Agenda and minutes

Healthy Staffordshire Select Committee
Monday, 13th August, 2018 10.00 am

Contact: Mandy Pattinson  Email: mandy.pattinson@staffordshire.gov.uk

Items
No. Item

26.

Declarations of Interest

Minutes:

Councillor Peters declared an interest as he is a Member of the University Hospitals of Derby and Burton NHS Trusts Governing Board.

 

27.

Minutes of the last meeting held on 9 July 2018 pdf icon PDF 150 KB

Minutes:

RESOLVED That the exempt minutes of the Healthy Staffordshire Select Committee held on 9 July 2018 be confirmed and signed by the Chairman.

28.

Minutes of the Joint Healthy Staffordshire Select Committee Accountability Session with Burton Hospital NHS Foundation Trust held on 16 July 2018 pdf icon PDF 123 KB

Minutes:

RESOLVED That the minutes of the Joint Healthy Staffordshire Select Committee Accountability Session with Burton Hospital NHS Foundation Trust held on 16 July 2018 be confirmed and signed by the Chairman.

 

29.

Minutes of the Joint Healthy Staffordshire Select Committee Accountability Session with West Midlands Ambulance Service NHS Foundation Trust held on 23 July 2018 pdf icon PDF 121 KB

Minutes:

RESOLVED That the minutes of the Joint Healthy Staffordshire Select Committee Accountability Session with West Midlands Ambulance Service NHS Foundation Trust held on 23 July 2018 be confirmed and signed by the Chairman.

 

30.

Staffordshire and Stoke on Trent Sustainability and Transformation Partnership (STP) - Workforce pdf icon PDF 147 KB

Report of the Partnership Director

Additional documents:

Minutes:

Greg Moores, the Programme Director (PD) and Director of Workforce for Midlands Partnership Foundation NHS Trust, and Mish Irvine, Head of the Workforce Programme (HWP) representing the Staffordshire and Stoke on Trent Sustainability and Transformation Partnership (STP) gave a presentation on the STP workforce Programme.

 

The PD gave apologies for Neil Carr, the Senior Responsible Officer and CEO of Midlands Partnership Foundation NHS Trust who was unable to attend the meeting.  The Committee was informed that funding had recently been secured for the project leads for the next two years.

 

The Committee heard that the STP workforce and Organisational Development Teams were working with staff side colleagues in preparing the engagement process for staff regarding the change programmes. 

 

The workforce strategy was described as being made up of three parts which were the largest areas of challenge.  These were: 

·         The sustainability pillar which covered: recruitment; retention; improving temporary staff utilisation; and reducing agency usage.  The recruitment group included all of the NHS partners in Staffordshire and the County Council.  Their challenge was to encourage people to remain in Staffordshire after qualifying and also to move here to fill vacant posts.  Improved marketing was being used.  There were also a number of pilots taking place in the county which were designed to change working patterns in order to retain current staff.

·         The future workforce pillar focused on widening participation and developing new roles at all levels to improve supply of staff, including apprenticeships, Rotational apprenticeships, current bands 1-4 development, supply improvement, train the trainer and work experience for students.  This pillar included both Health and Social Care Partners.

·         Transformation of the workforce pillar covered the planning of Clinical work streams, integration of Health and Social Care and transforming Primary Care.  The aim is to fully understand the working of all partners and to reduce duplication and improve communication.

 

The work streams new Governance structure was also outlined to the Committee.

 

The PD went on to outline the main achievements so far which included:

·         Children’s Nurse Redeployment into Practice Nurse Development programme. This had resulted in 10 members of staff having confirmed placements and a further 6 in the process of being placed, saving approximately £300,000 in redundancy costs.

·         A Physicians Associate (PA) Programme which provided placements for groups of PA’s within primary and secondary care.  PA’s are medically trained healthcare professionals who work alongside GP’s and Practice Nurses to provide advice to patients with for example, long term chronic conditions or provide health promotion or disease prevention advice.  There are currently 11 placements in Staffordshire and a further 8 were being recruited for October.

·         A redeployment team which worked with all NHS partners to redeploy staff at risk of redundancy.  Staff ‘at risk of redundancy’ have access to vacant posts prior to general release.  It was estimated that this has saved in the region of £3.3M in potential redundancy costs.

·         Apprenticeships and the aim of rotational apprentices were outlined.  The key areas for apprenticeships were End of Life care pathway, Home  ...  view the full minutes text for item 30.

31.

Staffordshire and Stoke on Trent Sustainability and Transformation Partnership (STP) - Enhanced Primary and Community Care pdf icon PDF 523 KB

Report of the Partnership Director

Minutes:

Steve Grange, Staffordshire and Stoke on Trent Transformation Programme (STP) Programme Director (PD), Gemma Smith STP Programme Lead and Craig Porter STP Programme Lead gave a presentation on the STP Enhanced Primary and Community Care Programme (EPCCP).

