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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

69.

Declarations of Interest

Minutes:

There were no Declarations of Interest made at the meeting.

70.

Questions from members of the public and the press

Minutes:

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

71.

Minutes of the last meeting pdf icon PDF 73 KB

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.

72.

Communications

Minutes:

Information Pack

Contained within the information pack were the notes from the Quality Sub-Groups and the quarterly briefing with health partners together with a copy of the Care Quality Commission (CQC) report for CGL.  Also included was information about the Schools Mental Health Trailblazer including a map showing which schools were involved.

 

Integrated Place Plan

A response was due shortly from the Delivery Group to the questions raised in relation to the Integrated Place Plan Quarter 2 performance report that was discussed in a workshop session.

 

Performance Sub-Group

The Sub-Group had met recently and discussed final Adult Social Care Outcomes Framework (ASCOF) measures and benchmarking data.  Notes would follow but from the workshop two further items had been identified for the work programme:-

 

Carers – given their rights under the Care Act and the need to enable them to carry out their important role in helping people remain independent for as long as possible.

 

Information, Advice and Guidance – getting this right was imperative for the new approaches and what was hoped to be achieved.

 

Improving Lives Select Commission

Councillor Jarvis would supply a written report to be circulated to the Select Commission Members.

 

Carnson House

Councillor Andrews reported that the sub-group had visited the premises and had been impressed with the improvements that had been made and how the service was implemented.  There was still progress to be made in some areas but overall it was positive.  The transferred staff had settled with recruitment still taking place.  Peer mentor support was particular important and further recruitment was planned.

73.

CQC Inspection of Rotherham Hospital - Update

Minutes:

Louise Barnett, Chief Executive TRFT, and Angela Wood, Chief Nurse, gave the following powerpoint presentation:-

 

2018 Inspection Timelines

-          25th-27th September, 2018 – Core Service Inspection: Acute

-          28th September, 2018 – Use of Resources Inspection

-          16th-18th October, 2018 – Core Service Inspection – Community

-          22nd-24th October, 2018 – Well-led Inspection

 

Overall Timeframes

-          23rd-27th February, 2015 – focussed announced inspection

-          27th-30th September, 2017 – focussed follow-up inspection

-          17th July, 2018 – focussed unannounced inspection

 

Services Inspected

-          Acute

Urgent and Emergency Services

Medical Care

Maternity

Children and Young People

-          Community

Children and Young People

 

Overall Position – Breakdown of Ratings

-          1 Outstanding

-          45 Good

-          16 Requires Improvement

-          2 Inadequate

 

Headlines from Re-inspection

-          Some real positives

Our People, Digital, Multi-Disciplinary Teams

-          Some real progress

Children and Young Peoples Services

-          Some real challenges

Urgent and Emergency Services

-          Some ongoing issues

Mandatory training, risks, incidents

 

Some Examples of Positive Findings

-          Infection Control – Wards and department visibly clean

-          Sepsis – tool used, staff had access to guidance and pathway

-          Multi-Disciplinary Team Working – good throughout the Trust and work had been carried out to ensure the MDTs were aligned to prevent delays.  Quick referrals and improved pathways had led to a reduction in lengths of stay

-          Caring Staff – privacy and dignity maintained, compassionate and a real asset

-          Outliers (people being cared for in non-speciality wards) – good arrangements, daily reviews

-          National Recognition – acupin therapy (wrist band on pressure point to relieve nausea)

 

Outstanding Practice

-          Digital

Innovative use of technology

Award-winning in-house SEPIA system with real time information about patients

Support clinical and operational staff

 

Great People

-          Caring

We have some great people who really care

-          Compassionate

People showed compassion, dignity, support for patients

-          Open

People were open, honest, shared information

 

Challenges and Ongoing Issues

-          Raining concerns and escalation

-          Urgent and Emergency Services

-          Staffing

-          Medicines management

-          Safeguarding

-          Training

-          Risks

 

Progress made since Inspection

-          Staffing

-          Training and development

-          Leadership and support

-          Safety and governance

 

Summary of Must Do (47) and Should Do (27)

Service

Must Do

Should Do

Trust Level

7

3

Urgent and Emergency Care

12

10

Medical Care

11

9

Maternity

9

2

Children and Young People

4

3

Community Children and Young People

7

9

Total Overall

47

27

 

Our Aim for the Future

-          Ambitious

Strive for good and outstanding

-          Caring

For our patients and each other

-          Together

We all have a role to play

 

Further detail was provided for the Commission in relation to the principal challenges and ongoing issues identified:-

 

·           Raising concerns and escalation – review of Freedom to Speak Up Guardian role and accessibility of that role in addition to making a permanent appointment.  Looked at how staff could share information and  ...  view the full minutes text for item 73.

74.

