Healthwatch Coventry Steering Group pre-meeting At: 10.00 am on 6 December 2016 Held At: Queens Road Baptist Church Centre Minutes Attendees: John Mason (Chair), David Spurgeon, Dennis Saunders, Des Patalong, Gaile Allen, Moira Pendlebury (Age UK Coventry), Ed Hodson (CAB), Debra Walton (Grapevine), Karen Keates, Natasha Ramrous for Sue Bent (Coventry Law Centre), Sheila Marston (AIMHS), Stephen Banbury (VAC). Staff present: Ruth Light, Sam Barnett, Rob Allison Apologies: Sue Bent (Coventry Law Centre), Christine McNaught (FWT- A Centre for Women), Penny Collard (Here to Help Board), Taruna Chauhan. 1. Welcome John welcomed everyone to the meeting. 2. Results of Steering Group application round The Steering Group application round for 2016 is complete. Ruth reported that there was a positive response to this application round seeing its highest amount of applications received. Individual members appointed are Karen Keates (for a second term), Nobby Clarke who is a Healthwatch Community Connector, Carol Fawkes who is new to Healthwatch. The Steering Group approved 1 year co-options for Gaile Allen and Hakeem Adedoja. The Voluntary Groups appointed to the Steering Group are: Grapevine with a new nominated individual to attend Kyla Craig; Koco Community Resource Centre and Tamarind Centre. John thanked Debra Walton from Grapevine, Christine McNaught from FWT and Sheila Marston from AIMHS for the contributions they have made to the Steering Group. Ruth stressed that links with AIMHS and FWT remain important as members and contributors to Healthwatch. The new members will officially join the group from January 2017 with their first meeting on 31 January 2017. 3. Draft report on Hospital discharge The draft Healthwatch report Effective discharge from hospital: the role of communication of home circumstances was introduced by Rob Allison: the aim of this piece of work was to bring together front line staff from Age UK, Carers Trust, Page 1 of 7
The Law Centre and CAB to discuss experiences related to hospital discharge and how this might be improved. Members agreed that this report is well written. The Steering Group approved the content of the report and the recommendations. The Steering Group agreed the following process: 1. Rob to meet with Kerry Manning, Integrated Discharge Team Leader and Lynn Thomas, Group Services Manager to go through the report to check accuracy and who the report will officially need to go to 2. The report to be sent to UHCW for response 3. Report to be published in the New Year. 4. The report to be sent to related organisations eg CCG, City Council Adult Social Care 4. Other business Sustainability Transformation Plan The Steering Group approved a Healthwatch statement on the Sustainability and transformation plan for publication with one addition to the list of what Healthwatch is looking for: patient impact assessment. Ruth to send the STP link to all Steering Group members STP position statement to be published Meeting ended 10:45 Page 2 of 7
Healthwatch Coventry Steering Group meeting At 11:00 am on 6 December 2016 Held At: Queens Road Baptist Church Centre Minutes Attendees: John Mason (Chair), David Spurgeon, Dennis Saunders, Des Patalong, Gaile Allen, Moira Pendlebury (Age UK Coventry), Ed Hodson (CAB), Debra Walton (Grapevine), Karen Keates, Natasha Ramrous (Coventry Law Centre), Sheila Marston (AIMHS), Stephen Banbury (VAC), Penny Collard (Here to Help Board) Staff present: Ruth Light, Sam Barnett, Rob Allison, Kerry Armitt Apologies: Sue Bent (Coventry Law Centre), Christine McNaught (FWT- A Centre for Women), Taruna Chauhan Additional attendees: Phil Jones, resident, Ceri Brettle, Coventry City Council, Nobby Clarke, Carol Fawkes, Marcia Jarrett (Tamarind Centre), Derek Rawle (Koco Resource Centre), Hakeem Adedoja new Steering Group members; Andrea Green Accountable Officer CRCCG 1. Welcome John welcomed everyone to the meeting 2. The way forward for Coventry and Rugby CCG Andrea Green from Coventry and Rugby CCG joined the meeting. A) CCG developments Andrea said she has been Chief Officer for CRCCG since July 2016 and will be for 12 months to work on getting the assurance rating of inadequate changed. Andrea is also the Chief Officer for Warwickshire North CCG. It has been decided that there will be two governing bodies and a single executive and management team covering both Warwickshire North and Coventry and Rugby CCG. Until 31 March discussions will be ongoing about the staff structure and way forward. Andrea stressed that there was commitment to delivery for place and commissioning at a locality level ie Coventry and Rugby. John asked Steering Group members if they had any questions for Andrea: Dennis asked if the target is to get the finances balanced by 31 March 2017. Andrea said that no there is an agreed planned deficit and they plan to balance the budget the following year. There is a planned 20million saving for this year and 20million for the next year. Detailed plans are being put together. This year, the contracting round is being done earlier and must be completed by end of December. Andrea suggested that the CCG could bring more detailed plans to a Page 3 of 7
future meeting. This could involve discussion of the Quality, Innovation, Productivity and Prevention programme (QIPP). Andrea said that an application has been put into NHS England to manage GP contracts. The Steering Group considered this to be a positive step. Ruth noted that it had been difficult to get actions agreed related to previous Healthwatch recommendations regarding GP services. There will be the opportunity for Healthwatch to sit on the primary care commissioning board. The chair role of the CCG was also coming up for re-appointment. David asked if the CCGs were under any pressure to form one CCG. Andrea replied that they weren t, however there were benefits of the 3 CCG across Coventry and Warwickshire commissioning together. Ruth asked about the current timeline of the Stroke services consultation. Andrea said they were confirming the pre-consultation business case. B) STP engagement strategy Andrea introduced the draft engagement plan and the idea of a Big Conversation on the issues related to NHS services. Andrea is lead for STP engagement and is looking for feedback. The first strand of engagement activity will focus on maternity services and link this to the national Better Births strategy. Comments at Scrutiny Board had highlighted the need to reach harder to reach groups. John asked Steering Group members if they had any comments on the Engagement Strategy: David asked about the timescales for the engagement plan as originally the deadline was December. Andrea said that due to the delay in the publication of the STP, this has been extended. Dennis said that after reading the STP it comes across as quite a defensive document as it seemed to focus on avoiding legal challenges and on page 9 there is no mention of service users/patients. Andrea talked about the importance of getting out into the public and having conversations to build trust. John asked what manage closely meant as this was used to refer to Healthwatch. Andrea outlined some of the conversations which will follow on: around planned care. Here, the aim is to reduce demand on NHS services by prevention. Andrea gave the example of follow up about patient appointments and if they were all necessary. David said sometimes people were reassured to have an appointment. Dennis asked about resourcing to support the work. Andrea replied that she thought it was her job to do this kind of work. Dennis observed that Professor Michael Marmot s work highlights the social determinants of health and that the key factor in preventing ill health is re- Page 4 of 7
