GOVERNING BODY MEETING in Public 27 September 2017 Agenda Item 3.3

Transcription

1 GOVERNING BODY MEETING in Public 27 September 2017 Agenda Item 3.3 Report Title Clinical Quality and Performance Committee Appendix B Meeting held on 12 July 2017 confirmed minutes

2 ECCCG Clinical Quality and Performance Committee Name Initials Present Apologies In Attendance Dr Jenny Lawn Chair) JL Executive GP for Quality, ECCCG Governing Body Gillian Boston GB Lay Board member (PPI), ECCCG Governing Body Dr Julia Huddart JHud Executive GP for Clinical Team, ECCCG Dr James Milligan JM GP for Business Management Team ECCCG Sally Rogers SRo Registered Nurse Board member and Director of Quality, ECCCG Governing Body Jacki Wilkes JW Associate Director of Commissioning Julia Curtis Head of Clinical Quality Dean Grice DG Primary Care Commissioning Manager Angela Thomas AT Quality Administrator Rosie Kendrew RK Complaints, Concerns & Governance Manager Karen Burton KB Clinical Projects Manager Jim Britt JB NWAS Commissioning Lead Manager Cath Jarvis CJ Clinical Lead (CHC) Paul Hawgood PH AQUA Observing Lindsey Ure Clinical Quality Manager Olivia Work Experience Student Melanie Forster Student Placement Quality Team Agenda Item Discussion and Actions Agreed 1 Welcome, Apologies, Declarations of Interest The Committee welcomed all attendees to the meeting. No apologies noted No Declarations of Interest noted Action Who Date 2 Minutes of previous meeting and action log review The minutes of the previous meeting were approved as an accurate record with the following amendments: 4.3 amend to read /JM advised that he had a discussion with Neil Evans. Action Log updated. All items closed, identified on the closed log 3 Quality Risk Log Risk 245 The attached document was reviewed by the Committee The Committee requested that KB confirm that the A&E Risk and the Ambulance Risk are up to date on Datix. ACTION: KB to confirm that risks have been updated on Datix and forward these to the Committee prior the August meeting. KB Jim Britt (JB) attended the meeting to provide an overview of the Ambulance Service key standards and non-compliance of targets.

3 ECCCG Clinical Quality and Performance Committee ACTION: JB to provide an overview given to the Committee which will be attached to the minutes when received. JB JM challenged JB with regards to the wait time of 2 hours for ambulances when a patient is deemed to be safe with a medical professional ie GP JB advised that there is an impact on ambulance response times when an ambulance crew go out of area to take a patient to another hospital, they have to attend the next 999 call, even if it is out of area. Ie a patient taken to Salford by a crew, would have attend to a patient in the Manchester area if that was the next 999 call placed. JB agreed that this does impact the local service. The Committee also discussed the long term around times at other hospitals and the impact this has on the wider system. JB confirmed that the new contract for Green calls will have a 4 minute initial assessment time from August. The Committee invited JB to the November meeting to provide an update and provide further assurance with regards to improvement being implemented. ACTION: Risk to discuss with Lana Davidson the waiting times noted in the risk. ACTION: /JM to review the Dashboard for Mental Health and agree what information is required /JM Risk 241: Update the owner of the Risk to Jacki Wilkes 4 Performance Dashboard Aristotle data was reviewed, however, the document was incomplete in a small number of areas. The Committee requested that information be refreshed and a full report brought to the August meeting. The Committee agreed that Children and Young People data be removed from the report as numbers were low and it was specific to eating disorders. Action: to review the data and meet with Anita Mottershead to update the data exported from Aristotle. 5 Escalations/Reviews from Monitoring Committees/Meetings 5.1 SUI update noted by the Committee no action necessary Complaints and Concerns noted by the Committee no action necessary 5.3 June QUAG meeting cancelled - nothing to report 5.4 Primary Care Operational Group Update:- GB advised that a letter had been received by NHSE regarding CAPITA issues. This is being discussed at the Primary Care Committee meeting today and will be added to the Primary Care Risk Register. The resolution of issues will be put into a timeline at the Primary Care Committee today. ACTION: GB to provide further update at the August meeting regarding CAPITA issues. GB 6 Safeguarding Report Safeguarding_report _July 2017.docx SR presented the Safeguarding Report to the Committee. A number of sessions are being covered during maternity leave. The GP Safeguarding Lead s maternity leave will have partial cover from NHSE. The looked after children nurse post is currently out to advert and interviews are to take place on 26 th July.

4 7 IAF Presentation ECCCG Clinical Quality and Performance Committee To be brought to August Meeting 8 ECT Quality Assurance Update Attached document for information only CQP Report East Cheshire NHS Trust Q 9 Patient Experience Data advised the Committee that there appears to have been deterioration in Patient Experience Data and this would be discussed at the Quality meeting with East Cheshire Trust and detailed findings will be provided to the CQ&P Committee when available. ACTION: /SR to request and ECT action plan with regards to the deterioration of Patient Experience Data /SR 10 Quarterly Continuing Healthcare by exception 10 CHC_CC Cheshire Overview Report_May Cath Jarvis (CJ) provided an overview of the attached CHC_CC Cheshire Performance Report to the Committee. It was noted that the Trust have no discharge to assess beds and that the CHC team utilise spot purchased beds as required. A new scheme is being looked in to with a pot of money assigned for spot purchased beds. This is around anyone being able to utilise money from the pot for a patient s bed, and then the CCG identified as being responsible will pay back the money to the pot. agreed to speak with Stockport CCG to discuss their process for continuing health care ACTION: to speak with Stockport CCG to discuss their process for continuing health care ACTION: to confirm the total number of nursing home beds to the Committee 11 Mortality Update Paul Hawgood (PH) from AQUA presented the Mortality at East Cheshire Trust. For further details see attached. PH informed the committee that East Cheshire Trust receive the data in a pre-release format on the 3 rd Thursday of every month. JM agreed to request the data from ECT on the earlier date each month. The Committee considered areas to be monitored around the trajectory position. ACTION: JM agreed to request the data from ECT at the Quality meeting taking place on 12 th July. SR advised the Committee that she had written to Christine Griffiths-Evans to receive minutes of the Mortality Meeting attended by JM. To date nothing has been received. ACTION: SR to request again the minutes of the Mortality meeting from Christine Griffiths- Evans JM SR 12 Items for Governing Body

5 ECCCG Clinical Quality and Performance Committee ACTION: /MF to prepare items for the Governing Body Report. The report will discuss key areas discussed at this meeting. 13 AOB 13.1 GB advised that she had written to Healthwatch to request a replacement to attend the CQ&P Meeting following the departure of Victoria Kitten. /MF Dates of Future Meetings 2017 Venue Alderley Building, Victoria Road, Macclesfield, Cheshire. SK10 3BL 2017 Dates Time Venue 09 August 9am mid-day Boardroom 1 13 September 9am mid-day Boardroom 1 11 October 9am mid-day Boardroom 2 08 November 9am mid-day Boardroom 1 13 December 9am mid-day Boardroom 1

6 This page has been left blank intentionally