Page1 Minutes of Healthwatch Sefton Steering Group meeting Held 3 rd September 2014, 10:30 13:30 Southport & District Centre for the Deaf, 19a Stanley Street, Southport, PR9 0BY ATTENDEES: Maureen Kelly (MK) Chair Locality Representatives: Brian Clark (BC) North Southport Ken Lowe (KL) South Southport (Ainsdale & Birkdale) Libby Kitt (LK) Seaforth, Litherland and Netherton Organisational Representatives: David Skelton (DS) Sefton Equalities Partnership Tony Medlicott (TM) Health and Social Care Forum Diane Middleman (DM) Sefton Carers Action Group Roger Hutchings (RH) Learning Disability Partnership Board Chris Hirst (CH) Lifeline (attending to support Dawn Gadsby) Dawn Gadsby (DG) Lifeline Service User Forum Support Team: (DB) Clare Platt (CP) Healthwatch Sefton Manager Signposting, Information & Administration Officer APOLOGIES: Locality Representatives: Lionel Johnson (LJ) Central Southport Laura Wills (LW) Formby Julie Bennett (JB) Crosby (including Waterloo & Hightown) Fred Roberts (FR) Bootle Organisational Representatives Lynn Anderton (LA) Every Child Matters Forum Jane Stephens (JSt) Sefton Faith Network Jenny Southern (JS) Sefton Voices/Sefton Young Advisors 1. Welcome, introductions & apologies MK welcomed all members. Introductions were made and apologies given.
Page2 2. Declaration of interests Members were asked to declare any interests in line with the agenda items for the meeting. MK declared that she was on the Committee for Headway Sefton. 3. Minutes from the previous meeting The minutes from the previous meeting were agreed. 4. Matters arising Action Tracker Actions from the previous meeting had been updated in the action tracker. DB informed the group that as no objections were raised following her email, the Maghull voting papers were posted on Monday 1 st September with a closing date of Friday 12 th September. MK raised the need for IT mapping at the Programme Information Group and will continue to raise it at future meetings. We also need to allocate a person to this task. Maureen provided copies of ILinks Informatics Transformation Strategy for all to view. David Skelton has asked if a pdf copy was available. Members asked if there was a public facing document as there was too much jargon. MK will find out. DB has spoken to Janette Mills to arrange for Patient Experience Group papers for Southport and Ormskirk Hospital NHS Trust to be sent directly to representatives to ensure they are received in a timely manner. BC and DS have not received papers or notifications for the next meeting of the Pharmaceutical Needs Assessment group. BC has emailed them and will update the group. Due to the low response to the questionnaire Healthwatch has offered further support. MK again mentioned that it would be useful for feedback from reps to be sent in ahead of the meeting along with possible themes and issues. This would mean they could be put on the agenda where necessary. MK informed everyone that the funding for a project that supports carers to stay in employment is now progressing forward. DB thanked everyone for their suggestions relating to our annual event in October. A working group will be set up and if steering group members want to submit further suggestions/ideas or join this group the deadline is Friday 5 th September.
Page3 DB informed the group that the deadline for expressing an interest to be a representative on the Overview and Scrutiny Committee Health and Social Care) had passed but had been extended until the end of the week. MK stated how important it is for us to be represented here and Cllr Katie Paige has offered to meet with reps. Libby is to be introduced to Cllr Robert Brennan in relation to her work with the Overview and Scrutiny Committee (Children s Services). DB fed back that the issues surrounding the GP out of hours pharmacy at Litherland Town Hall were not discussed at the Engagement and Patient Experience Group (EPEG) attended by Wendy on 13 th August. Feedback will be provided at the September meeting of the group. LK informed everyone that Katie Benson had drafted a poster to encourage people to share their experiences around transport in Maghull and Netherton. DS noted that Mersey Travel no longer hold forums involving the public in travel services. DB informed us that Cllr Gordon Friel is keen to pick this up but requires further evidence. KL asked about the outcome in relation to the Bootle locality representative. DB informed the group that the team had written to Robert McCracken (RC) one more time as suggested by the steering group but there had been no response. A letter had been sent to RC to inform him that his position on the steering group had been withdrawn. No response had been received. The position has been offered to the person who came a close second in the original vote, Fred Roberts. 5. Work plan update (OP.5.1) GP Access LK showed everyone the draft documents for this project and summarised the plan although exact timescales are to be decided. It was suggested that it would be useful to do the same project for 5 other GPs for comparison purposes. This had been discussed by task group members as it was not in the original plan. It was decided that work with a control group of 5 GPs could be undertaken after the initial plan was completed. NHS England (Merseyside Area Team) Quality Surveillance Group has set up a Single Quality Agenda Item meeting to specifically discuss SSP Health practices. Current feedback on the information bank will be shared. DB informed everyone that there is a budget available for extra research help if required. Suggestions made regarding staff questionnaire: It would be useful to know how aware staff are as to the profile of their patients i.e. number of disabled or older people etc.
