Agenda and minutes

Apologies for absence were received from Councillor Phoday Jarjussey.  Councillor John Major was present as a substitute.

Councillor Peter Kemp declared a personal and prejudicial interest in Agenda Item 5 – Performance Review of the Local NHS Trusts, as he was a governor of Central & North West London NHS Foundation Trust, and left the room when representatives from CNWL presented to the meeting. 

To confirm that all items marked Part 1 will be considered in public and that any items marked Part 2 will be considered in private

RESOLVED:  That all items of business be considered in public. 

The Chairman welcomed those present to the meeting and congratulated Hillingdon Hospital for achieving Foundation Trust status. 

Royal Brompton & Harefield NHS Foundation Trust

Mr Richard Connett, Trust Secretary & Head of Performance at the Royal Brompton & Harefield NHS Foundation Trust, advised that this was the second year that a Quality Account (QA) report had been produced by the Trust.  He noted that all of the Trust’s indicators were on green or amber. 

The first 2010/2011 draft had been forwarded to the Council and the LINk on 1 April 2011 for a response by 1 May 2011.  Once comments had been received, they would be incorporated into the draft and a second draft would be produced.  It was noted that the Quality report would be submitted to Monitor and Parliament and would sit alongside the Financial Accounts in the Trust’s Annual Report. 

The Trust’s Quality Priorities for 2011/2012 had been agreed following engagement with Governors, LINks, patients, carers and staff as follows:

1. Review of cardiac arrests which occurred outside intensive care
2. 99% of patient records to be available in Outpatient clinics
3. Targets for lung cancer multi disciplinary team (MDT) discussions
4. End of life care – introduction of the Liverpool care pathway to improve care planning

It was noted that the Trust’s Royal Brompton Hospital had received an unannounced visit from the Care Quality Commission (CQC) the previous week and was awaiting the outcome of the inspection.  It was anticipated that Harefield Hospital would received a visit from the CQC in the next 12 months. 

Mr Bob Bell, the Trust’s Chief Executive, advised that the Trust’s primary angioplasty workload had increased by 40% over the last 4 years.  This meant that bed capacity was tight, particularly at Harefield with regard to acute cardiac interventions. 

London Ambulance Service

Mr Steve Lennox, Director of Health Promotion & Quality at the London Ambulance Service, advised that the Service’s QA report had been drafted and would be considered by its Board on 27 April 2011.  As such, a copy of the report was not available for circulation to the Committee Members. 

In its 2010/2011 QA report, the Service had identified five priority areas which included cardiac care.  It was noted that despite there having been an 11% increase in the total number of patients, the Service had significantly improved cardiac care and survival rates had increased from 4.2% to more than 25%.

Although there was not a lot of information about trauma care available, Mr Lennox believed that the Service seemed to be over-triaging.  Further work would need to be undertaken to resolve this issue. 

With regard to appropriate care pathways, there had been mixed successes.  As the target to reduce the percentage of patients going to Accident & Emergency had not been met, this target would be rolled into the 2011/2012 QA report. 

There had been significant successes with the improvements to stroke care following the recent review.  Improvements had also been made to freeing up ambulances.  This had been achieved by reducing the amount of  ...  view the full minutes text for item 43.

RESOLVED:  That the minutes of the meeting on 30 March 2011 be agreed as a correct record. 

Consideration was given to the Committee’s Work Programme. 

RESOLVED:  That the report be noted.