Venue: Conference Room, Civic Centre, Silver Street, Enfield, EN1 3XA. View directions
Contact: Elaine Huckell
WELCOME AND APOLOGIES
The Chair welcomed everyone to the meeting, especially the Councillors from Haringey’s Adults and Health Scrutiny Panel and representatives from the Hospital Trust, NHS Improvement and Enfield CCG.
DECLARATIONS OF INTEREST
Members of the Council are invited to identify any disclosable pecuniary, other pecuniary or non-pecuniary interests relevant to items on the agenda.
No declarations of interest were received.
Following recent issues with performance at the Trust, members will receive a presentation from Richard Gourlay, Director of Strategic Development and Dr Turan Huseyin, Clinical Director, Emergency Department.
Representatives from NHS Improvement, Enfield CCG and Haringey CCG will also be in attendance.
A copy of the Care Quality Commission inspection report from April/ May 2016 , is included for information.
Libby McManus (Chief Executive of North Middlesex Hospital), Richard Gourlay (Director of Strategic Development) and Dr Turan Huseyin (Clinical Director, Emergency Department) provided a presentation on the interventions made at North Middlesex Hospital in the last four months following recent issues with their performance.
The key points highlighted in the presentation are as follows:
· A&E waiting times began to increase rapidly in August 2015. The department has a four hour target which reached a low of 65% in early 2016 against the expected standard nationally of 95%.
· In April 2016, a warning notice was issued to the trust by the CQC following concerns they had raised.
· A new clinical leadership team for the emergency department was recruited this includes a new medical director, clinical director, director of nursing and matron as well as this more medical staff.
· Safer, better, faster programme was set up to improve the flow of patients out of A&E and to the most appropriate area.
· An ambulance divert takes place from 10pm to 6am. This affects approximately 2 patients per night who are taken to different hospitals.
· Since August 2016, waiting times have seen improvements and are now at the target of 90% or above.
· The CQC held a full inspection on the 20th September 2016 for 3 days. During this period, staff, patients and carers were spoken with to gain further information.
· NMUH is currently considering working with the Royal Free London Group, this would help support the ongoing leadership development whilst improving knowledge and expertise.
Dr Turan Huseyin stated that when he joint NMUH the emergency department was in a poor state and through public humility staff were feeling unappreciated. A key part of the improvements in performance seen in recent months have been made by enhanced staff morale, having better expertise and creating a strong direction for the department.
Richard Gourlay explained what NHS Improvement is responsible for performance and financial accountability with an improvement role to support organisations. The key challenges for NMUH from the NHS Improvement point of view has been culture change, retaining staff and make staff feel important.
The following questions were taken by members of the workstream:
Q) Sustainability is a key element for the improvements seen at NMUH. What is being done to keep doctors long term?
A) The doctors at the hospital are a mixture of permanent, temporary and those on secondments. Vacancies are being advertised and it is being looked into how the NMUH can become more attractive to staff. There is a shortage in doctors available to work in A&E departments nationally. It is hoped that two paediatric emergency consultants will be recruited permanently to allow other options to be considered.
Q) Was NMUH Board aware of how bad things were at the hospital before the CQC stepped in?
A) The NMUH Boards were aware of the situation and procedures were put into place. Unfortunately, these did not have the impact needed. The CQC uncovered other areas for the hospital ... view the full minutes text for item 3.
To note and agree the Work Programme for 2016/17
The work programme for 2016/17 was agreed.
To receive the minutes of the meeting held on the 9 March 2016.
The minutes of the meeting on 9 March 2016 were approved.
DATES OF FUTURE MEETINGS
Thursday 5 January 2017 and
Thursday 23 March 2017