Hounslow Council


Agenda and minutes

Venue: Committee Room 1, Civic Centre, Lampton Road, Hounslow. View directions

Contact: Email: jane.medici1@hounslow.gov.uk 020 8583 2064 

Items
No. Item

26.

Apologies for Absence, declarations of Interest and other Communication

Minutes:

The Chair received apologies and asked for declarations of interest.

27.

Minutes of the meeting of 30 September 2015 pdf icon PDF 87 KB

Minutes:

Were agreed and signed by the Chair.

28.

Matters Arising

Minutes:

Henrietta Niekirk is to resend the e-mail about NHS Properties.

 

Cllr Bath has requested that members be sent Outlook Invitations for the meetings – Henrietta Niekirk

 

Cllr Felicity Barwood reported that she had left an apology regarding her absence at the previous meeting on Committee Services answering machine.

 

 

29.

CCG - Out of Hospital (OOH) pdf icon PDF 43 KB

1.    Prevention Update

2.    Heston Hub

3.    NHS 111

Additional documents:

Minutes:

Sue Jeffers spoke to the attached report.

 

Prevention Strategy 2015 – 19

 

Questions asked:

 

Cllr Collins questioned whether having large print, or a voice activator available on the terminals had been considered.  Sue Jeffers responded that available IT solution were being investigated and agreed to investigate whether these were available.

 

Cllr Bath asked whether sharing of information was currently available. Sue Jeffers responded that it was, over the last year anyone on databases hade got NHS numbers which allowed a greater degree of information sharing. 

 

Cllr Bath questioned whether the prevention service was available when someone went into hospital.  Sue Jeffers responded that currently 85% of IT had been completed with 100% completion expected by the New Year.  Once this was in place hospital social care and health input would become visible and services more widely available.  They were working with hospitals to move this forward.

 

Cllr Bath asked what kind of impact had been seen on the ground and where it was seen as working in terms of getting positive results.  Sue Jeffers responded that the main area was in Community Recovery Services and that there was not enough data available in other areas yet.  The results within Community Recovery had been positive with initial estimates of numbers making use of the services set at 3000/year.  To date, she believed, if the service continues as it started they are looking at well over 4000 in the first year.  Although it was still early days it was believed that the service had indeed had a real impact and was beginning to show numbers of packages of personal care had been reduced as a result of individuals being in the Community Recovery Programme, and were beginning to outstrip the numbers receiving care.

 

Cllr Barwood questioned what the average age of users of the service was.  Sue Jeffers responded that it was being used across all age groups with the average age between 70 and the late 80s. 

 

Cllr Barwood asked whether patients were accessing support through their own personal computers.  Sue Jeffers responded that the number of people accessing help via their own personal computers was increasing although there remained a mix of face-to-face and computer accessed support.  Increasing numbers where using the self-help website, the CCG Care Place and other website links.

 

Sue Jeffers said that community based terminals were due to be rolled out before Christmas.

 

Cllr Bath questioned how the average person knew how to access this support.  Sue Jeffers said the way into the service should be through GPs.  Locality Heat events had been held so that GPs could understand the menu of services available.

 

Cllr Bath questioned whether, if a patient did not have a good relationship with their GP, they could self-refer.  Sue Jeffers responded that Hospitals should also know about it and that patients in hospital should get information and be referred to the Community Recovery Services.

 

Cllr Gurung questioned where the headquarters of the Community Recovery Service was based.  Sue Jeffers said that  ...  view the full minutes text for item 29.

30.

Healthwatch update pdf icon PDF 59 KB

Additional documents:

Minutes:

Stephen Otter spoke to the attached report.  He added that the use of volunteers had been helpful in collecting patient feedback and was allowing negative feedback to be followed up.  Feedback indicated a need for further education of the population around the use of 111.

 

Further work planned by Health watch included a deep dive audit of a range of groups and organisations working with carers as well as taking a look at the mental health services, particularly in terms of children.  Healthwatch is only able to undertake small pieces of work due to limited funding and capacity.

