Agenda and minutes

Venue: Committee Room One, County Offices, Newland, Lincoln LN1 1YL

Contact: Katrina Cope  Senior Democratic Services Officer

Items
No. Item

98.

Apologies for Absence/Replacement Members

Minutes:

Apologies for absence were received from Councillors M T Fido, M A Whittington, Mrs P F Watson (East Lindsey District Council), and T Boston (North Kesteven District Council). 

 

It was noted that the Chief Executive, having received notice under Regulation 13 of the Local Government (Committee and Political Groups) Regulations 1990, had appointed Councillor L Wootten to replace Councillor M A Whittington for this meeting only.

 

An apology for absence was also received from Councillor Mrs S Woolley (Executive Councillor for NHS Liaison & Community Engagement).

 

99.

Declarations of Members' Interest

Minutes:

Councillor Mrs K Cook advised the Committee that she was a patient; and on the governing body of Lincolnshire Partnership NHS Foundation Trust.

100.

Minutes of the Health Scrutiny Committee for Lincolnshire meeting held on 20 March 2019 pdf icon PDF 242 KB

Minutes:

RESOLVED

 

That the minutes of the Health Scrutiny Committee for Lincolnshire meeting held on 20 March 2019 be agreed and signed by the Chairman as a correct record, subject to a minor correction on page 7 (final paragraph)  the word 'preforming' being amended to read 'performing'.

101.

Chairman's Announcements pdf icon PDF 354 KB

Additional documents:

Minutes:

Further to the Chairman's announcements circulated with the agenda, the Chairman brought to the Committee's attention the Supplementary Chairman's announcements circulated at the meeting.

 

The Supplementary Chairman's announcements made reference to the Healthwatch Lincolnshire Website; United Lincolnshire Hospitals NHS Trust – Paediatric Admission Unit, Pilgrim Hospital; New Initiative to Support Mental Health Family Members and Carers; and United Lincolnshire Hospitals NHS Trust – Recruitment of Chief Executive.

 

The Chairman advised the Committee that at the moment there was no further information available on the interim arrangements for the Chief Executive at United Lincolnshire Hospitals NHS Trust. 

 

RESOLVED

 

That the Chairman's Announcements presented as part of the agenda on pages 21 to 24; and the supplementary announcements circulated at the meeting be noted.

102.

Update on Lincolnshire Partnership NHS Foundation Trust Services (including the Older Adults Mental Health Home Treatment Team) pdf icon PDF 177 KB

(To receive a report from Lincolnshire Partnership NHS Foundation Trust (LPFT), which provides the Committee with an update on the LPFT services.  Jane Marshall, Director of Strategy LPFT and Chris Higgins, Director of Operations LPFT, will be in attendance for this item)

Minutes:

The Chairman welcomed to the meeting the following representatives from Lincolnshire Partnership NHS Foundation Trust (LPFT) Services:-

 

·         Jane Marshall, Director of Strategy, Lincolnshire Partnership NHS Foundation Trust (LPFT); and

·         Chris Higgins, Director of Operations LPFT.

 

The Committee was advised that LPFT were committed to their vision of providing care as close as possible to people's homes; and to exploring new ways of working to build up resilience within the community.  The Committee was advised further that LPFT were also keen to improve the quality of the physical environment for the wards LPFT operated, in order to protect patient dignity and privacy.

 

It was reported that whilst upgrading the Brant Ward, Lincoln, LPFT had decided to try out a pilot called 'Home Treatment Team' (HTT), the results of which were detailed on pages 26 to 28 of the report presented.  The Committee was advised that the older adult functional Mental Health Home Treatment Team was proving to be very successful as an alternative to inpatient beds.  The Committee noted that LPFT would be engaging with patients and the public on the potential for retaining the HTT when the Brant Ward re-opened later in the year following its refurbishment.

 

It was highlighted that since the commencement of the older adult HTT and the temporary closure of Brant Ward, there had been improvements in length of stay.  The Committee was advised that the average length of stay for patients under the care of the HTT was 23 days.  This was significantly lower than the length of stay of Brant Ward (pre-HTT) at 59 days. 

 

The Committee was advised further that the average length of stay had also reduced on the Rochford Ward, Pilgrim Hospital, Boston (the remaining older adult functional mental health ward) from 76.2 days to 45.2 days with HTT being in place.  It was highlighted that no patient had been re-admitted to an inpatient bed within 30 days of discharge (30 days being an indicator of appropriate discharge) from Rochford Ward, since the HTT had been in place. 

 

It was reported that there had been 100% patient satisfaction with the HTT, 73.91% of people reported that they were 'extremely likely' to recommend the service and 26.9% were 'likely' to recommend.  Some feedback comments were detailed on page 27 of the report for the Committee to consider.

 

The Committee noted that the Clinician Related Outcome Measures had also shown high levels of clinical staff satisfaction with patient condition on discharge from the service as well as 'very good' referrer satisfaction. The Committee noted further that when using the 'Warwickshire Edinburgh Wellbeing Scale' validation tool, the HTT was able to demonstrate a statistically significant improvement in the self-reported wellbeing of patients following HTT intervention.  A chart on page 28 of the report provided details of the proportion of clients in each group before and after intervention.

 

It was highlighted that for the five months October 2018 to February 2019, there had been five clinical incidents associated with HTT, in comparison to 123 clinical  ...  view the full minutes text for item 102.

103.

