Agenda item

Matthew Cole, Director of Public Health, LBBD, presented the report on the performance for Quarter 1 and drew the Board’s attention to a number of improvements and also the further improvements that were needed, the details of which were set out in the report.

The Board discussed a number of issues, including:

·  Primary Care Transformation Strategy.  A report was currently being compiled and would be presented to the next meeting of the Board

·  CQC had inspected Dr P and Dr S Poologanathans’s practice and it had been rated as ‘Good’.

·  Secondary Care Performance

I&E performance, non-elective admissions, BHRUT re-inspection and mentorship from Virgin Mason Institute

·  Mental Health Care
-CAMHS access and usage information and noted that an in-depth needs assessment had been commissioned to look at those waiting for treatment and there were no known breaches of the 18 week wait for treatment target.
-The proportion of adults in the Care Programme Approach that were in employment, the current targeting of funds into Mental Health services and the work of the Mental Health Sub-Group.

·  Adult Social Care
CQC had published six inspection reports, four of which had been rated good and two were rated ‘Requires Improvement’ or ‘Inadequate’.  The action that had been taken in regard to the later two was set out in Appendix C to the report.  Reviews had also been undertaken of the care homes and it was noted that the social workers that had visited were satisfied.  The Chair advised that she would discuss with the Chair and Deputy Chair of HASSC whether they might wish to monitor residential homes.

·  Children’s Care
- Immunisation take up had increased in the previous Q4, however, overall the take-up rate was still below national average.
-The percentage of looked after children with an up-to-date health check had decreased in Q1.  An Action Plan was in place and would be reviewed by the Designated Looked After Children Nurse.

·  Public Health
Chlamydia detection rate, smoking quitters, NHS Health Check uptake.

·  Indices of Deprivation
LBBD was now ranked as the twelfth most deprived borough in England.

Terry Williamson, Stakeholder Engagement Manager North East London, 

London Ambulance Service (LAS) NHS Trust, gave a verbal report on the challenges that the LAS faced, the locally based initiatives they had, and general information, including:

·  Since April 2015 the LAS had responded to over 7,151 calls.  LAS had a target to attend 75% of life threatening calls within the eight minutes.  The pressures and demands on the LAS were increasing across the whole of the London area.

·  Vacancy and retention issues and recruitment and training programmes, including work being undertaken with universities.

·  The need to increase the use of alternative pathways to A&E attendance, including general ill health awareness and information sources so that the public could make informed choices about the where to go for medical assistance or advice and when to go to A&E.

·  The redistribution of patients during pressure periods, which was generally from Queen’s to King Georges Hospital but was occasionally to other hospitals.

·  The LAS had set up a hub of qualified specialist staff to assist in calls and pathway management.

·  A frequent caller programme had been set up, which was triggered at 25 calls, and the action that would then be taken.

·  The Partnership initiative, which had resulted in a unit staffed by NELFT and LAS, which in turn could reduce the need for people to go to A&E, and this initiative appeared to be working well.

·  The potential for further partnership working in regards to social media communications, such as the Council’s Twitter, to advise the public of alternative health pathways.

·  The demands from mental health and alcohol related incidents on the LAS, and the need to encourage people to act wisely in their alcohol consumption.

·  Ensuring that the LAS response to calls was resourced appropriately.

·  Data for the local response times was available.

·  The LAS had held Serious Incident Reviews.  The LAS’s Medical Director then shared the results of these reviews across the LAS and any recommendations would be put into place. 

The Board:

(I)  Noted the overarching dashboard;

(II)  Noted the further detail provided on specific indicators, and remedial actions being taken to sustain good performance;

(III)  Noted the areas where new data was available and the implications of that data, specifically the immunisation uptake, children and young people accessing Child and Adolescent Mental Health Services (CAMHS), health checks of looked after children, Chlamydia screening, smoking quitters, NHS Health Check, permanent admissions of older people to residential and nursing care homes, delayed transfers of care, A&E attendance and CQC inspections;

(iv)  Noted the information in the verbal report of the London Ambulance Service (LAS) representative; and

(a)  Noted the offer from the LAS to share its vehicle response time data for the LBBD wards with the Council and Police on an annual basis;

(b)  Welcomed the discussion that would be held between the local Police and LAS in regard to the potential for ‘double crewing’ of vehicles, e.g. paramedics in police response cars;

(v)  Invited the LAS to attend all future meetings of the Board as a Guest.