Developing General Practice in Rotherham pdf icon PDF 214 KB

Jacqui Tuffnell, Head of Commissioning, Rotherham CCG, to present

Minutes:

Jacqui Tuffnell, Head of Commissioning, Rotherham CCG, gave the following powerpoint presentation:-

                                                                                         

National and local demand continues to rise

Year                Rotherham GP activity

2015               1,093,753 appointments

2016               1,180,601 appointments

2017               1,549,034 appointments

2018               1,604,853 appointments

 

We have

-          Now implemented 3 weekend hubs for extended access:-

Dinnington – Saturdays

Magna – Saturdays

Broom Lane – Saturday, Sunday and 6.30-8.00 p.m. Monday-Friday

-          Since October 2018 we have been providing an extra 132 hours per week (from 22 hours per week) – over 430 additional appointments

-          Utilisation is improving on average now over 60% and some weeks as high as 80% but DNAs are increasing – there are posters in all practices advertising the access hubs, patient feedback is very positive from those attending – part of winter communications

Saturdays were now at nearly 100% but there was spare capacity on Sundays yet at the UECC the busiest days were at the wekends

-          Increased the extended hours offer to meet demand on Monday-Friday

-          Implemented Nurse, Physio, Pharmacist and Healthcare Assistant appointment

-          Enabled 111 and Rotherham Hospital to be able to book directly into the hubs after triage although some patients will still choose to wait

-          Started to roll-out the Rotherham ’App’ for patients that could ultimately lead to a telephone consultation or face-to-face appointment – it will also be feasible to book directly into the extended access hubs – full cover April 2019 on a phased basis

-          Communications – practice notices, MJoG messaging, leafleting, winter campaign

-          Implementing a capacity and demand tool to help GPs manage their workload and have the right resources

-          Waverley GP service has been procured – The Gateway – delays in building commencement, however, backstop of October 2020

-          Implementing teledermatology – rollout commencing April

 

GP Patient Survey 2018

Q No.

Question

RCCG

Results

% good

National

Results

% good

Q31

Overall how would you describe your experience of your GP Practice?

84%

84%

Q1

Generally how easy is it to get through to someone at your GP practice on the phone?

71%

70%

Q2

How helpful do you find the receptionist at your GP practice?

88%

90%

Q6

How easy is it to use your practice website to look for information or access services

78%

78%

Q16

Being offered a choice of appointment

60%

62%

Q17

Satisfaction with type of appointment

73%

74%

Q22

Overall experience of making an appointment

67%

69%

Q27

Health professional recognising Mental Health needs

89%

89%

Q38

Support to manage LTC

81%

79%

Q8

Satisfaction with available appointment times

64%

66%

 

It was hoped that the responses to several of these question would improve over time with the introduction of the Rotherham App and patients having more control.  Further training with receptionists was planned.

 

The world is changing

-          NHS Long Term Plan and new GP contract

-          Primary care networks

30-50,000 population

Integrating community care

Funding additional roles

Extended access

Population health management

Joining up Urgent Care Services

Using digital technology  ...  view the full minutes text for item 74.

75.

Healthwatch Rotherham - Issues

Minutes:

No issues had been raised.

76.

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

Minutes:

It was reported that the next meeting would be held on 19th March, 2019.  The agenda papers would be shared with the Select Commission once published with the ability to raise any issues/questions to be addressed at the meeting. 

77.

Health and Wellbeing Board pdf icon PDF 116 KB

Minutes:

Consideration was to given to the minutes of the Health and Wellbeing Board held on 30th January, 2019.

 

Minute No. 41 (Developing a Rotherham Healthy Weight for All Plan):-

 

“Obesity levels are much higher in our most deprived communities: the three most deprived wards (Rotherham Ease, Rotherham West and Valley) have some of the highest rates for obese children at Reception and Year 6 - Councillor Keenan asked what input had been sought or would be sought from local Councillors embedded in those communities to look at best practice and what resources were they giving to those Councillors to challenge and work?  She knew there were individual pockets of good work going on with Rotherham United, healthy eating cafes and things like that and she would like to know where that was going.  As one of those Councillors she was concerned it had been put out there without anyone speaking to us?

 

“Explore opportunities in the work place to promote physical activity such as stair challenges, walking/running groups, moving more often during the working day (linked to Healthy Workplace Award)” - Councillor Keenan asked what opportunities have been put in place for RMBC staff?  It was all well and good having that but if we do not have opportunities at Riverside and indeed here (i.e. Town Hall) and including for the Councillors to take on board this exercise plan?

 

“Schools Meals Service provided approximately 1500 school meals and had a Food for Life Bronze award.  Work in this area would hit a cohort from the age of 4 years upwards.” – Councillor Jarvis stated some children did not pay and some did pay what amounted to quite a lot in a week. This service costs schools money as they subsidised the price with people charged less than the full price, which meant the money came out of their teaching and learning budget. So we cannot be complacent and need to see what we can do about the price of school meals as in deprived areas just because children do not qualify for free school meals does not mean it has been solved.

 

Minute No. 44 (Rotherham Suicide Prevention and Self-Harm Action Plan):-

 

“After a small decrease … Rotherham was significantly higher than England  and ranked as the second highest compared to 15 CIPFA nearest neighbour LAs” - Councillor Ellis asked would it be timely to have this back to the Commission as this was an issue the Commission had been interested in over time?

 

Janet Spurling, Scrutiny Adviser, confirmed that it was hoped to arrange a multi-agency workshop session for the Select Commission in April with all partners.

 

Resolved:-  (1)  That the minutes of the Health and Wellbeing Board held on 30th January, 2019, be noted.

 

(2)  That the issues raised above be referred to the Cabinet Member for Adult Social Care and Health and the relevant officers for responses.

78.

Date and time of next meeting

Thursday, 11th April, 2019, commencing at 10.00 a.m.

Minutes:

Resolved:-  That a further meeting be held on Thursday, 11th April, 2019, commencing at 10.00 a.m.