Agenda and minutes

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Contact: Peter Thompson 

Items
No. Item

19.

Apologies

20.

Declarations of Interest

    Members are required to declare any disclosable pecuniary, personal or personal and prejudicial interests they may have and the nature of those interests relating to items on this agenda and/or indicate if S106 of the Local Government Finance Act 1992 applies to them.   

    Minutes:

    There were no declarations of interest.

21.

Public Questions

    Any members of the public present at the meeting are invited to ask questions on any matter relating to the work or performance of Pennine Acute NHS Trust. A period of up to 30 minutes is set aside for public questions.

    Minutes:

    There were no questions asked by members of the public.

22.

Minutes pdf icon PDF 67 KB

    To consider the minutes of the meeting of the Committee held 4th October 2018.

    Minutes:

    The Committee considered the minutes of the last meeting held 4th October 2018.

     

    Resolved:

    That the Minutes of the meeting of the Joint Health Overview and Scrutiny Committee for Pennine Care NHS Foundation Trust, held 4th October 2018, be approved as a correct record.

23.

Finance Update - including the development of the Trust's Operational Plan for 2019/20 pdf icon PDF 574 KB

    Representatives of Pennine Care NHS Foundation Trust to report

    Minutes:

    Pennine Care NHS Foundation Trust’s Director of Strategy delivered a presentation that outlined the current financial situation appertaining to the Trust. Members were reminded that 2017/18 had been the first year that Pennine Care NHS Foundation Trust had recorded a budgetary deficit, which was largely due to reduced government funding. It was projected that the deficit would continue for at least the next two financial years. The Trust was currently projected to deliver against the control total of £6.4 million at the end of 218/19, which was made up of £1.5 million funding received from NHS Digital and £5 million that had been invested in ‘safer staffing’.

     

    The Committee were apprised of the Trust’s Operational Plan for 2019/20 which included an efficiency target of 2.1% (£5.9 million). There was a potential Capital Allocation of £4.6 million. Plans were underway that may be required for external funding.

     

    Resolved:

    That a full report on the financial position of Pennine Care NHS Foundation Trust be presented to the Committee’s next meeting on 21st March 2019.

24.

Pennine Care Foundation Trust Strategy 2019 2022: Maximising Potential

    Representatives of Pennine Care NHS Foundation Trust to report

    Minutes:

    The Trust’s Director of Strategy reported that their Board, at its last meeting on 19th December 2018, had approved the Strategic Position Paper. This meant that three major programmes of work were now fully initiated:

    a.     Integrated Mental Health Programme

    b.     Community Services Transfer Programme

    c.      Corporate Services Redesign Programme

     

    The Committee was updated on the Community Services transfer Programme, which had now become fully operational with appropriate internal and external governance arrangements. All of the community services that were currently being provided in the Oldham and Bury Boroughs were transferring to the Northern Care Alliance based at Salford Royal Hospital. The Heywood, Middleton and Rochdale Adult Services were due to transfer to the One Rochdale LCO (which was hosted by the Northern Care Alliance). The key risks were around the capacity and capability of delivering on the programme of work; the challenging timescales with a number of influencing factors; and the operational performance.

     

    The redesign of Corporate Services continued apace. Phase 1 of this considered the impact of the disaggregation of community services. Phase 2 examined the redesign offer to support the redesigned organisational vision, design and strategy. The Trust was currently examining ways in which corporate services could be provided differently including partnership options.

     

    Resolved that the report be noted and welcomed.

25.

meeting of the Trust's Governors and Members of the Joint Overview and Scrutiny Committee

    Representatives of Pennine Care NHS Foundation Trust to report

    Minutes:

    Resolved:

    The meeting between representatives of the Trust's Governors and Members of the Joint Overview and Scrutiny Committee, be held on Wednesday, 6th March 2019, at the Trust’s head office (225 Old Street, Ashton-under-Lyne) on Tuesday, 26th February 2019 commencing at 1.30pm.

