Agenda item

To consider a report of the Director of Transformation and Governance on issues brought to the attention of the Committee which impact upon the planning, provision and/or operation of health services within Hampshire, or the Hampshire population.

 

a.    CQC Inspection Update from University Hospital Southampton Foundation Trust

b.    CQC Inspection Report from Southern Health NHS Foundation Trust

c.    CQC Inspection Report from Portsmouth Hospitals NHS Trust

d.    CQC Inspection Update from Frimley Health NHS Foundation Trust

 

a. CQC Inspection Update from University Hospital Southampton Foundation Trust 

 

Representatives from University Hospital Southampton provided an update on the action plan, must do items, and range of actions to be completed by April 2020.

 

Members heard that the Trust’s overall rating was “Good”, and areas of improvement are being addressed by working differently and prioritizing patient driven care.  Posts are being filled timely and updates made to the facility.  

 

In response to questions, Members heard:

 

Wait time for consultants is being addressed alongside keeping patients informed so they are aware.

 

Improvements in outpatient care requires more work to be done and expected to be addressed by next year’s inspection.  

 

Infection control remains above national average and assurances are easier for newer estates.

 

Nursing leadership been updated, and exemplary committed teams are in place with the best interests of patients in mind and are being nationally recognized with awards.

 

Members commended the improvements in service provisions for the ophthalmology department.  Monitoring of services continue, and efforts are being made to not shift the bottleneck into surgeries.

 

RESOLVED -

 

That the Health and Adult Social Care Select Committee:  

a. Noted the findings of the latest CQC inspection report for the Trust and the improved rating of “Good”    

b. Noted the approach of the Trust to respond to the findings 

c. Requested a further update in September 2020

 

b. CQC Inspection Report from Southern Health NHS Foundation Trust 

 

Representatives from Southern Health NHS Foundation Trust provided an update regarding their October 2019 CQC inspection and the four core services reviewed.  

 

Members heard:

 

The most recent report reflected positive changes, but the Trust are not complacent and a lot more work remains to be done.  Workstreams are being led by Trust leadership and clinicians with an equality improvement plan in place.  Listening to feedback from service users, patients, and families and with their support, improvements can be made with the efforts of compassionate and passionate staff for better services. 

 

Members noted:

 

While mental health services do not receive adequate services as their physical counterparts, serious issues such as patient notes, infection control, access, etc. should not be on this list.  These must-dos should have already been addressed. 

 

Certain concerns are not systemic but can stem from individual cases on individual wards, but some are issues across the NHS.  In some cases, the errors are administrative, and policies are not updated in a timely manner before inspections.  

 

In response to questions, Members heard:

 

There is a constant process of learning, training, evidence-based practice, and taking feedback seriously.  The Trust follow up with individuals and update processes as needed.  

 

The Trust use a proactive program where to engage with users and community services to listen to people’s views and opinions.  

 

RESOLVED -

 

That the Health and Adult Social Care Select Committee:  

 

a. Noted the findings of the latest CQC inspection report for the Trust and the improved rating of “Good”  

b. Noted the approach of the Trust to respond to the findings

c. Requested a further update in September 2020 with specific attention to engagement and addressing concerns with the Chief Executive in attendance

 

c. CQC Inspection Report from Portsmouth Hospitals NHS Trust 

 

Representatives from Portsmouth Hospitals Trust presented their improved rating and noted that they were experiencing similar challenges faced by other Trusts.  Members heard that meeting required issues on a timely basis has been a Trust priority and further work continues.  

 

In response to questions, Members heard:

 

There has been less dependency on agency staff and international hiring from countries with similar training programmes has helped though currently it is less attractive to work in the UK. 

 

Services for children and young people were not inspected but work to address concerns from 2018 has taken place. 

 

Approximately a third of the must dos are isolated incidents rather than systemic issues.  A high level of reporting and low level of harm is ideal with over 95% of staff having had statutory mandatory training packages.

 

Further information and details can be found on Trust website.

 

Members commended the improved rating, appreciated responsiveness to resident concerns and noted the excellent work being done even under great pressures.

 

RESOLVED -

 

That the Health and Adult Social Care Select Committee:  

 

a. Noted the findings of the latest CQC inspection report for the Trust and the improved rating of “Good”    

b. Noted the approach of the Trust to respond to the findings

c. Requested a further update in September 2020

 

The Chairman invited the Chief Executive to attend the September HASC. 

 

d. CQC Inspection Update from Frimley Health NHS Foundation Trust

 

The presenter for this item was unable to attend due to an emergency Covid19 planning meeting.  

 

RESOLVED -

 

That the Health and Adult Social Care Select Committee: 

 

Noted the update from the Trust and requested a further update in September 2020.