Councillors and committees
Agenda and minutes
In light of recent events and following the latest Government advice on the Coronavirus, the Council has cancelled all its scheduled council and committee meetings until 11th May 2020. At present the law does not permit local authorities to hold 'virtual' Committee meetings but the Council is committed to maintaining full transparency in the decision making process during this period and an update on how its governance will work will be provided shortly.
The Council will keep its arrangements under continual review, having regard to guidance as it emerges.
You can view the individual reports for this meeting by selecting the headings from the numbered list of items at the bottom of this page. Alternatively you can view the entire agenda by selecting 'Agenda Reports Pack' below.Watch key Council meetings here
Venue: Guildhall, Kingston upon Thames
Contact: Marian Morrison 020 8547 4623 email: email@example.com
To consider questions from the gallery on items which are not on the agenda
Questions were asked by Mr Karl Kember. A summary of these is attached at Annex 1 to the minutes.
Apologies for absence and attendance of substitute members
Apologies were received from Councillor Linsey Cottington and Patricia Turner, Advisory Member, Kingston Voluntary Action.
Declarations of Interest
There were no declarations of interest.
Agreed that: the minutes of the meeting held on 24 May 2016 are confirmed as a correct record.
Update from the Chair
To receive a verbal update
The Chair updated the Panel on the following matters:
· Arrangements are being made for a meeting of the South West London Joint Health Overview and Scrutiny Committeeon Tuesday 11 October to begin consideration of the SWL Sustainability and Transformation proposals. The meeting will take place at the Guildhall, Kingston at 7.00pm.
· Councillors Andrew Day, Linsey Cottington and the Democratic Services Officer attended a timely seminar on scrutinising Sustainability and Transformation Plans run by the Centre of Public Scrutiny on Wednesday 14 September.
· Councillor Day attended the Quality Summit at Kingston hospital which followed the CQC Inspection.
· A visit to the community mental health services for adults at Tolworth Hospital is being arranged
To consider a briefing report on the CQC inspection and Kingston Hospital’s action plan to address identified shortcomings
The report provided a summary of the Care Quality Commission (CQC) inspection report published on 14 July 2016, following the CQC’s visit to Kingston Hospital NHS Foundation Trust in January 2016. All providers are required to be registered with the CQC before they can offer regulated care activities. The registration process ensures that providers reach specified standards concerning the care facilities, policy systems and procedures and how they are run. Once registered all providers are regularly monitored by the CQC.
During the course of inspections five key questions are pursued: Are Services Safe, Effective, Caring, Responsive and Well-led? Inspections of hospitals consider eight core services and the ratings given to each service are below:
Urgent and emergency services Requires improvement
Medical care (including older people’s care) Requires improvement
Critical Care Good
Maternity and gynaecology Good
Services for children and young people Good
End of life care Good
Outpatients and diagnostic imaging Requires improvement
The overall rating for the hospital was “requires improvement”. The CQC made a number of recommendations and these were included in the section of the CQC report “Outstanding practice and areas for improvement” (see Annex 2 to the Panel report). Whilst there were some shortfalls notably in the Emergency Department and to a lesser extent in medical care and outpatients and diagnostics, the CQC inspection identified a lot of good and excellent practice. It highlighted the strengths of the Surgery Department, the success of the Dementia Strategy, the professionalism and care provided by the Specialist Palliative Care Team and the Sexual Health Services at the Wolverton Clinic particularly those for young and vulnerable people with a learning disability. An initial report including next steps was considered by Kingston Hospital’s board at their July meeting (see Annex 3). A more detailed action plan was taken to the Board on 28 September and a verbal update was given to the Panel.
The report to the Panel also included details of service ratings of other nearby hospitals and Kingston Hospital compared favourably with these. Notably the “good” rating for Surgery and Critical care was better than at Croydon, Epsom and St Helier who were all rated as requiring improvement. For maternity & gynaecology and children and young people only Kingston and Croydon were rated as “good”.
Duncan Burton, Director of Nursing and Patient Experience gave a detailed presentation to the Panel. This included the ratings), areas of praise from the inspectors and full details of outstanding practice. Notably the care was rated as good across all eight service areas.
He confirmed that a Quality Summit was held on 19 September attended by the CQC, the Trust, NHS Improvement, NHS England, Richmond, Kingston and Wandsworth CCG’s, Healthwatch Kingston and Richmond, the General Medical Council, Health Education South London, the Chairs of the Health Overview & Scrutiny Panels for Kingston and Richmond and the Chair of the Health & Wellbeing Board for Kingston. The Summit considered the findings of the inspection, the planned actions across the Trust in response to the findings, and ... view the full minutes text for item 20.
