Agenda and minutes

Councillors Wallace Redford (Chair), Mike Brain, Andy Sargeant and Pam Redford (Warwick District Council), Shade Agboola, Becky Hale and Pete Sidgwick.

Members are required to register their disclosable pecuniary interests within 28 days of their election of appointment to the Council. A member attending a meeting where a matter arises in which s/he has a disclosable pecuniary interest must (unless s/he has a dispensation):

·         Declare the interest if s/he has not already registered it

·         Not participate in any discussion or vote

·         Must leave the meeting room until the matter has been dealt with

·         Give written notice of any unregistered interest to the Monitoring Officer within 28 days of the meeting Non-pecuniary interests must still be declared in accordance with the Code of Conduct. These should be declared at the commencement of the meeting.

None.

The Chair welcomed everyone to the meeting. She referred to the motion debated at Council on the retendering of Alternate Provider Medical Services (AMPS) contracts. It was agreed that this matter be brought back to the committee for further consideration and was originally intended to bring an item to this meeting. Warwickshire North and Coventry & Rugby  CCGs were undertaking the procurement process which would conclude in March, when the full position will be known on the APMS contracts. On that basis the Chair had agreed to defer the matter pending the outcome of the procurement exercise.

To receive the minutes of the committee meetings held on 25 September 2019 and 13 January 2020.

The minutes of the committee meetings held on 25 September 2019 and 13 January 2020 were approved as true records and signed by the Chair. Councillor Bell referred to the question she had submitted at the 13 January meeting on the NHS 111 service, which would be pursued.

None.

Up to 30 minutes of the meeting is available for members of the Committee to put questions to the Portfolio Holder: Councillor Les Caborn (Adult Social Care and Health) on any matters relevant to the remit of this Committee.

None.

The Committee has received reports on the performance of the three clinical commissioning groups (CCGs) at its meetings in September 2019 and January 2020. It was agreed that a further meeting be held and a more detailed report on performance provided.

A report was introduced by Alison Cartwright, South Warwickshire CCG and Andrew Harkness representing Coventry & Rugby and Warwickshire North CCGs. The Committee had received CCG performance reports at its meetings in September 2019 and January 2020, requesting a further report be presented to this meeting. The Chair noted that this report addressed comments raised previously on the required content.

Alison Cartwright confirmed the duties of CCGs to meet NHS constitution indicators and how they set out to meet those duties. There were also national and local performance indicators. Details were provided of the contracts monitored for acute services and mental health services, also setting out the responsibility for service providers to deliver the performance requirements. CCGs held providers to account through contract frameworks, with monthly meetings to assess performance. A collaborative approach was taken to understand the reasons for shortfalls in performance and to require providers to put in place recovery action plans. Performance reports were provided to each CCG governing body, which met in public.

A verbal response was provided to the questions raised at the previous meetings, with further detail from Jane Tombleson of George Eliot Hospital (GEH) and Helen Lancaster from South Warwickshire Foundation Trust (SWFT). The following updates and further questions from members were discussed:

• GEH had an unannounced visit from the Care Quality Commission (CQC) in December 2019. Members asked in January when the committee would be able to discuss the CQC report and associated action plan. It was confirmed that the CQC had given notice of certain ‘must do’ and ‘should do’ actions. The key concern reported was significant shortages in medical staff. There had been a robust response with recruitment of eight middle grade doctors in recent weeks. It was noted that the CQC report was not yet in the public domain, but this would be added to the work programme and be brought to the committee as soon as possible. 
• At the September 2019 meeting, a report from Public Health provided comparative performance information for each CCG against 21 key indicators. The report had caused some confusion, it being explained that this was drawn together from data in June 2019 and the 2018/19  annual report. Over that reporting period there had been a reduction in performance across some of the indicators for South Warwickshire. An example quoted was accident and emergency (A&E) waiting times. Whilst SWFT was fifteenth best nationally in terms of A&E performance, it was not meeting the national performance target.
• There were capacity challenges for A&E departments generally and more use could be made of other services. At SWFT a particular issue was patients being redirected from other areas to the Warwick Hospital instead of their local A&E department. This impacted on the A&E department and caused difficulty for patients in getting back to their local services.
• More information was sought in regard to dementia diagnosis rates with sections of the report quoted on challenges faced by the Coventry and Warwickshire Partnership Trust (CWPT)  ...  view the full minutes text for item 4.

The One Organisational Plan (OOP) Quarterly Performance Progress Report for the period April 1st 2019 to November 30th 2019.

It was reported that the One Organisational Plan (OOP) quarterly performance progress report for the period 1 April to 30 November 2019 was considered and approved by Cabinet at its meeting on 30th January 2020.

A tailored report was submitted. This provided an overview of progress of the key elements of the OOP, specifically in relation to performance against key business measures (KBMs), strategic risks and workforce management under the responsibility of the committee. It was noted that comprehensive performance reporting was now provided through a new system, Power BI, with an exception report for the committee as well. Members who had not already attended a training session on the new software were encouraged to do so. A separate financial monitoring report for the period covering both the revenue and capital budgets, reserves and delivery of the savings plan was included.

Questions and comments were invited with responses provided as indicated:

• The Chair commented that she had found the Power BI software very useful in her employment role.
• For future reports, it would be useful to have more information about the George Eliot Hospital services to encourage expectant mothers to stop smoking, as it was understood the funding for this service had been reduced.
• There was a need to ensure that co-opted members of the committee were able to access the new performance dashboard.

Resolved

That the Overview and Scrutiny Committee notes the progress of the delivery of the One Organisational Plan 2020 for the period as set out above.

The Committee’s work programme was reviewed by the Chair and party spokespeople at their meeting on 21 January. The updated programme is attached for the Committee to consider.

The Committee reviewed its work programme.

The Chair and party spokespeople would consider the list of items for the April meeting, with the proposed addition of the clinical commissioning group merger to the existing programme. This may require an additional meeting, or full day session to give sufficient capacity for the items. A further item to add to the programme was the Care Quality Commission report and action plan following the inspection of the George Eliot Hospital.

It would be helpful to have a list of acronyms for members of the committee, given the number of health-related terms used in some reports.

Resolved

That the Adult Social Care and Health Overview and Scrutiny Committee

Notes the work programme.

…………………………………

Chair

The meeting closed at 11.45am