Wandsworth Clinical Commissioning Group (CCG) Primary Care Committee
Posted on 25/10/2017
The Primary Care (PC) Committee meeting run by the Wandsworth Clinical Commissioning Group (CCG) met to discuss key issues on: integrated primary care, care quality outcomes, national resilience funding, and primary care quality nationally aswell as locally.
Gp practices in the borough have been inspected with differing results from closures to reinspections. Wandsworth practices have also been offered a new personal medical services (PMS) contract to consider by the 30th November.
For further information please refer to the full report attached.
Wandsworth BME (Black and Minority Ethnic) Mental Health Forum
Posted on 11/10/2017
The Mental Health Trust gave a review on the Trust's five year strategy that aims to open workshops for service users, carers and other stakeholders to contribute ideas.
Nick Chamberlain-Kent, manager of the MHT's Early Intervention in Psychosis team for Wandsworth gave a presentation about the work of the team and more particularly about the findings of an Equality and Diversity audit which the team had carried out.
We aim to follow the many issues discussed at the forum and see how progress for change is being met. Please see full details on our attached report.
Stakeholder meeting for Multi-Speciality Community Provider (MCP) services
Posted on 11/10/2017
The Multi Speciality Community Provider is an organisation that deals with the direct provision of various services in the community, the commissioning of others on behalf of the Clinical Commissioning Group (CCG) and the co-ordination of others provided by agencies such as the Council.
The new seven year contract plans care for mainly older people, bringing together input from GPs, community nursing, home care, community mental health interventions and voluntary sector support.
Please refer to our full report below for full details.
Merton & Wandsworth Transformation Board - 8 August
Posted on 06/10/2017
Second meeting of this group - attended by senior managers from Clinical Commissioning Group and local councils. Updates were received regarding various changes underway with focused discussion of the limited public engagement to date and agreement to increase activity in this area.
We'll be actively involved with this board going forward, working together with Healthwatch Merton.
St George’s University Hospital NHS Foundation Trust Clinical Quality Review Group (CQRG)
Posted on 13/09/2017
St George’s Hospital Clinical Quality Review Group (CQRG) listened to a presentation from the new Mortality Monitoring Group (MMG) entitled Learning from Deaths which looked at the hospital's mortality reviews process and safeguarding procedures to make sure that people with learning difficulties and mental ill health don't get lost in the system.
The NHS Staff Survey for 2016 gathered some interesting information on St George's low levels of staff engagement, low staff morale and a reported lack of development opportunities. The Trust is working on an action plan to improve staff morale and hopes to also improve staff recruitment and retention.
St George’s Hospital Clinical Quality Review Meeting
Posted on 13/09/2017
The Heart Failure Unit is a pilot scheme which has produced some excellent outcomes in its first year, although bed numbers have been reduced from 15 to 11, which is not enough to meet the unit's need.
The group also considered an Orthopaedic Audit Report on neck fracture mortality rates which showed a greater number of post-operative deaths than expected, although patients were shown to be older and more frail than at other health care centres.
Hospital Commissioners and the Trust are working hard to make improvements before the Care Quality Commission’s next inspection in September 2017, and as a result there has been an improvement in performance in many areas.
Please refer to our report below for further details.
Our Healthwatch representative attended a meeting of the Merton Clinical Commissioning Group (CCG) Board following the conjoining of Wandsworth & Merton CCG's.
Key people for us will be lay members Clare Gummet for Personal and Public Involvement and Peter Derrick for Governance.
Management teams of both Clinical Commissioning Groups now meet monthly, and “meetings in common” will be used to discuss issues affecting both boroughs, e.g. treatments restricted or halted because of purdah, and public questions such as clincical pathways for childhood Autism.
Visit to the Talk Wandsworth refurbished Hub at 56 Tooting High Street
Posted on 21/08/2017
The new Talk Wandsworth service is potentially of interest to all or any of Wandsworth's resident, although it is targeted at vulnerable people. Although setting up the new service has taken longer than expected it will be moving into its new Hub in July.
With 5 individual therapy rooms and 4 group rooms as well as a large training/workshop room it is spacious and fit for purpose.
It opens from 8a.m to 8p.m on weekdays and from 9a.m to 5p.m on Saturdays.
The new service model, as before, allows people to be referred by their GP or self-refer.
The new three step service model is staged at:
10% of referrals to one-off Wellbeing interventions.
80% to Cognitive Behavioural Therapy (CBT) Foundation groups or 1-1 services.
