1. Healthcare

GOVERNING BODY OF THE SHADOW CCG
(Hammersmith and Fulham)
QUALITY, PATIENT SAFETY & RISK COMMITTEE MEETING
Tuesday 28th October, 11.30 am – 2.30 pm
St Paul’s Church, Hammersmith
Present:
Trish Longdon
Peter Fermie
Susan McGoldrick
Vanessa Andreae
Michele Davison
Jane Wilmot
Paul Ferguson
In attendance:
Rachel Stanfield
Sam Wallace
Mary Mullix
Patricia Grant
Toby Hyde
Julie Fuller
Peter Beard
Julie Dalphinis
Clare Lyons Collins
Helen Mangan
Christopher MullerPollard
Parminder Sahota
Steve Buckerfield
H&F Clinical Commissioning Group – Lay member (chair)
H&F Clinical Commissioning Group – GP
Vice Chair, H&F Clinical Commissioning Group
H&F Clinical Commissioning Group – Practice Nurse
H&F Clinical Commissioning Group – GP
H&F Clinical Commissioning Group – Lay member
H&F Clinical Commissioning Group – Practice Manager
TL
PF
SM
VA
MD
JAW
PFA
Head of OD and Governance, H&FCCG
Borough Manager, Healthwatch Central West London
Deputy Director of Quality and Nursing, CWHHE
Designated Nurse Safeguarding Children, CWHHE
Complaints Manager, CWHHE
Senior Commissioning Officer Learning Disabilities and Carers
Safeguarding Adults Lead, CWHHE
Out of Hospital Project Lead (Mental Health)
Associate Director, Business Planning
Consultant Psychiatrist
RS
SW
MM
PG
TH
JF
PB
JD
CLC
HM
CMP
Inpatient Nurse Manager
PS
Acting Head of Children’s Joint Commissioning
SB
Strategic Implementation Manager
Nandini Ganesh
Parents Active
Adrian Hegenbarth
Knowledge and Delivery Manager, PPWT
Chakshu Sharma
Senior IFR Business Manager, PPWT
Gina Gerrard
Parents Active
Margaret Kelly
Business Support Manager, H&FCCG (minutes)
Item Agenda Item /Discussion
1.
Welcome & Apologies
1.1
2.
2.1
Introductions were provided. No apologies were received.
Conflicts of Interest
The general conflict of GPs as commissioners and providers was noted.
3.
3.1
Minutes of the last meeting
th
The Committee approved the minutes of the meeting held on Tuesday 26 August.
4.
Matters Arising
4.1
See the actions table for updates.
NG
AH
CS
GG
MK
Action
Owner
1.
1.1
a) LD SAF Action Plan Update
b) Winterbourne View update
c) Carer Primary Care Navigator Project
PB introduced the a) LD SAF Action Plan Update, b) Winterbourne View update and c) the Carer Primary Care Navigator
project.
PB reported that a workshop is currently being set up to assist with the LD SAF assessment process. Data is currently being
collected with two mandatory questions to be answered by the service users and carers, making sure people are invested in
the process, with the draft submission to be taken to December’s Quality, Patient Safety and Risk Committee. PB explained
that the evidence would sit on the HFCCG website so members of the Committee are able to view the evidence. TL stated
that we need to be signposted to the evidence but it does not need to be reproduced in paper form for the meeting. PB
th
specified that the final assessment must be submitted by the 30 January 2015. PB explained that there is a provider
referral form and that an addendum has been developed with capacity and consent checklist, which will accompany the
form on SystmOne, and asked the Committee to approve it. He explained that it was developed with Primary Care
Information to flag the status of patients with a Learning Disability, and to allow GPs to plan for what reasonable
adjustments these patients need in order to access effective health care services from community and acute providers in
H&F. JAW asked if the referral form was discussed with Parents Active. PB clarified that the GP will use the referral form
and it will differ for each patient. It will accompany the referral form on SystmOne and will act as a checklist.
PB explained that Winterbourne View monitors all health-funded placements and reports to NHSE on in-patient placements.
There are currently 3 patients in in-patient placements, with 2 placements under the mental health act, with one review not
completed within the timescale. The target to be achieved is 50% and it is anticipated with we will achieve 66%, with
quarterly reports to be submitted to NHSE.
PB reported that the 12 month primary care navigator pilot has finished and some of the key messages are that data cleanse
requires significant resource, protected time and support is required for the carer leads and carer information in other
languages is a clear gap and the quality of BME data varies. The next steps are to look at the lessons learnt, review the data
plans and consider whether to extend the service for a further year, before going out to a full procurement process. JAW
asked which areas require the most support for the carers and if the practices selected are the correct practices to pilot the
service. PB explained that he worked with the network co-ordinators to identify the practices.
The Committee:
 Noted and supported the process for the 2013/14 LD SAF submission and the progress, challenges and planning timetable
of the current LD SAF action plans in 2013/14
 Approved the “reasonable adjustments addendum” to the provider referral form
 Approved the “decisions for consent” document to accompany the reasonable adjustments addendum
 Noted the progress of implementation of the key recommendations from the Winterbourne View Review at the end of
Quarter 2 2014/15
 Noted the progress of the carers Primary Care Navigator and support the delivery of the service in the next Twelve
months