Agenda and minutes

Adults and Health Select Committee - Thursday, 7 March 2024 10.00 am

Contact: Sally Baker, Scrutiny Officer 

Media

Items
No. Item

1/24

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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

    Additional documents:

    Minutes:

    Apologies were received from Helyn Clack (Cllr Jeremy Webster acting as substitute), Robert Evans, Angela Goodwin, David Lewis (Cllr Edward Hawkins acting as substitute) and Carla Morson.

     

    .

     

2/24

MINUTES OF THE PREVIOUS MEETINGS: 7 DECEMBER 2023 pdf icon PDF 300 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 were agreed as a true and accurate record.

     

3/24

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:

    The Chairman declared he was a community representative for NHS Frimley Foundation Trust. Edward Hawkins declared he was a Surrey County Council appointed Governor to Frimley Health.

     

4/24

QUESTIONS AND PETITIONS pdf icon PDF 126 KB

    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 (1 March 2024).

     

    2.    The deadline for public questions is seven days before the meeting(27 February 2024).

     

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

     

    Additional documents:

    Minutes:

    1.    There were three public questions and no Member questions or petitions. The responses to those questions are annexed to these minutes.

     

5/24

A NEW HOSPITAL TO REPLACE FRIMLEY PARK HOSPITAL pdf icon PDF 2 MB

    Purpose of the item: The purpose of this report is to update the committee on the recent public engagement undertaken by Frimley Health NHS Foundation Trust and the Frimley Integrated Care System (known as NHS Frimley) on the criteria to evaluate a shortlist of possible sites for a new hospital. This report serves as an update to the previous report presented to the committee by the Trust and NHS Frimley on 7 December 2023.

    Additional documents:

    Minutes:

    Witnesses:

    Emma Boswell, Director for Partnerships and Engagement

    Cain Thomas, Interim Programme Director

     

    Key points raised in the discussion:

    1. A Substitute Member asked if Frimley Health NHS Foundation Trust felt enough was being done with engagement, given the survey conducted received 3,399 responses but Frimley HealthNHS Foundation Trust had a customer base of around half a million. The Director of Partnerships and Engagement responded that there could never be enough engagement achieved but Frimley Health NHS Foundation Trust would always strive to do more. The engagement completed so far was at the beginning of the new hospital’s journey, with many lessons to learn from it and plans were in place to improve. Partners were relied on in terms of sharing information as well as using Frimley Health’s own networks.

     

    1. The Substitute Member suggested that Frimley Health NHS Foundation Trust needed to do more to make residents feel their views were important. The Substitute Member also referenced from the report that only 25% of responses from the engagement was from Frimley Health’s staff and asked what Frimley Health NHS Foundation Trust was going to do further to improve on this. The Director for Partnerships and Engagement said there were several different ways Frimley HealthNHS Foundation Trust engaged with staff, one of which was through the online survey. There were two all staff events, attended by over 600 staff members. The new hospital programme team engaged with staff through existing meetings within Frimley Health NHS Foundation Trust and in other ways. This engagement was continuing. There was an engagement plan, that would be refreshed considering the outcomes of the early engagement so far. The Interim Programme Director added that the feedback of the surveys undertaken was contributing to the selection criteria and considered when reviewing sites for the new hospital.

     

    1. A Member asked how ethnic minority groups with cultural/language barriers were being addressed in Frimley Health’s engagement. The Director for Partnerships and Engagement explained that Frimley HealthNHS Foundation Trust was committed to engaging with all sections of the community with reducing health inequalities being a core ambition. Frimley Health NHS Foundation Trust had good examples of working with local community groups, faith leaders, the voluntary sector and interpretation services to ensure ethnic minority communities could engage with Frimley Health’s work. However, this had not come through in the work. Frimley Health NHS Foundation Trust would revisit these communities to ensure elements of best practice were built on.

     

    1. The Member also asked what questions were asked in Frimley Health’s public consultation process. The Director for Partnerships and Engagement explained this would be checked and a response would be provided to the Committee.

     

    1. A Member asked Frimley Health to elaborate further on the consultation process. The Director for Partnerships and Engagement explained it was imperative for Frimley HealthNHS Foundation Trust to offer a broad range of opportunities to engage in the work and recognise the different needs of the communities. Engaging with communities, conducting face-to-face sessions, and offering access to  ...  view the full minutes text for item 5/24

6/24

JOINT HEALTH OVERVIEW AND SCRUTINY COMMITTEE (FRIMLEY PARK) pdf icon PDF 90 KB

7/24

SURREY HEARTLANDS & SURREY COUNTY COUNCIL DISCHARGE TO ASSESS REPORT pdf icon PDF 213 KB

    Purpose of the item:

    1.1 To inform Surrey County Council’s Health Select Committee of the current Discharge to Assess arrangements in Surrey and to set out challenges and work underway to enable improved outcomes for people who are being discharged from hospital.

