Venue: Vauxhall Suite, Ellesmere Port Civic Hall, Civic Way, Ellesmere Port, CH65 0AZ
Contact: Denise French Email: denise.french@cheshireeast.gov.uk
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Also Present Minutes: Councillor C Tomlinson – Cheshire East Council; Councillor R Wilkins – Wirral Borough Council. |
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Apologies for Absence Minutes: Apologies for absence were received from Wirral Councillor A Bridson (substitute - Councillor R Wilkins) and Cheshire East Councillor S Jones (substitute - Councillor C Tomlinson). |
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Declarations of Interest To provide an opportunity for Members and Officers to declare any personal and/or prejudicial interests in any item on the agenda Minutes: RESOLVED: That the following declarations of interest be noted:
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Minutes of Previous meeting To approve the minutes of the meeting held on 12 July. Minutes: RESOLVED: That the minutes of the meeting of the Committee held on 12 July 2010 be confirmed as a correct record. |
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Officers Present Minutes: Avril Devaney, Cheshire and Wirral Partnership NHS Foundation Trust Ros Francke, Cheshire and Wirral Partnership NHS Foundation Trust Dr R Parhee, Cheshire and Wirral Partnership NHS Foundation Trust Denise French, Cheshire East Council |
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Chief Executive's update To consider the verbal update report of the Chief Executive of the Cheshire and Wirral Partnership NHS Foundation Trust. Minutes: The Committee considered the Chief Executive’s update report on the following items:
RESOLVED: That:
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28 Riseley Street, Macclesfield - decommissioning of learning disability respite services To consider a report prepared by the Cheshire and Wirral Partnership NHS Foundation Trust on proposals relating to learning disability services delivered at Riseley Street, Macclesfield. Minutes: The Committee considered a report on a Level 2 Substantial Development or Variation in Service. The proposal was to decommission learning disability respite services currently delivered at 28 Riseley Street, Macclesfield.
The Central and Eastern Cheshire Primary Care Trust (PCT) had notified CWP of a reduction in income and in order to manage this reduction had worked with CWP to evaluate all services commissioned by the PCT and provided by CWP. All services had been reviewed using the same criteria and, using this prioritisation process, it was proposed that the respite provision at Riseley Street cease to be provided.
There were a range of respite options for people with learning disabilities living in central and eastern Cheshire – residential bed based services provided by CWP at Primrose Avenue, Crewe (due for closure), Crook Lane, Winsford and Riseley Street, Macclesfield. The Council’s social care team also provided respite at Warwick Mews, Macclesfield and Queen’s Drive, Nantwich. People with learning disabilities were also able to access direct payments to choose their own provision.
The proposed closure of Primrose Avenue had been subject to a consultation process and as part of the overall planning for the changes, had also confirmed eligibility criteria for health respite services provided by CWP. This agreed eligibility criteria and assessment process would be used to review the needs of all existing respite service users starting in September 2010. Respite services provided by CWP in central and eastern Cheshire would then be allocated on the basis of the outcome of this assessment process and the resources available. Transitional arrangements would be put in place to enable a mix of health and social care respite to be provided by CWP for an agreed period of time.
There were a small number of people affected by the closure of Riseley Street and this had enabled personalised consultation and future planning based on their needs, to be done.
A report on this issue had also been submitted to Cheshire East’s Council OSC.
During discussion of the item the following points were raised:
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The Willows, Macclesfield - proposed closure To consider a report prepared by the Cheshire and Wirral Partnership NHS Foundation Trust on proposals relating to the closure of The Willows, Macclesfield. Additional documents: Minutes: The Committee considered a report on the proposed closure of The Willows, Macclesfield.
The Central and Eastern Cheshire Primary Care Trust (PCT) had notified CWP of a reduction in income and in order to manage this reduction had worked with CWP to evaluate all services commissioned by the PCT and provided by CWP. All services had been reviewed using the same criteria and, using this prioritisation process, it was proposed that The Willows be closed.
The Willows offered day services to patients already under the Care Programme Approach (CPA) of a Community Mental Health Team (CMHT). The service was provided to up to 115 patients in and around Macclesfield and was not accessed by service users from other areas. The services offered included social skills training, computer literacy and horticulture and the operation of a small print workshop, all of which were offered in conjunction with external agencies. All the services offered were available through other agencies such as the Council and service users would be supported to access these services. Service users had been advised of the potential closure at an early stage to enable them to access courses starting in September if they wished. The building belonged to the Council.
The proposed closure had also been discussed at the Cheshire East Overview and Scrutiny Committee.
