Agenda and draft minutes

Venue: Bromley Civic Centre

Contact: Jo Partridge  020 8461 7694

Items
No. Item

1.

APOLOGIES FOR ABSENCE AND NOTIFICATION OF SUBSTITUTE MEMBERS

Minutes:

Apologies for absence were received from Councillor Judi Ellis and Lynn Sellwood.

2.

DECLARATIONS OF INTEREST

Minutes:

Councillor Robert Evans declared that he was a Governor on the Council of Governors at King’s, and Councillor David Jefferys declared that he was an elected Lay Governor on the Council of Governors at King’s.

3.

QUESTIONS FROM COUNCILLORS AND MEMBERS OF THE PUBLIC ATTENDING THE MEETING

In accordance with the Council’s Constitution, questions that are not specific to reports on the agenda must have been received in writing 10 working days before the date of the meeting. 

 

Questions specifically relating to reports on the agenda should be received within two working days of the normal publication date of the agenda. Please ensure that questions specifically on reports on the agenda are received by the Democratic Services Team by 5pm on Wednesday 26th June 2019.

 

Minutes:

No questions had been received.

4.

MINUTES OF THE MEETING OF HEALTH SCRUTINY SUB-COMMITTEE HELD ON 3RD APRIL 2019 pdf icon PDF 136 KB

Minutes:

RESOLVED that the minutes of the meeting held on 3rd April 2019 be agreed.

 

5.

UPDATE FROM KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST: CQC INSPECTION pdf icon PDF 607 KB

(A) CQC INSPECTION REPORT

 

(B) ACTION PLAN (To Follow)

 

 

The Chairman has extended an invitation to:

 

Sir Hugh Taylor – Chairman of King’s College Hospital NHS Foundation Trust

Dr Clive Kay – Chief Executive of King’s College Hospital NHS Foundation Trust

Dr Angela Bhan – Managing Director, Bromley Clinical Commissioning Group

Minutes:

Dr Clive Kay, Chief Executive – King’s College Hospital NHS Foundation Trust (“Chief Executive”), Bernie Bluhm, Chief Operating Officer – King’s College Hospital NHS Foundation Trust (“Chief Operating Officer”) and Dr Angela Bhan, Managing Director – Bromley Clinical Commissioning Group (CCG) provided an update in relation to the outcome of the CQC Inspection Report of the King’s College Hospital NHS Foundation Trust.

 

At the invitation of the Chairman, Councillor David Jefferys provided a brief overview of the Committee’s role in the scrutiny of health services.

 

The Chief Executive informed Members that he had been in post for three months, and the Chief Operating Officer for four months. As the Acting Executive Managing Director – Princess Royal University Hospital and South Sites was currently on sick leave, the Chief Operating Officer had been covering this substantive role. It had been a tough few months, and a challenging start, but partners at the CCG had been very supportive and it was hoped that there would be further opportunities for development and collaborative work in the coming months. They had terrific staff at the Trust who were desperate to put patients first, and care for them in the appropriate manner. However, the Trust was in a dire financial position, having reported the largest deficit in NHS history, and there were some major operational issues.

 

The Chief Operating Officer informed Members that the target for the Emergency Care Standard was 95%. For the week ending 14th April 2019, the performance of the Princess Royal University Hospital (PRUH) stood at 76.46%, and the Trust at 73.96%. There had been a slight improvement on these figures during May, however the performance during March to June 2019 had seen deterioration from the figures for the same period in the previous year. It was noted that the Trust reported the combined figure, but the PRUH presented very different challenges to Denmark Hill and a bespoke plan would be developed to manage performance. The Chief Operating Officer gave assurance that in her role she would be providing support across the organisation. The ‘Inadequate’ rating of the Emergency Department (ED) had a clear impact on patients, partners and staff. This was being taken very seriously by the Trust and was a key priority on the work programme of clinicians and managers of all systems. The staff in the department had found it hard to read the analysis in the Inspection Report.

 

The Chief Operating Officer advised Members that the Urgent Care Centre (UCC) at the PRUH was run by an independent provider, Greenbrook Healthcare, and offered primary care walk-in services. In response to a question from a Member, the Chief Operating Officer confirmed that Greenbrook Healthcare employed the GP’s and nurses in the UCC. It was noted that the staff morale issues mentioned in the CQC Inspection Report were not related to the UCC, they were specific to the ED. The UCC was co-located with the ED, which meant that lesser, acute services were divided and this allowed the  ...  view the full minutes text for item 5.

6.

MATTERS OUTSTANDING and WORK PROGRAMME 2019/20 pdf icon PDF 67 KB

Minutes:

Members considered the forward rolling work programme for the Health Scrutiny Sub-Committee.

 

Members requested that Dr Kay, Ms Bluhm and Sir Hugh Taylor be invited to attend a meeting of the Health Scrutiny Sub-Committee during the autumn, to provide an update on what actions had be taken in relation to the Trust’s Improvement Plan, thus far and whether the “quick wins” that were referred to in the meeting had been achieved. 

7.

FUTURE MEETING DATES

4.00pm, Tuesday 8th October 2019

4.00pm, Tuesday 28th January 2020

4.00pm, Thursday 23rd April 2020

Minutes:

5.30pm, Tuesday 8th October 2019

4.00pm, Tuesday 28th January 2020

4.00pm, Thursday 23rd April 2020

 

Original Text: