Agenda and minutes

Venue: Committee Room 3 - Council House. View directions

Contact: Liz Knight  Tel: 024 7683 3073 Email:  liz.knight@coventry.gov.uk

Items
No. Item

24.

Declarations of Interest

Minutes:

There were no declarations of interest.

25.

Minutes pdf icon PDF 82 KB

Minutes:

The minutes of the meeting held on 17th October, 2018 were signed as a true record. There were no matters arising.

26.

A and E Four Hour Performance pdf icon PDF 553 KB

Report of Lisa Kelly, University Hospitals Coventry and Warwickshire (UHCW) who has been invited to the meeting for the consideration of this item  

Minutes:

With reference to Minute 27 below headed ‘Winter Planning’, the Board noted a report of Lisa Kelly, University Hospitals Coventry and Warwickshire (UHCW) which provided a summary of UHCW four hour performance including trend and winter planning. Andy Hardy, University Hospitals Coventry and Warwickshire (UHCW) attended the meeting for the consideration of this item. Councillor Abbott, Cabinet Member for Adult Services was also in attendance.

 

The report highlighted that the current performance at Trust level (which comprised Adult Emergency Department (ED), Childrens ED, Emergency Gynaecology Unit, Eye Casualty, Rugby Urgent Care and the Walk-in Centre) was 89.1% year to date. In addition, recent performances had lifted the achievement with monthly recordings of 91% for September, 2018, 90.2% for October and 90.7% to date for November.

 

The Board noted that the Trust had achieved its four hour trajectory for each of the last six months. For the Adult ED, the four hour achievement had improved by 8.7% for the year to date, despite attendances being up by 4.9%. For October, 2018 the Trust treated or admitted 90.2% of patients within four hours of arrival at A and E comparted to the target of 95%. The overall average for England was 89.1%, with performance for UHCW being benchmarked at 47 out of 130 general and acute trusts.

 

Information was provided on the UHCW winter plan which set out the operational delivery arrangements for winter 2018/19. Work was ongoing through a number of internal work streams which ensured UHCW understood the demand on all areas and their dependency on one another. Effective winter preparedness couldn’t be achieved in isolation so UHCW was working in partnership at the Coventry and Warwickshire A and E Delivery Board to ensure plans were aligned and the system provided the necessary capacity to support delivery of the four hour standard. Detailed information was provided on the content of the winter plan.

 

RESOLVED that the UHCW four hour performance be noted. 

27.

Winter Planning pdf icon PDF 534 KB

Briefing Note of the Coventry Accident and Emergency Local Delivery Group

 

An update on A and E Performance will be provided at the meeting

 

Representatives from University Hospitals Coventry and Warwickshire (UHCW), Coventry and Rugby Clinical Commissioning Group (CCG) and Coventry and Warwickshire Partnership Trust (CWPT) have been invited to the meeting for the consideration of this item

Additional documents:

Minutes:

The board considered a briefing note and received a joint presentation which provided an update on the preparations for winter 2018/19 in order to manage pressures against health and social care including details on the key issues likely to impact on the system. Andy Hardy, University Hospitals Coventry and Warwickshire (UHCW), Steven Jarman Davies, Coventry and Rugby Clinical Commissioning Group (CCG) and Fiona McGruer, Coventry and Warwickshire Partnership Trust (CWPT) attended the meeting for the consideration of this item. Councillor Abbott, Cabinet Member for Adult Services was also in attendance.

 

The briefing note referred to the requirement for the Coventry and Warwickshire STP area to submit a winter assurance template to NHS England and the NHS Improvement Board to meet a number of objectives. The template was owned, monitored and managed by the Coventry and Warwickshire A and E Delivery Board. The Board oversaw an area covering over 900,000 residents, working across six NHS providers, two local authorities and three NHS CCGs. The template was submitted to NHS England on 26th October 2018.

 

The Board were informed that in many ways pressures experienced at winter continued to be felt beyond the winter period itself with parts of the system remaining under sustained pressure throughout the year. Details of A and E attendances, admissions and walk-in centre attendances highlighted this fact. Demand for Adult Social Care measured in respect of referrals for support did not demonstrate any noticeable peaks over the winter period and nor did the number of people supported.

 

The objectives and measures put in place were very similar each year and focussed on:

·  Ensure that there was enough capacity across health and social care to meet the pressures of winter

·  Ensuring the system delivered care at the most appropriate level for the needs of patients and supporting more people within the community

·  Ensuring the system was prepared for dealing with common expected winter illnesses and severe weather events

·  Having an operational resilience network that enacted action plans at peak times through a robust escalation reporting and management process.

 

The briefing note set out the key activities to support winter resilience: profiling of elective work and reducing bed occupancy; primary care provision; Community Health Services; Local Authority; UHCW; seasonal flu, winter infections and cold weather; communication; and system escalation and co-ordination. The plans for each of these areas were detailed.

 

The Board were informed of the key issues which could have a detrimental impact on the ability to sustain a resilient system which included workforce capacity and weather and transport.

 

The presentation detailed the key priorities to be addressed in winter planning, highlighted the key areas of learning from 2017/18. Reference was made to the winter assurance template submitted to NHS England and NHS Improvement. No official feedback had been received to date.

 

The presentation provided a focus on whether the system was better placed than the previous year highlighting that at UHCW the position was far better with A and E performance  ...  view the full minutes text for item 27.

28.

Work Programme and Outstanding Issues 2018-19 pdf icon PDF 67 KB

Report of the Scrutiny Co-ordinator

Minutes:

The Board noted their work programme for the current municipal year, noting that the programme would be updated to take account of the request for an additional report as detailed in the recommendation to Minute 27 above headed ‘Winter Planning’.

29.

Any other items of Public Business

Any other items of public business which the Chair decides to take as matters of urgency because of the special circumstances involved

Minutes:

There were no additional items of public business.