Councillors and committees
Partners' Updates and Work Programme
To note the updates and work programme
The Partners’ Update included contributions from Public Health, Kingston Clinical Commissioning Group, Kingston Hospital NHS Foundation Trust, Healthwatch Kingston and Kingston Voluntary Action.
· Health & Care Plan – Public Health is leading on the development of the “Live Well” section of the plan and contributing to the “Start Well” and “Age Well” sections which are led by different teams. The plan will be shared at the end of March with system leaders to review and will ultimately combined with Richmond’s to form the overall plan for the Kingston and Richmond Local Transformation Board.
· Community Resilience Event held on 2 March in the South of the Borough to inform local residents how they can respond as a community to adverse events. Partner agencies include the Environmental Agency, Fire & Ambulance Services, Police, RBK emergency planning and Connected Kingston.
· Mental Health: Funded Time to Change Hub – Kingston has received funding for the development of the hub, co-ordinated by Healthwatch Kingston. The purpose is to address stigma.
· Connected Kingston Launch on 14 March. This is a system-wide social prescribing model for Kingston.
· Controlling Migration Fund – funding has been received in 2017 (£338K) and 2018 (£164K) for a number of projects for vulnerable refugees and migrants including advocacy, healthy eating, English classes and employment.
· Vulnerable Persons Resettlement Scheme – 37 individuals have been resettled so far.
Kingston Clinical Commissioning Group:
· Moving forward together – CCGs in south west London merger discussions on what functions can be undertaken across SWL whilst maintaining local Borough level accountability and service delivery
· CCG Time to change pledge focussed on the workplace was made by Sarah Blow on 26 February
· CCG improvement and assessment framework ratings – cancer and maternity have been rated as outstanding, dementia and mental health as good and learning disabilities and diabetes as requiring improvement.
· Cancer outcomes: annual assessment outcome for CCG commissioned cancer services at Kingston Hospital, Royal Marsden and St George’s Healthcare have all received ratings indicating services are of very high standard.
· Macmillan GP for Kingston and Richmond has been appointed who is a GP trainer with an interest in cancer, education and dermatological disorders and will support GPs in timely diagnosis and appropriate referral and communications with hospital teams
· Public Sector equality duties annual report – the report builds on the progress made last year and includes narrative on workforce data. Details of work planned for 2019 were given.
· Commitment to improving end of life care – GP practices are beginning to display a “daffodil mark” signifying commitment to 8 quality improvement standards related to improving end of life care.
· Connecting your Care is joining up GP and hospital records for four acute hospitals in SWL. Patients may opt out if they wish.
· Finance update – the CCG expects to meet all financial targets as at Month 10, including the planned surplus of £1.06M, and also to meet the Mental Health Investment Standard by increasing mental health by 3.5% in 2018/10.
Kingston Hospital NHS Foundation Trust:
· Quality and performance – despite a notable rise in admissions in February due to winter pressures, the Trust achieved the referral to treatment time and cancer targets for February. Emergency performance was 2% better than the same time last year.
· Financial position (month 10) – the Trust anticipates that the £6m deficit control total for 2018/19 will be achieved. Over performance against the plan is the prime financial risk.
· Mental Health assessment unit - £3.3m was received in December for this unit which is now open within the Emergency Department.
· Fire safety works – progress continues with the expectation that works will be completed next year.
· Workforce - vacancies are just above the target of 6% and turnover is below the target of 15.75%.
Kingston Voluntary Action:
· Health Conference on 6 March considered:
o Connected Kington – 180 staff across the borough have been trained as Community Champions and further developments for the digital tool are planned.
o Food Poverty – an update was given on the development of a plan. It has four aims and a range of proposals
· Mental Health – KVA is inputting into a number of initiatives
· “The way we work” was illustrated by a diagram at Annex 1 to the report
· HWK open meetings and task group activities – open meetings take place bi-monthly and there are four Task Groups on Community Care, Hospital Services, Mental Health and Youth Out Loud!
· All Age Learning Disabilities Partnership Board – HWK provides chairing support to the board
· Kingston Hospital Quality Report 2018-19 – HWK is preparing feedback on the report
· Thrive Kingston Mental Health Strategy Planning and Implementation Group – HWK provides chairing support for this group
· Time to change Kingston Hub – HWK is the co-ordinator for the delivery programme and supporting the recruitment of a co-ordinator post in June.
· Time to change Employer Pledge and disability confident schemes – action plans have been developed for HWK attainment by the end of 2019.
· SW London and St George’s Hospital Strategic partnership Proposal – a number of actions associated with this
· NHS Long term Plan / Health and Care Plan engagement (funded by NHSE via HWE
· Involvement in other health and social care governance and transformation
In verbal updates Andrew Cross raised recently released data on infant mortality rates (IMR). Kingston’s IMR is comparable to the England average but was the highest in London. Overall numbers are small and care is required in interpretation. A full review by Public Health has commenced and this will be progressed quickly. Andrew would be happy to report the outcomes to the Board. It was pointed out that the IMR is generally a marker of inequality, but Kingston is the second least deprived borough in London. There are many potential explanations for this apparently high rate so the Public Health review will look into these using local and national data sources.
Attention was drawn to the poor fabric of the Orchard practice in Chessington and that plans to refurbish have not been progressed. Julia Travers advised that this could be raised at the estates workshop being led in the near future by SWL Health and Care Partnership. Julia agreed to provide an update for the Board which would be circulated by the Democratic Services Officer.
In response to a question about whether children and young people in the new psychiatric area within A&E Julia Travers stated that this is primarily for adults there is a separate assessment area for children.
There was a brief discussion about food insecurity and it was suggested that the situation was worsening as a result of low wages, high rents and increasing transport costs. MPs are now authorised to give out food bank vouchers.
1. The update and the work programme are noted;
2. A workshop will take the place of the meeting on Tuesday 6 June at 7.30pm; and
3. Current items for the next meeting on 3 September 2019 are:
· Kingston Safeguarding Adult Board Annual report 2018/19
· SEND Transformation update
· CAMHS Transformation Plan update
Voting – unanimously in favour