Chris D; Welcomed everyone to Healthwatch Calderdale s Programme Board meeting in public. He asked that everyone present to introduce themselves.

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1 Healthwatch Calderdale Programme Board Meeting Date and Time: 4 th November 2013 at 6pm Venue: Bailiff Bridge, Brighouse Present: Apologies: Absent: In attendance: Chris Day (Chair) Sarah Shooter Kauser Parveen Shamim Akhtar (Secretariat) Katie Clarke G. Mlala Sarah Mitchell Ursula Ross BMA (Guest Speaker) Peter Davis Helyn Aris CQC (Guest Speaker) Alan Sherwood 4 Calderdale residents Tony Wilkinson Anne Cuthbert Esi Stansfield (Resigned) Sharon Brookes George Madine (Resigned) Agenda Item Action 1. Welcome and introductions Meeting started at 6.00 pm Chris D; Welcomed everyone to Healthwatch Calderdale s Programme Board meeting in public. He asked that everyone present to introduce themselves. 2. Questions from the Public: Chris D; asked if there were any questions from the public present at the meeting. One member of the public asked about the A&E department at Calderdale & Huddersfield; There are rumours circulating that Calderdale & Huddersfields A&E department at are under threat of closure? Chris D; Explained that this issue had been discussed at the Health & Wellbeing Board and it was mentioned in the Huddersfield Examiner. Tony W; Stated that nothing had been decided and if the A&E departments were to close, the Trust would have to have a consultation and this is how 1

2 Healthwatch Calderdale can get involved in the debate. 3. Guest Speakers Ursula Ross from the BMA, (Representing the North East and Yorkshire & Humber region) was welcomed to the meeting and thanked for agreeing to talk about the work of the BMA. Ursula R; explained that the BMA is a membership organisation and a national negotiating body for Doctors, from Clinicians, Junior Doctors to General Practitioners. Ursula went on to say that the BMA has no allegiance to any Political party, but works within the policy changes to support Doctors. Ursula explained that there are a lot of changes taking place in the Health and Social Care sector which impinge on doctors at all levels. Increasingly, Doctors are under pressure due to changes in policy, cuts in funding and increasing demands due to an aging population to deliver high quality patient care. With the recent changes, Clinicians are not only involved in the delivery but configuration of services, due to funding constraints. The Government is trying to move toward community based care, rather than in a hospital setting. A lot of the new structures under the recent changes are still under developed which amounts to different pressures for doctors and clinicians. The BMA offers support to GPs to operate as individual contractors and works with the regulators such as the Care Quality Commission, Clinical Commissioning Groups, Monitor and the Trust Development Agency. Question from the Board for the Speaker: Katie C; asked what would be a good way to make contact with GMC members? Ursula R; suggested making contact with the local Committee members of the General Medical Council. Guest Speaker; Helyn Aris Care Quality Commission Helyn explained that the Care Quality Commission is an Independent Regulator for Health and Social Care service providers in England. Previously there were 3 different regulators for health and health social 2

3 care providers, they were; Mental Health Act Commission Health Care Commission Social Care Commission. These all merged to form the Care Quality Commission, as a single regulator. Like the Health & Social Care sector, the Care Quality Commission has under gone and is still going through a lot of changes. There have been changes in the way the CQC conducts its Inspections and regulates the Health & Social Care service providers. Currently Helyn manages the Inspections of NHS, Primary and Social Care service providers and has a team of 9 Inspectors for the Calderdale area. However, from April 2014, this may alter under the proposed changes. Helyn; stated that the Francis Report recommends having specialized knowledge and using information available to the Care Quality Commission to conduct Inspections. Currently, there are two types of Inspection conducted by the CQC Inspectors, they are; Scheduled and Responsive. The Responsive Inspections are triggered as a result of intelligence received about a particular provider. The Scheduled inspections are carried out routinely, as part of compliance. The CQC relies on information and intelligence from whistleblowers, members of the public and organisations such as Healthwatch to plan its Inspections. Everyone has a role in assisting the CQC with information about service providers. In terms of members of the public giving feedback and leaving comments with the CQC, they can do this via the CQC webpage, as well as phoning the generic number, which can be found on the website too. Care Quality Commission is doing more to engage with the service users of health & Social care services to have better user feedback, involvement and user voice. Patient safety is a priority for the CQC. The CQC aims to be an open and transparent organisation and this something that David Bevan is keen on. We are hoping to have quarterly meetings with Healthwatch Calderdale as a way of gathering intelligence and joint working. Helyn stated that she has been invited to attend the Health & Social Care scrutiny committee meeting next month to talk about the work of the CQC as part of keeping people safe. 3

