Issue - meetings

Minutes of the last meeting

Meeting: 28/02/2019 - Health Select Commission (Item 71)

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Minutes:

Consideration was given to the minutes of the previous meeting of the Health Select Commission held on 17th January, 2019.

 

Resolved:-  That the minutes of the previous meeting held on 17th January, 2019, be approved as a correct record.


Meeting: 17/01/2019 - Health Select Commission (Item 62)

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Minutes:

Consideration was given to the minutes of the previous meeting of the Health Select Commission held on 29th November, 2018.

 

Reference was made to Minute 51 (Minutes of the Previous Meeting) where it was noted that the Trailblazer bid for Child and Adolescent Mental Health Services was successful and more details would follow once the participating schools have been selected.

 

With regards to Minute No. 53 (Integrated Care Partnership) it was noted that there was a request for an update on the crisis arrangements for CAMHS which was outstanding.  This would be followed up.

 

It was also noted that the visit to Carnson House had been rescheduled due to it coinciding with a CQC inspection and the visit would now take place on Wednesday, 30th January, 2019 by the nominated sub-group.

 

With regards to Minute 55 (Work Programme) it was noted topics were being finalised for the workshops and spotlights reviews later in the year.  One of the issues that was discussed was around potential changes to Rotherham Community Health Centre on Greasbrough Road and this would be included as an agenda item for the next meeting.

 

Information had also been circulated regarding GP’s and GP practices and access to appointments with a reminder to feed in key lines of enquiry/issues for update on general practice.

 

Resolved:-  That the minutes of the previous meeting held on 29th November, 2018, be approved as a correct record.


Meeting: 29/11/2018 - Health Select Commission (Item 51)

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Minutes:

Consideration was given to the minutes of the previous meeting of the Health Select Commission held on 18th October, 2018.

 

Resolved:-  That the minutes of the previous meeting held on 18th October, 2018, be approved as a correct record.

 

Arising from Minute No. 40 (TRFT Quality Priorities 2019-20), it was noted that a collated response from the Select Commission had been sent to the Trust after Members had received the additional information and prioritised the long list.  Overall the 5 priorities under clinical effectiveness had been emphasised the most particularly the Dementia Unit.  The Quality Sub-Group would be able to ask further questions on the priorities when it met in January.

 

Arising from Minute No. 41 (Visit to Carnson House), it was noted that the visit was to be rescheduled as it had coincided with a CQC inspection.

 

Arising from Minute No. 42 (Child and Adolescent Mental Health Services Update), it was noted that the outcome of the Trailblazer bid was not known as yet.


Meeting: 18/10/2018 - Health Select Commission (Item 40)

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Minutes:

Consideration was given to the minutes of the previous meeting of the Health Select Commission held on 6th September, 2018.

 

Resolved:-  That the minutes of the previous meeting held on 6th September, 2018, be approved as a correct record.

 

Arising from Minute No. 30 (Update on Health Village and Implementation of Integrated Locality Working), information had been received with regard to the number of readmissions to hospital.  The pilot had achieved a number of its objectives including identifying patients at high risk of hospital admissions and using targeted interventions to reduce admissions, similarly, targeting patients on discharge to identify those at risk of readmission and offering support and interventions to reduce readmission.  The GPs Long Term Conditions meeting membership had been expanded to give a more holistic approach to patient care.  There had been no marked increase in readmissions seen and Rotherham continued to have a very strong performance on the readmission rate nationally.

 

Arising from Minute No. 30 (Locality Working):-

 

(a)  information had been received with regard to the timescales for the implementation of locality working.  The TRFT were working on refreshing the programme/project plan and had brought additional resources to do so.  Although the entire plan could not be shared at the present time as it was still a work in progress and had not been agreed by all partners, the following gave an indication of timescales:-

 

Programme

Element

Programme Delivery

 

Approvals

 

Implementation

 

Introduce Trusted Assessor Role

October-December 2018

 

January 2019

February-March 2019

 

Review MDT and Case Management Framework

 

October-December 2018

 

 

January 2019

 

February-March 2019

 

 

High Intensity Users

October-December 2018

 

January 2019

February-March 2019

 

 

Integration Plan (including co-location)

 

October-December 2018

 

January-February 2019

 

April-September 2019

 

(b)  with regard to the capturing of more qualitative data, a Friends and Family test was used for the Health Village.  A staff workshop had been held on 19th September in relation to integrated localities and had included representatives of TRFT, RMBC, VAR, GPs, Mental Health and the CCG.

 

(c)  with regard to the speed of blood tests and staffing levels in laboratories, this was not something considered within the pilot and there was no specific activity to prioritise diagnostics for those patients.  Some diagnostics such as ECG, Spirometry etc. could be processed quicker as a result of integrated working moving forward if role developments were explored but this was not a feature at the present time.

 

If delivered from GPs, the tests would be sent to Barnsley where the centralised testing facility was based from the partner laboratory.  The number of staff working in Blood Sciences just employed by Rotherham was 76.

 

Arising from Minute No. 32 (Drug and Alcohol Treatment and Recovery Services), the SY&B ICS funding could not be used to fund local plans in their entirety.  However, a share of the funding could be used to fund the following topic areas which should be present in local plans:-

 

1)     Reducing suicide and self-harm in Mental Health Services

2)     Reducing self-harm in Community and Acute Services  ...  view the full minutes text for item 40


Meeting: 06/09/2018 - Health Select Commission (Item 28)

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Minutes:

Consideration was given to the minutes of the previous meeting of the Health Select Commission held on 19th July, 2018.

 

Resolved:-  That the minutes of the previous meeting held on 19th July 2018, be approved as a correct record.

 

Arising from Minute No. 16 (62 day wait for treatment for cancer), the Trust had focussed on addressing this atypical dip in performance and at the quarterly briefing with health partners in July reported that it appeared to be back on track so far in Quarter 2.

 

Arising from Minute No. 19 (savings from Integrated Sexual Health Service), it was noted that the Chair was to provide feedback to the Overview and Scrutiny Management Board at its 12th September meeting.

 

Arising from Minute No. 20 (Adult Residential and Nursing Care Homes), all Select Commission members had been emailed the recent “Guide to Residential and Nursing Care for Older People”.

 

Arising from Minute No. 21 (Health Select Commission Draft Work Programme), it was noted that further work on co-production was taking place on the Autism Strategy so would now be submitted to the Commission later in the year.

 

It was also noted that Councillor Keenan would be a representative on RDaSH as well as YAS.


Meeting: 19/07/2018 - Health Select Commission (Item 16)

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Additional documents:

Minutes:

Consideration was given to the minutes of the previous meeting of the Health Select Commission held on 14th June, 2018.

 

Reference was made to Minute 6 (Director of Public Health Annual Report) and the recommendations; the detail of which had been followed up and information was attached at Pages 11 and 12 of the agenda pack, including the video clip link. 

 

Page 11 also made reference to Treatment 2 and the percentage of patients who were treated within 62 days.  Latest data available had been requested.

 

Minute No. 7 (Health Village Evaluation Workshop) Recommendation 2 – the issues raised by Health Select Commission for inclusion in the outcome measures had been passed to relevant officers.  A response to Health Select Commission feedback and a further report on the plans for the next phase of implementation would be submitted in September, 2018.

 

Resolved:-  That the minutes of the previous meeting held on 14th June, 2018, be approved as a correct record.