Items
No. |
Item |
11. |
Election of Chair
To appoint a Chair to the Health Overview and
Scrutiny Panel.
Minutes:
RESOLVED that Councillor
Stevens be elected Chair for the 2013-14 municipal year.
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12. |
Apologies and Changes in Membership (if any)
To note any changes
in membership of the Panel made in accordance with Council
Procedure Rule 4.3.
Minutes:
The Panel noted apologies from Councillors
Claisse and Chaloner and that Councillor Stevens and Councillor
Laming replaced Councillors Jeffery and Lewzey respectively, as members of the Panel in
accordance with Procedure Rule 4.3
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13. |
Statement from the Chair
Minutes:
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14. |
Minutes of the Previous Meeting (including matters arising) PDF 52 KB
To approve and sign as a correct record the
minutes of the meeting held on 23rd May 2013 and to deal
with any matters arising, attached.
Minutes:
RESOLVED that :-
- the minutes of the meeting held on
23rd May 2013 be signed as a correct record (Copy of the
minutes circulated with the agenda and appended to the signed
minutes); and
- the following comments/requests from
Southampton Keep our NHS Public Group (SKONP) were agreed:-
- Page 1 – second bullet point
– that officers follow up with the previous Chair to
investigate whether he had agreed to write to the three Southampton
MP’s expressing the
Council’s concern with the revised National Health Service
(Procurement, Patient Choice and Competition) (No 2) Regulations
2013.
- Page 3 – Item 7 –
Southampton Clinical Commissioning Group (CCG)
: Annual Plan and Priorities 2013/14 – 4th
bullet point – that the Southampton CCG would provide a list
of contracts awarded to every other HOSP meeting.
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15. |
Care Quality Commission - A New Start: Consultation on the Way CQC Regulates, Inspects and Monitors Care PDF 54 KB
Report of Head of
Communities, Improvement and Partnerships seeking comments and
detailing principles for inspection of all care services and
monitoring of acute NHS Trusts, attached.
Additional documents:
Minutes:
The Panel received and noted the report of the
Head of Communities, Improvement and Partnerships detailing the
principles for inspection of all care services and monitoring of
acute NHS Trusts.
Alex Whitfield,
Chief Operating Officer, Solent and Rob Kurn, Healthwatch
provided the Panel with further information. (Copy of report circulated with the agenda and
appended to the signed minutes).
The following was noted:-
- that the deadline for consultation
comments was Monday 12th August 2013;
- CQC inspections - that existing CQC
staff would be utilised and would be directed towards their actual
expertise rather than general inspections; in addition quality risk profiles would be
produced which would enable any emerging concerns to be
highlighted;
- that CQC visits would be unannounced
which would prevent service disruptions prior to an announced
visit;
- that holding a 3-way meeting with
HOSP, Healthwatch and the Health and
Wellbeing Board would be investigated;
and
- integration of social care with home
health care and the quality of communication between hospitals,
patients and the community were core issues;
RESOLVED:-
- that the principles underlying how
the CQC proposed to inspect services, regulate care services and
specifically how it intended to monitor and judge acute NHS trusts
be noted; and
- that any
feedback from the consultation be reported to Healthwatch.
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16. |
Patients First and Foremost: The Initial Government Response to the Mid Staffordshire NHS Foundation Trust Public Inquiry PDF 75 KB
Report of the Chair, Southampton City Clinical
Commissioning Group, detailing the Government’s response to
the report by the Mid Staffordshire NHS Foundation Trust Public
Inquiry and the Francis Report, attached.
Minutes:
The Panel considered the report of the Chair,
Southampton City Clinical Commissioning Group detailing the
Government’s response to the report by Mid Staffordshire NHS
Foundation Trust Public Inquiry, the Francis Report and the work going on
locally to respond to the challenges of the Francis
Report. (Copy of report circulated with
the agenda and appended to the signed minutes).
The following was noted:-
- The Government response set out
a 5-point action plan :
Ø
Preventing problems
Ø
Detecting problems quickly
Ø
Tackling action promptly
Ø
Ensuring robust accountability
Ø
Ensuring staff were trained and motivated.
- the importance of a change in
culture which focused on patients’ care needs and not on the
organisation’s business and finance;
- the importance of acknowledging
potential problems as this was vital information for
improvement;
- there needed to be a balance between
a “no blame culture” and accountability with the prime
consideration being the patient’s safety at all times;
- that the CCG had their own internal
quality department which scrutinised systems being set up, visited
hospitals and monitored reports;
- that the HOSP should adopt a more
forensic approach to scrutinising quality accounts from the various
health providers and the following indicators, which all should be
publically accessible in board papers, would provide information on
the organisation’s culture :-
Ø
staff and patient surveys;
Ø
board papers and agendas to detect whether quality of care and
service as opposed to finances was being highlighted;
Ø
HR and whistle blowing policies – constraints on duty of
disclosure; and
Ø
reporting of complaints and serious
incidents or lack of.
