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Agenda and minutes

Venue: Town Hall, Moorgate Street, Rotherham S60 2TH

Contact: Dawn Mitchell  The webcast can be viewed at http://www.rotherham.public-i.tv

Items
No. Item

80.

Declarations of Interest

Minutes:

There were no Declarations of Interest made at the meeting.

81.

Questions from members of the public and the press

Minutes:

There were no members of the public and press present at the meeting.

82.

Communications

Minutes:

The Chair reminded Select Commission Members that the deadline for comments on the Rotherham Clinical Commission’s Commissioning Plan was 12th April.

 

Terri Roche, Director of Public Health, drew attention to an email Members would be receiving regarding a free conference to be held on 24th May, 2018, in Leeds organised through Minding the Gap which would discuss poverty and debt.  Places would be limited so if any Members were interested they should respond promptly.

83.

Minutes of the Previous Meetings held on 18th January 2018 and on 1st March, 2018 pdf icon PDF 107 KB

Additional documents:

Minutes:

Consideration was given to the minutes of the previous meeting of the Health Select Commission held on 18th January and the inquorate meeting held on 1st March, 2018.  Members noted that:-

 

Resolved:- (1)  That the minutes of the previous meeting, held on 18th January,  2018, be approved as a correct record.

 

(2)  That the recommendations contained within the minutes of the inquorate meeting held on 1st March, 2018, be approved.

 

Arising from Minute No. 64 (Integrated Locality Evaluation), it was noted that the final report on the evaluation of the Health Village was now available and would be circulated to Members.  The working group established to consider the final report would meet on 1st May, 2018.

 

Arising from Minute No. 65 (Adult Social Care – Outcome Framework), it was noted that future reporting of the Adult Social Care Outcome Framework would be discussed as part of the 2018/19 work programming.

84.

Urgent and Emergency Care Centre Update pdf icon PDF 532 KB

George Briggs, The Rotherham Foundation Trust, to present

Minutes:

George Briggs, The Rotherham Foundation Trust, presented the following powerpoint presentation on the Urgent and Emergency Care Centre (UECC):-

 

Background

-          The new Rotherham UECC opened in July 2017 on the Rotherham Hospital NHS Foundation Trust site

-          The new UECC provided an integrated response to urgent care for the Rotherham population – integrating the urgent and emergency care component of what was the Rotherham Walk-in Centre, the GP Out of Hours Service and the Hospital Emergency Department

-          The UECC provided one front door for all urgent and emergency care in Rotherham – it opened 24 hours a day, 7 days a week, 365 days a year

-          The aim of the UECC was that the local Rotherham population could access the right care, first time

-          It was staffed by a mixture of General Practitioners (GP), Emergency Department medical and nursing staff, Advance Nurse Practitioners, Advanced Care Practitioners and other essential non-clinical staff

-          It also co-located the Care Co-ordination Centre (CCC) and had work space to facilitate multi-disciplinary working with Mental Health Workers, Social Care Worker and ambulance staff

 

Initial Challenges

-          The original model was based on The Rotherham NHS Foundation Trust as prime provider, but working in partnership with a third party provider – Care UK.  This changed when Care UK withdrew from the working arrangements

-          Despite doing some organisational development work, merging different cultures into single integrated service provided some initial challenge

-          Clinical staffing challenges across both the Primary Care element of the Service and the Emergency Department Service

-          Transferring the GP Out of Hours Service

-          New ways of working for all teams – embedding change

-          Increase in wait times to be sent for patients

-          Communication – managing patient and public expectation

 

Where are we now?

-          The original model has been modified as the teams have developed their ways of working

-          Teams were starting to work well together – in the intended integrated way

-          Recruitment was improving – 2 new Emergency Care Consultants commenced in post in November 2017 and more GPs were joining the team

-          More Advanced Nurse Practitioners/Advance Care Practitioners had been appointed

-          The Trust had commenced a development programme to train Senior Emergency Department Doctors which would support recruitment

-          Rapid Assessment and Triage and See and Treat ways of working were starting to really become embedded

-          Quality reviews had been implemented – reviews of the patient experience and outcomes

 

How are we doing/Performance

-          The national 4 Hour Access target was that 95% of patients were seen, treated and admitted or discharged within 4 hours

-          This was not being achieved locally or nationally – the national recovery trajectory was to achieve 90% by December 2018 and return to achieving the 95% target in 2018/19.  The Trust was aiming to achieve 95% by 31st March 2018 (81% as of 11th April)

-          Rotherham was now starting to see a month-on-month improvement in performance  ...  view the full minutes text for item 84.