    1.2 The Committee is asked to note the important part that Discharge to Assess plays as a contributor to resident/patient flow in discharge, as well as the commitment given to Discharge to Assess by Surrey Heartlands Integrated Care System.

     

    Additional documents:

    Minutes:

    HEALTHWATCH SURREY PRESENTATION

    Witnesses:

    Katharine Newman, Intelligence Officer Healthwatch Surrey

    Key points made during the discussion:

     

    1. Healthwatch Surrey provided a presentation on Discharge to Assess insights and reflections.

     

    1. The Chairman asked where people could find the hospital guide for carers. The Healthwatch Surrey Intelligence Officer explained that the carers’ hospital guide could be found on the Action for Carers Surrey Website, and it was practical guide on the support carers were entitled to when the person they cared for were being discharged from hospital.

     

    1. A Member raised that there did not always seem to be a continuity in communication between the hospitals and carers. The Healthwatch Surrey Intelligence Officer explained that the discharge team should be communicating with the carer and managing people’s expectations on what would be available to them.

     

    1. The Executive Director for Adults Health and Wellbeing Partnerships (AW&HP) provided the committee with Surrey-related data. Based on a survey in 2022/23, 69.5% of carers felt included in discussions on discharge, against a national average of 64%. The re-launched jointly produced Surrey Carers Strategy was prioritising carers with significant co-production work to ensure that the position would be improved.

     

    1. A Member asked if Healthwatch Surrey had received any feedback from the cloud telephony system in GP surgeries. The Healthwatch Surrey Intelligence Officer explained that where it was working it was working well but there were still some areas where people were having difficulty.

     

    Recommendations:

    1. To ensure that language used for automatic responses reflects a friendlier approach.

     

     

    SURREY HEARTLANDS & SURREY COUNTY COUNCIL DISCHARGE TO ASSESS REPORT [Item 7]

    Witnesses:

    Mark Nuti, Cabinet Member for Health, Wellbeing and Public Health

    Helen Coombes, Executive Director for Adults, Wellbeing and Health Partnerships (AW&HP)

    Paul Morgan, Head of Continuing Care

    Lorna Hart, ICS Development Director- Surrey Heartlands Health and Care Partnership

    Gareth Howells, Director of Delivery (East Surrey Place)

    Malin Farnsworth, Consultant- Surrey Downs Health & Care Partnership

    Christopher Sin Chan, Frailty Consultant- Epsom and St Helier University Hospitals NHS Trust

    Sue Tresman, Independent Carers Lead

     

    Key points raised during the discussion:

     

    1. A Member asked how Surrey Heartlands ICS had made improvements to streamlining access to care and advice for frail and elderly residents, providing more proactive and personalised care. The ICS Development Director explained that each of Surrey Heartlands ICS places had a model of care that encompassed discharge to assess, which included access to information, communication, and engagement with communities. Surrey County Council (SCC) had been forthright in bringing together information for all carers. The carers partnership forum, chaired by the Surrey Independent Carers Lead for Surrey Heartlands ICS, was bringing together carers from across Surrey Heartlands ICS and promoting their voice, and the voice of patients.

     

    1. The Director of Delivery (East Surrey Place) explained that a lot of work had been completed in the past year around Surrey and Sussex Healthcare NHS Trust’s ‘let’s get you home’ campaign. This campaign would start with providing consistent information to patients and carers on what to expect during hospital stays and after. There  ...  view the full minutes text for item 7/24

8/24

RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME pdf icon PDF 337 KB

    Purpose of the item: For the Select Committee to review the attached recommendations tracker and forward work programme, making suggestions for additions or amendments as appropriate.

    Additional documents:

    Minutes:

    Key points raised during the discussion:

     

    1.    The Chairman noted that the forward work plan was going to be revised.

     

    2.    The Committee noted the recommendations tracker and forward work programme.

     

9/24

DATE OF THE NEXT MEETING

    The next public meeting of the committee will be held on 10 May 2024 at 10:00am.

    Additional documents:

    Minutes:

    The next public meeting of the Committee will be held on Friday 10 May 2024 at 10.00am.