4 Helyn stressed that the CQC cannot act as an advocate for individuals but it can and does signpost people to get help and support and assistance with advocacy, should people wish to make complaints about a provider. The CQC uses the Expert by Experience representatives to assist when conducting Inspections; they are the eyes and ears and help gather vital feedback from the service users about their experience. The CQC is now sending in Inspectors with teams of up to 25 people into settings when conducting inspections to help get a better insight into the services provided. The CQC is also holding Listening exercises to help gather intelligence from local people before conducting Inspections. Recently one of these listening exercises was held in Keighley in relation to their local hospital. The CQC is moving to specialization areas, and from April 2014, there will be Chief Inspectors for Hospitals, Primary Care Services and Adult Social Care. The CQC is piloting new ways of working with a new methodology, it will have 5 new domains when looking at services provided by the health & social care services providers, it will be looking at services and asking; Are they safe? Are they effective? Are they caring? Are they responsive? Are they well-led? Questions from the Programme Board members for the Guest Speaker; Tony W; Suggested that the CQC use Healthwatch Calderdale to help engage with the public if they are under pressure and feel they need support. Tony W; Does the CQC act on the softly softly information it receives? Helyn A; All information and intelligence is recorded and acted upon accordingly. Chris D; stated that he took part in a consultation with the CQC a few months ago, but has not heard anything since? Ursula R from the BMA; Does the CQC look at the culture of an organisation, i.e. if it is open and transparent? 4

5 Helyn A; It is better to be open and transparent and we find that most organisations are helpful in providing information. Alan S; The CQC has received some bad press recently; it would be refreshing to get some good press about the CQC, because there is a lot of good work being done by them. Helyn A; agreed and stated that this is something that staff at the CQC have discussed. We need to publicise the improvements that have been made to services as a result of the CQC s involvement. 4. Public questions arising from the meeting No questions were asked. 5. Comfort Break 6. Business meeting begins Apologies; Apologies were received and noted, as stated above. 7. Declaration of Conflict of Interest Members were asked to declare any interests. Alan S; stated that he runs a Social Care company, he is a Board Member of the Forum 50+ and a Board member of Parkinson s UK. Sharon B; works for Healthy Minds. Katie C; declared that she runs Parent Expert training service and is a member of the Family Network for parents of children with disabilities. Katie stated that she has an ongoing dispute with Calderdale Council in relation to Social Care. Tony W; declared that he is a member of the South West Yorkshire Foundation Trust membership council, a Volunteer for Samaritans and Board member of Forum 50+. Anne C; declared that she is employed by AgeUk and has been seconded to work at Healthwatch Kirklees. Anne is a Board member of Forum 50+. Chris D; stated that he is a member of the Labour Party. Peter D; None declared. 5

6 8. Minutes of last meeting Amendments to the minutes Tony W; change the wording opposed to the NHS to read, opposition to the recent changes taking place in the NHS. Proposed as true record: Alan S; Seconded: Katie C; All agreed: 9. Matters arising from the minutes No matters arising from the minutes. 10. Work plan Priorities SA; gave an update on the work plan and briefed those present on what the staff had been doing from September to date. Sharon B; thanked Emma and Shamim for their hard work. Sharon; commented on the quality of the Calderdale Voice Magazine which has been produced by Healthwatch Calderdale and receiving feedback. The magazine has been distributed across Calderdale via the Drop in session. It has also been ed to the members and key partners. SA; stated that she and the Healthwatch staff are keen to hold drop in sessions at Luncheon Clubs and Coffee mornings across Calderdale to reach a wider audience. The Programme Board said they would also suggest possible places and venues which could be used for drop in sessions. It was also suggested that Healthwatch make contact with the Patient Participation group at GP practices. Anne C; asked about the Drop In Sessions and if they are well attended. SA; Some of the drop in sessions have better attendance than others, but they will be reviewed, as stated before. A member of the public suggested that Healthwatch Calderdale also make contact with Children s Centres and Toddler Groups across Calderdale. 6

