Agenda and minutes

Apologies for absence were received from Councillor John Major; Councillor Beulah East was present as a substitute.  

None.

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.

Draft Quality Reports to follow

The Chairman welcomed those present and invited the health partners to present on their quality account reports for 2012/13.

The Hillingdon Hospitals NHS Foundation Trust

Shane DeGaris, Chief Executive and Dr Richard Grocott-Mason, Joint Medical Director spoke on behalf of The Hillingdon Hospitals NHS Foundation Trust.

Mr DeGaris introduced the Trust’s quality report and stated that the Trust tried to be challenging with the quality targets that were set for 2012/13 and therefore had not achieved all the targets. The Trust would continue to set challenging targets and were trying to pick up points around patient experience.

Dr Grocott-Mason discussed last year’s 5 priorities:

1 - First Contact Project: Improving the outpatient experience

This was around general admin and appointments for patients and it was noted that 2 of the 4 targets had been fully met.

2 - Changes in Maternity

All targets had been met. This included improving patient experience, reducing caesarean sections and improving breastfeeding figures.

3 - Care Priorities

1 of the 3 targets for this had been fully met; patients having the correct identification bands; hydration/fluid balance was very close to being met.

4 - The Leaving Hospital Project

This was around hospital discharge and some targets had been met. It was noted that transition was a key area and this was something that could be done better. There has been some improvement with getting patients discharged earlier in the day.

5 - CQUINs (Commissioning for Quality and Innovation)

This was an incentive which was agreed with commissioners and included national, regional and local targets. 4 of the 9 targets had been met.

The priorities set for 2013/14 were:

1. First Contact Project

There were proposals for a major investment to move towards electronic records which should enable a lot of efficiency improvements.

2. Improving Inpatient Care and Discharge

This included care that could be delivered in the community rather than hospital and reducing the amount of time spent in hospitals.

3. Improving Emergency Care

This included a focus on early consultant review of patients requiring admission on a 7 day a week basis to enhance early senior clinical decision making and eliminate the variability in mortality between weekday and weekend admissions.

4. CARES

It was noted that patient experience was an important factor and using CARES as values set out the standard expected from staff in terms of attitude and behaviour.

5. CQUINs

This was a priority again and it was noted that the patient experience CQUIN would be based on a ‘friends and family test’. The local targets were being agreed with the CCG.

The Trust was pleased to note that the mortality rate was lower than the national average expected in hospitals. The Trust had met the year’s targets for infection control. The patient bed days were also below the national average and London average. The Trust had also met the 4 hour average waiting time at A & E.

Members asked about the staff survey which gave some negative feedback  ...  view the full minutes text for item 57.

RESOLVED: That the minutes of the meeting held on 19 March 2013 be agreed as a correct record.

To Follow

Councillor White, Chairman of the Diabetes Working Group, introduced the draft final report which had been agreed by the Working Group, subject to final amendments to be made by Democratic Services. A final copy would be sent to all Members in advance of it being agreed by Cabinet in June 2013.

RESOLVED: That the Committee agreed the draft final report, subject to any final amendments made by Democratic Services, which were to be agreed with the Chairman of the Working Group.

Consideration was given to the Committee’s Work Programme for 2012/13 which had now concluded. The meeting dates scheduled for 2013/14 were noted and it was agreed the meeting scheduled for Thursday 17 April 2014 be moved to week commencing 21 April 2014. This was in order that health partners had time to submit draft quality reports in time for the agenda despatch date.

Democratic Services would draft a Work Programme for 2013/14 and asked that Members let them have any comments in regard to this. Democratic Services also asked that Members give thought to review topics for 2013/14 and pass any suggestions to Democratic Services.

RESOLVED:  That:

1. the Work Programme be noted;
2. the meeting scheduled for Thursday 17 April 2014 be moved to the w/c 21 April 2014;
3. Members to pass any comment to Democratic Services with regard to the Work Programme for 2013/14;
4. Members to inform Democratic Services any suggestions they may have for review topics for 2013/14; and
5. Democratic Services to put together a draft Work Programme for 2013/14 and circulate to Committee Members.