Agenda item

CQC REPORT

To receive a presentation from the Corporate Director of Children Families and Wellbeing.

Minutes:

The Corporate Director for CFW gave a brief overview of the Local System Review of Trafford which had been conducted by the Care Quality Commission (CQC), the subsequent report, and Trafford Action Plan. The Action Plan had been submitted to the CQC for feedback and as of the meeting none had been received, which Trafford were taking as a positive sign. The Action Plan which had been circulated with the agenda\a had to be updated with feedback which had been received from the Trafford Integrated Network Director and the Chairman of the Healthy Trafford Partnership. Once the Action Plan has been agreed and signed off Trafford was to obtain pledges from all partners as to their participation in the completion of the plan.

 

The Trafford Integrated Network Director informed the Board that since the review there had already been a rapid improvement in services across the Borough. This improvement had been achieved because Trafford wad already aware of problems with urgent care prior to the CQC review and had a number of plans underway at the time of the review. Since the review took place Trafford had made a number of key appointments which had enabled these plans and the subsequent improvement. One aspect of these improvements was the improvement of the urgent care pathway and the Trafford Integrated Network Director invited Board Members to visit the urgent care control room at Medway.

 

Since the review there had been a significant reduction of Delayed Transfers of Care (DToCs) by 12%. Despite that improvement Trafford was still far above the national 3% target set for DToC. The Trafford Integrated Network Director explained that there had been an increase in spend which had led to these improvements but that the return had exceeded the investment made. 

 

The Clinical Director, Trafford CCG informed the Board that there had been a positive shift in the approach of the DToC Board since the review. The DToC Board were no longer focusing solely upon delayed patients but instead were discussing medically optimised patients; how to identify them, and planning their discharges. The next stage for that board would be to introduce procedures to plan for patients discharge from the point of admission.

 

The Chief Executive of Wythenshawe Hospital agreed with the Trafford Integrated Network Director that there had been an improvement in performance following the appointment of the Integrated Discharge Team Manager. However, there was still a large amount of work that needed to be done as there were still a large number of beds being taken up by patients who should no longer be in hospital.

 

Clinical Director, Trafford CCG informed the Board that Trafford CCG were in the process of establishing a new team of GPs who would be entirely focused upon working with care homes to reduce the number of admissions from that area of the population. The Transformation Bid funds that Trafford had been awarded as part of the Greater Manchester Devolution had a large level of investment focused upon primary and community care which would further help to prevent the need for admissions across the population of Trafford and reduce the pressure upon the secondary care services.

The Chairman of PRAP raised that the report noted the underperformance of the Trafford Co-ordination Centre and asked how key it was to the plans for prevention within Trafford. The Clinical Director, Trafford CCG responded that Trafford CCG were in the process of recommissioning the TCC so there was a lot that could not be covered at the meeting. Discussions were ongoing as to how the TCC could be developed in order to deliver what services needed but nothing had been agreed. The Chairman informed Board members that Trafford CCG had extended an invitation for them to visit the TCC control room so that they can see it in practice.

 

The Chairman told the Board that he was to meet with the Leader of the Council and the Chairman of Trafford’s Health Scrutiny Committee in order to review the plan and look at how they can all aid in its delivery.

 

RESOLVED:

1)    That the update be noted.

2)    That Board Members are invited to visit the urgent care control room at Medway.

3)    That the Chairman of the Board meet with the Leader of the Council and the Chairman of Trafford’s Health Scrutiny Committee to consider how to support the delivery of the action plan.

 

 

Supporting documents: