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.

Councillor John McCann declared a personal interest in all matters under consideration as a member of the Trust Board.

Minutes of the meeting held on 6^th December 2016 are attached.

It was agreed:

That the minutes of the meetings held on 6^th December 2016 be approved as a correct record.

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.

Sir David Dalton, Interim Chief Executive Director attended the meeting to provide members with an update on the Pennine Acute NHS Trust.  The presentation contained the following information:

The Pennine Improvement Plan has identified six key themes for service improvement these are; improving the four fragile services, Urgent Care, Maternity Care, Paediatric Care and Critical care.  As well as improving quality, risk and governance, operations and performance, workforce and safe staffing and Leadership and Strategic relations.

Each area now has its own site leadership team as well as support via a five year management contract with Salford Royal Hospital.

The Interim Chief Executive reported that a three year Quality Improvement Strategy has been developed.  There has been evidence of small shoots of improvement for example, in reductions in length of stays and the number of patients dying with end of life care plan in place.

Work has been underway in relation to addressing problem areas within the four fragile services.  Within NMGH, there has been an increase to 48 to 58 consultant direct clinical care sessions per week as well as Primary care GP seeing circa 30 patients.

In respect of Pediatrics, 5 additional consultant pediatricians have been recruited as well as a reduction in the numbers of paediatric transfers out of PAHT.

The Interim Chief Executive reported that in respect of risk, governance and leadership a new Board Assurance Framework has been put in place, as well as risk management training and new Directors of Governance and Patient Safety.  Executive Safety walkrounds and ‘Work Withs’ have commenced across all sites.

In respect of the financial arrangements, the Interim Chief Executive reported that the following financial investment and support has been agreed:

•     £9.2m secured in October 2016 – to support improvement plan.

-       50 new midwives

-       Recruitment of nurses and doctors

•     £20.5 million secured – recurrent investment

-  Strengthening frontline medical and nurse workforce 

-       285 more nurses

-       IT and information systems

-       NASS – nursing assessment system

-       Equipment

•     £10 million secured – capital

-       £5m allocated each to NMGH and Royal Oldham sites for essential site works

-       On top of £5m being spent on building new 24-bed intermediate care unit at NMGH

Questions were invited from those present and the following issues were raised:

Members raised concerns in respect of increasing instability for the Trust as a result of the development of the City of Manchester Single Hospital Service.  The Interim Chief Executive reported that it will be necessary to re-distribute some services.  Closer working arrangements with Salford Royal Hospital Trust will increase the choices available for patients.  It is envisaged that residents of Bury, Rochdale and Oldham will be able to access some services closer to home.

In response to a Member’s question, the Interim Chief Executive reported that the success of the Trust is not down to one person.  A team has been put in place to support the Trust which includes the establishment of and the appointment to  ...  view the full minutes text for item 25.

Audrey Howarth, Screening & Immunisation Manager and the Clinical Lead Mr. Hashmi will be in attendance.

Audrey Howarth, Screening and Immunisation Manager, North East Diabetic Eye Screening and Mr. Hashmi, Clinical Lead, North East Diabetic Eye Screening attended the meeting to provide members with an update with regards to recent changes to the North east diabetic eye screening programme.  The update contained the following information:

In September 2015 following patient and public engagement including the JOSC, NHS England  agreed to the North East  Diabetic Eye Screening( DESP) changing it’s screening site locations to 12

Diabetic eye screening is one of several regular assessments which people with diabetes should have. This is currently offered every 12 months to all patients. Greater Manchester Health & Social Care Partnershipis responsible for commissioning the service and this is provided by the Pennine Acute Hospital Trust

Patient and Public Engagement was undertaken in the summer of 2015 and following the review it was agreed to increase the number of sites available to 12 , 6 static sites which would screen all the year and 6 sites which would use the new additional camera purchased by Pennine Acute Trust to offer screening at the locations agreed, during a 12 month cycle.

The NEMDESP provides screening from 6 fixed sites these are:

·                     Rochdale Infirmary

·                     Croft Shifa Health Centre

·                     Oldham Integrated Care Centre

·                     Royton Health and Wellbeing Centre

·                     Moorgate Centre

·                     Radcliffe Primary Centre

The service is rotating the new camera to sites based in the following locations; Heywood, Middleton, Failsworth, Glodwick, Uppermill/Saddleworth area and Prestwich. Implementation began in early November 2015.

In addition to the increase in screening locations, the NE DESP has undertaken a series of targeted work over the past 12 months, to raise awareness of the importance of screening and to increase screening uptake.

Questions were invited from those present and the following issues were raised:

Concerns were raised in respect of the new camera situated in Uppermill/Saddleworth, Member’s reported that he wasn’t aware of any cameras operating in this area.  The Clinical Lead reported that there were problems with access to the site in Uppermill and gave an assurance to provide a more detailed response to the Joint Committee.

In respect of the eye drops that the patients have to administer as part of the review process, the Clinical Lead reported that national guidance states patients must not drive for 4/5 hours after the procedure.

The Screening and Immunisation Manager reported that the screening invite letter advises patients that there are different sites that patients are able to attend, in Rochdale there are several sites; Littleborough, Milnrow, Castleton and Rochdale Infirmary.

Members raised concerns in respect of a take up rate of less than 80%.  The Clinical Lead reported that the Diabetic eye screening is undertaken on an annual basis, with those that are more unstable, monitored more frequently.

In response to a Member’s question the Screening and Immunisation Manager reported that if all patients that if take up was to increase to 100% there would be sufficient capacity in  ...  view the full minutes text for item 26.

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.