7 Update on the Task & Finish groups: GP Appointments Katie C and Tony W; gave an update on the GP Appointments Task & Finish Group. A questionnaire is being designed and when it is ready it will be used to help gather evidence and feedback from GP practices about appointments. Tony W; asked if Healthwatch Calderdale could share the questionnaire with the Patient Participation Groups and get their feedback too and ask if they are aware of patients having difficulties in making appointments to see a GP. Tony W; stated that the CCG should be able to assist with this too. Mental Health Sharon B; gave an update on the Mental Health Task & Finish group, saying that the group will focus on finding out if people know where and how to get help and support. The Task & Finish group would explore this in more detail and find out about the different types of support available to people and how it can be accessed. Anne C; stated that the information can go into the newsletter to promote the IAPT services and that Healthwatch Calderdale can help promote this. Tony; stated that much of what was discussed by the Mental Health Task & Finish group can be found in the magazine produced by South West Yorkshire Foundation Trust. Maybe Healthwatch Calderdale should promote this. Support for Older People Alan S and Anne C; explained that the Task & Finish group looking at Support for Older people will focus on Domiciliary Care services. With the help of volunteers, using questionnaire and face to face contact, the task group will gather the views of older people in receipt of domiciliary care services and if the service meets their needs. In the meeting between Alan and Shamim, it was discussed ways in which we might be able to draw from existing research/questionnaires that the identified target groups may have already conducted; and see if HW could add to that by using trained volunteers to ask specific questions of the target groups to build a clearer picture of experiences. Tony W; stated that we know that problems exist in this area, why not push the priorities as part of the JSNA rather than conducting research. 7

8 Anne C; responded saying that research is necessary for validity purposes to confirm that these problems exist. Anne C; also suggested that all the T&F should consist of age profiling to help identify any trends. Helyn A; from the CQC stated she may be able to offer some help and information with some thematic issues. Learning Disabilities Chris D; Gave an update on the Learning Disabilities Task & Finish group. Chris met with Sarah M and Dave G and the group decided to concentrate on the following issues: Having documents that are in easy to read and understand format. Staff trained in having an understanding of Learning Disabilities community. Using questionnaires and face to face contacts, the group will work with the LD community to gather their views. Chris D; asked if Healthwatch Calderdale could set up a Task & Finish group to look at the A&E issue? Alan S; responded that the issue of A&E has not been raised with Healthwatch Calderdale, whereas other issues have been raised through community engagement and that is the reason why the Task & Finish groups have been set up. Sharon B; stated that the Programme Boards task is to look at the issues that have been reported to Healthwatch Calderdale by the people of Calderdale. Tony W; with regards to the A&E there are two issues; one is the alleged closure and the other is waiting times at the A&E department. Tony W; much of the information relating to the A&E can be found via the Trusts Membership Council. Programme Board; New members SA; briefed members that two people had expressed interest in joining the Healthwatch Calderdale s Programme Board. However, one person has since changed their mind, saying they have too many commitments. The nomination papers for the interested party will be circulated to the membership for comments. 8

9 Christmas Do; Members felt it would be good to have a get together for the festive season and use this opportunity to hold an informal development session. An opportunity to get to know the rest of the Board members better. Katie C and Alan S volunteered to lead the session on working effectively as a Board. Sharon B offered to book the venue and arrange food. It was agreed that Away Day would be held on Saturday 14 th December at 10am at Dirty Dicks. More information will be sent nearer the time. End of meeting. The meeting ended at 9.00pm Dates of next meetings: Monday 13 January 14 at 6pm, at Voluntary Action Calderdale. 9

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