Agenda item

UPDATE ON MATTERS CONSIDERED AT A PREVIOUS MEETING

To receive updates on the following matters that were considered at previous meetings of the Commission:-

 

1.    Winter Care Plan

 

Councillor Chaplin to provide an update on the Joint Scrutiny Review meetings held on 24 October, 14 November and 19 November in relation to the Winter Care Plan.   It is understood that the draft report of the review may be considered at the meeting of the Adult Social Care Scrutiny Commission at its meeting on 5 December.

 

2.    Francis Report

 

To receive the following update reports on progress made in relation to the recommendations in the Francis Report

 

Leicestershire Partnership Trust                                       Appendix L

                                                                                                (Page ???)

 

Clinical Commissioning Group (CCG)                            Appendix M

                                                                                                (Page ???)  

 

3.    Unannounced Visits to UHL

 

To receive a verbal update report from the CCG

 

4.    Public Health Budgets

 

The Chair to provide an update on discussions in relation to Public Health Budgets.

 

5.    Response to the Commissions Scrutiny Review Reports.

 

The Chair to report on his presentation of the two scrutiny review reports below to the Council’s Executive on 5 November 2013.

 

a)    Revisiting the Review of Mental Health Working Age Adults in Leicester

b)    Review of Voluntary and Community Sector Groups who have raised concerns about Funding, Commissioning and Tendering issues.

 

A joint response from Adult Social Care Services and the CCG to the Voluntary and Community Sector Review is attached. Appendix N                                                                                                 (Page ???)

 

To receive the any further responses to the two scrutiny reviews which are received before the meeting.

 

6.    Impact Assessment for NHS 111

 

The CCG to provide an update on the submission of the Impact Assessment on the NHS 111 service requested at the last meeting of the Commission.      

 

7.    Congenital Heart Disease Review

 

To receive the following update reports and information in relation to the Congenital Heart Disease Review:-

 

a)    The Scoping Document for the Review                    Appendix O

(Page ???)

 

b)   9th NHS England Bulletin                                            Appendix P

(Page ???)

 

c)    10th NHS England Bulletin                                          Appendix Q

(Page ???)

 

d)   Note of Meeting with John Holden, Lead for NHS England Review Team                                                                          Appendix R

(Page ???)

 

8.    East Midland Regional Health Scrutiny Network

 

To receive a briefing note.                                                  Appendix S

                                                                                                (Page ???)

 

9.    External Scrutiny Review by CfPE

 

The Chair to provide an update on the progress with the review.

Minutes:

The Commission received updates on the following matters that had considered at previous meetings of the Commission:-

 

1.    Winter Care Plan

 

Councillor Chaplin provided an update on the Joint Scrutiny Review meetings held on 24 October, 14 November and 19 November in relation to the Winter Care Plan.   The draft report of the review would be considered at a joint meeting of the Health and Wellbeing and the Adult Social Care Scrutiny Commissions on 5 December 2103 prior to a meeting of the Adult Social Care Scrutiny Commission afterwards.

 

2.    Francis Report

 

The Leicestershire Partnership NHS Trust (LPT) and the Clinical Commissioning Group (CCG) submitted update reports on progress made in relation to the recommendations in the Francis Report

 

The Chair referred to the openness of the LPT response and felt that this was a welcomed response to the review.

 

It was also noted that the Government had recently published its response to the Francis Report and had accepted 280 of the 290 recommendations.  The response had also been influence by the Clwyd- Hart Report into how the NHS dealt with complaints and also the Berwick Report into NHS patient safety.  Trusts needed to develop an open culture for learning and improvement from complaints etc and remove the ‘culture of blame’ around that learning.

 

Dr Miller stated that he was determined to have a culture of improvement leadership and he was keen to demonstrate that patients and staff view were be listened to and acted upon.  He wished to create a self-regulating authority so that a situation similar to the CQC’s action on the Bradgate Unit would be prevented in future by pro-active alerting and internal corrective measures.

