Agenda and minutes

Springwell Visit Update

The Chairman, Cllr Cornelius, informed the committee that she along with Cllr Old had undertaken the planned visit to the Springwell Centre on the 26^th April.

The committee were informed that compared to the facilities at Elysian House residents rooms at the Springwell Centre were sparse with relatives of residents commenting that the rooms were quite small. Relatives were now seeking to access a £5,000 fund to help personalise the rooms at the centre.

CAMHS Young People’s Board Visit Update

The Chairman told the committee that the she and Cllr Gideon Bull (LB Haringey) had not yet had the opportunity to attend a meeting of the Young People’s Board. This invitation would be taken up as soon as possible, however, following the resignation of Cllr Bull as Chairman of the North Central London Sector Joint Health Overview and Scrutiny Committee (JHOSC) Chairman; Cllr Cornelius would be attending with another member of the JHOSC.

Cllr Cornelius informed the committee that a new Chair and Vice-Chair of the JHOSC would be appointed at that committee’s next meeting on the 28^th May.

Item 7 (3 April 2012) – Barnet, Enfield and Haringey (BEH) Clinical Strategy Update – Action: Barnet and Chase Farm Hospitals NHS Trust to forward to the committee a report outlining the development of the Outline and Regeneration Business Case

The committee were informed that this report had not been forwarded to the committee with issues of commercial confidentiality being cited as the reason for not doing do by Mary Joseet (Director of Performance, Planning and Partnership – Barnet and Chase Farm Hospitals NHS Trust).

The committee were informed that further clarification was being sought from the Trust.

The committee were informed that it had been hoped that the Trust’s Chief Executive was invited to the September meeting of the HOSC to report on the BEH Clinical Strategy. Mr Easton would be asked to clarify the financial situation in relation to the implementation and funding of the Strategy at the September meeting.

RESOLVED that –

The decisions of the meeting held on the 3 April 2012 be approved.

Apologies were received from Cllr’s Old, Braun, Salinger, Thompstone and Johnson.

Cllr’s Khatri and O-Macaulay substituted respectively for Cllr’s Old and Johnson.  

None.

None.

JHOSC Agenda Item 6 – BEH Clinical Strategy Implementation - Cllr Mittra enquired as to whether further information was available regarding the discussion of TfL’s input into transport planning and was advised that it may be possible to raise this as an item at a future meeting of the JHOSC.

RESOLVED that:-

The Committee note the minutes of the JHOSC

Tracy Par, London Trauma System Manager, presented the committee with an update on London Trauma Services including data analysis for incidents that trigger the London major trauma decision tree.

Following general discussion relating to the information provided, Tracy Par informed the committee that she would be happy to circulate this year’s Annual Report to committee members once it was published.

Resolved that –

The committee note the report

The committee received the draft Quality Accounts for 2011/12 from:

·   The North London Hospice (Not for formal comment)

·   The Royal Free Hospital

·   Central London Community Healthcare

·   Barnet and Chase Farm Hospitals

Following presentations from each of the NHS healthcare providers and discussion of the content of each of the Quality Accounts the committee requested the following comments be noted:

ROYAL FREE HAMPSTEAD NHS TRUST

The Committee scrutinised the Quality Account, and wishes to place on record the following comments:

1.      The Committee welcomed the Account and felt that the direction of travel was positive, congratulating the Trust in achieving Foundation Status.

2.      The committee congratulated the Hospital on its ground breaking gene therapy research with University College London for patients with haemophilia B.

3.      The Committee welcomed the improved performance of the phlebotomy and cannulation service.

4.      The Committee suggested that details should be provided within the account explaining how the hospital plans to achieve its target for a reduced number of staff experiencing bullying, harassment or abuse from staff will be attained.

5.      The Committee were encouraged by the improvement of treatment for patients with hypoglycaemia and the initiative to raise awareness of the condition across the hospital.

6.      The Committee welcomed the news that the hospital had maintained low rates of MRSA and C. Difficile infections.

7.      The Committee noted the work of the post acute care enablement (PACE) service and the triage rapid early assessment team (TREAT) as examples of good work practice for delivering services to patients.

8.      The committee expressed concerns in relation to waiting times e.g. for    cancer patients (and as this was the only one highlighted would have found it helpful to know what these were for other treatments ) and the failure of the Royal Free to meet two of the eight NHS standards for treating patients during August and October 2011

9.      The committee recommends that the actions emanating from the review conducted by the Royal Free into these standards failures be fully implemented and that cancer patient waiting times continue to be monitored closely.

10.The committee also notes the importance of ensuring that the target waiting time from urgent GP referral to treatment is met

CLCH

The Committee scrutinised the Quality Account, and wishes to place on record the following comments:

1. The Committee are encouraged by the CLCH Quality Account and the improvements that are taking place.
2. The committee welcome the initiatives to reduce the number of preventable pressure ulcers in the community noting the need for the monitoring of pressure ulcers across patients care pathways

3. The committee noted the comments of the Head of Clinical Effectiveness and Patient Experience highlighting the need to improve the practice of clinical record keeping and recommended that the proposed improvement initiatives are fully  implemented as soon as possible

4. The committee suggested that service users would benefit from having an explanation of what information was contained in their records and that these records should be in an accessible format

BARNET AND CHASE FARM  ...  view the full minutes text for item 8.

Resolved that-

The following amendments be made to the Forward Work programme:

·   The item on the BEH Clinical Strategy, due to come before September’s meeting, to include reference to the funding questions the committee  wished to put to Mark Easton (Chief Executive – B&CF) rather than being taken as a separate item.

·   A single report on Urgent Carein Barnet to be taken in September incorporating Finchley Memorial, Royal Free and Barnet & Chase Farm – this would also incorporate the information requested in relation to triage services at the Royal Free

·   A report on CCG implementation be brought to the September meeting

·   Implementation of the Primary Care Strategy be brought to the December meeting

·   A report on maternity across Barnet, including service provision at Barnet and Chase Farm Hospitals and the placing of these services within the context of overall provision in the borough, be brought to the December meeting

RESOLVED that –

The committee note the Cabinet Forward Plan.

None.