Agenda item

To consider a report of the Director of Transformation and Governance on issues brought to the attention of the Committee which impact upon the planning, provision and/or operation of health services within Hampshire, or the Hampshire population.

a)    Southern Health NHS Foundation Trust – Update on actions following CQC report

b)    Portsmouth Hospitals Trust – Update on actions following CQC report

c)    Solent NHS Trust – CQC Inspection Report

The Chairman took the items within Item 7 in a different order to the published agenda in order to accommodate availability of presenters:

b) Portsmouth Hospitals Trust – Update on actions following CQC report

The Medical Director from Portsmouth Hospitals Trust presented a report providing an update on action taken by the Trust in response to the areas the Care Quality Commission had identified as requiring improvement, following their inspection of the Trust’s services in 2018 (see report, Item 7b in the Minute Book).

Members heard that the Trust had been implementing a detailed quality recovery plan in response to the inspection findings. A re-inspection against a section 29A notice was expected, and three section 31 notices had been removed. The Trust view was that some improvements had been made, but in some areas there was still more to do.

In response to questions, Members heard:

·      It was disappointing that the caring rating had slipped from Outstanding in 2013 to Requires Improvement in 2018. The Trust was focused on promoting values and culture to improve this

·      CQC had recognised that for the Well Led category it would take time for the new leadership team in place to make an impact

·      The layout of the A&E area was a limitation and funding had been secured for an emergency care redevelopment project, however this would take a couple of years to reach fruition

·      Pressures were being experienced due to an unprecedented increase in demand. While the system had delivered improvements to delayed transfers of care over the past year, February 2019 had seen an 18% increase in attendances compared to February 2018

·      Some elective procedures had been suspended for a period in the past to help manage the emergency demand, however this had led to a backlog for some areas e.g. orthopaedics. The Trust had a recovery plan in place to deal with the backlog

RESOLVED

That the Committee:

a.    Note the update on action taken by the Trust in response to the 2018 CQC inspection findings.

b.    Request a further (paper only) progress update for the July 2019 meeting.

c.    Request PHT attends the November 2019 meeting to provide a further update and take questions.

a) Southern Health NHS Foundation Trust – Update on actions following CQC report

Representatives from Southern Health NHS Foundation Trust provided slides to give an update on action taken by the Trust in response to the areas the Care Quality Commission had identified as requiring improvement, following their inspection of the Trust’s services in 2018 (see slides, Item 7a in the Minute Book).

It was noted that the slides and the Trust’s Quality Improvement Plan would be circulated to Committee Members after the meeting. Members requested that the Trust provide a further update to a future meeting and provide a written paper in advance, so that Members have a chance to review the detail.

RESOLVED

That the Committee:

a. Note the update on action taken by the Trust in response to the 2018 CQC inspection findings.

b. Request a further progress update for the July 2019 meeting.

c) Solent NHS Trust – CQC Inspection Report

Representatives from Solent NHS Trust presented a report regarding the Care Quality Commission inspection of the Trust’s services undertaken in October and November 2018 (see report, Item 7c in the Minute Book).

Members heard that the Trust had been rated as Requires Improvement following their previous inspection in 2016, and were proud to report that the outcome of the 2018 inspection was an overall rating of Good, with all categories overall good or outstanding. Only two minor areas had been rated requires improvement.

RESOLVED

That the Committee:

a) Note the CQC inspection findings about Solent NHS Trust and congratulate the Trust for the number of ‘Good’ ratings.

b) Request an update on the two areas identified as requiring improvement, for the November 2019 meeting.