Venue: Room 1, Civic Centre, Silver Street, Enfield, EN1 3XA. View directions
Contact: Elaine Huckell
WELCOME AND APOLOGIES
The Chair welcomed everyone to the meeting.
Apologies were received from Councillor Lemonides and Councillor Neville.
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.
Councillor Pippa Connor (Haringey Council) stated that her sister was a GP in Tottenham.
To receive the minutes of the meeting held on the 13 October 2015.
The Minutes of the meeting held on 13 October 2015 were AGREED.
Julie Lowe, Chief Executive, will present performance information relating to hospital services.
Julie Lowe, Chief Executive presented the performance information relating to hospital services at North Middlesex University Hospital.
She referred to the CQC Inspection findings for 2014/15 following an inspection of the 8 core services and the examination of 5 aspects of care provided which was summarised in a table. She said the two key issues were for Ambulatory Care and Accident & Emergency performance.
The inspection findings gave a mixture of ‘Good’ or ‘Requires Improvement’ ratings with an overall ‘Requires Improvement’ assessment. There were 3 ‘must do’ recommendations where improvements were necessary in relation to -
· responsiveness of Outpatients department,
· training (an improvement notice was issued on this) and
· the ambulatory care environment.
In response to the findings, a Quality Improvement Plan (QIP) had been prepared and reviewed with external stakeholders. Progress had been made on the Action Plan which was detailed in the presentation.
Following on from this - ‘Quality priorities’ had been prepared for 2015/16 to improve patients’ safety and experience, and also to improve clinical effectiveness.
Julie Lowe referred to the continuing challenges and issues for the hospital especially in relation to the Accident & Emergency Service. She said this has been a serious cause of concern since July 2015. The urgent care centre opened in June 2015 and is now seeing 40% of emergencies within an hour. Performance data for the weekly 4hr target was given.
One of the reasons given for performance data was the increased number of attendances at A&E, another was due to the struggle to recruit and retain high quality doctors.
The Ambulatory Emergency Care Unit opened in October 2015. This revamped facility has resulted in an improved fast tracked service and the resulting patient feedback has been more positive. However there continues to be challenges for the A&E service, one of which is the number of patients who are ‘well enough’ and could be moved on to ‘free up’ places.
The following questions were then taken:
Q: The findings of the CQC inspection show that all core services met the ‘good’ rating for Caring aspect, however a number of services were rated ‘requires improvement’ under the ‘responsive’ and ‘well-led’ categories, does this indicate that staff are being let down by managers?
A: The ‘well-led’ category covers a number of issues and I would say for many they are doing all they can in difficult situations. Clinical leadership is an issue and more senior doctors and nurses are needed. A new medical director has been appointed to provide a lead on this, in summary we are aiming to strengthen our leadership.
Q: Would you confirm that the closure of A&E and Maternity services at Chase Farm hospital has had a detrimental impact on North Middlesex hospital, I have heard of someone who attended North Middlesex A&E department, they waited for 5 hours and eventually gave up and returned home?
A: The maternity services provided at both Barnet and North Middlesex hospitals are doing well and so too are the community ... view the full minutes text for item 375.
To receive reports on GP Engagement, Screening Services and Antenatal Services from Dr Tha Han, Consultant in Public Health and Allison Duggal, Consultant in Public Health.
· GP Engagement Presentation
· GP Engagement Report
· National Screening Programme Report
· Cancer Screening Report
· Antenatal Services Report
Reports were presented on the following :
Post meeting note – Dr Tha Han has pointed out that his presentation should have stated – Life expectancy gap is : 8.6y (F) and 7.4y (M)
Dr Tha Han presented this report and highlighted
He referred to a plan set out by the public health team to address issues, the aim of which is to reduce illness from preventable conditions and conditions modifiable by healthcare by collaborating with Health and Wellbeing partners.
· To reduce variation in clinical care of long- term conditions among general practices across Enfield by raising awareness of best practice among GP’s
· To improve management of long-term conditions already identified by local GPs, and also to improve identification and management of major diseases and risk factors in primary care
· To improve access to effective community services.
The following questions/ issues were raised:
To note and agree any amendments to the Work Programme for 2015/16
The Work Programme was NOTED
ANY OTHER BUSINESS
DATE OF FUTURE MEETING
A future meeting of the Health Scrutiny Standing Workstream will be held on Wednesday 9 March 2016. The meeting will commence at 7.30pm.
The next meeting would be held on Wednesday 9 March 2016 at 7.30pm.