Agenda item

URGENT AND EMERGENCY CARE NETWORK

Minutes:

Angela Bhan, Chief Officer Clinical Commissioning Group (CCG) Bromley and responsible officer for South East London urgent and Emergency Care Network presented on the Urgent and Emergency Care Network.

·  The Committee requested a copy of the London Urgent and Emergency Care (U&EC) Facilities Specifications.

·  The Committee made general point that the information on how existing Emergency and Urgent Care provision meets the Facilities Specifications needs to be clearer and more accessible, especially when it will be presented to members of the public.

 

In response to questions raised by the Committee the following answers were provided;

 

·  Queen Marys Hospital would not be reduced to 16 hours, this is a minimum level. The full range of diagnostic facilities available needed to be reviewed against the specification. The hospital also provided an out of hours GP service in Bexley. 

Not all Urgent Care Centres (UCCs) are the same.

·  This was a first overall view of the facilities. Information for the public and the Ambulance service would be produced and would be more detailed.

·  Clarity would be provided regarding slides 5 and 6 for No response / N.A. (grey in key)and limited information available (blue in key). This arose due to some of the questions in the consultation not being clear.

Action: Angela Bhan

 

·  The peak time for GP surgeries was mid-afternoon to 10.00pm.

·  Facility related to hours and access to diagnostic services etc. The designation was based on the principles shown in the final slide.

·  Timeline – The London Quality Standards (LQS) were Londonwide and the Sustainability and Transformation Plan (STP) was a national initiative and the aim is to deliver as soon as possible. At present the south-east was ahead of other areas.

·  A detailed analysis was required as there was a need to understand what needed to be done by site. A proposed delivery plan was expected by the end of 2016. Changes would occur as the process went along and a set of actions would be agreed to make this happen. These decisions would be made at a local borough level as they would be part of normal improvement programmes.

·  Analysis of the impact on the public would be undertaken separately - Community Based (Primary) Care Workstream.

·  Engagement would be undertaken with both Healthwatch and the public, and a task group would provide input for the development of general practice and community based care.

·  It was noted that communication must be tangible and presented in a way that people understand.

 

In response to questions raised by the public the following answers

were provided;

 

·  The yellow and terracotta colours used in the key for slides 4,5 and 6 both represented ‘partial’.

·  A list of the clinical and facility specification standards would be provided to the Committee.

Action: Angela Bhan

 

·  There was an expectation that a medical consultant would be available on site 16 hours per day, at present this was not standard, a consultant may cover from home and 24 hour cover was provided but not on site.

The chair requested that it be made clear what ‘cover’ meant and what was available, this was agreed.

·  Not all of the A&E departments met London Quality Standards (LQS) at this time, however additional work would be undertaken to achieve this and would feed into the timeline.

Action: Angela Bhan

(Break A&E data down by borough and centre.)

 

·  Criteria should be provided as to what constitutes a change and what did not. All services have interdependencies and there was a need to be aware of the impact on communities.

 

RESOLVED

 

Request for a copy of the London Urgent and Emergency Care (U&EC) Facilities Specifications.

 

Provide a breakdown of A & E data by borough and centre.

 

The information on how existing Emergency and Urgent Care provision meets the Facilities Specifications needs to be clearer and more accessible, especially when it will be presented to members of the public.

Supporting documents: