Issue - meetings

Dr Nnenna Osuji (Chief Executive, North Middlesex University Hospital NHS Trust).

Update as to current challenges and a review of community services move.

RECEIVED the slide presentation, introduced by Dr Nnenna Osuji, Chief Executive, North Middlesex University Hospital NHS Trust.

NOTED

1. An operational update was provided on A&E attendances and improvements in performance. Numbers of patients waiting to be discharged was still a challenge. There had been work around admission avoidance and maximising the opportunities to treat people at home.

2.  Details were provided on cancer faster diagnosis standard performance.

3.  The full update to the Board was set out on the slides attached to the agenda.

IN RESPONSE

4.  In response to Members’ queries regarding an increase in average length of stay in hospital, it was advised that more patients who were more frail and with co-morbidities were being seen, and the more extreme cases raised the averages. There was also the effect of medically optimised patients remaining in hospital. A current area of focus was to take patients with easily treated conditions into easier pathways and out of hospital.

5.  Work around Enfield community services was highlighted and that transitional arrangements were in place, and would lead to development of a population-based integrated care model. Further updates would be provided to the Health and Wellbeing Board.

ACTION:  Dr Nenna Osuji