Issue - meetings

Present situation and community service development.

Richard Gourlay, Director of Strategic Projects, Helen Saunders, Chief of Staff, and Azom Mortuza, Director of Operations – Community Services, NMUH NHS Trust.

RECEIVED the slide presentation, introduced by Richard Gourlay, Director of Strategic Projects, North Middlesex University Hospital (NMUH).

NOTED

1.  The development of a population-based integrated care model was set out. There was a desire for a joined up partnership approach with voluntary and community services as well.

2.  Focus on outcomes was strengthened. There would be increased early intervention and preventative activities.

3.  Utilisation of their sites would be optimised.

4.  Reducing vacancy rate had been made a priority.

5.  Main priority areas were highlighted and included developing a consistent community model in Enfield, and preventing hospital admissions.

IN RESPONSE

6.  Development of local neighbourhood teams and transitions to benefit patients’ experience were welcomed. It was advised that the next update would include patient stories, and the action plan / vision for developments over the next six to 12 months.

7.  In response to the Chair’s queries regarding recent strike action, it was advised that the situation had been safe. There had been robust planning, and regular briefings through the day. The most urgent treatments had been prioritised and continued. The hospital had been able to recover as quickly as hoped in respect of its elective programme. There was a financial impact around income and payments to cover shifts. No adverse harm in relation to delays had been picked up, but there had been disruption for patients and their understanding was appreciated for rescheduling at short notice. Waiting lists were being managed, and priority given to more clinically urgent cases.

8.  It was confirmed there was still pressure in A&E, which was still seeing 550 to 600 patients a day, compounded by challenges in patient flow and high bed occupancy. The executive team had met earlier today to discuss winter planning.