Agenda and minutes

To approve and sign as a correct record the minutes of the meeting held on 25^th August 2016 and to deal with any matters arising, attached.

RESOLVED: that the minutes for the Panel meeting on 25 August 2016 be approved and signed as a correct record.

The Panel considered the report of the Interim Chief Executive detailing progress being made by Southern Health NHS Foundation Trust.

Julie Dawes (interim Chief Executive Officer) and Mark Morgan (Director of Operations) from Southern Healthcare NHS Foundation Trust and John Richards (Chief Executive Officer, NHS Southampton City CCG) were in attendance and, with the consent of the Chair, addressed the meeting.

The Panel discussed a number matters and concerns including:

·  The Potential for the lifting of the Care Quality Commission (CQC) warning notice currently placed on the Trust;

o  It was reported that good progress against the targets set by the CQC had been made and that it was hoped and expected that the warning notice placed on the Trust would be lifted shortly.

·  Progress against the recommendations set out on the Mazars report;

o  It was reported that progress against these targets was largely on track and that where there had been difficulties specific actions plans had been developed and were being monitored on a weekly basis.

·  The changing nature of membership of the Board and Executive Team;

o  It was explained to the Panel that whilst there had obviously been very public changes to membership of the Board and the Executive there was a strong continuity of expertise and understanding of the Trust that would continue to drive forward the improvements required.

·  Progress against the identified weaknesses of the Board;

o  It was noted that the interim Chair of the Trust had stood down since the last Panel meeting.  It however, was reported that the Trust was on the verge of appointing a new Chair. The interim Chief Executive Officer also noted that despite the intense media pressure on the Trust there were marked improvements to the Trust overall. 

·  Performance against targets set for family involvement;

o  It was explained to the Panel that the targets for the involvement of families in investigations process involved a number of timescales that were quite tightly monitored and that whilst all investigations were being properly carried out some did not meet the deadline.  It was reported that the Trust were reviewing the processes involved in order to comply with the targets.

·  The potential future shape of the Trust;

o  It was report that the operational areas of the Trust would continue to reorganise along the lines set out by the previous Interim Chair of the Board and that this would see a reduction in the geographical size that the Trust would operate in.

·  The future of the Psychiatric Intensive Care Unit at Antelope House

o  It was reported that whilst the Trust continued to have challenges relating to the re-opening of Antelope House it was a continued aim that the facility would be re-opened in March of 2017. 

RESOLVED that the Panel would continue to review the performance of the Southern Health NHS Foundation Trust and the matter would be brought to a future meeting.

The Panel considered the report of Independent Chair of the Local Safeguarding Adults Board introducing the 2015-16 Annual Report

Fiona Bateman (independent Chair of the LSAB), Paul Juan (Acting Service Director) and Saq Yasin (Service Lead, Data Integration and Performance Management) were in attendance and, with the consent of the Chair, addressed the meeting.

It was reported to the Panel that there problems relating to quality, usefulness and accuracy of the available data.  The independent Chair explained that she had been given assurance that these problems had now been resolved and this view was re-inforced by the Acting Service Director and the Service Lead.

The Panel questioned whether, given the nature of the data, it was possible to ascertain the true position relating to the effectiveness of the Board and whether there had been any improvements in the City’s support to vulnerable adults.  The Panel expressed concern that any report would be unable to truly understand trends in performance but were informed that whilst the data was very important there were other measures and reports that this could be judged by.  It was explained that the report itself provides very strong caveats in regard to the quality of the data but sort to provide a basis on which improvements would be encouraged.  The Panel sought a greater understanding of the age break down between 18 – 64. It was explained that this data range was used nationally but, that where dates of birth were available it may be possible to refine the data.  It was noted that a great deal of effort had been put into training frontline staff to be aware of the signs of abuse or neglect in order to encourage them to report potential victims at the earliest  possible stage.  Councillors asked whether it would be possible for such training to be offered to Members.

 RESOLVED that:

(i)  the Panel noted the draft report of the Local Safeguarding Adults Board and requested that the final version be emailed to Members in due course; and

(ii)  the Panel requested that all Members should be offered the opportunity to undertake the awareness training given to staff to identify potential victims of abuse.

The Panel considered the report of the Acting Service Director - Adults, Housing and Communities detailing performance information for Adult Social Care.

Councillor Payne (Cabinet Member for Housing and Adult Social Care), Paul Juan (Acting Service Director) and Carol Binns (Associate Director, Integrated Commissioning Unit) presented this item to the Panel.  In addition Penny Turpin (local resident) was present and, with the consent of the Chair, addressed the meeting.

The Panel discussed a number of issues including:

·  Personal Health Budgets;

·  The decrease in Direct Payments;

·  The sustainability of Adult Social Care services in the City;

·  The transformation of the service and the development of an Adult Social Care Plan that will build on the development of the Sustainability and Transformation Plan and the Better Care Plan; and 

·  Delayed transfers of care from Hospitals.

RESOLVED that

(i)  that the latest figures relating to delayed transfer of care be circulated to the Panel by email;

(ii)  the Panel would look to review the current issues and performance relating to delayed discharge at a future meeting; and

(iii)  the metrics used within the future strategies need to be fully reflective of the Services ambitions and meaningful.