Page4 Do they know about or have access to The Sefton Directory and Sefton CVS VCF Directory. Suggestions made regarding Healthwatch Sefton document: A bigger title would be useful here. Suggestions made regarding Patient/Carer Questionnaire: Need a question about annual checks quite early to establish if they are the type of patient that requires this such as diabetic patients. Headline questions and sub-questions may help. 6. Work Plan Update (OP5.2 OP5.8) LK suggested we add volunteer numbers and hours to the work plan and to do this all steering group members need to ensure they complete their volunteer sheets. Wendy Andersen is on the last set of clinics for the podiatry project. The report will be drafted in October. South Sefton CCG has already been informed that there is an issue and although they have had some information about this previously there has been no evidence. Liverpool Community Health NHS Trust has also been updated during the course of the work. DB confirmed that the Care.Data and Lifeline events have been widely advertised. 7. Themes/Trends/Issues for consideration DB informed group that following a signposting call, relating to waiting times for initial mental health appointments for children, the issue had been escalated to Cllr Brennan, Chair of the Overview and Scrutiny Committee (Children s services). There is currently work being undertaken looking at this. Helen Murphy has collect some negative experiences around home care in Southport. Healthwatch Knowsley had been approached who have done a similar project. They had worked in partnership with Knowsley Metropolitan Borough Council. Contact has been made with Sefton Metropolitan Borough Council to progress this work locally. 8. Representation requests We have received a request from Mersey Care NHS Trust to have representation on the Care Strategy Programme group. Representation was agreed.
Page5 9. Ainsdale Medical Centre Experience report for approval Report approved. Ainsdale Medical Centre has been approached to ask if they would be happy for the latest experience report to be shared with other GPs as a way of showing best practice relating to working with Discussions were had around difficulties in gaining experiences from carers and families of patients. Suggestions made that patients could be sent home with forms to complete and return free of charge. RH informed the group that The Carers Centre is working with GPs looking at it from a carer s perspective. 10. Members update no reports received It was agreed that this item should be retitled and called Member Reports. These reports should be submitted prior to the meeting and can then form part of the agenda. This was also agreed for the Chairs Update and Managers Update. The steering group requested that we again start doing a summary of the minutes to help with feeding back to networks. 11. Chairs Update MK summarised her diary: 12 th August Programme Group - Discussed the Carer Employment project. During the meeting MK raised the issue of access to community IT and the need for staff training to assist the public when accessing computers at various locations. 11 th September North West Chairs Meeting (Wigan) 11 th September Southport & Ormskirk Hospital AGM (Apologies given) Brian Clark to attend on behalf of 12 th September Healthwatch Sefton Board Meeting 15 th September Planning meeting (with DB) & Signposting meeting (with Diane and Clare) 17 th September Health and Well Being Board. Update on Healthwatch Sefton to the presented.
Page6 24 th September Meeting of Sefton Carers Forum Meeting with Dwane Johnson (successor to Robina Critchley) 25 th September - South Sefton Clinical Commissioning Group (AGM) and Governing Body Meeting. 29 th September - Social Care Act meeting Discussions had about the usefulness of a calendar of events relating to all members as well as general Healthwatch Sefton Events. 12. Managers Update a. Re-procurement of Community Dental Services (CDS) DB informed that group that the Community Dental Service has gone out to tender. The current contract has been rolled over until the process is complete. b. Meeting with Mersey Care NHS Trust Board DB informed the group that Healthwatch organisations had been invited to present their priorities to the Board. LK to attend with DB. DB raised a request from South Sefton Clinical Commissioning Group. They are looking at the Intermediate Care provided on Ward 35 at Aintree University Hospital NHS Foundation Trust. The service is provided by Liverpool Community Health NHS Trust. Commissioners want to collect experiences using a questionnaire. They have asked if we would like to take on this piece of work. It was decided that this would be a useful start for our Enter and View team and would raise our profile. However, we need to ensure that the CCG understand that we will remain independent and report both the positive and the negative experiences. Diane will find out more information. 13. Any other business DB showed all members the second draft of the HMP Kennet agreement and asked for comments. DB shared draft enter and view policy with members and asked for comments. DB asked if members were happy to share contact details with the rest of the group. It was agreed that DB would email this request out. MK gave all information on the Headway Group and asked people to share this around their networks.
Page7 DS asked if Healthwatch Sefton is still taking on volunteers for the Enter and View Team. DB said not at the moment but possibly in the future. DS informed the group that Southport & Ormskirk Trust have a Shadow Governors meeting on 10 th September in Skemersdale and also an Access to Services event on 10 th October which it may be useful to have a Healthwatch representative at. Ken raised the new Electronic Prescription Service procedure coming in relating to automatic prescriptions. This will link GPs with the pharmacies to improve service. Some problems have been raised with GPs linking with a pharmacy that you may have attended once rather than your regular pharmacy. Date and Time of Next Meeting: Wednesday 1 st October 10.30am to 12.30pm Sing Plus Resource Centre 53 Cambridge Road, Seaforth, Liverpool, L21 1EX.
