Agenda and minutes

The Chairman said that Glyn Jones, former Director of Adult Social Care, Health and Housing had sadly passed away on 8 April.

The Panel noted apologies from Councillor G Birch.

To approve as a correct record the minutes of the meeting of the Health Overview and Scrutiny Panel held on 14 January 2016.

RESOLVED that the minutes of the Health Overview and Scrutiny Panel meeting held on 14 January 2016 be approved as a correct record and signed by the Chairman.

There were no declarations of interest nor any indications that Members would be participating whilst under the party whip.

It was brought to the Panel’s attention that there had been a proposal from the Clinical Commissioning Group to move the Out of Hours GP service for Sandhurst Practice patients from a provider based at the Frimley Park site to the East Berkshire Out of Hours service at Brants Bridge.

Questions to Mary Purnell and her responses in regards to the proposal had been sent to the Panel members.

Due to the timescale of the proposal the Panel agreed that this should be dealt with outside of the Committee Cycle. Members would be able to hear the outcome of the patient consultation and determine the Panel’s response to the consultation.

There were no submissions under the Council’s Public Participation Scheme for Overview and Scrutiny.

To review the action being taken by the Clinical Commissioning Group and OneMedicalGroup on the criticisms of the Care Quality Commission (CQC), arising from their inspection of the Urgent Care Centre (UCC).

The Urgent Care Centre is commissioned by the Bracknell and Ascot Clinical Commissioning Group and operated by OneMedicalGroup.

Dr Tong from the CCG introduced Rachel Beverley – Stevenson, Chief Executive of the OneMedicalGroup, to the Panel.

Rachel thanked the Panel for inviting them to come and present the action that had been taken by the CCG and OneMedicalGroup as a result of the criticism received from the Care Quality Commission (CQC) following the October 2015 inspection of the Bracknell Urgent Care Centre.

Rachel also stated that they have worked closing with the CCG post the October inspection, which they had learnt from. They had made major improvements, they were proud of their achievements, and  a follow up inspection had taken place on 12 April 2016. Although the outcome of the follow up inspection won’t be available for a couple of months, the feedback that had been received on the day was very positive.

Luke Minshall, Head of Urgent Care at OneMedicalGroup, gave a presentation on the progress of Bracknell Urgent Care Centre since the inspection in October 2016.

The OneMedicalGroup had learnt from the CQC inspection and had redesigned the Urgent Care Centre around the Patient Journey. There had also been large stakeholder engagement to enable the changes, this had created a more stable team and working environment. Two Health Care Assistants had been employed to work as patient advisors and more Nurses had applied for positions within the Centre, even though there is a national shortage within the area.

There had been a lot of work undertaken to ensure safety and improve Clinical Care at the Bracknell Urgent Care Centre. There was now a stable, multi skilled staff team in place and they had instilled a learning and development culture. Communications and governance had now been improved; an example of this had been the introduction of significant event reporting. This was a new mechanism to be used to report issues via the intranet which sent alerts to managements mobiles, this ensured that all were aware of any significant issues at anytime.

It was also reported that despite a record month in March of 4000 patients, all KPIs had been attained since October 2015 and that the Quality Schedule had also been met in full.

A lot of collaborate working was also underway. OneMedicalGroup had been working with the Ambulance Service’s 111 service on a Peer Review, a good relationship had been built up with Mark Sanders of Healthwatch Bracknell Forest and work had been ongoing with the CCG to put a policy in place, focusing on process and safety, for Unscheduled Care appointments via Skype by July 2016. This was a policy that had been implemented in OneMedicalGroup’s Leeds Urgent Care Centre, and had positive feedback from the GPs and Patients.

Future Plans had already begun for Health Sessions, such as a Community Garden which would promote healthy eating. Another proposal was to publish the Urgent Care Centres current waiting times on their website and  ...  view the full minutes text for item 48.

To receive a report on  the outcome of the investigation of media allegations concerning the 111 service operated by South Central Ambulance Service (SCAS) NHS Foundation Trust.

The Panel received and noted a report on the outcome of the investigation of media allegations concerning the 111 service operated by South Central Ambulance Service.

Members had been provided with an Executive summary of the South Central Ambulance Service investigation report, and sent the weblink to the full report. 1.3 of the Executive report emphasised that the findings were unsubstantive and the Panel were advised that there was little for them to worry about.

They commented that as a result of the investigation there had been a review of all services provided across the patch, this had produced a lot of good work.

To receive a report detailing the progress achieved to date by the Working Group of the Panel reviewing General Practitioner (GP) Capacity.

The Panel received and noted the progress achieved to date by the Working Group reviewing GP Capacity.