 

Questions raised:

 

Cllr Savin asked what was being done about negative experiences.  Stephen Otter said that feedback was being provided to respective GP Groups and that their response had been positive although there was no quick fix due to the problem being an embedded cultural issue which would take time to change.

 

Cllr Savin questioned this was about the need for more training.  Stephen Otter responded that it was about highlighting where good work was happening and using peer pressure to encourage change among GP surgeries.

 

Cllr Collins asked whether the problem was being recognised.  Stephen Otter responded that the majority are and do want to do something about it.

 

Cllr Barwood questioned whether patients were also resistant to change and whether some education of patients regarding the correct use of the GP services was needed.  Stephen Otter responded that in terms of line management it was only possible to influence as NHS England held the GP contract direct.

 

Cllr Bath questioned what the main recommendations were on the report.  Stephen Otter asked the board to look at page 52 where some recommendations were made within the conclusion.

 

Cllr Bath questioned how the information was gathered.  Stephen Otter responded that this was through a variety of methods including face-to-face, completion of forms and on-line forms. 

 

Cllr Gurung asked whether volunteers received training and what the benefit of using volunteers rather than full-time staff was.  Stephen Otter responded that volunteers were used because of the limited budget.

 

Cllr Barwood asked whether they were motivated by wanting to help.  Stephen Otter agreed and said they realise the importance of the patient voice and the gathering of information.

 

Cllr Bath questioned what could be done to improve the issue of health trainers not having enough up to date information about diabetes.  Sue Jeffers agreed that this was an issue and added that had been raised in a number of forums with concerns about diabetic trainers providing the incorrect information as well as the quality of training.  This had been fed back to Imran Choudhury and will be followed up on.

 

The board raised further concerns regarding the flyers and leaflets available at GP Surgeries which were often inadequately displayed and out of date.  Concerns were also expressed that these seemed to primarily be aimed at English speakers and did not take into account the languages of emerging communities. 

 

The board expressed appreciation for the work  ...  view the full minutes text for item 30.

31.

Healthcare Commission Report pdf icon PDF 62 KB

Additional documents:

Minutes:

Ian Duke spoke to the attached report and urged members to consider the information in the context of other agenda items.  He questioned what the panel would like to do with the report, did they want to leave it with JOSC or did they want to do something themselves.

 

Cllr Bath responded that the report raised serious issues, although noted that Hounslow had stood to benefit from plans for West Middlesex University Hospital.

 

Cllr Collins reported that the NWL JHOSC had requested a meeting this coming Wednesday although he was of the view that this meeting was best differed to the first or second week of January to allow him to speak to the boroughs now linked to the independent commission.  He felt that although Hounslow could see some benefits from the SAHF plans it was possible that a bigger impact would be felt down the line when other A & Es closed.

 

Cllr Collins said he had concerns around changes to the population in West London and he personally doubted whether population growth was being properly taken into account by the SAHF programme. Cllr Collins said close attention would need to be paid to the out of hospital strategy, which had been reconfigured along clinical grounds, to see if it would reduce pressure on the system.

 

Cllr Bath questioned if a response were to be given whether it would be better coming as a joint response between all the boroughs.  Ian Duke responded that it would be down to each borough to respond, as it was expected that each borough would have different responses.

 

Cllr Collins added that the overarching principle of the recommendations and the question of the consultant’s fees totalling over £33 million needed to be addressed alongside the question of whether this money could have been better spent elsewhere.

 

Stephen Otter questioned who would retain ownership of the property infrastructure if the recommendations in terms of improvements were implemented.

 

Ian Duke advised the panel that the next stage of the SAHF programme would see an implementation business case being presented to HM Treasury early in the new year. The NWL JHOSC had been told that this business case could be presented to that committee but the timeline for this was to be agreed.

 

The Committee thanked Ian Duke for presenting the report but would wait to see how developments progressed in the new year before taking further action in relation to the report.

 

32.

Work Programme pdf icon PDF 37 KB

Minutes:

The Chair of Adult Safeguarding is to be included on the Agenda for the February meeting.

 

33.

Date of Next Meeting 1 February 2015

34.

Any other matters that the Chair considers urgent