HEALTHWATCH MILTON KEYNES MANAGEMENT BOARD

Transcription

1 HEALTHWATCH MILTON KEYNES MANAGEMENT BOARD Minutes of the meeting held on Wednesday 29 th April 2015 at 9.30 am in the Meeting Room, 6 Burners Lane, Kiln Farm. Minute No. 329 Present: Management Board:- AGENDA ITEM - PART 1 ACTION Hilda Kirkwood (Chair) (HK) Marion Wale (Deputy Chair)(MW) Mike Newton (MN) Nadia Shaw (NS) Alan Hancock (AH) Brenda Jenner (BJ) Gail Hawks(GH)- Co-opted Jean Button(JB)- Co-opted sub for( LB) Host Jane Palmer (JP) -AUK. MK( till 10.30am) Support Team:- Diane Gordon ()-Support Team Manager Phil Winsor (PW) - Healthwatch Officer - Governance. Jane Bidgood Item 16 only Members of the public in attendance:- John Burnett Apologies: Sue Graham AUK. MK Lesley Bell ( LB) Co- opted) Carolyn Pierson (CP) 330 Declarations of Interest None 331 Issues raised by Members of the Public None 1 Minutes - Healthwatch Milton Keynes Management Group

2 332 Minutes of last meeting 25 th March 2015 These were agreed with the amendment of Page 6 Line 2 reflecting instead of reflection and signed by the Chairperson as an accurate record. 333 Matters Arising from minutes not elsewhere on the Agenda. Minute 318 advised that she had spoken with a representative of Maternity: MK regarding both representation and funding/support for the MK Maternity Service Consultation Group (MK MSCG). is to attend a meeting on the 12 th May 2015 so as to understand more fully all the relevant issues. Information on the Cambridge arrangements has been supplied to by Maternity: MK. will raise the issue of the cessation of the 2K funding to the MK MSCG at the next MKCCG Senior Manager s Liaison meeting. Due to the MK demographics it was suggested that this is an area that organisationally HWMK should be more involved with in the future. Minute 320 (a) Further to Minute 303, it was agreed that the matter of a Senior Independent Director to the Board would not be proceeded with until the HWMK Terms of Governance are reviewed in connection with the new operating structure. (b) Further to Minute 307 the M.O.U. sub group will review the documentation at their next meeting on the 6 th May 2015 Minute 311 NS advised that she will attend the YPHMK meeting, discussing GP access issues on the 7 th May NS 334 Healthwatch England Support Update HK advised that following the strategy meeting with the HWE consultant Patricia McCabe on the 27 th April 2015 it had been agreed that it would be beneficial to have three further meetings 6 th May 11am 1 pm, to evaluate the strategy work carried out in MK on behalf of HWE and to undertake a stakeholder analysis. 1 st June 2-5 pm, to review the potential legal structures, their pros and cons including consideration of liabilities. 29 th June 10am-1pm, to look at operational models - governance and structure. ALL ALL ALL 2 Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d

3 335 Updates from Sub Groups (a) Communications and Public Engagement AH advised that once the strategy has been agreed then a meeting will take place to consider a cross cutting C & P E strategy. (b) Event advised that Middleton Hall and the stalls have been booked for Tuesday 3 rd November The next meeting will be on the 18 th May (c) ICT MN advised that the ICT sub group have met a number of times to consider the options going forward and have drafted a service specification that meets the particular needs of this organisation that will be forwarded to Data Clarity, LHM, and HW England (Web in a Box). (d) MOU MW advised that a meeting has been arranged next week. AH//MN/ MW/ AH/NS/BJ / /MW 336 Beds & MK Healthcare Review HK advised that :- i) a summary paper on the issue of Joint Governance by the two CCG s had been drafted with a focus on the legal and decision making arrangements going forward differentiating between having a Joint Committee and a Joint Committee in Common. ii) Beds CCG are anticipating a substantial financial shortfall. The two CCG s are endeavouring to rationalise the situation. iii) Ruth Adam and Alison Joyner were very complimentary regarding our plain English summary of the Review to date. 337 Host update Jane Palmer outlined how the loss of MKC monies had required AUK MK to review all of its services and its management structure. This had been both difficult and challenging as some colleagues had been made redundant. Organisationally, it had moved to a more integrated home care support role. It was important for the income earning aspects of the business to be successful so that the profit can be spent on its older person s support role. Other funding streams are being explored such as South Midlands Local Enterprise Partnership (SEMLEP). A recent OU report had commented that the AUK MK s Advice and Information Service can offer good support to clients, particularly on 3 Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d