RESOLVED
- that the issues highlighted in the
“Initial Government Response to the Report of the Mid
Staffordshire NHS Foundation Trust Public Inquiry” and the
work being undertaken locally within the NHS and partner
organisations to respond to the challenges of the Francis Report be
noted ; and
- that a
more forensic approach to scrutinising quality accounts be
investigated as detailed in bullet point 6 above.
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17. |
Healthwatch Southampton PDF 42 KB
Report of the Commissioner for Supporting
People and Adult Care Services, detailing the contract, functions
and role of Healthwatch, Southampton,
attached.
Additional documents:
Minutes:
The Panel considered the report of the
Commissioner for Supporting People and Adult Care Services and
received a presentation from Rob Kurn,
Healthwatch Manager, detailing the
contract, functions and role of Healthwatch Southampton. (Copy of report circulated with
the agenda and appended to the signed minutes).
The following was noted:-
- the Healthwatch contract had been awarded on 1 July
2013 and was a 3-year contract;
- the Voluntary Community Sector would
be heavily involved in the delivery of Healthwatch functions;
- a Healthwatch Strategic Group would set the strategic
direction and operational priorities and the process would be
overseen by an independent nominations committee;
- development and delivery of
Healthwatch Southampton would be
conducted over two phases – 1st phase - July
– September and 2nd phase - October –
December; and
- in order
for Healthwatch to be effective, joint
working with partners was essential.
RESOLVED
- that the
commencement of the Healthwatch
contract and the functions and role of Healthwatch Southampton be noted; and
- to note that:-
- protocol between HOSP, the Health
and Wellbeing Board and Healthwatch was
in the process of being drafted and it was important that
discussions were held to establish the relationships between the 3
bodies and ensure that their respective roles did not overlap or
were duplicated;
- there was a standing invitation for
a Healthwatch representative to attend
HOSP meetings; however the
representative had no voting rights;
and
- Healthwatch would be responsible for reporting
health issues and information for HOSP to scrutinise and would not
be part of the scrutiny process itself.
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18. |
GP Services, Portswood PDF 57 KB
Report of the Head of Primary Care Team, NHS,
detailing GP Services in Portswood, attached.
Additional documents:
Minutes:
The Panel considered the report of the
Director of Commissioning, NHS England outlining the issues,
options considered and recommended for replacing GP services in
Portswood. (Copy of report circulated with the
agenda and appended to the signed minutes).
The following was noted:-
- Appendix 1 page 2 – the
following note to be removed “Dr Gallagher has indicated he
will resign rather than accept dispersed patients.”
- a number of GPs were unhappy as they
had not been made aware of the situation, had not been consulted
and had not been able to provide any feedback; A patient from the
Portswood Road practice attended the
meeting and provided further information in this regard;
- that only expressions of interest
had been sent out to GPs and the consultation process had not yet
commenced;
- that the primary care commissioning
team had recommended Option 4 which was the extension of current
contract to provide branch surgery;
RESOLVED
- that NHS England in conjunction with
the CCG be requested to ensure that all GP’s were provided
with the relevant information so that feedback could be
provided;
- that any
group/community/organisational body being discussed in any report
tabled at a HOSP meeting should be invited to attend the meeting ;
and
- that an update report on the outcome
of the consultation be tabled by NHS England.
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19. |
University Hospital Southampton: Update on Emergency Department / Monitor and the Child Heart Surgery Review PDF 45 KB
Report of the University Hospital Southampton
Chief Operational Officer and University Hospital Southampton
Director of Communications and Public Engagement, attached.
Additional documents:
Minutes:
The Panel received and noted the report of the
UHS Chief Operating Officer and the UHS Director of Communications
and Public Engagement detailing the progress made in achieving
A&E targets at the University Hospital Southampton and the
changes to the child heart surgery review. (Copy of the report circulated with
the agenda and appended to the signed minutes).
The following was noted:-
- improvements had been made following
the prolonged period of underperformance against the 4-hour A&E
operating standard and achievements were up to 97%;
- there would be more capacity and
better quality of care this winter with the introduction of 70
extra beds, reducing patients’ length of stay, improved flow
of patients and improved partnership working with social care;
- that University Hospital Southampton
had not been close to the 14 hospitals being investigated by
Monitor in relation to the standardised mortality ratio;
- that the child heart surgery review
had been suspended as the Independent Reconfiguration Panel had
recommended that the proposals could not go ahead in their current
format;
- that as a result of the closure of
the Oxford Service 100 heart surgery cases had been transferred to
Southampton and the Southampton Children’s Heart Surgery Unit
now catered for adults as well as children. The resultant increase in surgical cases
might improve Southampton’s chances of keeping the Unit in
the future; and
- that a paper had been presented to
the NHS England Board outlining principals for taking the service
forward.
RESOLVED
- that a further update report would
be tabled at the next HOSP meeting; and
- that the Southampton Health Overview
and Scrutiny Panel write to the Secretary of State asking
what plans and decisions there were
likely to be in terms of the review of the Child Heart Surgery
Reform.
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