Healthwatch Sunderland (HWS) Executive Board Minutes of Meeting held Monday, 11 September 2017 Stanfield Business Centre, Sunderland

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1 Healthwatch Sunderland (HWS) Executive Board Minutes of Meeting held Monday, 11 September 2017 Stanfield Business Centre, Sunderland Attendance Executive Board Members Alan Patchett AP Chair Amanda Brown AB Mick Butler MB Andrew Carton AC John Dean JD Liz Highmore LH Janet King JK Tony Walsh TW Attendance Healthwatch Staff Margaret Curtis Programme Manager Clare Render CR Administrator (Minute Taker) Attendance - Observers Beryl Plumpton 1 Apologies & introductions Alan welcomed Amanda Brown, John Dean and Beryl Plumpton to the meeting. Amanda and John are our latest Board members and Beryl is attending as an observer. Introductions were then made. We have received a letter from Neil Evans submitting his resignation from the Board (copy of Neil s letter was given to the group). A letter will be sent to Neil on behalf of the Board thanking him for his service. 2 Declarations of interest John Dean declared that in addition to his already declared interests he also sits on the corporate governance review committee. 3 Minutes of the previous meeting and matters arising Janet King s name is missing from the attendance list. HWS staff to add. The minutes of the last meeting were agreed as a true record. HWS Staff Healthw atch Sunderland Page 1 of 7

2 3.1 Closure of Ryhope GP Practice there have been one or two minor issues mainly confusion around why patients have received a letter. Alan reported that there have been concerns from some patients of Southlands Medical Group over how the closure of Conishead Practice is going to affect services when patients of Conishead Practice transfer into their practice. These concerns have been fed into the GP commissioning group. 3.2 Skills audit all responses have now been received. 3.3 Enter & View this will be discussed under item Mental health report this will be discussed under item Finance Alan reported that he has met with Carol Gaskarth, Pioneering Care Partnership (PCP). The underspend from the last contract will not be carried forward to this financial year. 4 External Board meetings attended - feedback 4.1 Event/meeting attended feedback all Board members are required to provide feedback/outcomes to Board members and HWS staff on any external meetings they attend where they have represented HWS. The Board discussed how they wish to do this. This could be done either verbally at Board meetings or by completing a form which could then be circulated. A form has already been produced (a copy was handed to the group). After discussion it was agreed to complete the feedback form following the meeting and forward it to HWS staff for circulation. If anyone requires paper copies of the form contact the HWS office. All 4.2 Health & Wellbeing Board (HWBB) Alan briefed the group on the HWBB meeting he attended. This included a presentation from David Gallagher, Sunderland Clinical Commissioning Group (CCG) on the Sustainability Transformation Plan (STP). A copy of the presentation was handed to the group. It is no longer called the STP it is now the Sustainable Transformation Partnership and has been widened to include Cumbria. Healthwatch Sunderland Page 2 of 7

3 4.3 Healthwatch Chairs meeting Alan briefed the group on the meeting of all the North East Healthwatch Chairs. There are a lot of concerns about the STPs in the area. It was decided to try and get Healthwatch representation on each of the 14 work streams. We would then need to work out what process can be used to get feedback from all the Healthwatch s around the region in order to represent effectively. A meeting with Alan, Sue Taylor (Chair of Healthwatch South Tyneside) and Ken Bremner, City Hospitals Sunderland, will be held shortly to discuss STPs. An update will be provided. 4.4 Transformation Board / A&E Delivery Board Alan briefed the group on the last meeting of these two Boards. This included: Feedback from the Clarity on Communication event The Winter Plan Possible interface at City Hospitals and Out of Hospital Services. Looking at an event to look at surges into the hospital. 4.5 Falls Pathway Mick briefed the group on a meeting he has had with Catherine Roberts, Falls Prevention Services Co-ordinator, All Together Better. They are trying to implement a falls pathway and have asked if Healthwatch could help them in collecting patient data statistics from any events that Healthwatch holds. Liz recommended to the group on an online future learning course on prevention of falls by Newcastle University. All to note 4.6 All Together Better Public Patient Carer Panel (PPCP) Healthwatch Sunderland has been given a position on this panel and the board discussed who should represent us. After a discussion it was agreed that the Vice Chair, when appointed, would be the best person. Liz informed the group that she has been given a position on this panel as an individual but will not be representing HWS. Tony also reported that he is waiting for an interview for a place on the panel to represent Mental Health Matters. 4.7 HWS representation at key meetings the new updated list was given to the group for discussion. Amanda, Tony and John confirmed that they would be willing to represent HWS at meetings if the Board wished them to. Healthwatch Sunderland Page 3 of 7

