Agenda and minutes

Health Overview and Scrutiny Panel
Thursday, 28th February, 2019 6.00 pm

Venue: Conference Room 3 - Civic Centre

Contact: Ed Grimshaw, Democratic Support Officer  Tel:- 023 8083 2390

Items
No. Item

18.

Minutes of the Previous Meeting (including matters arising) pdf icon PDF 65 KB

To approve and sign as a correct record the minutes of the meeting held on 6 December 2018 and to deal with any matters arising, attached.

Minutes:

RESOLVED: that the minutes for the Panel meeting on 6 December 2018 be approved and signed as a correct record.

19.

Winter Pressures 2018/19 pdf icon PDF 69 KB

Report of the Associate Director of System Delivery, Southampton City CCG setting out an overview of system resilience for the Christmas Period for 2018.

Additional documents:

Minutes:

The Panel considered the report of the Associate Director of System Delivery, Southampton City CCG setting out an overview of system resilience for the Christmas Period for 2018.

 

Peter Horne (Director of System Delivery - Southampton CCG),  Jane Hayward (Director of Transformation), Sharon Stewart (SCC Service Lead, Adult Social Care), and David Noyes (Chief Operating Officer Southampton and County Services – Solent NHS Trust) were in attendance and, with the consent of the Chair, addressed the meeting.

 

The Panel discussed a number of points including:

·  How the system had performed and responded to a relatively mild winter;

·  How the planning and preparation process has attempted to facilitate a smoother interaction between agencies;

·  How the agencies from the wider region including Portsmouth and the Isle of Wight have been including into the planning processes in order to ensure that the system as a whole can look to reducing issues including delayed transfers and ensure a more positive approach to high demand situations;

 

RESOLVED that the report be noted.

 

20.

University Hospital Southampton NHS Foundation Trust – Update pdf icon PDF 67 KB

Report of the Chair of Health Overview and Scrutiny Panel detailing briefing papers provided by the UHS to inform the Panel on a number of concerns.

Additional documents:

Minutes:

The Panel considered the report of the Chair of Health Overview and Scrutiny Panel detailing briefing papers provided by the University Hospitals Southampton (UHS) to inform the Panel on a number of issues.

 

Ophthalmology

 

Jane Hayward (Director of Transformation- UHS) and Peter Horne (Director of System Delivery - Southampton CCG), were in attendance and, with the consent of the Chair, addressed the meeting. During discussion the following points were raised:

·  The dynamic nature of the Service’s waiting lists.  The Panel were informed that the waiting lists broke down into two main sections. Those being referred for an initial appointment and those being scheduled for follow up or monitoring appointments.  The Panel noted that the excessive wait for those with age related macular degeneration and the excess wait for diabetes patients has been addressed. It was noted by the Panel that there were issues relating to the monitoring and treatment of glaucoma patients that were still being addressed;

·  It was made clear that patients were seen for initial consultation within the agreed guidelines but, that the issue related to patients expecting follow up appointments.  It was explained that these had been delayed longer than the guidelines suggested but that efforts to reorganise the list, including greater use of Lymington hospital, were having an effect on the waiting periods;

·  The national rise in eye disease related to the aging population;

·  The numbers of patients on the waiting lists and the steps taken to reduce the numbers waiting.  For example it was noted that patients follow up appointments were being referred to their own GP rather than the Consultant in some cases.

 

Update on Power outage event

 

Jane Hayward (Director of Transformation- UHS) and Joann Hall (UHS)were in attendance and, with the consent of the Chair, addressed the meeting. During discussion the following points were raised:

 

The Panel noted that following the major incident an external review and an action plan had been commissioned.  It was reported that the management of messages communicated to the public by statutory services was an area where improvements needed to be made..

 

The Panel noted that the following the incident the electrical supply issues were resolved immediately.

 

Emergency Department Flow

 

Jane Hayward (Director of Transformation- UHS), John Richards (Chief Executive Officer, NHS Southampton City CCG) and Matt Stevens (Southampton CCG Board - Lay Member (Patient and Public Involvement)) were in attendance and, with the consent of the Chair, addressed the meeting. During discussion the following points were raised:

·  The need for clearer information within the reports;

·  The increasing demand on the Emergency Department (ED).  The Panel raised concerns that the performance targets for the ED had continued to be missed whilst demand had continued to increase.  The Panel questioned whether the future planning of resources would see the targets being reached;

·  The relevance of the target was also raised.  It was explained that nationally there had been difficulties from health trusts achieving the targets.  It was explained that it was felt that there were  ...  view the full minutes text for item 20.

21.

Monitoring Scrutiny Recommendations pdf icon PDF 62 KB

Report of the Director of Legal and Governance enabling the Panel to monitor and track progress on recommendations made by the Panel.

Additional documents:

Minutes:

The Panel received and noted the report of the Director of Legal and Governance enabling the Panel to monitor and track progress on recommendations made by the Panel.