4 the first contact. AUK MK is reviewing the national branding partnership arrangements. 337 Financial Issues had circulated a 2015/16 spreadsheet in advance, but stressed that this is a preliminary document only and needs further detail once it is received over the forthcoming weeks. Full year budget K Balances carried forward from 2013/14 and 2014/15 circa 30.K One Off Funding for Projects :- Provisional Sum for ICT development 10K GP Access formal launch and brochure 4K Sub total 14K Balance 16K The salary line includes provision for a new 20 hr part -time fixed contract (until 31 st March 2016) 5 day per week Administrative Officer post and adjusting the Communications Officer to 21 hrs/wk from 25 hrs. (Agreed) A 2% pay award has been allowed for as no cost of living increase has been made whilst HWMK has been hosted. MW suggested that some benchmarking be undertaken as the Support Team salaries are based on the health and social care sector (Agreed) Members of the Board were asked for further ideas where costs may be incurred and the following were flagged:- Deaf and Hard of Hearing resource MK Maternity Services Consultation Committee C &YP partnering with schools as part of their PSHE curriculum CAMHS 4 Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d

5 338 Support Team Manager s Report (circulated in advance) 1. Procurement Engagement Process Kingfisher Surgery (Newport Pagnell) The surgery has been the subject of much recent press speculation. NHS England has advised that the procurement process will conclude in October Patient Experience Strategy- Neil Carter MKCCG This matter is still on hold. 3 Involvement in the Delivery of Commissioning of Services by MKCCG. Procurement of a new Physiotherapy Service in MK. Good progress being made with Alan Hastings attending meetings as the HWMK the Authorised Representative. 4. PPG Network Meetings The next PPG Network meeting is on 10 th June We have asked the MKCCG to do a 10 minute feedback on the B&MK Healthcare Review workshop. It was suggested by MW that Cathy Walker Programme Director Whole System Transformation- MKCCG & MKC is asked to do a presentation on the pilots around the Better Care Fund and the Closer to Home agenda. MW agreed to discuss this option with Cathy MW 5.Partners /Providers (a) Healthwatch England The quarterly Intelligence feedback was submitted for the period to the end of March Meeting arranged with regional development officer Kuldip Kang for the 12 th May The next regional meeting in Cambridge to be attended on the 19th June The Healthwatch National Conference 2015 is to take place in Manchester on the 30 th June /1 st July & HK to attend. attended a regional meeting of LHW- Herts. & South Mids The main topic was a research project on dental access that will require our support to disseminate information. NHS England advised that in their revised structure we are now in the Central Midlands Area - South sub area MK, Beds, Luton and Herts. HK/ 5 Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d

6 Annual Report a template has been produced to assist and teleconferencing has been engaged with on this matter by & HK. (b) CNWL Next senior manager liaison meeting is on the 18th May They are presenting their draft Quality Account today. HK/ /MW (c) MKCCG The MOU is being dealt with by the sub group. The senior manager s liaison meeting has been postponed until late May Patient Congress. The Patient Congress Terms of Reference has not yet been received as the Chairman is away. The relationship between the Patient Advisory Forum (PAF) and the MKCCG needs to be clarified at the next MKCCG senior manager s liaison meeting. HK/ 7. Operational Matters. (a) Staffing Matters Priya Desai s temporary position as the Communications and Engagement Officer has been extended by 3 months at 21 hrs /week. It has been agreed that Priya will have a month off as unpaid leave so she can deal with USA Green Card matters. She will continue to work on HWMK social networking issues remotely. The need for a 20 hr /week administrator was outlined - Minute 337 refers. Cindy Shilton s Community Engagement visits are listed in Appendix 1 of the report. AH asked what additional membership are we getting from these visits? advised that the figures are in the Appendix. AH asked for more detailed information in future. Priya Desai s completed work to date is in Appendix 2. AH raised a query as to the significance of the figures referred to in Appendix 2 regarding Facebook & Twitter. AH further commented that there is no mention of the Newsletter preparatory work. advised that a draft Newsletter is ready and will go to the Communications sub group as soon as possible. HK and will have their own sections. /HK/ AH//MN/ MW AH suggested that there is a need to set up a meeting of the 6 Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d

