Agenda and draft minutes

Apologies were submitted on behalf of Cllrs Mark Evans, Val Evans, Mr Ralph Oakley, Mrs Jean Hancox and Mr David Hellyar

[To approve the minutes of the previous meeting as a correct record.]

Resolved:

That the minutes of the meeting held on 16 July 2015 be approved as a correct record and signed by the Chair

[To consider any matters arising from the minutes.]

There were no matters arising

[To provide a synopsis of the progress within BCPFT in the implementation to the Francis Report in relation to the specific areas as requested by the Health Scrutiny Panel.]

Joyce Fletcher, Deputy Director of Nursing provided a synopsis of the progress within BCPFT in the implementation to the Francis Report in relation to the specific areas as requested by the Health Scrutiny Panel:

• How Duty of Candour Requirements are being met
• Dignity Champions
• Complaints Management
• Staffing / Apprenticeships
• National Nursing Strategy ‘ Care and Compassion’
• Freedom to speak up

The Deputy Director of Nursing advised that the implementation of the Francis Report has been incorporated into the core clinical and quality strategies of BCPFT and not reported separately.  She highlighted several outcomes arising including:

• Duty of Candour – About how it links into the value of the organisation
• Dignity Champions – ‘In my shoes’ how does it feel as a service user, different wards, listening to service users
• Monitoring of Staffing – ensuring staffing agencies are safe, triangulating the planned staffing level with clinical incidents to ensure staffing levels are safe. She advised that retention of staff is important and it is important to streamline DBVS tests. Also important here is the marketing campaigns to attract staff, when to launch, how long to get into post in line.
• She advised that there are 50 apprentices across the organisation and that they have recently won a national award for giving local people opportunities.
• A video has been developed for you tube to share the six ‘C’s’ – Staff are very proud to promote the freedom to speak out about things.

She advised that there are challenges related to training, when doctors have to take annual leave to carry out staff training and capacity for training is a challenge.  Ros Jervis, Service Director Public Health welcomed the sign off of actions and suggested that it would be useful for Health Scrutiny Panel to receive evidence to highlight what has changed as a result of the Francis Report in terms of improving quality of care at BCPFT and New Cross, with some examples of the improvements and how they have become embedded in day to day process.

Cllr Mrs Wendy Thompson reported some concerns about nurses and midwifes leaving the profession due to reporting mechanisms and indicated that retention may depend on the leadership and management.

The Deputy Director of Nursing advised that executive officers were actively encouraged to walkabout within the trust to speak to staff and those in a guardian role.  She advised that the ‘Freedom to Speak’ was quite new but is very welcome by everyone to improve services. During discussion about parity of esteem and funding equality in mental health the panel considered the accumulative effect of public and health services and need for Health Scrutiny to look at suicide prevention.

Resolved:

1. That the Health Scrutiny Committee received the report and noted the contents.
2. That the Panel noted the actions arising from the Francis report are now embedded.  

[To provide a presentation to update the panel about progress on the remaining actions arising from the Francis Report and to outline the CQC Inspection Report.]

The CQC Inspection report is available on the CQC website : http://www.cqc.org.uk/location/RL403

Cllr Milkinder Jaspal welcomed Jeremy Vanes, Chair of the Royal Wolverhampton NHS Trust and Debbie Hickman, Deputy Chief Nurse. He advised that scrutiny of the CQC inspection report is important to hear what the issues are and the problems are and to understand the relationship between the two.   

Jeremy Vanes introduced the CQC Inspection Report; he informed the Panel that the person responsible for the CQC report is the Chair of the organisation and that the Deputy Head Nurse will respond to specific questions. He gave a brief background about CQC inspections, explaining that CQC Commission was created 2009-10 to replace three other regulatory bodies based on the lessons learnt from Mid Staffordshire Hospital NHS Trust. The commission was established as a single, integrated regulator for England's health and adult social care services by the Health and Social Care Act 2008.

The CQC inspects Hospitals, Social Care, General Practitioners (GPs) and others the Royal Wolverhampton NHS Trust (RWT) was inspected in the first wave of inspections in November 2013. The rationale for undertaking this 2015 inspection was to rate the trust because the initial inspections did not receive a rating due to being in the early wave one pilot programme. The RWT Chair advised that there had been significant changes at RWT since 2013. The RWT Chair advised that 64% of all hospitals inspected in the Country had received a rating of ‘requires improvement’ and RWT had tried proactively to prepare for the inspection which was carried out only seven months after RWT had taken over Cannock Hospital.

The RWT Chair outlined the methodology of CQC inspections; he highlighted the five domains as follows:

·         Safe

·         Effect

·         Caring

·         Responsive

·         Well led - three levels Ward; Middle management and Senior level

He advised there are eight core group services inspected and that the inspection can also go to place which may be of interest, such as a ward, where the team may be there all day reviewing data and observing staff to evaluate against the five domains of the inspection and that there are 85 different areas of judgement in the report on RWT, which is one of the largest undertaken by CQC.  He added that the visits to ward can be unannounced, at weekends, at night, anytime and anywhere.

The RWT Chair informed the Panel that the draft report was sent to RWT to read and send back inaccuracies.  He advised that there were almost 300 factual inaccuracies identified and returned to CQC; of these some 200 were accepted and revised in the final report, however none of the rankings changed.  The next step was a quality summit, a meeting attended by RWT, the Local Authority, Trust Development Authority, several CCG’s and Health Watch to discuss the final report before the report was press released. 

The RWT Chair informed Panel that RWT is one of the largest acute and community providers in the West Midlands providing its services from New Cross Hospital, West Park Hospital, more  ...  view the full minutes text for item 6.