New Quality Improvement Plan dashboard is presented and discussed. Also a presentation to assure that the criticisms of the Care Quality Commision of Outpatients management were being addressed.
It was acknowledged that there is still a problem with Treatment to Consent forms and more staff training is proposed. An overall assurance that essential improvements are being made throughout the Trust.
Enter & View Visit to Senior Health Wards at St George’s Hospital
Posted on 24/01/2018
Once St George’s University Hospitals NHS Foundation Trust began to implement its new strategy to improve the inpatient care of older patients, in line with the ‘Safe and Effective Care’ strand of its Quality Improvement Plan, Healthwatch Wandsworth was invited to visit the wards to talk to patients and carers, assess the current situation and learn more about the planned improvements.
Our Enter & View team decided that, in addition to looking at general standards of care for older people, it would also focus on the care provided for patients affected by dementia whose experiences are often overlooked.
Our visits were concentrated in three main wards - Amyand, Heberden and Rodney Smith - where the highest concentration of older patients was located at the time of our visit which took place in September last year and lasted two days. During that time we spoke to a total of 13 patients and 10 of their relatives/carers.
More information on our visit and findings can be found in the attached report. Also attached is St George's response to our recommendations.
South West London Mental Health Trust Board Meeting -part A
Posted on 22/01/2018
The Crisis Cafes in Tooting and Wimbledon Chase had increasing attendance and were seen as very effective.
Beth Ingram made a plea for more interest and a holistic approach in the development of Children's and Adolescents' Mental Health Services(CAMHS). This was met sympathetically by the directors who will report back on action to be taken. It was noted that the finacial situation was at present challenging.
Wandsworth Council Mobility Forum - 7th December 2017
Posted on 10/01/2018
Wandsworth Council Mobility Forum met to look at how services are performing and meeting the needs of the boroughs local disabled passengers. To head up the Forum, Sidonie Forrest-Brown has been appointed as Senior Transport Planner –
South Western Trains and Transport for London (TFL) - were challenged with a series of complaints from blind-deaf speakers due to a lack of care and training from platform staff concerning disabled passengers.
Wandsworth Community Transport however confirmed they have won the contract to assist Dial-a-Ride with 5 buses a day, so they will now officially be subcontracting for them to increase the volume of passenger travel within the borough.
Healthwatch Wandsworth will be attending the next forum to monitor whether the promised changes have been implemented. The attached report details further reforms being made by Southfields and the Mayors Transport strategy.
Wandsworth Black Minority Ethnic (BME) Mental Health Forum - 16th November 2017
Posted on 10/01/2018
Key fundamental issues were discussed at the Forum with new initiatives being put in place ahead of the March Conference.
Feedback from the 9th Black Minority Ethnic (BME) Mental Health Conference held in October was very positive with appreciation for the increase in participation from the Mental Health Trust.
The 22nd March forum will see the first of what is hoped to be a series of conferences on young people's mental health as seen through the lens of race and ethnicity. It was strongly argued that the conference needed to be informed by the views of young people themselves.
Healthwatch will continue to support the work of the Forum and contribute where possible.
Please see the attached report for further BME updates.
A name change to the Quality and Safety Committeee and now monthly meetings instead of every two months but Healthwatch felt that Trust members had a limited understanding of the potential of the Sustainability & Transformation Plan and ensuing change.
Waiting times on various services were discussed with a 52 week cap proposed on long term waiters in cancer care.
Healthwatch Wandsworth are still seeking opportunities for inclusion in patient involvement initiatives.
Healthwatch England appears to be a very well run organisation even though committee members had reduced to only 6. There are many applications in for replacement members.
A query was made about the existence of Clinical Senates reference Mental Health Services and, wether or not Healthwatch England is a national lobbying force, or just to enable local Healthwatch organisations.
Healthwatch Wandsworth asked for regular progress reports from the national organisation.
SW London & St. Georges NHS Mental Health Trust Annual Public Meeting
Posted on 04/12/2017
The meeting was launched by the Trust Chair, Peter Molyneux, who felt it had been a very good year with the Care Quality Commission rating of 'Good' and a charter from the British Deaf Association. The Finance Director summarised the accounts, emphasising the Trust's sound financial position.