7 Public Engagement sub group once the strategy work is completed. (b) MK News Community Page We have been invited to join the free Community Pages website. It was agreed that this issue will be part of the range of communication matters looked at by the Communications sub group. AH/ (c) PLACE Assessments 2015 There has been very good interest from members wishing to be assessors this year. Three premises have been inspected - The Windsor Intermediate Care Unit (WICU), MK University Hospital, and The Older Person s Assessment Service (TOPAS) The inspection at Blakelands Hospital takes place on the13th May and we await a date for the Campbell Centre.( Post meeting note -11 th June 2015) (d) Quality Accounts CNWL are presenting their draft Quality Account today. One has been received from Brook and the one from the MKUHFT is expected shortly (Post meeting note - arrived 5 th May 2015) 339 Issues Reports General (e) Operational Review This will be dealt with as part of the matters being discussed on the 6 th May JB advised that numerically the largest number of issues raised concerned GP Practices and the quality of care received by patients across all sectors. We received both positive and negative comments from individuals. The key trends are listed in the document. It will be sent to all GP practice mangers. AH highlighted the fact that there is a marked difference in waiting times for appointments with any GP or the one to which the patient is registered. It was suggested that the Issues Reports could be on the PPG Network Meeting agenda on the 10 th June It was agreed to circulate it to GP practices. NS confirmed that following her visits she believed that GP Practices in MK are under stress which is exacerbated by the fact that approximately 50% of patients presenting do not actually need to see a GP. The MKCCG s Pharmacy First campaign has helped 7 Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d

8 It was suggested that perhaps we need to do more work on the Quality of Care issues. confirmed that it will be kept under review. MW believed that once it is circulated, our partners are likely to ask supplementary questions so we do need to be proactive on this point. The issue of properly joined up care is an historic issue and further work is probably required as a specific project. Children & Young People JB advised that 50% of the issues were in relation to a hospital experience and 25% GP practices. Markedly 25% of the issues related to positive experiences. Parents considered that they received a good service from their GP s for their children; however getting an appointment can be problematic. JB remarked that the occupational therapy service for disabled C&YP appears to be unsatisfactory and requires more examination / dialogue with the MKCCG. AH suggested that due to the small numbers involved care should be taken in making generalised comments. 340 Presentation on the Draft CNWL Quality Account for Ruth Weetman and Matt Malherbe outlined the background to Quality Accounts and detailed the objectives that CNWL had decided should be part of their Improvement Programme for 2014/15 based on the prevailing situation in 2013/14. These were: 1. Involvement in care and treatment. 2. Supporting carers to look after their loved ones. 3. Competent and compassionate workforce. They reported that overall CNWL had done well in achieving year on year improvements and even the Campbell Centre (Mental Health) had improved markedly. Specific data relating to MK was provided CNWL had restructured and strengthened their management team in the Diggory Division that includes their Milton Keynes operation (Milton Keynes Community Health Services). They now had a stronger focus on having an open and engaging approach with a high regard to the feedback received through the Friends & Family Test. A qualitative approach had been introduced across the whole organisation. 8 Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d

9 The Draft Quality Priorities for are:- 1. Patients report feeling definitely involved as much as they wanted to be in decisions about their care or treatment. 2. Patients report their care or treatment plan helped them achieve their personal health or daily living goals. 3. Carers report that they felt appropriately involved in the care or treatment planning of their loved one. Questions from Board members were:- Q1.Why was there no reference to the MK Adult Hearing Service in the report? A1. Unfortunately some work streams have to be omitted for a variety of reasons. Q2. Why was there no reference to the MK sexual health service A2. CNWL did not tender. Ruth would welcome any comments so that if appropriate, the draft, statutory document could be amended. Comments to PW by 5pm Tuesday 5 th May.( Post meeting note none received) ALL 341 Mental Health update GH referred to a 3 year transformation plan for local mental Health services. However the Government s six priorities will be funded so any differing local priorities will not be funded. The Early Intervention in Psychosis programme is to be funded. 342 Representation Issues i) MCA/DOLS - to attend meeting in May ii) MKC- Health & Social Care Select Committee (Overview & Scrutiny role) - HK to attend the June meeting. 343 Health Update i) advised that meeting the Physical Disability and Sensory Impairment Consultation Group (PDSICG) had gone well and a work plan is now in place. HK ii) iii) NS advised that visits had been made to Ashfield and The Grove surgeries. MKC have decided not to proceed with their project on GP Access as it would be duplicating existing work streams. 9 Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d

10 iv) NS to attend the YP meeting on the 7 th May at the Busy CMK. NS v) Prime Minister Challenge Fund Wave2 no further information received although it s understood that a HWMK Management Board member will be asked to be involved according to John Richards- the Urgent Care Lead. We will need to appraise our Urgent Care authorised representative accordingly. HK/ 344 Board Roles and Responsibilities It was agreed that this should form part of the conversation at the operational structure meetings being held in May. It would be on the May agenda. 345 HWMK Draft Strategy had circulated the draft in advance. AH suggested that it needs some amendments and agreed to track change it within 24 hrs. The final draft layout etc would be determined by. 346 Next meeting 27 th May am Kiln Farm All Signed...Chairperson Date Minutes - H e a l t h w a t c h M i l t o n K e y n e s M a n a g e m e n t B o a r d