RESOLVED: That the proposed closure and alternative arrangements for service users be noted. |
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The Millbrook Unit, Macclesfield - consolidation of mental health inpatient services To consider a report prepared by the Cheshire and Wirral Partnership NHS Foundation Trust on proposals relating to The Millbrook Unit, Macclesfield Minutes: The Committee considered a report regarding the consolidation of mental health inpatient services at the Millbrook Unit, Macclesfield.
A public consultation exercise had been carried out by the Cheshire and Wirral Partnership NHS Foundation Trust on behalf of Central and Eastern Cheshire Primary Care Trust about consolidating Adult and Older People’s services from two sites to one in Central and Eastern Cheshire. The results of the consultation exercise suggested broad approval to centralise onto a single site, support for continuing to develop new ways of working which would enable a reduction in inpatient beds and the expansion of community services and making investments to improve the patient environment.
A number of changes were proposed:
RESOLVED: That the update report be noted. |
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Quality Account - quarterly report To consider a report prepared by the Cheshire and Wirral Partnership NHS Foundation Trust on progress with items highlighted in the Quality Account. Minutes: The Committee considered the Quality Quarterly Report which set out progress against each of the quality priorities identified in the Quality Account for 2009/10.
All priorities identified for Patient Safety had been achieved for the first quarter and were on track for the remainder of the year. For patient related performance CWP was performing on track or better when measured against key national priorities apart from in relation to the average length of stay which had increased. All targets for achieving quality improvement and innovation goals were also on course. Targets relating to patient safety and patient experience were also achieved. Members suggested that in future more ambitious targets may be needed and were advised that future targets would be more challenging.
One area of concern was around the average length of stay (measured in days). The aspiration of the Trust was for this average to show a reduction but the actual position showed an increase from 18 days in April to 24 in July. It was important that a service user’s care and treatment was in the least restrictive environment possible and the Crisis Resolution Home treatment team facilitated the earliest discharge possible. The average length of stay would be monitored by the Trust’s Performance and Compliance Sub Committee.
It was noted that medication errors and certain self harm incidents had increased along with minor injuries; Members were advised that minor injuries meant issues that could be dealt with on site without any need to go to Accident and Emergency. Members requested that more information was included in future on what was meant by medication errors and self harm incidents so it was clear whether there were any significant issues in these areas. It was noted that the Trust’s Suicide Prevention Strategy was currently being revised and would be considered at a future meeting.
RESOLVED: That the report be noted. |
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Transforming Community Services programme To consider a report prepared by the Cheshire and Wirral Partnership NHS Foundation Trust on the impact of the Transforming Community Services programme. Minutes: The Committee considered a report on the Transforming Community Services programme as set out below:
In each case the main changes related to how the services were be managed and service users should not experience any impact.
The proposals were currently under consideration by the Strategic Health Authority prior to implementation on 1 April 2011.
RESOLVED: that the current position be noted. |
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Appointment of a Co-opted Member To consider a report of the Cheshire East Borough Solicitor on appointing a co-opted member onto the Joint Committee. Minutes: The Committee considered a report on the appointment of a co-opted Member.
The Committee’s Procedure Rules provided for the Committee to “co-opt other appropriate individuals, in a non voting capacity, to the Committee or for the duration of a particular review or scrutiny”. The Committee had previously considered co-option and had agreed that further discussions should taken place with officers of CWP, through the mid point meeting, regarding Service User and Carers representation.
The mid point meeting in September discussed the matter and expressed a preference for a service user rather than a carer to take up a co-opted place. CWP would be happy to progress this by contacting the patient members of the Patients and Public Involvement (PPI) Group to seek volunteers interested in taking up a co-opted place. If a number of volunteers came forward, the PPI Task Force would be invited to assess the applications so as to put forward one person to serve as a co-opted member of the Committee together with one named substitute. A co-opted member would not have voting rights. In accordance with the National Code of Conduct for Members, the co-opted member would not be able to be a Member of the CWP Foundation Trust Board. This process could be carried out during autumn with the formal appointment being made at the next meeting on 10 January.
RESOLVED: That approval be given to the procedure set out in the report to appoint one non-voting co-opted Member and one named substitute onto the Committee to represent the interests of service users. |
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White Paper - Liberating the NHS To receive a presentation on the implications of the White Paper. Minutes: The Committee considered a report on the key points outlined in the NHS White Paper – Liberating the NHS: Equity and Excellence.
The White Paper contained 4 key themes:
The White Paper proposed the abolition of Strategic Health Authorities, by 2012, and Primary Care Trusts, by 2013. GP consortia would be introduced to take over responsibility for commissioning most NHS services. A new independent body – the NHS Commissioning Board – would be established to allocate and account for NHS resources, lead on quality improvements and promote patient involvement and choice. Responsibility for public health would be transferred to local authorities and a new consumer champion would be introduced known as HealthWatch.
RESOLVED: That the update on the NHS White Paper be received. |