26.

Dates of Future Meetings

    It is suggested that future meetings of the Committee be held:

    ·       Thursday, 21st March 2019 at 10.00am at the Council offices, Rochdale;

     

    Further informal meetings be held:

    ·       Tuesday, 26th February 2019 at 2.00pm at the Trust’s offices in Ashton-under-Lyne

    Minutes:

    Resolved:

    It was agreed that:

    1. The next formal meetings of the Joint Scrutiny Panel for Pennine Care (Mental Health) Trust be held on Thursday, 21st March 2019, to be held in the Council Offices, Number One Riverside, Smith Street, Rochdale, commencing at 10.00am.
    2. The next informal meetings of the Committee’s membership be held with representatives of Pennine Care Foundation Trust’s senior management, at the Trust’s head office (225 Old Street, Ashton-under-Lyne) on Tuesday, 26th February 2019 commencing at 2.00pm.

27.

Exclusion of Press and Public

    To consider that the press and public be excluded from the remaining part of the meeting pursuant to Section 100(A)4 of the Local Government Act 1972 on the grounds that discussions may involve the likely disclosure of exempt information as defined in the provisions of Part 1 of Schedule 12A to the Local Government Act 1972 and public interest would not be served in publishing the information.

    Minutes:

    Decision:

     

    That the Press and Public be excluded from the meeting during consideration of the following item of business, in accordance with the provisions of Section 100A (4) of the Local Government Act 1972, as amended.

     

    Reason for Decision:

     

    Should the press and public remain during the following item of business as there may be a disclosure of information that is deemed to be exempt under Part 3 of Schedule 12A of the Local Government Act 1972.

28.

Feedback from CQC Inspections

    To report on preparations for the CQC’s ‘well led’ inspection of the PCFT

    Minutes:

    The Trust’s Director of Strategy reminded the Committee that the Care Quality Commission (CQC) had undertaken a ‘Well Led’ inspection of a selection of services provided by the Trust in the period August – October 2018. Some of the services inspected included dentistry, mental health hospital wards (for adults and for older people), PICU, home treatment teams, 136 suites access and crisis services and walk-in centres across the Trust.

     

    The CQC’s report had been presented to the Trust’s Directors on 17th December 2018 with an overall ‘requires improvement’ rating, although it was acknowledged that many individual services were improving. In this regard it was noted that the Saffron Ward (for older people) had demonstrated innovative practice as it routinely admitted patients with mental illness but provide care for patients experiencing delirium. Also it was noted that the North and South Wars had access to a physical health check, drop in clinic which were additional to the physical health checks on the wards.

     

    The CQC had highlighted a need for improvements in terms of: supervision, IPDR’s, governance structures, staff morale, the quality of staff, mandatory training, patient rights, safer staffing, audits and bed occupancy.

     

    The CQC had found a clear commitment from the Trust that the priority, throughout, was to improve the quality of services. The CQC had recognised a significant improvement in the organisational culture at Pennine care, describing the Board as being ‘open and inclusive’.

     

    In light of the inspection the trust will be required to submit a revised and updated Action List to the CQC. Each and every action will have both a ‘lead’ and an ‘Executive’ sponsor. There will be regular updates and monitoring of the Action Plan to ensure its full and timely implementation. The Action Plan will be shared with key stakeholders including: the CCG’s across the Trust’s footprint, NHS England, this overview and Scrutiny Committee and HealthWatch.

     

    Resolved:

     

    1.     The report be noted and welcomed.

    2.     A copy of the CQC’s report be circulated to Members of the Joint Overview and Scrutiny Committee for Pennine Care.

    3.     A copy of the Trust’s Action Plan be forwarded to Members of the Joint Overview and Scrutiny Committee for Pennine Care.

    4.     The Committee acknowledge that the CQC had formally praised the quality of staffing across the Trust’s footprint.