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Disclosure of Interests
In accordance with the Council’s Code of Conduct and the statutory provisions of the Localism Act, Members and co-opted Members of the Council are reminded that it is a requirement to register disclosable pecuniary interests (DPIs) and gifts and hospitality to the value of which exceeds £50 or multiple gifts and/or instances of hospitality with a cumulative value of £50 or more when received from a single donor within a rolling twelve month period. In addition, Members and co-opted Members are reminded that unless their disclosable pecuniary interest is registered on the register of interests or is the subject of a pending notification to the Monitoring Officer, they are required to disclose those disclosable pecuniary interests at the meeting. This should be done by completing the Disclosure of Interest form and handing it to the Democratic Services representative at the start of the meeting. The Chair will then invite Members to make their disclosure orally at the commencement of Agenda item 3. Completed disclosure forms will be provided to the Monitoring Officer for inclusion on the Register of Members’ Interests.
There were none.
Urgent Business (if any)
To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.
There were no items of urgent business.
To receive and comment on the draft report of the Croydon Health Service and NHS Trust
The draft annual quality account was presented to the Sub-Committee for comment.
Members were informed of some of the highlights of 2017/18 which included the following:
•Infection Control- There were a number of areas where the trajectory around infection control such as MRSA and C Deficile came under recommended level; and performance was very good.
•Winter Pressure - There was a huge demand for service which was managed very well. The local outbreaks of norovirus was well contained.
•Cancer performance and reaction to treatment had seen some improvements.
•CQC Inspection – The Trust was rated good in all core services, there was however further work to be done to improve across services.
The priorities for 2018/19 included the following:
•Improvement of patient experience though on going work identified through the friends and family feedback and annual survey response.
•Appointment of a senior practitioner from SLaM to collaborate on issues identified in the care pathway.
•Mental health identified as a national priority and in particular Croydon will look at its acute pathway.
In response to a Member query on what was meant by ‘enhancement to the critical care unit’, officers stated that it was recognised that the environment in terms of capacity, size and facilities were in need of expansion. The CQC highlighted issues with the physical environment and a business case had been logged to expand the unit.
Members raised concerns on care pathways for patients that presented with mental health issues or crisis and the facilities and provision in place.
Officers responded that this remained a priority. They were aware that there was currently limited facilities in the department for their care and treatment at present due to the constraints of the temporary emergency department, when the new facility opens this will improve. They were currently working with partners on a review of pathways and were working with SLaM to ensure the appropriate level of staff were available to respond to demand.
Members requested clarification of the CQC rating which showed that critical care was rated as ‘required improvement’ and three other services rated as good. The overall rating was ‘required improvement’.
Officers responded that the CQC had made changes to the assessment criteria, they had not reviewed core services and this would happen later in the year, the rating would then be amended to reflect that review.
In response to a Member question on the challenges of recruitment, officers stated that recruitment remained a challenge, in particular in retaining senior level staff and specialists. Flexible working also had an impact on staffing levels during core hours. The Members praised John Goulston, Chief Executive, Croydon Health Services NHS Trust on the work done in transformation of recruitment and noted the progress made in this area to date.
In response to a Member question on the process of determination of priorities for each year, officers responded that whilst national guidance was received and considered there was local flexibility on the priorities selected. A list of priorities were drawn each ... view the full minutes text for item 22/18
To receive and comment on the draft report of the South London and Maudsley NHS Foundation Trust
The draft annual quality account was presented to the Sub-Committee for comment.
The Sub-Committee learnt that they were the most improved NHS trust in the last year.
Over the last year feedback had been sought and received from stakeholders and CQC feedback had been reviewed in order to assist with the formulation of top priority areas of focus for the coming year.
As a result the four areas of focus for 2018/19 would be the following:
- Reduction in violence
- Accessibility of care
- Patient and Family involvement in care
- Staff morale and experience
In response to a Member question on processes and challenges, officers stated that there were still challenges with access to beds. This was particularly challenging for acute colleagues with access to beds not always readily available. Staff were encouraged to report any delay, in order for investigations to be carried out and for opportunities to work with partners on addressing the issues presented.
Members were encouraged to learn that the Place of Safety was well staff and working well.
A Member commented that there was a lack of Croydon content in the report and it would be of benefit in future for the report to include an explicit section on issues for Croydon focus. A Borough breakdown of strengths and weaknesses.
A Member commented that SLaM was world leading in its field but there was a distinct lack of BME representation at senior level. There was some comment on this in the report but more reflection was required on issues of staff satisfaction and representation of BME. Officers stated that discussion had been taking place to ensure that more on this issue was structured into next year’s quality accounts.
The Sub-Committee was encouraged to learn that a workforce and equalities committee had been set up to address the issues of BME representation at senior level. There would be more information and data available on the work that was being completed on improving diversity in the next year.
In response to a Member comment on improvement of engagement with staff, morale and what could be learned from the CUH listening into action programme, officers stated that they were working on system wide changes. They had been working with and learning from partners on quality improvement methodology.
In response to a member comment of staff reporting at 57% of harassment and working in a hostile environment, officers said that unfortunately this was part of working in a Mental Health setting and they had been looking at ways of addressing issues raised.
The Trust stated that there was a good degree of openness regardless of difficulties and there had been improvements for Croydon residents in the last 4 years.
Members thanked officers for their continued participation with Scrutiny and for all their work in the last year.
The Sub-Committee’s response to the Quality Accounts
The Health and Social Care Scrutiny Sub-Committee welcomed the opportunity to provide comment on the draft quality account.
The Sub-Committee agreed in the ... view the full minutes text for item 23/18
Exclusion of the Press and Public
The following motion is to be moved and seconded where it is proposed to exclude the press and public from the remainder of a meeting:
“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”
This was not required