Agenda and draft minutes

Members of the Joint Committee are asked to consider whether they have an interest in any of the matters on the agenda and, if so, to formally declare that interest.

There were no declarations of interest

Members of the public present at the meeting are invited to ask questions on any matter relating to the work or performance of the Pennine Care NHS Foundation Trust.  A period of up to 30 minutes will be set aside for public questions.

There were no questions from members of the public

Minutes from the meeting held on the 29^th June 2017 are attached.

It was agreed:

The minutes of the meeting held on the 28^th March 2017 be approved as a correct record.

The Joint Health Overview and Scrutiny Committee resolved to consider the update from the GM Health and Social Care Partnership and the Trust update as one agenda item.

Jon Rouse, will present at the meeting.

Jon Rouse Chief Officer, GM Health and Social Care Partnership provided members with a verbal update in respect of the support being given at GM level to assist the Trust.  An accompanying report had been circulated to Members in advance of the meeting the report describes the process by which a number of partner organisations including; GMHSCP. NHS Improvement (NHS I), Commissioners across the Pennine footprint and PCFT are working in collaboration to overcome the key issues related to PCFT.  These issues fundamentally relate to the quality shortcomings based on the CQC report and their reported financial deficit.

The following key work streams have been initiated under a newly formed PCFT Recovery Board; Finance, Quality, Digital, Estates and Mental Health.  The five work streams leads will feedback to the Recovery Board on a monthly basis

In respect of Finance, work is underway to review the financial deficit in detail and explore potential options to mitigate the gap as well as agreeing a financial plan whereby PCFT will have the required investment.

With regards to the quality work stream, an improvement plan, including a CQC action plan will be developed which will address safer staffing on the wards, variation of service delivery in the Trust and organisational culture.

With regards to estates, the GM Chief Officer reported that there are too many hospital buildings across GM, there is opportunity for rationalisation of some of the existing building estate and going forward it may not be feasible to provide every service in each Borough.

Responding to the points raised by the GM Chief Officer, representatives from the Trust reported that the adult inpatient wards are ‘overheating’, there is no female Psychiatric Intensive Care Unit and the CQC highlighted problems of compliance with single sex accommodation.  For the first time the Trust will report a deficit plan as a result of continued underfunding and a low reference cost.  The Trust Board could not support the closure of inpatient beds as the ward occupancy levels were already at, if not above 100%.

The Director of Finance reported that the involvement and support from GM and in particular the Chief Officer, has helped to highlight the problems facing the Trust.  The intervention and support from GM has provided clarity and transparency in respect of the financial situation at the Trust.

The Director of Finance reported that the primary focus for the Trust is to create a financially sustainable business model going forward; the provision of some community services will be reviewed as they cannot be sustained at current levels, further clarity is required from commissioners in respect of resource available and the volume of service required.  The Director of Finance reported that there is not sufficient money in the system to continue to deliver all the services currently provided.

The Medical Director reported that problems with informatics is a key issue for the Trust, the development of the right IT infrastructure is fundamental to tackling some of the problems faced by the Trust.

Those present  ...  view the full minutes text for item 12.

Any other business which by reason of special circumstances the Chair agrees may be considered as a matter of urgency.

There was no urgent business considered.