You are here:

Agenda and minutes

Venue: Committee Room 2 - Waltham Forest Town Hall. View directions

Contact: Perminder Purewal  020 8496 4532 Email: democraticservices@walthamforest.gov.uk

Items
No. Item

19.

APOLOGIES FOR ABSENCE AND SUBSTITUTE MEMBERS

Minutes:

Apologies for absence had been received from Councillor Anna Mbachu and Shumon Ali Rahman.

 

20.

DECLARATIONS OF INTEREST

Members are required to declare any pecuniary or non-pecuniary interest they or their spouse/partner may have in any matter that is to be considered at this meeting.  Interests are defined in the front cover of this agenda.

Minutes:

There were no declarations of interest.

21.

MINUTES OF PREVIOUS MEETING pdf icon PDF 242 KB

To approve the minutes of the meeting held on Tuesday 26th February 2019

Minutes:

The minutes of the meeting held on 26 February 2019 were approved and signed as a correct record.

 

22.

PUBLIC PARTICIPATION

Members of the public are welcome to participate in scrutiny meetings. You may speak for three minutes on a topic related to the Committee’s work, and fifteen minutes in total is allowed for public speaking, at the discretion of the Chair. If you would like to speak, please contact Democratic Services (details above) by 12 noon on the day before the meeting.

Minutes:

None.

23.

COMMITTEE ACTION TRACKER AND ACTION UPDATE pdf icon PDF 127 KB

Additional documents:

Minutes:

Consideration was given to the report from the Scrutiny Officer.


Andy Spragg, Scrutiny Officer introduced his report and the Committee noted that all outstanding actions would be cleared.  He asked the Committee to email him for their ideas and suggestions for the 2019/20 Forward Work Programme.

 

The Chair commented that at a recent INEL meeting it was mentioned that WF Healthwatch were leading on a 10 year plan on resident engagement and she would be interested to see the progress of that item.

 

Nuzhat Anjum, Assistant Director of Strategic Commissioning, CCG drew the Committee’s attention to the update on CAHMS.  Following the CAMHS Business Case submission and as part of contract negotiations with the providers NELFT, WF CCG had agreed additional funding for 2019/20 to the amount of £748,000 for CAMHS service.

 

The Committee noted that the additional funding had led to an increase from 21 FTE to 37 FTE and the impact of the additional funding had been as follows:

  • Newport pathway waiting time for full assessment had been reduced by 50% and the 16 month wait time had gone to down 8 months
  • Number of children waiting for neuro assessment had been reduced from 88 to 66
  • Number of children and young people waiting for emotional and behaviour pathway had seen reduction from 157 to 101
  • There was no longer a wait list for brief intervention
  • The compliance rate for referral for treatment within 18 weeks was 99.5% with only one beach of the 18 week target.

 

The Committee noted that the WFCCG had also committed additional funding

for the year 2020/2021.

 

The Committee also noted that the service had asked for £1m funding and asked how the shortfall would be dealt with.  Nuzhat Anjum advised that they were trying to source funding outside the CCG such as bidding for the NHS trailblazer scheme which targets the work in schools where improvement was needed.

 

The Committee was reassured that the CAHMS Transformation Board would be looking at long term plan and what would happen after the two year funding had ceased.  It was hoped the plan would be ready by October 2019 and Nuzhat Anjum offered to come back to a future meeting to share the plan with the Committee.

 

24.

REVISED TIMESCALES FOR IMPLEMENTING AN INTEGRATED COMMISSIONING FUNCTION pdf icon PDF 141 KB

Minutes:

Consideration was given to the report from the Corporate Director of Integrated Commissioning.

 

Mark Lobban, Corporate Director of Integrated Commissioning, LBWF & CCG presented his report which advised on the revised timescales for implementing an Integrated Strategic Commissioning Function and timescales for agreeing integrated commissioning priorities.

 

The Committee noted that there had been delays in the transition to Waltham Forest East London (WEL).  The Integrated Strategic Commissioning Function was originally planned to be operational from April 2019. A single Managing Director was appointed in December 2019 for the three CCGs (Waltham Forest, Tower Hamlets and Newham CCG) and the move to a single operating delivery model would be created so that the three CCG boards would work collaboratively by October 2019.  It is suggested that the joint priorities are brought to July 2019 Health Scrutiny Committee meeting to help inform the planning of future agendas

 

As a result from questioning by the Committee, it was noted that:

  • After July 2019, the service would be in a better position to report on integration of pooling of the resources and reassurance was given to the Committee that Waltham Forest commissioning of services would be protected.
  • The resources of the 3 CCGS would be bought together and staff would work at either a WEL or local level. 
  • The governance would work collaboratively to ensure Waltham Forest would get best out of the total resources and if there were any areas of concern this would be escalated to Cabinet or WEL Board. Further details of the Governance arrangements would also be provided to the Committee
  • Commissioning priorities would be bought to the Committee

 

Actions:

·         That the Committee receive a report on the priorities of integrated commissioning function for July 2019, including the commissioning budgets in scope for integration and governance arrangements.