Page8 Attendance Tracker Name/Representing Mar 2014 Apr 2014 June 2014 Jul 2014 Aug 2014 Sep 2014 Maureen - Chair Brian Clark North Southport Lionel Johnson Central Southport x Ken Lowe South Southport X Laura Wills Formby x x Julie Bennett Crosby x x Libby Kitt Seaforth, Litherland and Netherton x x Robert McCracken Bootle x x x x Maghull -- -- -- -- -- -- Tony Medlicott Health and Social Care Forum Deputy Deputy x x Lynn Anderton Every Child Matters Forum Deputy x x Jane Stephens - Sefton Faith Network x x x x David Skelton - Sefton Equalities Network Roger Hutchings - Learning Disability Partnership Board x Sefton Partnership for Older Citizens x ---- x x Diane Middleman - Sefton Carers Action Group part meeting part meeting Jenny Southern Voices and Young Advisors x x x X Dawn Gadsby Lifeline Sefton Service User Forum x x x x x
Page9 Action Tracker (updated from previous meeting 3 rd September 2014) Date of Meeting Action To be actioned by Progress 02.07.14 Emerging Themes - Lack of dementia services for early onset dementia to be raised at the programme and integration group and with Mersey Care NHS Trust. 02.07.14 Emerging Themes - Support for patients using the new appointment booking in system at the Walton Centre NHS Foundation Trust to be raised at the next meeting of the patient engagement meeting. Maureen Kelly Maureen has raised this at the Programme Integration group and there is now a greater understanding of the boards structures and how to raise issues. Diane has raised this with Kim Guy. Meeting is not being held until 23 rd October 2014 02.07.14 Emerging Themes - Access to mental health services by offenders is an issue which has been raised by the equalities partnership. To be raised with Mersey Care Discussions started with Kim Guy
Page10 Date of Meeting Action To be actioned by Progress 02.07.14 Healthwatch Coffee Event - Patient Transport Service NWAS Malcolm Cunningham to be contacted for an update on the discussions about the local contract. 02.07.14 Healthwatch Coffee Event - Sarah Morley to be contacted about the patient information card and the accessibility issues. 06.08.14 Healthwatch England Special Enquiry - Hospital Discharge. 06.08.14 Representation - Representatives still required for OSC (Children s Services) 03.09.14 Organising Annual Event. Planning group to be set up. Members to let staff team know if they would like to get involved. Healthwatch England. All Awaiting update Awaiting update Healthwatch England to report back. Libby Kitt is now a representative on the group. has had an informal discussion with Jenny Southern and will follow this up. 03.09.14 Representatives for the OSC (Health and Social Care) to be agreed. All Representation has been agreed Roger Hutchings and Brian Clark. Meeting with Cllr Paige is currently being arranged.
Page11 Date of Meeting Action To be actioned by Progress 03.09.14 Monitoring Engagement - South Sefton CCG to be contacted to ask for more information about the outcome of the engagement relating to the GP out of hours pharmacy at Litherland Town Hall 03.09.14 Work Plan - Access to public transport (Maghull and Netherton). More work to be undertaken on this. 03.09.14 Work Plan - GP Access Timescales to be reviewed and surveys to be discussed further. Meeting of the task group to be set prior to the next meeting. Katie Benson /Libby Kitt Diane fed back that the issues surrounding the GP out of hours pharmacy at Litherland Town Hall were not discussed a the EPEG attended by Wendy on 13 th August. The issue was discussed at the EPEG meeting held (September) at which DB was present. An equality impact assessment is currently being undertaken with feedback on this being presented in October 2014. A poster has been drafted to encourage experiences around transport in Maghull and Netherton. Press release is being drafted. Meeting held 30.09.14. Agenda Item.
Page12 Date of Meeting Action To be actioned by Progress 03.09.14 Work plan volunteer hours and number of active volunteers to be included into the work plan. 03.09.14 Themes/Trends/Issues for consideration - Children and Adolescent Mental Health Services - waiting list enquiry escalated to OSC (Children s services) Update from meeting held 23 rd September to be provided 03.09.14 Themes/Trends/Issues for consideration Home Care/Domiciliary Care in Southport. 03.09.14 Representation Expressions of interest for representation on Care Strategy Group to be sent to members. 03.09.14 Working with GP Practices - Ainsdale Medical Centre report to be used as best practice. Libby Kitt /Helen Murphy Discussion on hold as Sefton MBC had submission of Better Care Fund. Sent to members. Helen is meeting with Paul Ashby 08/10/14. This to be discussed on this date. 03.09.14 Working with GP Practices - Contact John Hill regarding the Carers Centre project looking at GPs from a carer s perspective. 03.09.14 Agenda item Member Updates to be changed to Member Reports and reports to be submitted prior to the meeting. This applies to All/
Page13 Date of Meeting Action To be actioned by Progress Chairs Update and Managers Update. Diane to email reminders prior to the meeting. 03.09.14 Summary of steering group minutes to be reintroduced. 03.09.14 Calendar of events to be shared with members every month 03.09.14 Managers Update Update on work with Intermediate Care to be provided. 03.09.14 Any Other Business members to provide comments on the partnership agreement with HMP Kennet 03.09.14 Any Other Business members to provide comments on the draft enter and view policy 03.09.14 Any Other Business - Email to all members asking if they are happy to share their contact details around the group. Katie Benson Katie Benson All All