Agenda and draft minutes

Joint Health Overview and Scrutiny Committee for Pennine Acute NHS Trust
Wednesday, 7th September, 2016 2.00 pm

Venue: Peel Room Bury Town Hall Knowsley Street Bury BL9 0SW

Contact: Julie Gallagher 

No. Item



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.


No declarations of interest were made.




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



There were no public questions.



Sir David Dalton Interim Chief Executive Pennine Acute NHS Trust will report at the meeting.  Report of the Care Quality Commission is attached. 


Sir David Dalton, Interim Chief Executive Pennine Acute NHS Trust attended the meeting to provide members of the Committee with an update in respect of the Care Quality Commission inspection report and subsequent action plan.  A copy of the CQC inspection report had been circulated to Members prior to the meeting.  The presentation contained the following information:


Following a comprehensive inspection, the CQC rated Pennine Acute Hospitals NHS Trust inadequate in both safety and well-led domains. In line with CQC policy the inspection team considered recommending the trust go into special measures, such is the level of concern identified around quality and safety.  Immediately following the CQC inspection,

Salford Royal NHS Foundation Trust was asked to assume leadership of the Trust. Salford’s leadership team, rated outstanding by the CQC put in place a comprehensive plan for further investigation into the challenges faced by Pennine Acute.


The Salford Royal Diagnostic, identified additional critical risks to patient care & safety; unsafe/unreliable staffing, variation in care delivery and outcomes for patients; governance systems that are broken or do not exist; Board that is disconnected; Poor leadership; Cultures that normalised sub standard care; Staff that are disengaged and poor external relationships and unreliable service design and structures.


A summary action plan has been developed with six key themes.  Four services have been identified as “fragile”; maternity services, urgent care, paediatrics and critical care.  An Improvement Board has been established, under the Chairmanship of Jon Rouse, Chief Officer, Greater Manchester Health and Social Care Partnership.


The Interim Chief Executive reported that systems in place at Salford Royal would be implemented at Pennine Acute NHS Trust, these include systems in respect of, Risk Management and Assurance, Nursing Assessment and Accreditation; Open and Transparent Reporting, Visible Leadership and Quality Improvement Methodology.


The Interim Chief Executive reported that part of the action plan is the proposed break-up of the centralised management within the Trust. The creation of a new site placed leadership with the appointment of

nurse directors, medical directors and managing directors at each site; as well as a clear accountability framework to deliver on improvement plans and strengthen locality relationships and planning.


Since the inspection report 104 new registered nurses and midwives have been recruited, 14 doctors (consultant and middle grades) as well as 69 health care support workers.


Those present were given the opportunity to ask questions and make comments and the following points were raised:


The Chief Executive confirmed that there will be an additional £9 million invested within the Trust, all sites will benefit from this investment, the money will be used to facilitate the recruitment of additional staff.  Further proposals for increased funding will be developed; it is envisaged that this money will be used to fund capital programmes, IT infrastructure and further recruitment.


With regards to the proposals for a single hospital service in Manchester, the Interim Chief Executive reported that it will be necessary to stabilise the services at the three remaining sites and enable them to stand alone as  ...  view the full minutes text for item 3.



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 reported