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PDF 56 KBVenue: Committee Room 'C' - The Duke of Lancaster Room, County Hall, Preston. View directions
Contact: Janet Mulligan Tel: (01772) 533361, Email: janet.mulligan@lancashire.gov.uk
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Apologies Minutes: Apologies for absence were presented on behalf of Councillors Brenda Ackers (Fylde Borough Council), Liz McInnes (Rossendale Borough Council), and David Whalley (Pendle Borough Council).
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Disclosure of Pecuniary and Non-Pecuniary Interests Members are asked to consider any Pecuniary and Non-Pecuniary Interests they may have to disclose to the meeting in relation to matters under consideration on the Agenda. Minutes: None disclosed |
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Minutes of the Meeting Held on 14 January 2014 Minutes: The Minutes of the Health Scrutiny Committee meeting held on the 14 January 2014 were presented
Resolved: That the Minutes of the Health Scrutiny Committee held on the 14 January 2014 be confirmed and signed by the Chair.
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Lancashire Teaching Hospitals Trust Additional documents:
Minutes: The Chair welcomed officers from Lancashire Teaching Hospitals Trust (the Trust): · Karen Partington, Chief Executive · Carole Spencer, Strategy & Development Director · Suzanne Hargreaves, Operations Director
They had been invited to attend Committee to provide members with information on:
Officers from the Trust had previously met with the Health Scrutiny Committee Steering Group on 8 November last year. A copy of the notes of that meeting were attached at Appendix A to the report now presented.
The Care Quality Commission (CQC) had also recently carried out an inspection of the Trust looking at the following standards:
A copy of their report, which was produced in January, was attached at Appendix B to the report now presented. It identified that 3 out of the 5 inspection areas indicated 'action needed'. These areas were: · Care and welfare of people who use services · Staffing · Complaints
In addition, on 9 December, Monitor (the sector regulator that ensures Trusts are well led and are run efficiently) had written to the Trust notifying them of their decision to open a formal investigation due to governance concerns. A copy of the letter was at Appendix C to the report now presented.
The Trust had not provided the Committee with any documentation to support the topics to be scrutinised, but delivered a PowerPoint presentation which set out the context, and included actions taken, quarter four (2013/14) key statistics and ongoing challenges. A copy of the presentation is appended to these minutes.
As part of the presentation it was explained that the Trust had a good track record, over a number of years, of sustaining delivery against performance. There were challenges and risks as a health economy and recognition that there were currently few alternatives to hospital admission. Only the Accident and Emergency department offered a 24 hour service, and there were no walk-in centres or urgent care units.
Over the last 18 months the Trust had been working with a 'Clinical Senate' comprising the Trust, the Chorley & South Ribble and Greater Preston Clinical Commissioning Groups, Lancashire Care Foundation Trust and Lancashire County Council to examine how those partners could work better together to develop health and social care services for the people of Lancashire.
It was explained that events last winter leading to missed targets and cancelled surgery had been somewhat predictable and therefore the Trust had brought in external facilitators to review the situation and to help the Trust do things differently in the future. The facilitators were ECIST (Emergency Care Intensive Support Team); NWUMT (North West Utilisation Management Team); and KPMG (a private company providing advice to organisations about regulatory requirements, relationships, risk and service delivery to improve performance).
The Chair thanked officers from the Trust for the presentation, but made the point that it would have been most helpful for the Committee to receive information from them ... view the full minutes text for item 4. |
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Report of the Health Scrutiny Committee Steering Group Additional documents:
Minutes: On 20 December the Steering Group had received an update on the Health & Care Strategy from Fylde & Wyre CCG and an update on the Domiciliary Care Review from the Adult, Community Services and Public Health Directorate. A summary of the meeting was set out at Appendix A to the report now presented.
It was noted that whilst the county council could not specify a 'living wage' hourly rate for domiciliary care, it was suggested that the county council's own procurement terms might provide for contracts to be entered into with only those providers who pay a living wage. It was agreed that this possibility be explored further.
On 31 January the Steering Group had met with East Lancashire CCG to discuss their system to gather soft intelligence. A summary of the meeting was set out at Appendix B to the report now presented.
Resolved: That the report of the Steering Group be received.
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Recent and Forthcoming Decisions Minutes: The Committee's attention was drawn to forthcoming decisions and decisions recently made by the Cabinet and individual Cabinet Members in areas relevant to the remit of the committee, in order that this could inform possible future areas of work.
Recent and forthcoming decisions taken by Cabinet Members or the Cabinet can be accessed here:
http://council.lancashire.gov.uk/mgDelegatedDecisions.aspx?bcr=1
Resolved: That the report be received.
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Minutes of the Joint Lancashire Health Scrutiny Committee Minutes: The Joint Lancashire Health Scrutiny Committee had last met on 28 January 2014. The agenda and minutes of that and previous meetings were available via the following link for information.
http://council.lancashire.gov.uk/mgCommitteeDetails.aspx?ID=684
Resolved: That the report be received.
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Urgent Business An item of urgent business may only be considered under this heading where, by reason of special circumstances to be recorded in the Minutes, the Chair of the meeting is of the opinion that the item should be considered at the meeting as a matter of urgency. Wherever possible, the Chief Executive should be given advance warning of any Member’s intention to raise a matter under this heading.
Minutes: No urgent business was reported.
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Date of Next Meeting The next meeting of the Health Scrutiny Committee will be held on Tuesday 22 April 2014 at 10.30am at County Hall, Preston. Minutes: It was noted that the next meeting of the Committee would be held on Tuesday 4 March 2014 at 10.30am at County Hall, Preston.
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