Agenda item

Report of Pete Fahy, Director of Adult Services

The Board considered a report of Pete Fahy, Director of Adult Services which summarised progress against the improvement plan arising from the Care Quality Commission System Review undertaken between December 2017 and March 2018. The improvement plan was owned by the Board hence the submission of routine monitoring reports on progress against the plan until its completion in March 2019. A copy of plan was set out at an appendix to the report.

The report indicated that on 10th October, local system leaders were advised by the Care Quality Commission that – at the request of the Secretaries of State for Health and Social Care and Housing, Communities and Local Government – they would be monitoring the improvement made in the local area since the local system review. This was not a further review and did not involve a site visit to the area. All of the 12 systems subject to a review in the first phase of the review programme were subject to this follow up action. Three systems received an on-site visit and the remaining nine, of which Coventry was one, were subject to a light touch review.

Reviewers advised that they would assess progress against the action plan, and hold telephone interviews with key people responsible for overseeing progress, as well as looking at the most recent available performance data for a number of indicators.

The Coventry call took place on 10th December involving Pete Fahy, Coventry Council, Andrea Green, Coventry and Rugby CCG and Councillor Faye Abbott, Cabinet Member for Adult Services. Subsequently, a draft slide deck summarising key areas of progress since the local system review had been received. This feedback highlighted the achievements and progress since the review in January, 2018 and reflected positively on the direction of travel, whilst acknowledging the further work required in particular around clinical pathways and local workforce strategy. 

Once finalised, the CQC had advised that they would share their findings with local system leaders and report them to the Department of Health and Social Care. However, the finalised slide deck would not be published.

The report informed that progress against each of the actions had been reviewed, and a progress update was provided in the plan set out in the appendix. ?The Board noted that good progress continued to be made on many of the actions, however some actions had slipped in order to ensure effective stakeholder engagement. By March 2019, however, the work should be mainly complete and embedded into system improvements in programmes and activities thereafter.

The report set out a brief summary of progress and achievements to date against the following themes: vision and strategy; engagement and involvement; performance, pace and drive; flow and use of capacity; market development; workforce; and information sharing and system navigation.

Discussion centred on whether it had been an appreciative approach as opposed to inspection and there was an acknowledgement that the indicators identified by the CQC to review progress had a hospital bias rather than a whole system approach.

RESOLVED that:

(1) The progress made and areas still to be addressed against the actions in the improvement plan arising from the CQC local system review be noted.

(2) The Board continues to maintain oversight of progress against the improvement plan at future meetings.