It was reported that four meetings of the Working Group had been held with the help of Dr David Norman. It was also reported that an extensive programme of meetings had been held with fourteen GP Practices serving Bracknell Forest Residents, collating information on their workforce and other relevant factors.

The Working Group aims to bring a report of the review to the Panel in the Autumn.

To review the current information from the NHS Choices website, for the NHS Foundation Trusts providing most secondary and acute NHS services to Bracknell Forest residents.

The Panel received and noted a report on the Patients Experience, which included the current information regarding patient’s survey and feedback from the NHS Choices website.

It was commented that the report was very positive and that the improvement in the food choices provided to patients was exceptional.

To consider the parts of the Quarter 3 2015/16 (October to December) quarterly service report of the Adult Social Care, Health and Housing Department relating to health.

The Panel received and noted the Quarterly Service Report for Adult Social Care, Health and Housing for Quarter 3, 2015-16.

The director drew attention to the mention of delayed discharge on page 4 of the report, and informed the Panel that there had been no delay pre Christmas, but that there had been a spike in January and February. However this had improved through March.

It was acknowledged that Public Health had won two awards due to their success with Bracknell Forest residents on stopping smoking. The director hoped that the obesity campaign would have the same effect.

2016 is the Year of Self Care, this had been successfully launched in February 2016 and a summery report would be brought to the Panel in December 2016.

Arising from the panel’s questions, the following points were noted:

• The percentage in the Vacancy Rate table on page 12 would be made clearer in future reports.
• Berkshire Healthcare Foundation Trust had given 6 weeks notice of their Nursing Bed Contact at the Bridgewell centre. Community nursing beds were being provided by the Trust, and there was no current impact or deficiency in the service.
• The Dementia Services Development Co-ordinator is to undertake an evaluation of availability of Day Care Services. As transportation can be traumatic for Dementia patients, Wrap Around Care will be looked at, which wouldn’t take patients out of their homes or communities.
• Simon Hendey would send out facts and figures to the Panel regarding the geographical movement of people within the Borough using the night shelter.  
• The demand for homecare had increased and the recruitment of staff to provide this care had become harder, though there was no significant risk at this stage. A concern was raised that the introduction of new jobs to the town centre could detract recruitment further in the future.

The Chair thanked John Nawrockyi for all his hard work, enthusiasm and his drive for the residents whilst interim Director and wished him well in his future endeavours.

To consider scheduled Executive Key and Non-Key Decisions relating to health.

The Panel received and noted the report on the Executive Key and Non-Key Decisions relating to health.

To receive oral reports from Panel members on their specialist roles since the last Panel meeting.

Some written reports had been made, and Members were asked to provide oral updates on their specialist roles since the Panel’s last meeting and the following points were noted:

Councillor Mrs Temperton – The CQC Quality Summit for Wexham Park Hospital had taken place. It was reported that there had been a huge culture change and the leadership throughout the transformation had been outstanding. The hospital had improved from an inadequate rating to a good rating.  A Healthwatch AGM had also taken place, it was reported that there was now signage available in different languages and patients and visitors now had the ability to pay with a debit card for refreshments in Wexham Park and Frimley Park Hospitals.

Councillor Tullett – Councillor Tullett had produced a report on Long Term Conditions which he had been championing. It was agreed that this report could be circulated and shared further for review and feedback.

Councillor Hill - NHS England and the CCG had released a statutory guidance paper on improving internal conflict of interests. There is also a podcast available. 

Councillor G Birch – Councillor Birch had attended a medicine optimisation event, the slides are available on request. The RBHT Mental Health Quality Account had been circulated for draft comments. These had since been sent on to the Trust.

Councillor Mrs McCracken had attended a CQC Quality Summit Meeting on the Berkshire Healthcare Trust. Bracknell Forest had been recognised as being the only Local Government presence and had been commended for their relationship with the Hospital. 

Councillor Mrs Mattick - Councillor Mrs Mattick had attended a Role of Governance Course, which focused on the governance structure within trusts and quality insurances within wards.

Councillor Peacey had met the new Chairman of Frimley Health Trust.

Councillor Phillips – Councillor Phillips had attended an LGA Scrutiny Course with other Local Authorities. It had been pleasing to be assured that Bracknell Forest Scrutiny Panels were leaps ahead of other Local Authorities.

The Head of Overview and Scrutiny reported on Councillor G Birch’s work on medicines optimisation and on the Quality Accounts.

The Chair thanked all Panel members and officers for their contributions.

The next scheduled meeting of the Health Overview and Scrutiny Panel will take place on 30 June 2016.

It was noted that the next scheduled meeting of the Health Overview and Scrutiny Panel would take place on 30 June 2016.