 

Professor Chiddick confirmed that the Board were equally keen to create confidence in an open and transparent culture by demonstrating this though strong leadership and encouraging the creation and empowerment of leaders throughout the organisation.  It would take time to change the traditional barriers within the NHS to achieve this.

 

Following comments and questions from members, it was noted that:-

 

a)    The Trust were actively working and engaging with voluntary sector groups to reach marginalised groups and were looking to develop different ways of partnership working at all levels of service delivery.  The Trust fully recognised that, if this engagement did not take place and they did not utilise the health care services provided by the voluntary sector, there could be a ‘knock-back’ effect with more demands being made for acute services provision.

 

b)    The Trust recognised that placing staff under too much pressure could also lead to less compassion in delivering services, and they wished to avoid this wherever possible. 

 

c)    There was a legal responsibility to have a ‘whistle blowing policy’ although the term was not liked by the Francis Report as it created a negative image of the process; whereas it was important to have a positive culture in which improvements could be derived from concerns expressed about services.

 

d)    There was a formal procedure for dealing with issues recorded as being raised through the ‘whistle blowing policy’ but there were also other ways in which concerns could be raised at all levels in the Trust and those raising concerns were asked how they wished to take their concerns forward.  The triangulation of concerns raised with other available information would be key to identifying and avoiding poor service delivery.

 

Richard Morris stated the CCG were making good progress around the four 4 priority areas identified in the previous update report.

 

The Chair commented that he was concerned that there was no reference in the Government’s response to the Francis Report to the local government scrutiny role in the process.

 

3.    Unannounced Visits to UHL

 

Richard Morris provided a verbal update report on two further unannounced visits from the CCG to UHL.  It was pleasing that the areas identified for improvement had been addressed by the UHL Trust.

 

4.    Public Health Budgets

 

The Chair stated that he would circulate the notes of the recent briefings in relation to Public Health Budgets to Members of the Commission.

 

5.    Response to the Commissions Scrutiny Review Reports.

 

The Chair reported upon the presentation of the two scrutiny review reports below to the Council’s Executive on 5 November 2013.

 

a)    Revisiting the Review of Mental Health Working Age Adults in Leicester

 

b)    Review of Voluntary and Community Sector Groups who have raised concerns about Funding, Commissioning and Tendering issues.

 

Both reports had been well received and had resulted in the Chair being appointed as the Council’s Advocate for Mental Health.  It had also been proposed to have a motion submitted to the Council meeting in January on the Council’s role in promoting Mental Health issues in the City.

 

A joint response from Adult Social Care Services and the CCG to the Voluntary and Community Sector Review was submitted to the Commission for information.  The Chair commented that the Commission’s report had been a major driver during consideration of last year’s budgets funding reductions.  

 

There were some procedural issues outstanding around feedback from the Executive and the Chair intended to raise these at the next Overview Select Committee.

 

6.    Impact Assessment for NHS 111

 

The CCG gave a presentation on the continuing implementation of the NHS 111 service.  A copy of the presentation is attached to these minutes for information. 

 

7.    Congenital Heart Disease Review

 

Members received the following update reports and information in relation to the Congenital Heart Disease Review:-

 

a)    The Scoping Document for the Review                   

 

b)   9th NHS England Bulletin                                           

 

c)    10th NHS England Bulletin                                         

 

d)   Note of Meeting with John Holden, Lead for NHS England Review Team

 

8.    East Midland Regional Health Scrutiny Network

 

Members received a briefing note on feedback from the East Midlands Regional Health Scrutiny Network meeting on 21 October 2013.  The Chair had also offered Leicester as a venue for the next meeting on 9 January 2014.  The Centre for Public Scrutiny were using these events to engage with local authorities on a number of topics.  The Chair also stated that the meetings could also be useful mechanism for the Congenital Heart Disease Review team to engage with local authorities on a regional basis.

 

 

9.    External Scrutiny Review by CfPE

 

The Chair provided an update on the progress with the review and reminded Members to complete the training needs questionnaire as soon as possible.

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