To receive an update from Libby McManus (Chief Executive, North Middlesex University Hospital NHS Trust).
RECEIVED the printed presentation ‘North Middlesex University Hospital NHS Trust : Response to CQC Report’.
Libby McManus (Chief Executive North Middlesex University Hospital NHS Trust) highlighted:
? The printed presentation had been discussed at last month’s Health and Wellbeing Board Development Session and was now slightly dated as an action plan had been put together based on what had been identified by the CQC, and a lot of actions had been taken already.
? Further to an internal process, the plan would be ready to share more widely this month, with opportunities for input.
? A Quality Summit in January had been very useful in respect of working on solutions.
IN RESPONSE comments and questions were received, including:
1. The Chair asked about the current situation in A&E, in the context of the national situation. Libby McManus clarified relevant issues, including increased demand and management of that demand; greater ambulance conveyances resulting from the hospital’s location; and internal flow of patients through the hospital and patient discharge.
2. In response to Members’ further queries regarding discharge of patients, it was advised that there had been an increase of length of stay in the acutely ill aged 75 and under, and some delayed discharges linked to provision outside the hospital and packages of care. Winter pressures had been expected and planned for, and extra unplanned pressures had also arisen.
3. Councillor Cazimoglu asked about the action plan in respect of maternity services. Libby McManus clarified that it was not meant that individual leaders were at fault and that there had been issues around various governance elements, but there had been changes in senior management though not just in response to the CQC report. Advice had been sought from a senior head of midwifery from another organisation, and there were enhanced monitoring arrangements. It should also be noted that 93% of respondants would recommend the service, which was equal to the London average.
4. Vivien Giladi emphasized the good work being done at the hospital and that extra effort should be put in to make the public aware of the improvements.
5. Dr Mo Abedi also raised continued offering of support, and opportunities for hospital trainees to work with GPs in primary care.
6. Bindi Nagra clarified the recent change in definition of delayed discharge, and the impact on social care of quicker discharge of patients from hospital, which meant the Council had also been dealing with greater pressures.
7. In response to further queries in respect of data around swifter discharge of patients and hospital re-admissions, Libby McManus clarified how statistics were collected on re-admission and failed discharge, and she could provide the information collected.
8. In response to queries from Councillor Orhan, Libby McManus confirmed the work being carried out in relation to diversity and culture, and advised that more paediatric consultants had been recruited and that delayed discharge issues were less likely to occur for children.
9. Vivien Giladi raised that there was considerable anxiety among the population about the discharge of frail and elderly people from hospital.
10. Libby McManus gave reassurance about patient care.
11. The Chair suggested that Health and Wellbeing Board should reflect on the Better Care Fund at a future meeting. Sam Morris confirmed that this was a scheduled agenda item for the next meeting of the Board.
AGREED that Health and Wellbeing Board noted the update in respect of North Middlesex University Hospital NHS Trust : response to Care Quality Commission report.