4 4.8 Mental Health Programme Board (MHPB) Andrew updated the group on the last Mental Health Programme Board meeting he attended. The main item discussed was the Mental Health & Learning Disabilities Autism Plan. They are hoping to expand the model and look at people like dentists. There were also discussions around Northumberland, Tyne & Wear Foundation Trust s (NTW) move to localities and Sunderland would be in the South locality with South Tyneside. Andrew asked for clarification on the HWS representative on MHPB. There are now two HWS Board members on this Board, Tony and himself. He said he is more than willing to continue to represent HWS if the Board wishes. Alan replied that Tony will be representing Mental Health Matters and if Andrew is happy to continue then he is happy for him to do so. 5 Vice Chair appointment The role description for the HWS Executive Board Vice Chair was handed to the group. If any Board members are interested in this position please Margaret. Deadline for submissions is Friday, 22 September All 6 Board governance A copy of the HWS Board governance paper was handed to the group for discussion. It is now part of the requirements that Pioneering Care Partnership (PCP) included in the tender process. This paper was agreed by the Board. 7 Programme Manager s update Margaret updated the group on the current work plan 7.1 Enter and view: Dr Singh - a response has been received from Dr Singh s practice and both original report and response are now live on our website. Our report raised a couple of areas in terms of appointments, having more opportunities for double appointments and advertising to the public how those appointments worked. We received some good feedback from the public and these have been shared with the Clinical Commissioning Group (CCG). John reported that the CCG oversight group looked at the possibility of a performance dashboard for CCGs and primary care. A pilot performance dashboard for primary care is operational in Hambleton. A performance dashboard could give a lot more insight as to which practices we could undertake enter and view visits. Healthwatch Sunderland Page 4 of 7

5 The possibility of GP referrals going to a panel was also discussed. However it was thought that this was not going to happen in Sunderland. Alan to raise these points at his meeting with the CCG. AP 7.2 Enter and view: care homes we are now undertaking our enter and views in care homes. This has been adapted from the Independent Age and Healthwatch Camden model. Alan reported that concerns over our care home visits have been raised by the Director of Age UK. They run a programme called Friends and Neighbours and the concern is that our visits may be viewed by some people as inspections. Alan said he was concerned over the volume of work involved in these visits in that it may become too onerous for the team. 7.3 Equipment services we have a clearer understanding now from both sides of what the issues are. We have found that there is a lack of clarity of what the process is and exactly where the process gaps are. A new system has been put in place therefore we are waiting until this system has been embedded before carrying out our survey. 7.4 Sustainability and Transformation Plans (STPs) this was discussed by the group at length. Concerns were raised regarding the publicity and engagement at the public events and the number of people who have attended so far. It was felt that a key work stream that needs to be addressed is transport and parking. Concern was also raised that the easy read document was not ready for the launch event. Margaret reported that an additional 9 sessions have been organised. One of the methods this was publicised was via the Sunderland Echo. Focus groups are also commencing in September for people who couldn t attend the main events. John reported that it was his understanding that capacity studies have been carried out in terms of what services could be transferred and that that information is available. Margaret to write a formal letter to ascertain what kind of capacity studies has been undertaken, especially in relation to number of beds before and after, operating theatre capacity, specialising incubators, staffing etc. Healthwatch Sunderland Page 5 of 7

6 7.5 GP appointments we have a meeting with the CCG later in the month to discuss a couple of initiatives, eg 5 minute appointment times how we can get this better communicated to others to consider Nurse practitioner - there are still a lot of people who don t know who a nurse practitioner is and how useful it can be to see a nurse practitioner Did not attend (DNA) getting a better awareness out to the public of how much money is being lost. 7.6 Mental health report our report is live on our website. We have received the response from the Mental Health Programme Board. This is live on our website alongside NTW s response. We have agreed to review the response to see if there are any aspects we can take further. The staff team will review, and if the Board has any suggestions please contact the HWS office. ALL Tony reported that he attends the Health & Wellbeing Network, this links in with Time to Change to look into developing a campaign to work around stigma and discrimination. This could be something the Board could consider. 7.7 Data intelligence the numbers of feedback from the public is still up we are getting over 200 surveys a month. We are working alongside Healthwatch England to adopt their Customer Relationship Management System (CRM). Hopefully by Christmas this will be embedded. 7.8 Accessible Information Standard (AIS) this is something that arose out of our engagement team being at events. Feedback from Sunderland People First suggests that for things like mergers people with learning disabilities are not getting anything in an easy read format. In general there is a lack of easy read format for medical requirements. We are meeting with the CCG to understand what processes they have got in place, is this a gap in the process, is it just being forgotten about and how they are going to address this in future Liz asked for a copy of the Accessible Information Standard details to be sent to her through the post. Healthwatch Sunderland Page 6 of 7

7 7.9 Great North Care Record (GNCR) we are holding two sessions in Sunderland, one on 19 th October and the other on 2 nd November to obtain public feedback on the Great North Care Record. All details will be publicised in our Newsletter which will be issued shortly. All Board members are encouraged to attend Community connectors this is a piece of work with Public Health and Sunderland University. Public Health have involved various organisations throughout the City to be involved as a way of not just getting more feedback from wider and diverse groups but also providing training to the people involved in the research. Liz and Anna from our team are part of the community connector s team. From a local point of view this is about social isolation in Sunderland. The report is due out next month. 8 Safeguarding Margaret reported that we have received one safeguarding issue this month. This has been raised through the correct channels. All Board members are required to undertake Safeguarding Adults and Safeguarding Children s training. Certificates to be sent to the HWS office. Anyone who requires this training to contact the HWS office. 9 Any other business 9.1 Pharmaceutical Needs Assessment (PNA) Partnership Board Janet reported that she will not be able to attend the next meeting of this Board. She has submitted her apologies. 9.2 Mental Health Learning Disabilities Autism Day Tony reported that the CCG are putting on a mental health learning disabilities autism day on Thursday, 14 September. 10 Date of next meeting The next meeting will be held: Date: Monday, 13 November 2017 Time: 2.00:4.00pm Venue: Stanfield Business Centre Healthwatch Sunderland Page 7 of 7

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