Agenda and draft minutes

Health Scrutiny Committee
Thursday, 21st March, 2019 1.30 pm

Venue: Ground Floor Committee Room - Loxley House, Station Street, Nottingham, NG2 3NG. View directions

Contact: Zena West  Senior Governance Officer

No. Item


Apologies for Absence


Councillor Eunice Campbell-Clark  -  Personal

Councillor Mohammed Saghir  -  Council business

Councillor Chris Tansley  -  Work commitments

Councillor Cate Woodward  -  Council business


Declarations of Interests




Minutes pdf icon PDF 242 KB

Minutes of the meeting held 21 February 2019, for confirmation


The minutes of the meeting held on 21 February 2019 were confirmed as a true record and signed by the Chair.


CityCare Quality Accounts pdf icon PDF 108 KB

Report of the Head of Legal and Governance


Tracy Tyrell, Director of Nursing and Allied Health Professionals at Nottingham CityCare Partnership, presented a report on the draft CityCare Quality Accounts. The following points were discussed:


(a)  the Quality Accounts are an important way for local NHS service providers to report on quality and show improvements in the services that they deliver to local communities and stakeholders. The quality of services is measured by looking at patient safety, the effectiveness of treatments and feedback about the care provided. Quality Accounts assess where CityCare is performing well and where improvements are needed, the progress against the priorities set previously, the new priorities for the following year, and how the public, patients, carers and staff were involved in decisions on these priorities;


(b)  there were four main priorities for 2018/19 and the following was achieved:


  (i)  in Promoting Prevention, there has been continued working with wider partners, promotion of social prescribing internally and externally, over 200 self-care prescriptions received from GP practices and CityCare staff since May 2018, updated information to promote the agenda of self-care across clinical services, and successful partnership with the Greater Nottingham Partnership Delivery Group. The Maternal Mental Health pathway has been developed with mental health support threaded through all of the core contacts in the Healthy Child Programmes, in addition to training in mental health first aid skills and the upskilling of the whole children’s services workforce;


  (ii)  in Reducing Avoidable Harm, there has been continued learning from incidents and complaints, focused work on leg ulcers, new leaflets developed for care and understanding of venous leg ulcers, arterial ulcers and use of compression hosiery, and booklets and online videos on caring for feet as part of the ‘React to’ series for staff, patients and carers. Changes have been made to how internal quality visits are undertaken, with training provided, checklists to follow the Care Quality Commission’s Key Lines of Enquiry, all-staff induction, Patient Safety Walkabouts and improvements to the clinical governance structure. There has been continued focus on pressure ulcer prevention, including investigation and reporting of all pressure ulcers to a weekly incident review panel, focused training and education in teams, the review of tools used to support investigation, and training and education for all;


  (iii)  in Supporting Our Staff there is a ‘You Said, We Did’ approach, with non-clinical forums launched in addition to the current Allied Health Professionals and Nursing forums, enhanced sharing of training and development opportunities with targeted Black and Minority Ethnic (BME) leadership programmes, and continued work and training on the appraisal process and supervision reviews. A Health and Wellbeing calendar is in place with dedicated support for sickness management and focused work on stress, an NHS Improvement retention programme is underway with ‘thinking of leaving’ focus groups, and there was an equality and diversity engagement week in May 2018;


  (iv)  in Safe and Effective Discharge, the data collected has shown an improvement with system-wide planning for winter, CityCare is now a member of hospital Accident and Emergency delivery board and  ...  view the full minutes text for item 69.


Suicide Prevention Plan pdf icon PDF 113 KB

Report of the Head of Legal and Governance

Additional documents:


Zena West, Senior Governance Officer, presented an update on the drafting of the refreshed Suicide Prevention Plan, which has been delayed due to awaiting the results of funding bids and some staffing issues. The updated Plan will be completed before the statutory deadline, for presentation to the July meeting for the Committee.


RESOLVED to review the updated Suicide Prevention Plan at its July 2019 meeting.


NHS Long Term Plan - Conclusions pdf icon PDF 128 KB

Report of the Head of Legal and Governance


The Chair opted to consider this as part of the next agenda item on the Health Scrutiny Work Programme 2019/20, as it relates to subjects for future scrutiny arising from the NHS Long Term Plan.


Health Scrutiny Work Programme 2019/20 pdf icon PDF 108 KB

Report of the Head of Legal and Governance

Additional documents:


Zena West, Senior Governance Officer, presented the proposed work programme for the 2019/20 municipal year. The release of the formal guidance to the NHS Long Term Plan is expected and will be important to review, particularly in the context of working arrangements with the Clinical Commissioning Group and Integrated Care Systems. Other items could include:

·  hospital cleanliness;

·  the Seasonal Flu Immunisation Programme;

·  further rollout and promotion of HPV vaccinations;

·  the Suicide Prevention Plan;

·  the Mental Health Plan;

·  prevention measures to reduce the mental health cases that reach crisis point;

·  support for mental health trauma;

·  the role of local pharmacies;

·  Primary Care Networks;

·  how public open spaces can improve public health;

·  the local East Midlands Ambulance Service;

·  the future configuration of head and neck cancer services;

·  strokes, diabetes and respiratory conditions;

·  supporting people with long-term conditions;

·  Nottingham Treatment Centre Procurement;

·  the Green papers on social care and prevention;

·  the Out of Hospitals Service Contract;

·  Reducing Unplanned Teenage Pregnancies;

·  the Queen’s Medical Centre’s new A&E building.




(1)  note the following items for the June and July 2019 meetings of the Health Scrutiny Committee:

·  June 2019 – ICS Clinical Services Strategy (presentation from NHS Nottingham City CCG) and Future Arrangements for Urgent Care Services (joint presentation on behalf of the 6 local CCGs);

·  July 2019 – the Suicide Prevention Plan, the Mental Health Plan, Hospital Cleanliness and the Seasonal Flu Immunisation Programme;


(2)  note the draft work programme for the upcoming 2019/20 municipal year.