 

The EPCCP is responsible for the delivery of:

·         Integrated Care Teams

·         Sustainable General Practice

·         Reduced variation in the use of community hospital beds

·         End of life care

 

The programme will deliver Integrated Care Teams (ICT) in 23 localities each serving a population of between 30,000 and 70,000.  The ICT’s will deliver GP services, Nurses, Health Care support workers, Pharmacist, Social Care, Voluntary sector, District Nursing, Community Matrons, and Community Mental Health in one locality designed around individual local demand/need.

 

 

These 23 ICTs will form 8 Specialist Team Hubs covering the Stoke North, Stoke South, Newcastle, Moorlands, Stafford, Cannock, Lichfield and Tamworth and East Staffordshire areas, which will provide a range of specialist services aligned to the local population e.g. Dementia services, Cardiac rehab, Specialist nursing Home first etc.

 

The PD outlined the EPCCP vision which included high quality, clinically effective and integrated care to meet the patients’ needs and not constrained by organisational boundaries.  The impact of the programme should lead to an additional 122k appointments across Staffordshire, reduction in emergency admissions by 30%, a reduction in delayed transfers of care, and an increased number of people dying in the place of their choice and should address recruitment and retention issues in primary care.

 

The key risks associated with the programme were:

·         Providers being unable to deliver due to changes in culture not being achieved; this was to be mitigated by clinical engagement through the STP and locally with individual providers.

·         Worsening primary workforce crisis, this was to be mitigated by plans to sustain primary care and develop other roles to fulfil some current GP functions

·         The ability of Social Care to support the home first principles through issues with recruitment to the domiciliary care market.  This would be mitigated by continued investment via the better care fund

·         Patients may not turn up to the right services and may continue to use services inappropriately.  This would be mitigated by patient involvement and education planned and successful implementation of the 10 high impact changes for primary care.

 

The patient engagement/consultation activities planned included:

·         Extensive engagement and discussion on community hospitals

·         Clinical leaders group engagement at all levels

·         Clinically driven outcomes

·         Clinically developed models of care

·         Organisational partnership – multi sector relationships

·         Healthwatch involvement at Board level

 

Following the presentation, the Committee asked a number of questions on the EPCCP. 

 

The Committee expressed concern that the health partners traditionally worked in silos and this could affect the implementation of the programme, particularly in areas such as IT.  The PD felt that the STP was working to overcome this and there were specific programmes to overcome some problem areas such as IT and Estates.

 

A Member asked how the public would know where to go when they need medical advice.  The PD responded that all too  ...  view the full minutes text for item 31.

32.

District and Borough Health Scrutiny Activity pdf icon PDF 224 KB

Report of the Scrutiny and Support Manager

Minutes:

The Scrutiny and Support Manager presented the report which outlined the activity of the Borough and District Councils since the beginning of the municipal year.

 

RESOLVED That the report be noted.

33.

Healthy Staffordshire Select Committee Work Programme 2018/19 pdf icon PDF 278 KB

Report of the Scrutiny and Support Manager

Minutes:

The Scrutiny Manager informed the Committee that they had previously requested information on the financial stability of the Health organisations following the establishment of the STP.  Information recently circulated had shown that the local NHS deficit had increased.  The Committee requested an additional meeting to consider the item in more detail.

 

A report had recently been published which showed that the Mortality rates at the Royal Wolverhampton Hospital Trust had increased and had become amongst the worst in the Country.  Following a discussion with the Chairman of the Wolverhampton City Council Health Scrutiny Committee, Wolverhampton was proposing to hold a meeting to look at the issue.  This Select Committee would be invited to attend and participate.

 

The Clinical Commissioning Group (CCG) had circulated information on a proposed tier 4 changes to services affecting the North of the County.  The Committee had indicated that they felt that this was a substantial variation and prior to the meeting had informed the CCG of their view.  On this basis the CCG had agreed that full consultation would take place.  As there were arrangements in place for joint scrutiny with Stoke on Trent City Council it was suggested that the joint committee hold an informal workshop to look at the detail behind the proposal prior to formal scrutiny at a future meeting.  This was agreed.

 

RESOLVED The Committee agreed the following action:

a)    That the report be received

b)    An additional meeting be arranged to consider the financial position of the STP in more detail.

c)    Attendance at the Wolverhampton City Council Health Scrutiny Committee to consider the Mortality rates at the Royal Wolverhampton Hospital Trust be agreed.

d)    That the Staffordshire and Stoke on Trent Joint committee hold a pre engagement consultation workshop prior to a formal consultation meeting in September/October 2018.

 

 

 

34.

Exclusion of the Public

The Chairman to move:-

 

That the public be excluded from the meeting for the following items of business which involve the likely disclosure of exempt information as defined in the paragraphs Part 1 of Schedule 12A Local Government Act 1972 (as amended) indicated below.

Minutes:

RESOLVED That the public be excluded from the meeting for the following items of business which involve the likely disclosure of exempt information as defined in the paragraphs Part 1 of Schedule 12A Local Government Act 1972 (as amended) exempt paragraph 4.

35.

Exempt Minutes of the Healthy Staffordshire Select Committee - 9 July 2018

Exemption Paragraph 4

Minutes:

The minutes were approved