Assurances were received that the new Talk Wandsworth service would be on track by December and the lead contractor for the hospital redevelopment programme would soon be selected.
South West London & St. George’s Hospital Mental Health NHS Trust Board meeting
Posted on 01/12/2017
Matters discussed included a - Service User Story where two people in particular who had been assisted into employment with the Tust and the problems facing Talk Wandsworth providing physchological therapy.
A report on Adult and Children Safeguarding indicated improvement but a downard trend was noted in Quality and Performance measures (reflecting stretched services and less resources). The Trust's 4 monthly financial peformance noted a deficit balance.
The launch of “Psychological best practice in inpatient services for older people” - 17 November 2017
Posted on 29/11/2017
This was a free event open to the public as well as members of the society but almost everyone present seemed to be a clinical psychologist.
Much of the discussion focussed on the mental health wards. The key message, however, was that psychological well-being is everyone’s job and that small gestures make all the difference to patients feeling emotionally supported.
The primary focus of this meeting was to discuss the possibility of merging the adult safeguarding boards of Richmond and Wandsworth (there is now a single safeguarding team, part of the recent merger of services between the two Councils.)
Healthwath will await the outcome of these discussions.
St George’s St George's Hospital NHS Foundation Trust: Clinical Quality Review Meeting
Posted on 20/11/2017
Many issues were discussed -among them, an outpatient transformation update by Dr Oliver Foster, a presentation on the lung cancer audit by Dr Adrian Draper, and a discussion about prostate cancer treatment delays.
The St Georges Hospital Quality Improvement Plan was a welcomed discussion with much imput from the Chief Nurse. It is important that Healthwatch monitors this closely along with the Outpatient Transformation Project.
Wandsworth Clinical Commissioning Group Primary Care Committee
Posted on 13/11/2017
A comprehensive range of topics including -A new Personal Medical Services contract has been offered to Wandsworth practices.The Clapham Junction Medical Centre has requested to close its Lavender Hill site.The Roehampton Practice - has been reinspected by CQC in July and is now rated “good”. A National GP Survey showed that 86% residents contacted, rated their primary care as good. All borough practices were inspected by CQC and 98% were rated as good.
Details of how the National Resilience Funding has been used were noted and the Primary Care Quality Review Group is to be extended to cover Merton. It would review a range of areas such as patient experience and clinical indicators.
Developing the Mental Health Trust's Strategy 2018 - 2023 Stakeholder Workshop
Posted on 13/11/2017
Well attended meeting representing the first of three rounds of consultation on the development of the Trust's five-year strategy with a view to completing in April 2018.
Discussion on : How the Trust should develop over the next 5 years in relation to its services; its relationship with carers,friends and families; and its links with community organisations and assets. Themes that emerged were: recognition that the next 5 years presented a particular opportunity for mental health in terms of public awareness, overcoming stigma and achieving "parity of esteem" with physical health. People wanted to see speedier access to services, more comprehensive working with other health and social services, better collaboration with local communities and improved communications for all invloved.
An extensive report covering many issues including - Clinical Commissioning Group report on ineffective drugs, Safeguarding Adult Board Annual Report, Revisions to adult services contributions, Voluntary Sector Prevention commissioning, Direct Payment Support Service, Annual Quality Performance Review, Social Services Budget overspend, and Healthwatch and Community Advice Service Commissioning.
Wandsworth Clinical Commissioning Group (CCG) Board Meeting - 11 October 2017
Posted on 08/11/2017
The group discussed a number of issues with voices from the Battersea Locality Team, Cancer Services, and the Healthy London Services.
The key focus was on constitutional changes, particularly that our Clincial Commissioning Group will be allowed to participate more fully in the South West London Alliance, in order to set up committees with the other five CCG's.
We will be allocated a named Healthwatch representative at the first public meeting on 16 November 2017. All of our reps however, are invited to attend. Please refer to our full summary for further details.