The remainder to Advanced CBT, evidenced based therapies, or counselling provided in GP practices.
We did not get time to discuss how this will happen and will therefore need to develop ongoing ways of keeping informed, and contributing to service development.
St George’s University Hospital NHS Foundation Trust Clinical Quality Review Group
Posted on 21/08/2017
Specialist Services Commissioners from Wandsworth Clinical Commissioning Group and NHS England Clinical Quality Review Group (CQG) met to hear a presentation by the consultant Chair of the new Mortality Monitoring Group and discuss the Trusts quality in end of life care practises, and staffing surverys.
Their report was on the Trust’s response to the national guidelines on learning from deaths with regards to:
Progress on staff training on the new DATIX database
The Mortality Monitoring Group who is working closely with the leads for adult learning disabilities and safeguarding
Failures to recognise end of life or failure to escalate to Intensive Care Unit earlier.
We will monitor progress regarding improvements to staff morale due to concerns after staff surveys reported an increase in the number of complaints involved in staff engagement and care.
Merton and Wandsworth Local Transformation Board meeting
Posted on 21/08/2017
Top NHS commissioners and providers from Wandsworth and Merton, together with our local Healthwatch, met for the first time in this forum to review progress towards the delivery of the Sustainability and Transformation Plan.
The two boroughs combined to addresse the next twelve months of planning. The key issues were:
to agree on the areas of work to be monitored
and to agree how the Board would conduct business
We aim to make sure that patient and public involvement is built in to these planning stages.
South West London & St George’s Mental Health Trust Board Meeting
Posted on 18/08/2017
In continuing to focus on raising standards the Mental Health Trust discussed various issues concerning: bed management, standards for Community Services, Triangle of Care pathways, the Child and Adolescent Mental Health Neurodevelopment Service, Equality & Diversity objectives and finance.
Bed closures have been postponed including the delay in closing Ellis Ward as demand remains high. The work focus though is aimed at successful alternatives to admission, and improved rehabilitation services and support in the community
The Wandsworth Single Point of Access continues to underperform due workload pressures in mental health services
Funding has been approved for a further 12 months for a young person's Autism service
And overall compliments were up significantly.
Healthwatch will continue to follow the work of the Board and will be asking about a number of these issues when we meet with them. The full report is below.
Directors of the Merton Clinical Commissioning Group (CCG) Board met with lay members Clare Gummet for Personal and Public Involvement and Peter Derrick for Governance, following the conjoining of Wandsworth and Merton CCG.
These monthly meetings will now be used to discuss issues affecting both boroughs. Issues such as:
Treatment Restrictions due to Purdah
The public's questions and complaints.
Please see the attached Healthwatch report for details.
St George's University Hospital’s Foundation Trust Council of Governors Meeting
Posted on 09/08/2017
The new leadership team at St George's is starting a two-year process to deal with the underlying problems in processes and systems at St Georges. The first priority is to actively support staff in doing their work. The meeting looked in-depth at some of these issues with particular focus on:
Regaining Staff Trust from the senior team in order to show consistent values, consistency and commitment
The Relaunch of a patient experience committee
Particular targets to be reset around the resolution of staff compaints within certain time frames.
SWLStG (SouthWest London St George’s) Mental Health Trust Board meeting - Part A (the Board meets in public for the first part of its agenda)
Posted on 09/08/2017
The Trust met to disuss various issues for the year ahead including, bed pressure, Ellis Ward, the Lotus Suite, waiting times, eating disorders and general finance.
Waiting times were a key focus, particularly for the psychological therapies such as the IAPT services in Wandsworth and Sutton and the CAHMS Neuro-assessement for Autism and ADHD in young people.
IAPT have improved their services with the help of additional funding. Talk Wandsworth, however, will be working to make further improvements in this area in future. Healthwatch will also continue to keep an eye on this.
CAHMS Neuro-assessement for Autism and ADHD in young people are showing positive results with a backlog of referrals being cleared and waiting times also reduced.
"We commented on the Trust's more coherent and proactive communications profile and asked that they should consider making publicly accessible their new "map" of stakeholders and arrangements for engagement. This was agreed."
For financial results please refer to the full report below.
We met with the Clinical Commissioning Group (CCG) and Social Services to discuss various issues. Out of this meeting it was clear that key changes are happening in the CCG with seven new members all within the managment teams.
A good report was given on Child Services which showed an improvement in care of looked after children, with a figure of 200 attending local A&E.