Councillors and committees
Agenda and minutes
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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
A question was asked by Mary Clark about why the Panel did not scrutinise the Murray House closure. The Chair responded that he had no requests to scrutinise this matter and would respond to her more fully in writing.
The Director of Public Health added that only a few residents were living at Murray House at the time of the closure and the closure was undertaken to enable the best use of resources and as part of a wider approach to adult services.
Apologies for absence and attendance of substitute members
Apologies for absence were received from Councillors Yogan Yoganathan and Kevin Davis. Councillor David Cunningham attended as substitute for Councillor Kevin Davis. Apologies were also received from Stephen Taylor, Director, Adult Social Care and Tonia Michaelides, Managing Director, Kingston CCG. Fergus Keegan, Director of Quality attended on behalf of Tonia Michaelides.
Declarations of Interest
A declaration of interest was made by Councillor Christine Stuart who spoke from the Gallery during the debate on blue badge parking. Cllr Stuart is a parent of a son with disabilities.
To approve the minutes of the meeting held on 20 June 2018
Agreed that: the minutes of the meeting held on 20 June 2018 were approved as a correct record.
To consider the report, scrutinise and make any recommendations
The Panel received two reports in support of this item:
· a report setting out the background to the question of parking at Kingston Hospital following the introduction of charges for Blue Badge Holders (BBH) on 24 January 2018. It included details of Department of Health Guidance on hospital parking provision, including concessions, arrangements at other nearby hospitals and a summary of the Panel’s previous consideration of this matter on 21 February 2018. BBH Car Parking charges were subsequently suspended by the Hospital. This report was included in the published agenda.
· A report to Kingston Hospital’s Executive Management Committee (EMC) held on 8 October 2018 which provided the findings of the review of the decision to introduce car parking charges for blue badge holders and to agree a response based on the options co-produced with the Reference Group. This report was published as late material.
Sally Brittain, Director of Nursing introduced the Hospital’s EMC report. This explained the timeline, the structure of review, the equality duty, the survey outcomes, the options considered and the conclusions. The Appendix to the report set out options developed by Reference Group and its recommenda-tions to the EMC which were:
a) To introduce a flat rate charge of £2 for Blue Badge Holder parking (not including staff, who are covered by a separate policy);
b) To improve communication on how to claim financial support and look at improved mechanisms for claiming; and
c) To position BBH spaces closest to the locations in most demand.
Sally Brittain explained that the £2 flat rate charge would enable BBHs to park all day and that is the hourly rate for all other users. She added that these additional charges would be used for car parking purposes including the introduction of new arrangements to register BBH vehicles. The EMC recommendation for the introduction of the flat rate charge will be implemented on 7 January 2019 and this timeframe will allow sufficient time for ensuring publicity and communications. BBHs will be required to register their BBH status 48 hours before parking.
A number of comments and questions were asked by members of the public in the gallery:
Councillor Christine Stuart drew the Panel’s attention to elements of the Panel’s previous consideration of parking. Parking was discussed at the meeting in December 2017 attended by the Chief Executive and the Panel was informed that the disabled spaces weren’t fully used. However, no mention was made of the new arrangements for charging BBHs which were due to be introduced in January 2018. Hospital Governors were not aware initially and when they were informed they requested that charges be stopped. The suggestion of legal challenge was referred to at the Emergency HOP meeting in February and a request was made by the Panel to cease charging. However, charging was not suspended until after the notification to the Trust in March of the legal challenge. The initial hearing in the High Court took place in April and the Trust was informed that the judicial ... view the full minutes text for item 17.
To consider the report, scrutinise and make any recommendations
The report provided a detailed summary of the key findings set out in the Care Quality Commission’s (CQC) Inspection report published on 30 August 2018 following inspections in May and early June 2018. The overall rating for the Trust has lifted from “Requires Improvement” in June 2016 to “Outstanding” in August 2018.
Five key areas are pursued in all inspections: Are Services?
· Save – protecting patients from abuse and avoidable harm
· Effective – care, treatment and support achieves food outcomes, maintaining quality of live and is based on best available evidence
· Caring – patients are treated with compassion, kindness, dignity and respect
· Responsive – services are organised to meet the needs of patients
· Well-led – leadership management and governance enable provision of high quality care based on individual needs and encourages learning and innovation and promotes a fair and open culture.
Ann Radmore, Chief Executive, gave a presentation on the inspection outcomes. Main findings were:
· A consistent and overwhelming focus on safety for patients and their wellbeing
· Staff going the extra mile every day and using their creativity and initiative to care for patients
· Staff working effectively, cohesively and happily together in a wide range of teams across the hospital
· Individuals and teams living our values and respecting patients and each other
· Staff working within understood and laid out systems to keep services safe and effective.
· No “Must Do” actions were identified by the CQC
Other points made by the CQC were:
· Clear, strong clinical leadership presence in the emergency department
· Staff took time to interact with patients and those close to them in a respectful and considerate way. Patients told the CQC that they valued their relationships with staff and felt they often went the extra mile when providing care and support.
· Good standards of infection prevention and control. All areas were visibly clean and staff adhered to bare below the elbow protocols
Patient nutrition and hydration needs
were assessed and met
A number of “Should Do” actions were identified for outpatients, the Emergency Department (ED), Medical Wards and for Well Led. Those for ED were:
· Reduce vacancy levels (mid-grade doctors)
· Improve rates of mandatory training
· Ensure use of patient group directions in administering analgesia
· Improve completion and process for discharge summaries
· Improve time taken to close incidents
A User of Resources Assessment was also undertaken. Ann Radmore stated that KHFT was the fourth trust in the country to undergo this assessment process and the report is available. The Trust has been identified as being efficient with the management of resources in the face of operational demands. However, the overall rating was “Requires Improvement” because the Trust has been unable to meet its financial plan for the previous financial year 2017/18 (an adverse variance of £6.9m against the agreed control total of £0.9m surplus).
A question was asked about progress with the Actions identified and Sally Brittain confirmed ... view the full minutes text for item 18.
Tuesday 4 December 2018
Child and Adolescent Mental Health Services (CAMHS)
Wednesday 13 February
Dental Health Services
1. Children and Adolescent Mental Health Services (CAMHS) would be considered at the next meeting on 4 December 2018 together with an update on Emotionally Unstable Personality Disorder (EUPD) Services for Kingston residents.
2. Dental Health Services would be considered at meeting on 13 February 2019.
3. Suggestions from members were sought.
Urgent Items authorised by the Chair
There were no urgent items.