Agenda and draft minutes

There were no Declarations of Interest made at the meeting.

The member of the press present at the meeting did not wish to ask any question at this point in the meeting.

The Chair thanked the previous Chairman, Councillor Wyatt, for his work on the Health Select Commission.

Yorkshire Ambulance Service

The Chairman reported receipt of correspondence, both written and verbal, from Unite and Yorkshire Ambulance Serviceregarding the performance of the service and industrial relations.

The Care Quality Commission was to inspect the Service in March and the Select Commission needed to decide how it would respond to the issues raised.

Leeds City Council Scrutiny Committee was to consider Yorkshire Ambulance Service at a meeting shortly and had invited Rotherham but unfortunately it clashed with the Council meeting.  Apologies for not attending would be conveyed to their Chairman and minutes of the meeting requested to help this Authority decide how to consider the Service.

Councillor Doyle, Cabinet Member for Adult Social Care and Health, reported that a performance update had been given to the Health and Wellbeing Board held the previous day.  The report was available on the intranet.  He had also had letters from Unite and had agreed to meet a representative of the union.  It had been emphasised that he could not become involved in any trade union disputes but performance issues had been raised.  Those issues had been conveyed to the Chief Executive of the Rotherham Clinical Commissioning Group asking that they be passed to the System Resilience Group.  When a response was received it would be passed to the Chairman of this Select Commission.

Joint Health and Overview Scrutiny Commission

Resolved:-  That the Chairman, Councillor Watson, (Vice-Chairman as substitute) represent the Health Select Commission on the above body.

Care Quality Commission

The Commission was to inspect Rotherham  Hospital shortly.  There was an event on 17^th February at the Holiday Inn commencing at 6:30pm for the public to share their experiences of the Hospital.

Incontinence Review

The Cabinet had accepted all 6 Review recommendations and the response would be further discussed at the Overview and Scrutiny Management Board on the 23^rd January with regard to monitoring arrangements.  A copy of the response would be circulated to Select Commission members.

Refresh of the Health and Wellbeing Strategy

The Health and Wellbeing Board would commence scoping of the new Strategy at a workshop in mid-February and, following wider engagement with stakeholders, would be aiming to have the new Strategy in place by September, 2015.

Health, Public Health and Social Care Round Up

Mental Health

The NHS mandate for 2015-16 included the introduction of access and waiting time standards in Mental Health Services by March, 2016.  50% of people experiencing a first episode of psychosis were to receive a package of care within 2 weeks of referral and 75% of those referred to improving access to Psychological Therapies Services would be treated within 6 weeks of referral and 95% within 18 weeks.

New Models

A good summary contained within around the forward view for the NHS and new models of working and delivering health care.

Healthwatch

No issues were raised.

Consideration was given to the minutes of the meeting of the Health Select Commission held on 4^th December, 2014. 

Resolved:- (1)  That the minutes of the meeting held on 4th December, 2014, be agreed as a correct record for signature by the Chairman.

Arising from Minute No. 58 (Care Home Pilot – Waste Medicine Management), it was noted that the Clinical Commissioning Group had held an event on 19^th January for voluntary and community sector groups to try and understand the reasons why patients received medicines they did not require.  The comments and experiences would help the team design a Medicines Waste Campaign for Spring 2015 and would inform their work in the area.

Arising from Minute No. 59 (Community Transformation Programme), it was noted that this item had been deferred to the March meeting.

Arising from Minute No. 62 (Chantry Bridge GP Registered Patient Service), it was noted that the information requested from NHS England had not yet been received.

Resolved:- (2)  That NHS England be contacted regarding this matter.

Arising from Minute No. 63 (Childhood Obesity Review Update), it was noted that the Cabinet had approved tenders for the supply of Weight Management Services across six lots procured by Rotherham MBC as follows:-

·                Lot 1: Children Tier 2 to be awarded to Places for People Leisure (value £170K).

·                Lot 2: Children Tier 3 to be awarded to MoreLife (£128K).

·                Lot 3: Children Tier 4 to be awarded to MoreLife (£76K).

·                Lot 4: Adult Tier 2 to be awarded to Places for People Leisure (£120K).

·                Lot 5: Adult Tier 3 to be awarded to Clifton Lane Medical Centre (Rotherham Institute for Obesity) (£300K).

·                Lot 6: Single Point of Access to be awarded to Places for People Leisure (£50K, of which 50% will be retained by the commissioner to purchase licensed software and support marketing of the new framework provision)

-        Minutes of meeting held on 3^rd December, 2014

Consideration was given to the minutes of meeting of the Health and Wellbeing Board held on 3rd December, 2014.

Resolved:-   That the minutes of the meeting be received and the contents noted.

Minutes of meeting held on 24th November, 2014

The minutes of the above meeting held on 24^th November, 2014, were noted.

