Agenda and draft minutes
Venue: M72, 7th Floor, Town Hall, Mulberry Place, 5 Clove Crescent, London, E14 2BG
Contact: Zoe Folley, Democratic Services Tel: 020 7364 4877, E-mail: zoe.folley@towerhamlets.gov.uk
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APOLOGIES FOR ABSENCE To receive any apologies for absence. Minutes: Apologies for absence were received from Councillors Lesley Pavitt and Kosru Uddin.
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DECLARATIONS OF INTEREST PDF 48 KB To note any declarations of interest made by Members, including those restricting Members from voting on the questions detailed in Section 106 of the Local Government Finance Act, 1992. See attached note from the Chief Executive.
Minutes: Councillor Lutfa Begum declared a personal interest in all agenda items as she was an employee of Tower Hamlets PCT.
Councillor Anna Lynch declared a personal interest in agenda item 5.4 as she was an employee of Barts and the London Trust.
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UNRESTRICTED MINUTES PDF 94 KB To confirm as a correct record of the proceedings the unrestricted minutes of the ordinary meeting of Health Scrutiny Panel held on 25th January 2011. Minutes: The minutes of the meeting of the Panel held on 25 January 2011 were agreed as a correct record and signed by the Chair.
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REPORTS FOR CONSIDERATION |
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Excellence in Quality Strategy PDF 106 KB Minutes: In addition to a written report detailing the headline objective and quality improvement priorities for 20011/12, Mr Steve Ryan, Medical Director, and Kay Riley (Chief Nurse), from Barts and the London NHS Trust, were present to give an overview of the Trust’s performance against 2009/10 objectives.
The presentation focussed on the following points:
Quality and Operational Delivery Progress 2009-2011
Quality, safety and standards:
• Top 20 Trusts for HSMR in last 3 years • Achieved Level 3 NHSLA in 2010 • Infection control fewer MRSA & C Dif cases 2 years running • Selected as lead education provider • Designated an stroke centre (quintupling service size) • Forefront of London wide trauma system
National targets and KPIs:
• Rated by DH ‘performing’ for last 3 quarters • Turnaround on 18 weeks • Met emergency care standard 09-10 & 10-11 • Hitting maternity, cancer & cardiac standards • Challenged in T&O, 6hr waits and cancelled operations • Single sex compliance – RLH from April 2012
Building capacity and capability:
• Appraisal rates of 90%+ • Staff Survey progress • Talent management and operational ‘top 50’ externally appraised / coached • Barts Phase 1 delivered April 2010 • RLH Phase 1 (Dec 11 - Mar 12) • Renewing CRS ICT products in 2011
Expenditure controls and £36m cost reduction:
• £2.5m+ programme for drugs (use and price) • 90% of contracts externally tendered • End to end processes reviewed for better control • Driving out temporary staffing, halved in Q3-4 • Low sickness absence rates (3-4%) • Vacancy rates reduced to below 8%
Quality Account our stated priorities going forward
Improving the patient’s experience
Improving safety and delivering harm free care
Effective care and treatment
Committee Members then asked detailed questions on a number of issues including budget cuts and the impact of PFI, the availability of drug support and rehabilitation for drug users, the need to improve the appointments process and the outpatient experience overall, the number of jobs at risk and which areas would be most affected, patient entertainment and provision of internet ... view the full minutes text for item 4.1 |
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Additional documents:
Minutes: Received a report from Richard Fradgley, Head of Mental Health Commissioning (NHS TH) and Barbara Disney, Service Manager, Strategic Commissioning (LBTH), outlining the actions the Tower Hamlets Partnership would take forward to improve services for people with dementia, and detailing the development of the Commissioning Strategy.
The Panel noted that the strategy had been developed with the involvement of a range of stakeholders across the Tower Hamlets Partnership, including service users and carers, NHS Tower Hamlets, East London NHS Foundation Trust (ELNHSFT) as well as the Council and voluntary sector.