East Midlands Ambulance Service NHS Trust - Lincolnshire Division Update pdf icon PDF 7 MB

(To receive a report from the East Midlands Ambulance Service NHS Trust (EMAS), which updates the Committee on the following areas within the Lincolnshire Division: ambulance response performance information; handover delays at acute hospitals; collaboration with Lincolnshire Integrated Voluntary Emergency Service; the urgent care tier; the ambulance fleet; recruitment; blue light collaboration; and the transformation programme within the Lincolnshire Division.  Mike Naylor, Director of Finance EMAS and Sue Cousland General Manager, Lincolnshire Division EMAS will be in attendance for this item)

Additional documents:

Minutes:

The Chairman welcomed to the Committee the following representatives from the East Midlands Ambulance Service NHS Trust:-

 

·         Mike Naylor, Director of Finance, East Midlands Ambulance Service;

·         Sue Cousland, General Manager, Lincolnshire Division East Midlands Ambulance Service; and

·         Will Legge, Director of Strategy and Transformation, East Midlands Ambulance Service.

 

The Committee gave consideration to a report from the East Midlands Ambulance Service NHS Trust – Lincolnshire Division, which provided an update on the following areas:-

 

·         Ambulance response performance information;

·         Handover delays at acute hospitals;

·         Collaboration with Lincolnshire Integrated Voluntary Emergency Service LIVES;

·         The urgent care tier;

·         The Ambulance fleet;

·         Recruitment;

·         Blue light collaboration; and

·         The transformation programme within the Lincolnshire Division.

 

Detailed at Appendix A to the report was a copy of a report considered by the Accident and Emergency Delivery Board concerning Hospital Handover Delays for January 2019.  Appendix B provided details relating to the Falls Response Programme – Performance Summary; and Appendix C provided the Committee with a copy of the Transformation Brief which had commenced in April 2019.

 

The Committee received a short presentation, which provided information on the key elements being focussed on by EMAS; an overview of progress that had been made and, what the highlights were for 2018/19; Quarter four performance and the residual challenges for Lincolnshire, details of which were contained within the report presented.

 

The Committee was advised that the Lincolnshire Division of EMAS currently had a total fleet of 82 ambulances, which were supported by 'in house' mechanics seven days a week 365 days of the year.  The Committee was advised further that from March 2019 Lincolnshire had received the first 39 new vehicles to replace 28 of the oldest vehicles in the fleet; and an additional 11 new vehicles to support the expansion in workforce.  In addition to this the Committee was advised that 15 new Urgent Care Vehicles had also arrived and these were based at Sleaford, Boston, Grimsby and Market Rasen stations.  It was also highlighted that the Lincolnshire Division was also working with fleet colleagues to trial an electric vehicle and that a review was currently being undertaken relating to the current fast response vehicle resource.

 

It was highlighted to the Committee that one of the largest, but positive challenges had been the large scale recruitment of staff into EMAS.  It was reported that during 2018/19, 484 new staff had been recruited through a mixture of transfers from other services; the up skilling of existing staff or external recruitment.  It was highlighted further that the largest proportion of new staff had been from external recruitment, with 331 trainee technicians being welcomed into EMAS.  The Committee noted that for the Lincolnshire Division this equated to 91 new ambulance technicians, 8 paramedics and a further 14 urgent care assistants.  The Committee noted further that the recruitment process would continue into 2019/20.   

 

It was reported that handover delays at acute hospitals continued to be a challenging aspect, and the significant pressures it posed in a rural county such as  ...  view the full minutes text for item 103.

104.

Implementing the NHS Long Term Plan: Proposals for Possible Changes to Legislation pdf icon PDF 315 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which invites the Committee to consider its response to the NHS England's engagement document entitled: Implementing the NHS Long Term Plan – Proposals for Possible Changes to Legislation)

Additional documents:

Minutes:

Consideration was given to a report from Simon Evans, Health Scrutiny Officer, which invited the Committee to give consideration to a draft response to the questions in the NHS England's engagement document entitled 'Implementing the NHS Long Term Plan – Proposals for Possible Changes to Legislation.'

 

A copy of the completed draft response document had been circulated to members of the Committee prior to the meeting.  The Committee was invited to comment on the said document. 

 

Discussion ensued, from which the following comments were raised:-

 

·         Health Scrutiny Regulations – Confirmation was given that there was no plan to amend Health Scrutiny Regulations – Role of the Health Scrutiny Committee; and

·         That questions 1 and 4 responses should be adapted to take account of specialist services at a regional and national level.

 

The Committee extended thanks to the Health Scrutiny Officer for all his work in preparing the draft response document.

 

RESOLVED

 

That subject to the amendments detailed above, approval be given to the completed draft response document circulated relating to the questions in the NHS England's engagement document entitled:  'Implementing the NHS Long Term Plan – Proposals for Possible Changes to Legislation'.

105.

Health Scrutiny Committee for Lincolnshire - Work Programme pdf icon PDF 607 KB

(To receive a report from Simon Evans, Health Scrutiny Officer, which invites the Committee to consider and comment on its work programme)

Minutes:

Consideration was given to a report from Simon Evans, Health Scrutiny Officer, which enabled the Committee to consider and comment on the content of its work programme, to ensure scrutiny activity was focussed where it could be of greatest benefit.

 

The Committee gave consideration to the work programme as detailed on pages 67 to 69 of the report presented.

 

The Health Scrutiny Officer highlighted that slippage might occur with regard to the Healthy Conversation items due to the availability of clinicians.

 

RESOLVED

 

That the work programme presented be agreed subject to the inclusion of the items highlighted in minute numbers: 102 and 103.

 

 
 
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