To receive reports, presentations and evidence from service providers, commissioners and other stakeholders on their experience of Delayed Transfer of Care (DToC).
Minutes:
NHS Eastern Cheshire Clinical Commissioning Group (CCG)
The Committee received a short presentation from Neil Evans the CCG Turnaround Director, Karen Burton the Clinical Project Manager for Urgent & Emergency Care and Jo Williams the Service Delivery Manager.
NHS South Cheshire CCG & NHS Vale Royal CCG
Jamaila Tausif, Associate Director of Commissioning and Tracy Parker-Priest, Director of Transformation attended the meeting.
East Cheshire NHS Trust
Steven Redfern, Deputy Director of Operations, Debbie Burgess- Operational Manager, Jacqui Williams- Associate Director of Service Transformation and Katrina Oliver- Assistant Team Manager attended the meeting and gave a presentation that outlined the local pressures and challenges on Macclesfield District General Hospital.
Mid Cheshire Hospitals NHS Foundation Trust (MCHFT)
The Committee received a short presentation that focussed on acute care from Julie Weir, Divisional General Manager (Division of Diagnostics and Clinical Support Services) and Sarah Vaneeathen, Integrated Discharge Team Matron- DToC Reporting.
Cheshire and Wirral Partnership (CWP)
The Committee received a short presentation from Roisin Reynolds, Interim General Manager and Kate Chapman, Modern Matron relating to DToC patient numbers across Cheshire and Wirral.
Mid Cheshire Hospitals NHS Foundation Trust (MCHFT)
The Committee engaged in a short discussion, on DToC within community services at MCHFT with Julie Weir, Divisional General Manager (Division of Diagnostics and Clinical Support Services) and Sarah Vaneeathen, Integrated Discharge Team Matron- DToC Reporting.
NHS Eastern Cheshire CCG
The Committee discussed community services in Eastern Cheshire with Neil Evans the CCG Turnaround Director, Karen Burton the Clinical Project Manager for Urgent & Emergency Care and Jo Williams the Service Delivery Manager.
Cheshire East Council Health and Adult Social Care
The Committee received a short presentation from Peter Gosling, Mark Palethorpe, Ann Riley and Lorraine Goude relating to DToC patients in a social care environment.
At this point in the proceedings the meeting was adjourned.
The meeting reconvened at 10:00 on the 22 February 2017.
The Chairman opened the meeting and established that by the end of the meeting, the Committee would have compiled a list of key recommendations that were realistic, credible, outcome based, fiscally robust, did not breach legal regulations and had clearly defined lines of responsibility.
The Committee reviewed the salient points from the meeting on 18 January.
The Chairman thanked the partners for attending the meeting, and concluded by stating that a final report would be produced, from the deliberations of the Committee based upon the following recommendations:
RESOLVED-
(a) That the Council intermediate care packages be clearly identified and defined.
(b) That the Council, CCG’s and GP’s collaboratively work to explore the possibility of changing the delivery model for the Cheshire East health and care economy market to become broader and to include more step-up and step-down beds.
(c) That the Council and CCG’s explore multidisciplinary working (consisting of staff from different professional backgrounds who have different areas of expertise) and that the discharge process for patients be started at the point of admission and models of discharge planning appropriate to non-elective admission patients be explored.
(d) That patients already receiving a domiciliary care package, continue to receive that package in an Acute setting.
(e) That the Council and the NHS work with care providers (domiciliary, residential, nursing) to explore how NHS and LA input (advice, training, support) might better facilitate ‘Safe Transfer of Care’ out of hospital over the weekends and Bank Holidays.
(f) That the Council explore the possibility of Seven-Day working within the domiciliary care industry with consideration of maintaining a specific multi-disciplinary hospital discharge team at weekends and Bank Holidays at both Leighton & Macclesfield Hospitals.
(g) That the Sitrep return data be sent to Portfolio Holders on a monthly basis and that they report back to the Committee on a quarterly basis.
(h) That the Council and NHS England explore a clear care career pathway for school leavers, apprenticeships, return to work opportunities, and Skills for Care Training.
(i) That the Council and NHS England investigate the potential impact of Brexit on the availability of the ‘non-UK citizen’ workforce.
(j) That Tracy Parker-Priest be invited to the Committee to discuss Intermediate Care provision in the context of the bed-based Review that is expected to come to Scrutiny Committee in April 2017.
(k) That Mid Cheshire Hospitals NHS Foundation Trust (MCHFT) be invited to report back to the Committee on the evaluation of their seven-day therapy services pilot to assess performance.
(l) That the Council explore the potential of a ‘Named Social Worker’ for each Nursing Home or small group of Homes.
(m) That the ‘Trusted Assessor Model’ of assessment whereby all relevant members of the multi-disciplinary team can access and input to a patient’s shared medical/care records be further explored with agreed health partners.
(n) That the Cheshire East Portfolio Holders continue to lobby MP’s about changing the national funding formula in respect of CCG’s.
(o) That the BCF evaluation be presented to the Committee at a future date.
(p) That a BCF briefing note be produced for Committee Members to include clarity regarding those activities specifically required by NHS England/Department of Health (DoH), funding mechanisms for BCF (including the administration of S256 and S75 monies) and BCF metrics required by DoH/NHS England.
(q) That Tracy Parker-Priest and Councillor Paul Bates be invited to Overview and Scrutiny Committee to discuss CHC for patients with complex needs.