Issue - meetings

Matthew Cole, LBBD, Director of Public Health, presented the report which provided the overarching dashboard and performance on specific indicators for Quarter 4.  Matthew drew the Board’s attention to a number of issues that had improved or required improvement, the details of which were set out in the report.

The Board discussed a number of issues, including:

·  Mental Health –

-  The good performance in regard to Improving Access to Psychological Therapies (IAPTP).

-  The increase in the number of children and young people accessing CAMHS.

-  Action Plans that were in place against poor performance in delayed transfers of care.

·  The improvement in achievement in the indicator for health checks for looked after children (LAC)

·  Health checks indicator rates generally, which included adults with disabilities checks.

·  BHRUT failing to meet national standards in Urgent Care A&E, referral to treatment, cancer and diagnostic rates.

·  Decreases in the number of positive Chlamydia screening results.

·  Permanent admissions to residential and nursing care had exceeded the target considerably and this indicator was now RAG rated red.

·  Falls in people over 65 had improved and the indicator was RAG rated green.

·  The trend in non-elective admissions was going down.

·  CQC Inspections and the monitoring and action plans that were now in place.

·  Immunisation rates for children indicator was RAG rated as amber.

Cllr Carpenter asked for an explanation in regard to leadership capabilities where GP surgeries were shown as also requiring improvement.  Dr Mohi explained that whilst CCG oversees some issues, such as immunisation and infection control, the CCG does not set performance or have a management function over individual practices as the GPs are directly contracted by the NHS.

Cllr Turner and Cllr Carpenter both commented on the usefulness of the data provided and the need to have a sense of what was happening in regards to action plans and the improvement journey.  Conor Burke and Matthew Cole were asked to bring the information forward in a more useful manner, so that the Board was looking at the right points, rather than a mass of statistics.

The Board:

(i)  Reviewed the overarching dashboard, noted the detail provided on specific indicators, the new data was available, areas where performance had improved and discussed remedial actions or actions being taken to sustain good performance; and

(ii)  Requested that in future the information is provided in a more useful manner which would allow the Board to see more easily what the issues were, rather than pure statistical information.