Agenda item

To consider a report of the Chief Executive 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)    Stage 2 Independent Investigation Report – Southern Health NHS Foundation Trust: Update on Action Plan

b)    Care Quality Commission Inspection Report – Southern Health NHS Foundation Trust (published February 2022)

c)    Primary Care Update

d)    Urgent Treatment Centre model

e)    Dental Services Update

a) Stage 2 Independent Investigation Report – Southern Health NHS

Foundation Trust: Update on Action Plan

The Chief Executive of Southern Health NHS Foundation Trust presented a report providing an update on progress with the actions the Trust was taking in response to the findings of Stage 2 of the Independent Investigation Report (see Item 7a in the Minute Book).

In response to questions, Members heard:

·      Some of the actions did not have a timescale associated because they were ongoing activity

·      The complaints process had been updated to focus on addressing complaints quickly

RESOLVED:

1.    The Committee welcomes the actions the Trust has taken to date in response to the recommendations made in the Independent Investigation Report.

2.    The Committee request that the Trust attend the HASC meeting on 27 September 2022 alongside commissioners, to provide an update on evidence that the changes made have improved the experience of patients and their families.

b) Care Quality Commission Inspection Report – Southern Health NHS

Foundation Trust (published February 2022)

The Chief Executive of Southern Health NHS Foundation Trust presented a report regarding the outcome of a recent inspection of the Trust by the Care Quality Commission (see Item 7b in the Minute Book).

Members heard that the overall rating for the Trust had reduced from Good to Requires Improvement. The biggest challenge related to staffing, with staff retiring and difficulty recruiting and retaining replacements leading to pressure on staff to cover.

In response to questions, Members heard:

·         Southern Health covers a broad range of both mental health and community health services across a large geography. There are other examples of Trusts with the same mix for example in Dorset and that Trust is rated Outstanding

·         There would equally be a risk of fragmentation if the services run by the Trust were split up

·         The Trust would be providing a formal response to CQC with an action plan to respond to the areas the regulator identified as needing improvement

RESOLVED:

1.    The Committee note the latest CQC report on Southern Health.

2.    The Committee request the Trust provide their response to a future meeting, outlining how it is planned to respond to the areas of improvement identified by regulators.

c) Primary Care Update

A representative of the Hampshire Southampton and Isle of Wight Clinical Commissioning Group presented a report providing an update on primary care services (see Item 7c in the Minute Book).

Members heard that the primary care workforce remains a challenge. GP practices working together in Primary Care Networks (PCNs) was a developing model.

In response to questions, Members heard:

·         It was a national issue that the NHS still used letters in the post rather than emails due to issues around confidentiality and security

RESOLVED:

1.    The Committee note the update on Primary Care.

2.    The Committee request a further update in 2023 (or earlier if possible), focusing on an assessment of primary care demand trends post pandemic and the workforce issues associated with meeting that demand/need.

3.    The Committee request that NHS Commissioners work with partners in Adult Social Care and Public Health to assess the wider impacts of demand pressures in NHS frontline services. 

d) Urgent Treatment Centre model

The Select Committee received a report regarding the Urgent Treatment Centre Model (see Item 7d in the Minute Book).

RESOLVED:

The Committee note the briefing on the UTC model.

e) Dental Services

The Select Committee received an update on dental services (see Item 7e in the Minute Book).

RESOLVED:

1.    To note the update on dental services in Hampshire. 

2.    To request a further update for the May 2022 meeting and ensure a presenter is available.