85.

Scrutiny Review - Drug and Alcohol Treatment and Recovery Services pdf icon PDF 107 KB

Councillor Evans, Chair, to present

Additional documents:

Minutes:

The Chair presented the main findings and recommendations from the cross-party spotlight Scrutiny Review of Drug and Alcohol Treatment and Recovery Services for Adults.

 

A spotlight review had been undertaken to ensure that the Service, which would be operating within a reduced budget, would provide a quality safe service under the new contract from April 2018.

 

The detailed overview of substance misuse in Rotherham had been received noting that the majority of Service users were male and white British.  Although numbers in Service were declining over time, there were a number of older long term drug users many of whom now had associated physical health issues.

 

The bringing together of various aspects of the Service together under a single contract, including having treatment and recovery services available in one location, may facilitate a more personalised and holistic approach to treatment and recovery.

 

The members of the Review Group were thanked for their work on the Select Commission’s behalf on this issue.

 

The Review’s eight recommendations were as follows:-

 

1.            That Public Health and Change, Grow, Live (CGL) present an overview of how the new service is progressing, including a summary of progress on the key performance indicators, to the Health Select Commission in Autumn 2018.

 

2.            That Public Health ensure robust performance management is in place for the new contract from the outset in 2018, including exception reporting and a mid-contract review (to report back to the Health Select Commission).

 

3.            That the Suicide Prevention and Self-Harm Group revisit the suicide prevention awareness raising work in Wentworth Valley in 2018-19 and roll it out more widely through sharing resources and learning, particularly in hotspot areas identified through the National Drug Treatment Monitoring Service.

 

4.            That Public Health consider strengthening the messages under Making Every Contact Count around safe alcohol consumption and where to go for help, when it is refreshed.

 

5.            That future commissioning of services by RMBC that exceed the Official Journal of the EU threshold, especially Public Health and Social Care Services, includes soft market testing with providers/potential providers in advance of going out to tender to ensure a successful process first time.

 

6.            That drug and alcohol pathways and signposting, including protocols for links to other processes such as the Vulnerable Adults Risk Management process, are reviewed by RMBC and partners in 2018, to minimise any risk of people not being able to access support.

 

7.            That in their initial assessments and reassessments with service users CGL include the additional risk factors identified from the RDaSH analysis into suicides from April 2018.

 

8.            That Public Health and CGL continue to take a proactive approach to safety concerns in the service, including incorporating any lessons learned from elsewhere and the findings of any Serious Case Reviews when published.

 

Councillor Roche, Cabinet Member for Adult Social Care and Health, expressed concern with regard to recommendation No.3.  Wentworth Valley Area Assembly had funded the good work that had been delivered.  All Members had been sent a letter regarding  ...  view the full minutes text for item 85.

86.

South Yorkshire, Derbyshire, Nottinghamshire and Wakefield Joint Health Overview and Scrutiny Committee Update

Minutes:

The Scrutiny Officer reported that the Committee had not met since the last update.

 

The report on the outcome of the Hospitals Review was due to be finalised towards the end of the month and would be submitted to the Select Commission during the new Municipal Year as well as an update on Stroke Care and Children’s Care and Anaesthesia Services.

87.

CAMHS Update pdf icon PDF 101 KB

Minutes:

The Commission noted a report that had been considered by the Health and Wellbeing Board at its meeting on 14th March, 2018.

88.

Healthwatch Rotherham - Issues

Minutes:

No issues had been raised by Healthwatch Rotherham.

89.

Health and Wellbeing Board pdf icon PDF 92 KB

Minutes of meeting held on 10th January, 2018

Minutes:

The minutes of the meeting of the Health and Wellbeing Board held on 10th January, 2018, were noted.

 

Councillor Roche, Cabinet Member for Adult Social Care and Health, reported that a meeting had been held the previous day of partners to look at the new Strategy for the Place Plan which now came under the remit of the Health and Wellbeing Board.

90.

Date of Next Meeting

Thursday, 15th June at 9.30 a.m.

Minutes:

Resolved:- That the next meeting of the Health Select Commission be held on Thursday, 14th June, 2017, commencing at 10.00 a.m.