Community Health and Social Care Scrutiny Committee – 14 March 2006.

Action Sheet

Members of the Scrutiny Committee:

Councillor Kean (chair) / ü / Councillor Lindley / ü
Councillor V Burgoyne / A / Councillor B P Murphy / A
Councillor Clague / ü / Councillor Jane Murphy / ü
Councillor Gray / ü / Councillor Perkins
Councillor Heywood / A / Councillor Wilson / A

A - Apologies received. ü - Present.

Co-opted Members: Mr J Wheelton. Apologies: Mrs S Brearley and Mrs Dixon

Officers and invitees present:

Maeve Keaney, Elaine Inglesby and Ann Trail, Salford Royal Hospitals Trust; Dave Clemmett, Salford City Council; Karen Richardson, LIO for Palliative Care Services; Richard Freeman, Salford PCT; Joann Morse, SRHT; Dr Phil Lomax, St Ann’s Hospice; Russell Bernstein and Karen Dainty, Scrutiny Support Team

Apologies: Andrew O’Shaughnessy

Item
Responsible Member/
Officer / Discussion / Action
Required By / Timescale
MRSA/Infec
tion Control
Maeve Keaney and Elaine Inglesby, Ann Trail SRHT / Further to the site visit members had conducted, Maeve Keaney presented information on the current position in respect of :
·  the incidence of MRSA bacteraemia in the Trust
·  the comparison with other local trusts
·  actions/initiatives taken by the Trust in respect of infection control
Members were pleased to note that the Trust had achieved a reduction in MRSA bacteraemias so far this year, with a current rate of 0.275 (per 1000 beds).
They were impressed with the improved signage, etc. which they had witnessed during their visit and the cleanliness on the wards.
They also felt that the successful in house bid for the cleaning contract was a positive move and were impressed with the presentation they had seen outlining the improved services proposed.
The committee agreed that they had received evidence of the Trust’s compliance in respect of standards C3 and C4a and this would be reflected in the committee’s response.
Members did express concern about the conditions they witnessed on ward H2. This related in particular to the cramped conditions and the limited bathing and toilet facilities. Members were made aware that plans were in place to make some upgrades to the ward and asked that this be carried out at the earliest opportunity.
Cllr Kean would write to the Chief Executive on behalf of the committee, outlining these concerns and also thanking all the staff concerned for their assistance in organising and facilitating the visit. / Cllr Kean/Karen Dainty
Elaine Inglesby
Cllr Kean/Karen Dainty / April 2006
Mar 06
Learning Difficulty Inspection Report
Dave Clemmett / Members were informed that this was now classed a 3* service. There had been great progress on the improvement plan, indicated by the number of completed actions. There was great commitment to joint working between the local authority and the PCT and opening up access to a range of other services, to enable clients to take up their place as citizens and not be reliant on services. All this had been done within budget.
They asked that copies of the complaints leaflet be circulated to members.
In response to a question, Dave Clemmett explained that anyone with concerns about a person with learning difficulties could contact Whitemoss as one point of access. Staff generally knew people supported sufficiently well to be able to discuss issues around their health and wellbeing.
Members complemented the service at Princes Park and the opportunities this provided.
Members congratulated staff on the excellent report and services provided.
Delayed Transfers of Care / Members noted the report. No issues arising.
Palliative Care –
Draft strategy for supportive and palliative care services
Karen Richardson
Richard Freeman
Joann Morse
Dr Phil Lomax / Richard Freeman explained that a previous 5 year strategy had been in place for Salford and Trafford, but there was a need to make improvements which would help people to stay in the community longer and to die at home if that was their wish. It was also necessary to consider a wider scope to include non cancer work.
Members had been presented with the draft executive summary for the strategy. Once the strategy had been ratified by the PCT Board, there would be a period of consultation. There had been stakeholder involvement in the development of the draft and a lead officer had been appointed to further develop user involvement.
In response to a question, it was reported that there was good working together across boundaries and services.
There was work underway to improve the capabilities of GPs and district nurses to offer support with advice from specialist services. End of Life care tools would be used to skill up the health and social care workforce, enabling them to offer appropriate care and support.
It was reported that the numbers of beds at St Ann’s Hospice had been rationalized from 30 to 24. This had been based on occupancy levels and occupancy was now around 75%. This would continue to be monitored.
It was agreed that a further report be brought back to the committee in approximately 6 months time, following the consultation, focusing on the results of the consultation and the final strategy. / Karen Richardson / October 2006
Best Value Report on Disability Services / Members noted the report. No issues arising.
Action sheet from previous meeting on 16 February / Public Health Information
Update would be made at April meeting.
Post of Health an Wellbeing Manager
It had been confirmed that funding had now been made available for this post.
Work Programme / Health White Paper
The May meeting would have a one item agenda briefing members.
Water Fluoridation
This would be considered at the September meeting.
Forward Plan / No further action required
Date of future meetings / 20 April
18 May (NB this meeting will be held at the Broadwalk Centre)
Chair / Councillor Joe Kean / 0161 775 7821
Assistant Director of Scrutiny / Russell Bernstein / 0161 793 3530
Principal Scrutiny Support Officer / Karen Dainty / 0161 793 2513

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