distribution of wealth. Karen said that the reasons why people have bad lifestyle behaviours are complex. Ruth said that if Steering Group members have any other comments or questions to email them to her she will forward to Andrea. Future meeting agenda items to be discussed with the CCG and organised. Steering Group members to email Ruth any questions they would like to ask regarding CRCCG and STP. 3. Minutes of last meeting The minutes of the last meeting were reviewed with one change to the last sentence on the first page. The sentence to read: In the Steering Group meeting it was agreed that the overall report showed that Healthwatch was achieving well in relation to its functions. 4. Coventry and Warwickshire STP Steering Group members were given a copy of the public information about STP. David said he attended an event on Friday at the Welcome Centre which was gathering feedback from service users about out of hospital care but there was no mention of the STP. It was agreed that web link to the full STP document would be circulated. Ruth to send the web link to the full STP document 5. Healthwatch Activities a) Work programme i. Work is progressing well on the pharmacy survey. ii. Work regarding communication on hospital wards has been progressed through a meeting with UHCW Associate Director of Quality and a meeting with Grapevine. Following these meetings the methodology has been changed as UHCW have said they will broker contact with patients following discharge. The focus will be on patients with learning disability, language support need or sensory impairment. There will be a pilot visit to a ward in January to test the methodology. iii. There are a few more interviews to take place for the study of people moving housing with care home setting. The draft report will come to the March Steering Group meeting. Page 5 of 7
iv. There have been issues with the continuing healthcare piece of work leading to Ruth to putting this work on hold because it was not progressing. It has not proved possible to get the information needed from the CSU/CCG. v. City council response to request for information about adult social care assessments: The group discussed the figures the City council provided and those they were not able to give. It was agreed that it was of concern that it seemed the City Council did not collect information about waiting periods for social care assessments. It was however noted that there were some issues with the template (provided by Healthwatch England) e.g. what use were figures regarding how many people were waiting for a care package at the end of the year. vi. Car parking at UHCW: Ruth confirmed that UHCW had not taken forward suggestions from a Healthwatch paper that car parking concessions should be extended to include other patient groups who are very frequent users of the hospital. vii. Requests for Healthwatch work or involvement There has been a request for Healthwatch to take part in the tender round for Home Care Services. Via earlier emails there was a split in the Steering Group members views on whether Healthwatch should take part. Ruth asked Steering group members to agree on an approach going forward for similar requests. It was agreed that Healthwatch would not get involved in assessing tender applications. Ruth has met with City Council Officer leading on procurement of Home Care about the possibility of Healthwatch being involved in a piece of work related to the quality of provision. Steering Group members agreed that this is a piece of work which Healthwatch should strongly consider for the next work programme. The Steering Group noted the potential scale of the piece of work and how time consuming it would be. Healthwatch have been asked to consider sending a representative to sit on the new adult social care users group. Steering Group members discussed and said it would be helpful to have an input. It was agreed to attend for two meetings and report back and then a decision will be made as to whether Healthwatch would continue to attend b) Reports from Healthwatch reps on external groups Steering Group members received reports from Healthwatch representatives on external groups and bodies for information. Feedback on the STP was and information about the enhanced role of NHS 111 was noted. c) Quarter 2 report Des said it was an action from the Safeguarding Adults Board for him to attend PEP. Ruth explained that this had been organised but then Healthwatch had Page 6 of 7
received an email saying Do not attend. It has been reported that this was because the CCG had raised concerns about Healthwatch attendance. Ruth had raised this with the Chair of the group and it seems that the solution is for Healthwatch to attend part of a meeting and she is currently waiting for an invite to a meeting. Des said he would provide this update at the next Safeguarding Adults Board. Dennis asked about the training the ICAS worker received from Wright Hassell and whether The Law Centre do direct referrals to Wright Hassell? Natasha confirmed that they don t make direct referrals to specific solicitors. 6. Any other business A. Some printed copies of the 2016 Community Mental Health Survey and BMA report Growing Older were available. If Steering Group members would like a copy sending to them they should let Sam know. The community mental health survey had generated headlines about CWPT services being ranked as one of the fourth worst. Healthwatch had discussed this with the Trust at the recent Quality Account Task group. Ruth to confirm Healthwatch representative for the Adult Social Care user group Steering Group members to let Sam know if they would like a copy of the CQC 2016 Community Mental Health Survey and BMA report Growing Older sending to them 5. Dates of future meetings: 31 January 28 March 6 June 15 August 10 October 5 December Annual meeting 11 July (9:30 1 pm) Meeting closed 12:25 Page 7 of 7