Since the publication of the Strategy, the partnership had made considerable progress with its delivery:
The Partnership was continuing to work on the following priorities:
In response to questions Mr Fradgley advised that the issue of language barriers would be addressed by both the Dementia Awareness Strategy and outreach work, and support for carers was the number one priority of the Commissioning Strategy.
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New Residents and Refugee Forum - Access to Healthcare PDF 83 KB Additional documents: Minutes: Received a presentation from Vaughan Jones, Vice-Chair of the New Residents and Refugee Forum, providing detailed findings of the seminar onthe issues of accessing healthcare faced by new migrants in Tower Hamlets.
The presentation focussed on the following points:
• Since opening in 2006 Project: London had seen growing numbers of patients unable to access NHS services • From 2006 -2010 Project: London saw 3,008 service users and provided 2,370 consultations • In 2010 Project: London saw 180 service users from Tower Hamlets – of these, 102 service users eligible for care were effectively barred from being registered with the majority of surgeries because of restrictive practice policies requiring them to (a) prove their immigration status or (b) show original photo ID in order to register • The most prevalent countries of origin for service users in 2009 were India, China, Philippines, Eritrea, Bangladesh, Uganda, Brazil, Romania, Pakistan and the Ukraine • A recent Freedom of Information request revealed the number admitted to A&E at The Royal London Hospital who were not registered with an NHS GP was 18,847 in the year 2008 and 17,075 in 2009
Barriers which prevent new communities from accessing healthcare included:
• Language barriers which led to further problems in diagnosing and prescribing • Barriers caused by inhospitable and sometimes hostile GP surgery staff • Barriers caused by surgery staffs lack of knowledge and understanding of regulations • Barriers caused by new communities not having knowledge of NHS systems and rights
Specific reasons given for refusing registration in Tower Hamlets included:
• Lack of sufficient proof of ID (either none available, and the surgery insists on photo ID in order to register a patient; or photocopy of passport not sufficient – surgery insists on seeing original passport, even when this is not available) • Lack of sufficient proof of address (needed 1-2 ‘official’ pieces of PoA from within the last 3 months in order to register. Only accepted bank statements, tenancy agreement, utility bills, etc) • Lack of proof of immigration/residency status, when surgery insists on seeing this ‘to prove entitlement to NHS services’
Tower Hamlets NRRF Recommendations:
Members of the Panel raised the ... view the full minutes text for item 4.3 |
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Visit to Barts and the London Trust - Verbal update Minutes: The Chair gave a verbal report of the Panel’s meeting with Peter Morris, Chief Executive, and Ali Mohammed, Director of Human Resources, at Barts and the London Hospital.
The outcome of the discussion had been:
A numbers of other issues were highlighted by the Panel, including:
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Minutes: The Chair asked Jebin Syeda, Scrutiny Policy Officer, to present the report detailing the outcome of the Scrutiny Challenge Session on the Development of Early Diagnosis and Preventative Services held on 18 January 2011.
The session had taken place at the Mile End Hospital to enable local residents and patients to attend, and was structured to enable an exchange of information about the local approach to addressing cancer issues and an opportunity to hear stories from residents and patients about their experience of using local health services.
The recommendations had previously been considered and agreed by the Overview and Scrutiny Committee.
The Panel noted the report.
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Health Scrutiny Panel response to Health Lives Healthy People White paper PDF 53 KB Additional documents: Minutes: The Chair advised that following the discussion held at the last meeting, a letter was submitted to Andrew Lansley, Health Secretary, outlining the issues raised by the Health Scrutiny Panel in their response to the White Paper – Healthy Lives Healthy People.
Helen Taylor, Corporate Director, Adults Health and Well Being (LBTH), advised that the Council had applied to be an ‘early implementer’ of the proposed Health and Well Being Board, and an introductory meeting had been arranged for early July when the membership and terms of reference would be determined. The need to establish a link to scrutiny and establish what each would be responsible for would also need to be agreed.
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ANY OTHER BUSINESS WHICH THE CHAIR CONSIDERS TO BE URGENT Minutes: As it was the last meeting of the municipal year the Chair expressed his thanks to all those present for their valuable contributions to the work of the Health Scrutiny Panel.
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