Presentation from Simon Gilby, Coventry and Warwickshire Partnership Trust (CWPT)
Minutes:
The Board received a presentation from Simon Gilby, Coventry and Warwickshire Partnership Trust (CWPT) on the CQC Inspection Report of CWPT which was published in November, 2017. CWPT was rated as ‘requires improvement’ with the report indicated that although some progress had been made since the previous inspection, insufficient progress had been made to enable a higher rating to be awarded overall. Lisa Cummins, CWPT was also in attendance.
The presentation highlighted the key issues for 2016/17 along with some background information on the employees at CWPT. An overview of the inspection found that the report was positive; CWPT were a learning organisation; immediate actions and improvements had been made; and the organisation was committed to excellence.
Detailed information was provided on the inspection ratings under the headings of Safe, Effective, Caring, Responsive and Well-led. Caring was rated as ‘good’ with the other areas ‘requires improvement’. A breakdown for the individual ratings for Community Health and Mental Health was set out. Four areas within mental health were rated as ‘inadequate’ and the Board were informed of the immediate actions which had been undertaken to improve this situation. Three of these areas had now moved to ‘requires improvement’.
The presentation drew attention to the work that CWPT was particularly proud of and the areas for improvement under the inspection rating headings.
Regarding the key issue of the Child and Adolescent Mental Health Services (CAMHS) waiting list, in particular the waiting times for children and young people to access mental health treatment and referrals that required triage and availability of staff to complete the task, the Board were informed that the new CAMHS Navigation Hub was being implemented with strengthened arrangements as follows:
· All referrals clinically screened within 2 days, with all referrals screened as urgent being prioritised
· Clinical staff numbers increased from 1.5 to 3 WTE and admin support from 5 to 8.5 WTE
· Standard Operating Procedure updated
· Strengthened CAMHS waiting list review arrangements
· Fully engaged with partners in a joint approach.
Attention was drawn to the warning notice that had been issued in respect of the physical health care and treatment provided to patients on the older people mental health wards. The Board were informed of the immediate action which had been undertaken as follows:
· Multi-disciplinary team case review of every patient undertaken and process embedded in practice
· Nursing staff received refresh physical health skills training and had been assessed as fully compliant
· Standardised process developed for management of physical health care, reviewed and strengthened
· Governance embedded, process to monitor and ensure oversight in place
The Board noted that the CQC, NHS Improvement, and the CCG were all supportive of the plans and approached taken.
The presentation concluded with progress which included an action plan being developed with a focus on outcomes and tangible assurance. Many improvements had already been completed and full completion was anticipated by July 2018. Progress was monitored by the Trust Board.
The Board questioned the representatives on a number of issues and responses were provided, matters raised included:
· The importance of moving improvements forward at pace
· The reaction of CWPT to the inspection report
· Clarification about the governance of the organisation
· Concerns that the report could create a negative public perception despite all excellent work that is carried out
· Clarification that as some areas had improved while others slipped back, had the focus on the areas that had improved meant too little attention had been paid to other areas
· Whether the inspection team were the same inspectors who undertook the initial inspection.
RESOLVED that the content of the presentation on the Coventry and Warwickshire Partnership Trust CQC Re-inspection report be noted, with the Board being reassured about the ‘inadequate’ areas that had already been addressed by the Trust.