To receive details of this scheme
Members of the Panel had requested information about the Mums for Mums initiative and details obtained from Kingston Hospital’s website were circulated as part of the agenda.
Duncan Burton confirmed that unfortunately the information which had been circulated was out of date and had now been withdrawn from the website. Whilst there was recruitment taking place for a number of volunteering roles across the hospital (e.g. emergency department, hospital home, admin support), the role profile of volunteers for the Mums for Mums initiative was being changed. He agreed to share the revised role profile.
Comments made by the Advisory Member, KVA, who was unable to attend the meeting were read out to those present. KVA has a volunteer project “Go Kingston Volunteering” and both volunteers and organisations are invited to register. KVA has assisted the hospital in recruiting volunteers and would be happy to provide further assistance.
Members asked a number of questions:
In response to a question about whether volunteers could help with translation, Duncan Burton explained that only qualified translators can undertake this function and this was a requirement of the Care Quality Commission.
In response to a question about whether volunteers provided a cheap service, Duncan Burton confirmed that the Trust was careful that career roles were not replaced by volunteers and that the role of volunteers was to supplement the patient experience. An advisory member asked whether volunteers underwent training in safeguarding and Duncan Burton confirmed that the induction process for volunteers covered how concerns could be escalated. A question was asked about volunteers assisting with patients discharged from hospital and Duncan Burton explained that there was a need for boundaries and the Trust’s volunteers worked in the hospital or under supervised discharge programmes such as the Trust’s volunteer Hospital to Home scheme. A member suggested that more publicity is needed about volunteering opportunities. Duncan Burton stated that the hospital had increased the number of volunteers from 300 to 700 in just 2½ years.
AGREED that: the information is noted and the revised role profile for Mums for Mums initiative would be circulated when available.
Copying letters to patients initiative
To receive a verbal update on this initiative
This item had been requested by members of the Panel. Duncan Burton explained that the process of copying letters to patients had been introduced under the NHS Plan in 2001/02 and it is now standard practice. Members commented that this is very helpful for patients as quite often patients do not take in all the information which is given during a consultation.
AGREED that: the information is noted.
To consider the minutes of the Health and Wellbeing Board held on 7 June 2016
The Minutes of the Health and Wellbeing board held on 7 June 2016 were noted and some of the business from the meeting held on 22 September were highlighted, notably the Kingston Co-ordinated Care update. Councillor Day drew attention to Adults and Children’s Committee on 29 September 2016 considering a report on options and recommendations on the delivery of additional bed capacity as part of this and that the Panel would be considering this topic in March 2017.
Councillor Mary Clark raised a number of questions relating to the Kingston Health Profile which was included on the Health and Wellbeing Board agenda for the meeting on 22 September. In response Dr Hildebrand stated that whilst infant mortality was slightly higher for Kingston, the numbers involved were very small and there is no significant difference from the national picture. In relation to TB, Dr Hildebrand stated that the Kingston health profile drew on 2012/14 data but a report published this week by NHS England which was based on more recent 2013-15 data showed that the rate of TB in Kingston (14.1 per 100K population) was less than half the rate for London as a whole. In response to a further question about excess winter deaths being high in Kingston, Dr Hildebrand confirmed that the rate had reduced from 27 per 100K population to 19.1 per 100K population in the past year. Winter deaths were primarily due to older people living in cold homes and the local Fuel Poverty Prevention Service provides help to older people including support to access grants and advice on reducing fuel bills.
A question was asked about the preparations for winter and publicity about winter services and GP hubs. Fergus Keegan, Director of Quality confirmed that the new walk in service at Surbiton Health Centre would open on 1 October and a communication strategy had been developed to ensure there is good publicity about winter services. This would be discussed in more detail at the next meeting of the Health Overview Panel on Tuesday 22 November. A member requested that information be sent to the four Kingston Neighbourhoods.
AGREED that: the minutes and information are noted.
To consider the proposed work programme and discuss any suggestions
The work programme (subject to variation):
Tuesday 22 November
· SWL and St George’s CQC Inspection, March 2016)
· Kingston Clinical Assessment Services
· Update on preparations for winter
Thursday 12 January 2017
· Air Quality
Tuesday 14 March 2017
· Kingston Co-ordinated Care
· Communications and publicity about Kingston Coordinated care and direct payments
· Community arrangements to support discharge processes
· Public Health Report
· Update on commissioning the integrated Diabetes Service
A member requested visits be arranged to Surbiton Health Centre and a GP practice.
AGREED that: the work programme is noted and the Director of Quality and governance arrange the visits to Surbiton Health Centre and a GP surgery.