Louise Barnett, Chief Executive, to present

Louise Barnett, Chief Executive, Rotherham Foundation Trust, gave a powerpoint presentation illustrating the progress made on the 5 year strategic plan as follows:-

Option 1 – the preferred Option

-          There was overwhelming support from the lead commissioner to retain locally run services for the population of Rotherham led and managed by the Trust

-          There was a significant number of potential opportunities that would be realised through closer working and collaboration with other providers without recourse to merger

Option 1 – Financial Challenge and Progress

-          Final Cost Improvement Programme for 2014/15 agreed in 5 year plan was £10.9M

-          As at 30^th November, 2014, Month 8, the Trust had delivered c£6.3M in-year against £6.1M plan

-          Year end forecast at Month 8 was £10.1M and full year effect was £12.1M

-          Month 9 on track and on target to achieve the full Cost Improvement Programme in-year of £10.9M including significant full year effect to support 2015/16

-          All schemes were approved subject to Quality Impact Assessments with sign off by the Chief Nurse and Medical Director

-          The Cost Improvement Programme for 2015/16 was currently £12.9M as stated in 2014/15 5 year plan for year 2

-          This would be refreshed in line with sector business planning requirements

-          Over performance in 2014/15 would support delivery of this requirement

-          Capital spend was slightly ahead of plan in Month 8 but was being monitored and where possible consideration was being given to advancing schemes for next year

-          Aims was to ensure a robust planned programme of capital expenditure to support Service delivery

-          Reserves were being access to support delivery of the plan for 2014/15

Progress against Key Areas

-          Clinical Speciality Reviews had been completed and the outcome would be shared with the Trust Board in January

-          Emergency Centre Business Case agreed and expected to open in 2017

-          Further work would be progressed during 2015/16 and the outer years to support the Trust’s strategic direction to be a standalone Trust with collaboration

-          Local context was compatible with national context – “Five Year Forward View” and the “Dalton Review” which supported local services and strived to achieve clinical and financial sustainability more broadly

-          Benchmarking exercise undertaken with external input

-          Identified opportunities for efficiencies compared with peer group

-          Used to inform the cost improvement and transformation programmes for 2015/15 and beyond

-          Importance of implementing Service Line Reporting and Patient Level Costing (PLiCS) to enable detailed understanding of cost base in 2015/16

Other Key Areas

-     Monitor enforcement/undertakings

Electronic Patient Record enforcement lifted

Submitted documentation regarding Board Governance enforcement

Financial enforcement remained in place

-     Board Director appointment since the last formal meeting

Simon Shepherd, Director of Finance

Chris Holt, Chief Operating Officer

Lynne Waters, Executive Director of Human Resources

Donal O’Donaghue, Interim Medical Director

-     Winter pressures

A&E performance

Support from health and social care partners

Choose Well Campaign

-     Sickness absence

-     Recruitment and retention  ...  view the full minutes text for item 78.

Tracey McErlain-Burns, Chief Nurse, to present

Tracey McErlain-Burns, Chief Nurse, gave a half yearly update on the Quality Account.

2014/15 Quality Objectives

-          Safe – Harm Free Care

·           The aim across the NHS was to get a 95% harm free care position.  The national average across all England, including hospitals those which did not necessarily provide Community Care was currently 94%.  The Trust had set itself a stretched target of 96%

·           This time last year the Trust’s position of harm free care was a little over 90%

·           In November and October the Trust had exceeded 95%

o    Safe – Mortality – Deliver a 4 point reduction in HSMR

·           It was believed that the Trust would be able to achieve the target and would be demonstrated at year end with a revision of the SHMI (Summary Hospital Level Mortality Indicator)

·           It would be a recommendation that the Priority be carried forward into 2015/16 as it was the original suggestion that it be a 3-5 years long term Strategy

Zero avoidable Pressure Ulcers Grade 204

·           Primary focus on preventing avoidable pressure ulcers particularly in those patients living in their homes within the community

·           Still some progress to make within the Community

·           94% rate in hospital

-          Reliable – Achieve all national waiting time targets

A&E

·           Quarter 3 target had not been reached (see Minute No. 78), therefore, the year end position in relation to the emergency 4 hours target could not be met

-          Caring and Reliable – Friends and Family

·           Looked to increase the net promoter score for Maternity Services, Inpatients and A&E

·           The Test had been rolled out to all Services including Outpatients, Paediatrics and GPs

·           Current focus to drive the Test and get a representative view of Services, target 75%

2015/16

-          The 2013 inpatient survey had been reviewed and would be repeated.  The 2013 results along with the Friends and Family Test and complaints had generated a number of issues which had been considered by the Quality Assurance Committee.  The Committee had recommended that the Trust look at improving the position and the number of patients whose condition acutely changed and the Trust needed to ensure that that acute change was picked up to prevent further deterioration whilst on the Wards

-          Missed or delayed diagnosis.  There was a national prerogative that the Trust ought to consider its rates of missed or delayed diagnosis.  The Trust had signed up to the National Patient Safety website and made a pledge to improve patient safety and ensuring patients did not deteriorate in its care and did not delay or misdiagnose

-          Discharge management and improving the care of patients with Dementia

-          Complaints management – both Louise and Tracey managed the process very closely and read every complaint that was received with Louise signing all the responses.  However, it was acknowledged that the process was not as effective as it could and there would be some quality improvement priorities set

Infection Control

-          MRSA – there had been no cases during 2014/15.  The  ...  view the full minutes text for item 79.

Juliette Penney, Clinical Services Manager, Children & Young People Services/Foundation Trust, to present

This item was deferred due to the report author being ill.

-       Thursday, 19th March, 2015 at 9.30 a.m.

Resolved:- That the next meeting of the Health Select Commission be held on Thursday, 19th March, 2015, commencing at 9.30 a.m.