from the out of hours provider following their initial call to 111.  

     

    3.    The Chairman said that despite the report noting that 98 per cent of practices had moved to the new telephony system, barriers remained for some when contacting practices by telephone and queried how could be addressed. The Director of Primary Care, Surrey Heartlands said that whilst 98 per cent of practices in Surrey Heartlands had moved to the new increased functionality cloud based telephony system, providing the system alone was not enough and in partnership with Redmoor Health, a change programme was being rolled out to help each of the 104 practices to determine a set of standards for patients to address those that still faced barriers.  

     

    4.    The Chairman asked if training packages had been purchased with the new telephony systems and queried who had been trained and how. The Director of Primary Care, Surrey Heartlands explained that telephony systems purchased by each practice were sourced from an NHS England procurement framework with each provider required to confirm a required set of purchase standards. Training differed between providers and Redmoor Health had been contracted regionally to provide any required additional learning.

     

    5.    The Chairman asked if the basic training on any new telephony system was provided by the technology provider. The Primary Care Clinical Leader, Surrey Heartlands confirmed that a basic hardware support package was provided by the technology provider and there was confidence that the technology procured across 98 per cent of practices could now achieve the expectations within the development toolkit.

     

    6.    The Chairman said that the paper did not reflect the experiences of people that had not been  ...  view the full minutes text for item 13/23

14/23

GP ACCESS pdf icon PDF 2 MB

    • Share this item

    Additional documents:

15/23

SURREY HEARTLANDS INTEGRATED CARE SYSTEM - PATIENT EXPERIENCE pdf icon PDF 1 MB

16/23

CANCER AND ELECTIVE CARE BACKLOGS

    Purpose of the item: For the Select Committee to receive an update from Surrey Heartlands Integrated Care System and Frimley Integrated Care System.

    Additional documents:

    Minutes:

    Witnesses:

    Mark Nuti – Cabinet Member for Adults and Health

    Professor Andy Rhodes – Joint Chief Medical Officer Surrey Heartlands

    Louise Stead – CEO Royal Surrey NHS Foundation Trust and Chair of the Surrey & Sussex Cancer Alliance

    Helen Coe – Director of Operations & Recovery, Surrey Heartlands

    Jo Hunter – Director of Planned Care, Surrey Heartlands

    Nicola Beech – Programme Director, Surrey & Sussex Cancer Alliance

    Orlagh Flynn – Integrated Care System Programme Director Elective Care, Frimley

    Liz Howells – Director of System Planned Care, Frimley

     

    Key points raised during the discussion:

     

    1.    The Chairman asked how the current strikes would impact the backlogs. The Joint Chief Medical Officer Surrey Heartlands said that some assessments and surgery scheduled had been postponed because of the strike action. The Chairman asked if cancellations figures as a result of the strikes were available. The Director of System Planned Care, Frimley advised that 2,700 patients had had their appointments cancelled for the four day strike period and patients had been offered new appointments at the time of cancellation.

     

    2.    The Chairman asked for further information to be brought back to the Adults and Health Select Committee in a few months’ time to include how long patients had waited for their appointment before they were cancelled and how long the subsequent wait for their new appointment would be in addition to the physical and mental impact of this. Action - Director of System Planned Care, Frimley/ CEO Royal Surrey NHS Foundation Trust and Chair of the Surrey & Sussex Cancer Alliance

     

    3.    A Member asked how the imperative to reduce backlogs whilst ensuring that patients receive the most focused and effective care possible was balanced. The Director of Operations & Recovery, Surrey Heartlands said that the focus was to clear patients with the highest clinical priority in addition to considering innovation in treating patients differently such as fit tests and self-care initiatives. The Programme Director, Surrey & Sussex Cancer Alliance said that patient on the cancer pathway was monitored and reviewed frequently to ensure the next action was in place following clinical validation undertaken to conversations with patients and if required, patients being treated more urgently as a result.

