Agenda and minutes

Venue: Hendon Town Hall, The Burroughs, London NW4 4BQ

Contact: Tracy Scollin Tel 020 8359 2315 Email: tracy.scollin@barnet.gov.uk 

Items
No. Item

1.

Minutes pdf icon PDF 121 KB

    Minutes:

    The Minutes were approved, subject to the following amendment:

     

    A Member requested that the word ‘universal’ be added in front of the phrase ‘free school meals’ at the bottom of page 9 of the Minutes, for clarity.

     

    Matters arising from the Minutes:

     

    • The ‘One You’ website has been launched (link below):

    https://www.barnet.gov.uk/health-and-wellbeing/adults-health/one-you

     

    • A Member referred to the discussion at the previous meeting concerning healthy eating messages and specific communities which had been agreed it would be helpful to target. The Director of Public Health would feed this back in relation to trying to include them in promoting the Diabetes Awareness event to be held at Brent Cross on 11 June. Cllr Hutton offered to supply links to community groups.

     

    • Cllr Edwards reported that he and Cllr Tim Roberts had had a positive and constructive meeting with Dr Shaw to discuss the CPZ around Barnet Hospital. Barnet Hospital was keen to participate in the CPZ review and consider purchasing spaces for staff if the opportunity arose.

     

    • A Member enquired about the availability of data around suicide as discussed at the previous meeting. The Chairman noted that Dr Jeff Lake would be attending the next meeting on 11 July to provide an update on suicide prevention. Members with specific queries for Dr Lake could email the Chairman in advance of the meeting.

     

     

     

2.

Absence of Members

    Minutes:

    None.

3.

Declaration of Members' Interests

    Minutes:

    None.

4.

Report of the Monitoring Officer

    Minutes:

    None.

5.

Public Question Time (If Any)

    Minutes:

    None.

6.

Members' Items (If Any)

    Minutes:

    None.

7.

Addendum pdf icon PDF 32 KB

    Statement from Chief Executive, Royal Free London

    Minutes:

    A document entitled ‘Chief Executive Statement on the Royal Free London NHS Foundation Trust Quality Account’ was noted.

     

8.

Minutes of the North Central Sector London Joint Health Overview and Scrutiny Committee pdf icon PDF 87 KB

    18 January 2019

    15 March 2019

    Additional documents:

    Minutes:

    The Minutes of the North Central Sector London Joint Health Overview and Scrutiny Committee (JHOSC) held on 18 January 2019 and 15 March 2019 were noted.

     

    The Chairman reported that the next JHOSC meeting would be held on 21 June at Hendon Town Hall.

     

9.

Department of Health: Quality Accounts - A Guide for Overview and Scrutiny Committees pdf icon PDF 68 KB

    Minutes:

    The Guide was noted.

10.

2017/18 Quality Accounts Mid Year Reviews pdf icon PDF 177 KB

11.

NHS Trust Quality Accounts 2018/19 pdf icon PDF 180 KB

    Additional documents:

    Minutes:

    ROYAL FREE LONDON NHS FOUNDATION TRUST QUALITY ACCOUNT

     

    The Chairman invited the following to the table:

     

    ·         Dr Chris Streather - Chief Medical Officer and Deputy Chief Executive, Royal Free London NHS Foundation Trust

          

    The Chairman asked Dr Streather for an update following the Care Quality Commission (CQC) report on the Trust (Barnet, Chase Farm and the Royal Free Hospitals) published on 10 May 2019. She also requested that he attend the next HOSC meeting on 11 July to provide a full update on the actions being taken to address the two areas which were rated ‘Requires Improvement’ in the CQC report.

     

    Dr Streather reported that the Trust’s overall rating had fallen to ‘Requires Improvement’ since the previous CQC assessment in 2016, with failings found in the areas of ‘Are Services Safe?’ and ‘Are Services Responsive?’. The CQC had found 89 areas to be ‘Good’ and 19 ‘Requires Improvement’. In addition, 21 areas were noted as areas of outstanding practice compared with 11 areas in 2016.

     

    The CQC report stated that the following areas needed improvement:

     

    ·         Some of the areas that the Trust had been advised as needing improvement in 2016 had still not been put right.

    ·         The Trust had not met its own targets for mandatory training.

    ·         Staff did not consistently follow best practice when managing medicines.

    ·         There was an insufficient number of staff with the required skills and qualifications in some services. However, there were no unfilled shifts and Wards were staffed at required levels. There were currently problems with recruitment and retention as in many other NHS organisations.

    ·         The majority of staff feeding back through the Staff Survey were indicating that the Organisation’s culture had improved. The behaviour of senior staff appeared to have improved. However, in particular at the Royal Free site, there were problems with the work culture in the operating theatres with particular concerns being raised around senior staff.

    ·         A&E waiting times – targets not met. Regularly attendance was around 400 people daily at Barnet Hospital and this was a large number for a district hospital. There had also been delays in the 18-week referral to treatment pathway and the 62-day treatment target for cancer This had been one of the reasons for the lower rating in ‘Are Services Responsive?’.

    The CQC report made the following positive comments:

     

    ·         Staff treat patients with dignity, kindness and respect.

    ·         Staff teamwork was good.

    ·         The Trust conducted a large amount of clinical research which has helped to reduce variation in care, improve waiting times and reduce neonatal admissions.

    ·         Staff were being trained in Quality Indicator methodology and this was being applied. The Trust aimed to train 20% of its staff in this.

    ·         ‘Are Services Well-led’ received a ‘Good’ rating.

    ·         The Trust was a sector leader in areas such as its urology prostate cancer pathway, technology in dermatology and reducing admissions to its neonatal units.

    ·         40 ‘Speaking Up Champions’ had been trained and further training was underway to help tackle bullying. The Trust’s work on educating staff on behaviour  ...  view the full minutes text for item 11.

12.

Health Overview and Scrutiny Forward Work Programme pdf icon PDF 205 KB

    Minutes:

    The tabled Work Programme was noted.

     

    A Member asked if the Cricklewood Walk in Centre could be added to the July 2019 meeting if the consultation had been completed.

     

     

     

13.

Any Other Items that the Chairman Decides are Urgent