·         That the Chair and Vice Chair meet with Corporate Director of Integrated Commissioning to discuss the priorities in advance of the meeting in July 2019

 

Decision:

The Committee noted the report.

 

25.

UPDATE ON HOSPITAL DISCHARGES - IMPLEMENTATION OF THE INTEGRATED DISCHARGE TEAM REVIEW pdf icon PDF 1 MB

Minutes:

Consideration was given to the joint report of Adult Services, Whipps Cross Hospital and WF CCG


Kelvin Hankins WF CCG briefly introduced the report which informed the committee on the progress of the implementation of the Integrated Discharge Review.  The Committee noted paragraph 5.8 of the report and the reasons for the Delayed Transfer of Care (DtoC) which had been reduced from 340 people to 177 in January  2019.   It was also noted that the winter months were usually a difficult time to get patients discharged and the reduction was a testament to the collaborative partnership working.  

 

The Committee was also given information on the Implementation of the Bridging service. This service has had a positive impact on patients whereby support was given to patient for 5 days once discharged.  This enabled people to get home think about the care they would need without time pressure of being hospital.

 

The Committee were given an opportunity to ask questions of Cath Scholefield, Assistant Director Operations, Adult Services, Claire Burden, Deputy Managing Director, Whipps Cross Hospital and Kelvin Hankins WF CCG.

 

The Committee noted:

 

that the quality improvement programme would enable more to be done with pre-operation planning. It would be championed by Clinical Director assessments to see the needs of the patient and whether they are fit and therefore ascertain what therapy and support would be needed. The plan for the service would be shared with the Committee.

 

data around unsafe discharges and the numbers of patients readmitted within 48 hours of discharge would also be shared with the Committee.

 

pyjama paralysis is an international program whereby patients start getting normality in their days by having routine of getting up, dressed and having a meal at a table rather than in bed. 

Actions:

·         That the committee receive an update covering progress on the quality improvement work on pre-operative planning in autumn 2019

·         Services to circulate readmission rates to the committee

 

Decision:

The Committee noted the report.

26.

UPDATE ON HEALTH THEMED REVIEW 2017/18: PRE- AND POST-NATAL SERVICES pdf icon PDF 267 KB

Additional documents:

Minutes:

Consideration was given to the report from the Scrutiny Officer. The Committee were asked to note the draft themed review report and note the summary of the recommendations produced throughout the year.

 

Joe McDonnell briefly introduced the report and drew the Committee’s attention to the recommendations of the review.

 

The Committee asked questions about the maternity services and received responses from Joe McDonnell, Director of Public Health, Brenda Pratt, Associate Director of Health and Social Care Integration & Better Care Together Programme Lead, LBWF & CCG and Kelvin Hankins, WF CCG

 

National Maternity Transformation Board

Work was underway on an online resource so that women would know what services and facilities were available in an open and transparent way.

 

Impact of closure of neighbourhood midwifes

129 women had been affected by the closure and all those women had been supported and went to either the Homerton or Whipps Cross hospital.  Both hospitals supported women to self-book all appointments.  It was recognised that communication was not as well as it should have been, so the Maternity Voices Partnership had been commissioned to talk to the women about their experience in order to learn lessons to ensure it does not happen again.

 

Recommendation 11

6-8 week health check was not meeting its targets and new proposals were in place to change the system so that health checks are completed.

 

Actions:

·         That the After Action review on the closure of Neighbourhood Midwives is presented to the committee in 2019/20, along with the feedback received from the Maternity Voices Partnership and any action plan in response to the review.

·         That Public Health provide an update on whether the 6-8 week health checks achieved the projected target in the contract period (July – September 2019)

 

Decision:

The Committee noted the report.

 

27.

HEALTH THEMED REVIEW 2018/19: HEALTH OUTCOMES FOR PEOPLE WHO ARE HOMELESS pdf icon PDF 260 KB

Additional documents:

Minutes:

 

Consideration was given to the report from the Scrutiny Officer.


Andy Spragg presented the themed review report. Members were asked to note the summary of the draft recommendations produced throughout the year and make any necessary amendments and suggestions.

 

Actions

·         Officers to coordinate with Healthwatch about feedback gathered from people experiencing homelessness

·         Officers to explore addition recommendations about access to dental care for people experiencing homelessness

 

Decision:

 

The Committee agreed the report and noted it would be referred to Cabinet for formal consideration and response.

 

That authority to be given to the Scrutiny Officer to agree any minor amendments to the report in consultation with the Chair of the Health Scrutiny Committee.