     

    4.    A Member asked for further information about the aforementioned self-care initiative. The Director of Planned Care, Surrey Heartlands explained that this involved regular contact with patients in addition to providing them with diabetic home tests, blood pressure and ECG monitors with access to digital platforms to upload results. This enabled patients to take responsibility for their own care and provided a way for clinicians to monitor from a distance. The Member asked for further statistics about patients accessing self-care and fit tests. The Director of Planned Care, Surrey Heartlands undertook to investigate methods of reporting these figures back to the Committee. Action - Director of Planned Care, Surrey Heartlands

     

    5.    A Member asked how extensive was the use of teledermatology and had the process helped to relieve pressure in skin cancer diagnosis and treatment. The Director of System Planned  ...  view the full minutes text for item 16/23

17/23

FRIMLEY HEALTH AND CARE INTEGRATED CARE SYSTEM (ICS) CANCER AND ELECTIVE ARE BACKLOGS pdf icon PDF 781 KB

    • Share this item

    Additional documents:

18/23

SURREY HEARTLANDS CANCER AND ELECTIVE CARE BACKLOGS pdf icon PDF 868 KB

    • Share this item

    Additional documents:

19/23

UPDATE ON PROGRESS AND EFFECTIVENESS OF COMMUNITY MENTAL HEALTH TRANSFORMATION FOR ADULTS & OLDER ADULTS pdf icon PDF 2 MB

    • Share this item

    Purpose of the item: To provide the Adults and Health Select Committee with an update on progress and effectiveness of community mental health transformation for adults and older adults with significant mental health needs across Surrey Heartlands ICS and part of Frimley Health and Care ICS (Surrey Heath and Farnham)

    Additional documents:

    Minutes:

    Witnesses:

    Mark Nuti - Cabinet Member for Adults and Health

    Liz Uliasz - Chief Operating Officer, Adult Social Care

    Andy Erskine – Deputy Chief Operating Officer, Surrey and Borders Partnership (SABP) NHS Foundation Trust

    Georgina Foulds – Associate Director for Primary and Community Transformation, Surrey Heartlands

    AneSosan – Community Mental Health Transformation Programme Manager

    Colette Lane - Lived Experience Development Lead

    Laura Parrington-Neads - Senior Recovery Coach, Managing Emotions Programme

    Damien Taylor – Community Transformation Lead for Older Adults

    Patrick Wolter – CEO, Mary Francis Trust

    Christine Gee – Reaching Out Operational Manager, Surrey and Borders Partnership (SABP) NHS Foundation Trust

    Hina Ashraf – Health Project Lead, Surrey Minority Ethnic Forum

     

    Key points raised during the discussion:

     

    1.    The Chairman asked what was the impact of the annual allocation of transformation funding on page 184, Item 11, Table 1 and said that an explanation for each box in the table was required for better understanding. A further discussion took take place regarding sustainable funding for the third sector and The Deputy Chief Operating Officer, SABP committed to come back to the Committee following further considerations of the changes in funding indicated in the table. Action. Deputy Chief Operating Officer, SABP/ CEO, Mary Francis Trust

     

    2.    A Member, in noting the need required to transform and modernise the traditional service model referenced in paragraph 8, pages 182-183 asked what were the pitfalls of the traditional service and how could the new model overcome them. The Associate Director for Primary and Community Transformation, Surrey Heartlands explained that fragmentation had occurred with the introduction of new services and focus was required to ensure that the wide range of services work together across primary and secondary care. The Community Transformation Lead for Older Adults said that from an older adults perspective, the focus was to ensure that there was a wraparound service to provide support at the right time, in turn identifying those that need support earlier.

     

    3.    A Member asked if the cost-of-living crisis had increased poor mental health and in addition to signposting, what steps were being taken to improve mental health for residents struggling with their mental health. The Deputy Chief Operating Officer, SABP confirmed that the cost of living crisis had resulted in an increased and sustained demand at every level. The community transformation work had resulted in more people being seen more quickly. The Associate Director for Primary and Community Transformation, Surrey Heartlands said that since the transformation programme had launched, highly specialised clinicians were in place in addition to partners from social care and the voluntary sector working together to intervene earlier and address increasing need more efficiently.

     

    4.    A Member questioned what was involved with the Managing Emotions Programme carers course referenced in paragraph 30, page 194, how was its effectiveness measured and what had the uptake been to date. The Senior Recovery Coach, Managing Emotions Programmeexplained that the course which began in April 2021 had been aimed at carers for those  ...  view the full minutes text for item 19/23

20/23

RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME pdf icon PDF 24 KB

21/23

DATE OF THE NEXT MEETING: 15 JUNE 2023

    The next public meeting of the committee will be held on 15 June 2023 at 10:00am.

    Additional documents:

    Minutes:

    The Committee noted its next meeting would be held on 15 June 2023..