Agenda and minutes

Chair Welcomes Commission

Apologies received from Cllr Jos Clark

To note any interests relevant to the consideration of items on the agenda.

Please note that ……

Any declarations of interest made at the meeting which is not on the register of interests should be notified to the Monitoring Officer for inclusion.

Cllr Holland: former board member Bristol Community Health

Cllr Johnson: Governor of University Hospital Bristol

Cllr Kirk & Cllr Phipps: Former staff members of Bristol Community Health

Cllr Smith: manager in a GP practice in South Gloucestershire; and a non-executive director of OneCare (BNSSG) Ltd, which is owned by and represents GP practices in Bristol.

To agree the minutes of the previous meeting as a correct record.

The minutes of the previous meeting were agreed as an accurate reflection of the meeting.

To note any announcements from the Chair

The Chair updated the Commission on the status of the SEND Task & Finish group and informed that an email regarding the future of SEND scrutiny y would be circulated shortly.

The Chair requests that the Commission members send suggestions for items to be added to next years People Scrutiny Commission work programme to either herself or the Scrutiny Adviser for discussion at the work programme workshop.

Up to 30 minutes is allowed for this item.

Any member of the public or Councillor may participate in Public Forum.  The detailed arrangements for so doing are set out in the Public Information Sheet at the back of this agenda.  Public Forum items should be emailed to democratic.services@bristol.gov.uk and please note that the following deadlines will apply in relation to this meeting:-

Questions - Written questions must be received 3 clear working days prior to the meeting.  For this meeting, this means that your question(s) must be received in this office at the latest by 5 pm on Tuesday 7^th May 2019.

Petitions and Statements - Petitions and statements must be received on the working day prior to the meeting.  For this meeting this means that your submission must be received in this office at the latest by 12.00 noon on Friday 10^th May 2019.

No Public Forum received

Members are asked to consider and comment on the Quality Account check

reports provided by local Health Care Providers:

a.         Bristol Community Health (BCH)

b.         South Western Ambulance Service NHS Foundation Trust (SWASFT)

c.         University Hospital Bristol (UHB)

d.         Avon and Wiltshire Mental Health Partnership NHS Trust (AWP)

e.         North Bristol Trust (NBT)

Members are asked to consider and comment on the Quality Account  reports provided by local Health Care Providers as follows:

Bristol Community Health (BCH)

Aileen Fraser (Clinical Director), presented an overview of the BCH business model, the demography of patients treated, and the quality priorities for 2018/19 and 2019/20.

In response to Member’s comments and questions, the following points were made:

• BCH have been engaging with University research which has helped the organisation understand current research being done, given them access to findings and the opportunity to embed best practice at the earliest opportunity. Previously, BCH have not always been aware of research being carried out, this awareness has vastly improved.
• There has been a drop in incidents reported which does not necessary equate to less incidents occurring. Staff are regularly encouraged to report incidents (regardless of how small) and while BCH believe the number of incidents reported is quite high, the level of harm is low.
• Staff are encouraged to spend time keeping up to date with research and attend staff engagement events and have protected time to do so.
• Equality leads and patient participant groups have helped give minority groups a voice in service design. Additional staff training has been available to assist staff understand and support people with additional needs.
• The draft Quality Account had shown a high score of medication incidents. This was due in part to the low threshold and comprehensive system of reporting. It was noted that the number of patients that came to harm due to this was very low.
• Further investigation can be done to ensure that patients at HMP Bristol are receiving a high standard of care.
• Members commend the exceeding of targets with regards to palliative care patients being supported to die in their preferred place and are pleased to see the organisations overarching policies in line with the Council priorities.

South Western Ambulance Service NHS Foundation Trust (SWASFT)

Sharifa Hashem (Patient Engagement Manager) and Dave Manners (Deputy County Commander for BNSSG) presented an overview of the SWASFT 2018/19 quality priorities and their proposed quality priorities for 2019/20.

In response to Member’s comments and questions, the following points were made:

• SWASFT do not currently share knowledge and data with other schemes similar to Hear & Treat. This is as a result of differing overarching priorities and also issues with the compatibility of different technologies. There are discussions taking place around technology compatibility but these are in the early stages.
• Staff are being trained in Mental Health First Aid and wellbeing of staff prioritised. It is recognised by the organisation that is not always the big events which trigger harm in staff and managers are trained to recognise signs of early distress.
• There can be difficulties gathering feedback as often the person contacting the service does so on behalf of a stranger or there are multiple calls for one incident. ‘Lets Talk’ is an initiative to promote user experience conversations between service users and staff is encouraged.

University Hospital Bristol (UHB)  ...  view the full minutes text for item 78.