Venue: Committee Suite 1,2 & 3, Westfields, Middlewich Road, Sandbach CW11 1HZ. View directions
Contact: Denise French Email: denise.french@cheshireeast.gov.uk
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Also Present Minutes: Councillor R Domleo – Portfolio Holder for Adult Services Councillor A Knowles – Portfolio Holder for Health and Wellbeing Councillor O Hunter – Cabinet Support Member for Adult and Health Services Councillor D Cannon – visiting Member |
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Officers Present Minutes: Phil Lloyd, Head of Adult Services, People Directorate Sandra Shorter, People Directorate Jill Greenwood, People Directorate Jon Wilkie, People Directorate Fiona Field, Central and Eastern Cheshire Primary Care Trust Simon Whitehouse, Central and Eastern Cheshire Primary Care Trust Fran Willshaw, Central and Eastern Cheshire Primary Care Trust Helen Kershaw, East Cheshire Hospital Trust Mike Flynn, Legal and Democratic Services Denise French, Legal and Democratic Services |
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Declaration of Interests/Party Whip To provide an opportunity for Members and Officers to declare any personal and/or prejudicial interests or members to declare the existence of a party whip in relation to any item on the agenda.
Minutes: RESOLVED: That the following Declarations of Interest be noted:
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Public Speaking Time/Open Session A total period of 15 minutes is allocated for members of the public to make a statement(s) on any matter that falls within the remit of the Committee.
Individual members of the public may speak for up to 5 minutes, but the Chairman will decide how the period of time allocated for public speaking will be apportioned, where there are a number of speakers
Note: In order for officers to undertake any background research, it would be helpful if members of the public notified the Scrutiny officer listed at the foot of the agenda, at least one working day before the meeting with brief details of the matter to be covered.
Minutes: There were no Members of the Public present who wished to address the meeting. |
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Minutes of Previous meeting To approve the minutes of the last meeting as a correct record Minutes: RESOLVED: That the minutes of the meeting of the Committee held on 29 April 2010 be confirmed as a correct record subject to an amendment to the list of those present to identify Councillor R Domleo as Portfolio Holder – Adult Services and not as a member of the Committee. |
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The Cheshire and Wirral Councils' Joint Scrutiny Committee To receive the minutes of meetings of the Cheshire and Wirral Councils Joint Scrutiny Committee held on 26 January and 12 April. Additional documents:
Minutes: RESOLVED: That the minutes of the following meetings of the Cheshire and Wirral Councils’ Joint Scrutiny Committee be received:
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Closure of Hawthorn Lane surgery, Wilmslow To update the Committee of the work that has commenced following the Committee supporting the preferred option of dispersing the practice list. Minutes: Simon Whitehouse Director of Primary Care, Central and Eastern Cheshire Primary Care Trust (PCT), briefed the Committee on the current position with the closure of the Hawthorn Lane Surgery, Wilmslow.
The surgery was a single handed practice (the last single handed GP practice in the PCT area) and the GP, Dr Chung, had informed the PCT that he was to retire on 30 June 2010. The mid point meeting had considered the issue and supported the PCT in its preferred option of dispersing the patient list. The PCT had identified that there was sufficient capacity and choice within its patch to meet the needs of patients and liaison with other GP practices showed that local GPs were keen to work with the PCT and increase their patient lists.
The PCT had recently written to all practices most likely to be affected by the dispersion of Dr Chung’s list. The PCT had also sent letters to all patients, and included a personal letter from Dr Chung, with letters translated into Chinese where necessary. The PCT were able to support practices with any language issues that may arise. Most patients would be able to have a choice of practice to transfer to. A number of patients lived in the Stockport area and the PCT had liaised with Stockport PCT for those patients.
Dr Chung had identified a number of vulnerable patients on his practice list and the PCT was working closely with those patients to help achieve the most appropriate outcome.
A freephone helpline had also been established.
RESOLVED: That RESOLVED: That
(a) the proposal to close the Hawthorn Lane Surgery Wilmslow be confirmed as a Substantial Development or Variation in Service, Level 3;
(b) the steps taken by the PCT to manage the closure of the Surgery and recognising the short timescales involved be endorsed;
(c) the dispersal of the patient list to other practices be supported; and
(d) the public consultations which had taken place, particularly involving the patients affected by the changes, be noted.
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Dr Foster report - "How safe is your hospital?" - the position in Cheshire East To receive a verbal update Minutes: Fiona Field, Director of Governance and Strategic Planning, Central and Eastern Cheshire PCT, briefed the Committee on Dr Foster. This was a private national company that looked at the performance of acute care. It produced annual public reports and sometimes league tables of acute care providers.
There had been a specific issue around mortality rates at both Mid Cheshire Hospital Foundation Trust and East Cheshire Hospital Trust. The Committee had therefore asked for a report to a future meeting and attendance by clinicians to discuss the issues raised by Dr Foster. Work at the PCT and two hospital trusts was almost complete and the issue could be fully considered at the next meeting.
RESOLVED: That the Dr Foster report and mortality rates be considered at the next meeting of the Committee on 1 July 2010.
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East Cheshire Hospital Trust Quality Account Due to the tight schedule in putting this report together, it has not been possible to complete the report within the normal timescales and therefore the report will be circulated in due course. Additional documents: Minutes: Helen Kershaw, Associate Director of Nursing and Patient Care Standards, introduced the East Cheshire Hospital Trust’s Quality Account.
She explained that the Trust had a number of quality and safety improvement initiatives underway including requirements from the PCT, standards from the Care Quality Commission and from the Trust’s own Quality Strategy that had been introduced in 2008. The Quality Strategy had focused on 10 areas of patient safety and 5 on improving patient experience and improvement in 8 out of the 10 areas had been demonstrated. Two of the areas had been included as priority areas for 2010/11 – reduction of falls and reducing serious medication errors. In relation to reducing falls, various measures had already been introduced through a strategy and action plan but reducing falls had proved challenging. Further work was to be carried out including the introduction of functional electrical stimulation as recommended by the National Institute for Health and Clinical Excellence. In relation to reducing medication errors it was noted that most medication errors were minor and could be classed as prescribing, dispensing or administrative errors. Progress in reducing errors had not been as expected and a study had been undertaken to improve understanding of the issues. This had now resulted in some specific areas of work to try to reduce medication errors.
The Trust Board had agreed the following statements as underpinning principles for continuing to improve care given to patients:
The following areas were identified as priorities for 2010/11:
Do me no harm
Make me better
Be nice to me
The report included a list of audits both national and local that had been conducted in relation to the hospital Trust or in which the Trust had participated. An unannounced visit by the Care ... view the full minutes text for item 36. |
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Procedural items - protocol and co-opted members To consider a report of the Borough Solicitor. Additional documents: Minutes: The Committee considered a report of the Borough Solicitor containing a draft protocol setting out the arrangements between the Committee and the Central and Eastern Cheshire Primary Care Trust (PCT) and outlining further consideration regarding co-option onto the Committee.
The Committee was advised that the view of the Scrutiny Chairmen’s Group was that co-option should not take place onto Scrutiny Committees (apart from where required by statute) but rather to allow co-option onto Task/Finish Groups or for specific scrutiny reviews. Members of the Committee also raised concerns about making the Committee too large and also noted the wide remit of the Committee about which Members were still learning.
The Committee considered the draft protocol which would help govern the working arrangements between it and the PCT. The protocol set out the respective roles and responsibilities and how the relationship between the Committee and the PCT would work in practice. The Protocol reflected the current legal framework for the conduct of health scrutiny and would be updated when new guidance from the Department of Health became available.
RESOLVED: That
(a) no action be taken on co-option onto the Committee and the position be reviewed in twelve months time; and
(b) the draft Protocol be approved and adopted subject to one amendment to paragraph 8.7 under the heading Level Three to include “ Local Ward Councillors concerned would be informed of the proposals by the Secretary” and forwarded to the PCT for approval by the PCT Board.
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"Caring Together" A Bacon – Programme Director East and Mid Cheshire Intergrated care, has advised the Mid Point Meeting of a range of potential changes to the geography, service models and organisational structure of health services that may occur due to a number of factors. The health and social care economy is looking at a range of options to integrated social and health care (GPs, Community, Hospital and mental health) to achieve more integrated services that enable treatment to be provided earlier and recovery delivered faster. The overall programme is known as the "Caring Together Programme" and will also respond to external changes including: the Transforming Community Services and Foundation Trust programmes and the pressure due to be placed upon public sector funding.
It was agreed that this programme would be a standing item on the midpoint meeting, so that engagement and involvement of all stakeholders is maintained and that formal consultation is used only where it is legally required or adds value.
Minutes: Fiona Field, Director of Governance and Strategic Planning, Central and Eastern Cheshire Primary Care Trust (PCT), outlined the Caring Together programme. This involved the integration of health and social care services and was aimed at achieving earlier delivery of treatment and faster recovery. It would involve developing multi agency and multi disciplinary teams, development around buildings both existing and new build and integration of IT systems.
The mid point meeting had been fully briefed by Andy Bacon, Programme Director, and would continue to receive full briefings to enable in-depth consideration. Any specific pieces of work could be dealt with through Task/Finish Groups.
RESOLVED: That the update be noted. |
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Dealing with Dementia To consider the following items in relation to dementia:
Additional documents:
Minutes: The Committee considered various items relating to dealing with dementia:
Alongside the development of the new strategy other work was underway including - to develop staff to undertake new and different roles, provision of a new dementia unit at Lincoln House, Crewe (to include a first stop shop including advice and information and a carers café), introduction of a dementia website for Cheshire East (Demenshare) to be launched on 5 July 2010. The Demenshare project was a partnership involving the Council, Age Concern Cheshire, Alzheimers Society, the Primary Care Trust and Opportunity Links and was an online resource that would enable people affected by dementia across Cheshire East to share and exchange their experience and knowledge.
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