Venue: Committee Room 1, Newham Town Hall, East Ham, E6 2RP. View directionsItems No. Item
No apologies for absence were received.
This is the time for Members to declare any interest they may have in any matter being considered at this meeting. The Code of Conduct is set out in Part 5.1 of the Council’s Constitution and advice is attached.
There were no declarations of interest.
MANAGEMENT OF THE BUSINESS OF THE MEETING
The Chair will agree with Members the arrangement of the meeting, including the order of business and confirmation of agenda items.
Member’s agreed the order of business for the meeting.
To approve the minutes of the 2 June 2009 meeting
The minutes of the meeting held on 2nd June 2009 were agreed as a correct record.
Noted and agreed
ELECTION OF A DEPUTY CHAIR FOR 2009/10
Members to agree a Deputy Chair of the Commission for 2009/10
Members agreed that Councillor Zulfiqar Ali would be the Deputy Chair for the Health Scrutiny Commission for 2009/10.
Councillor Zulfiqar Ali to be the Deputy Chair of the Commission for 2009/10
INFANT MORTALITY SCRUTINY COMMISSION: UPDATE ON RECOMMENDATIONS
Members to receive a presentation from Fiona Laird, Maternity Modernisation Manager, NHS Newham on the Commission’s previous review into Infant Mortality in Newham.
(Paper copies of the presentation will be available at the meeting)
The Commission received a presentation from Fiona Laird, Maternity Modernisation Manager, NHS Newham on Infant Mortality, the topic of a past Health Scrutiny Commission review. The purpose of the presentation was to update the Commission on the progress that has been made on developing in Newham’s maternity services.
Key actions being undertaken:
A community maternity clinic at Deanary Road children’s centre was set up to assist pregnant women in the local community for support/guidance and checkups during pregnancy. Around 1800 women have booked in to use this service. Audit results indicate that this centre :
- “Did Not Attend” rates were reduced from 18% in hospital to 7% at the new centre.
- All women at Deanary Road were offered antenatal care education
- There were specific clinics for teenagers
- The was an increase use of free pregnancy testing service
- There were good birth outcomes
- Late bookings were reduced
There had also been a lot of positive feedback, with the Department of Health using the Deanary Road Centre as a model of good practice. No complaints received so far and a lot of positive feedback from all women and their families.
The Commission heard that:
- A second practice to be opened in Freemasons Road, with increased capacity. Eventually, there will be a community-based maternity centre in each quadrant of the borough.
- Early booking of pregnancy care to be offered
- Continue regular meetings with all stakeholders, clinicians and users
- Continue to make improvements and target commissioning based on ongoing audits and patient feedback.
The Commission heard that:
· Pharmacists sell 4,600 pregnancy tests a year in Newham and NHS have been working with them to help encourage women access maternity services early, a key finding of the Commission.
· A leaflet was developed with partners and is now sold with every pregnancy test kit sold in Newham
· This has helped to increase the rate of early access to maternity services.
The Commission was informed that a “maternity direct” phone line would be set up for women for instant access to midwife support and advice. As Newham is one of the most ethnically diverse boroughs in the Country, with a big percentage not having English as a first language, the phone direct service would offer a service in different languages. Funding has been secured and Newham is currently recruiting for the midwives required.
An information DVD has also been made for women with advice for pregnancy. This DVD had 67 different countries represented and will be launched on 8th October 2009. The DVD would be given to every woman who had booked themselves in into the centre.
Other Issues raised:
- There is an issue with recruitment of midwives as it takes 3 months for the CRB checks to clear, which means delays in filling vacancies.
- The maternity wards at the hospitals were usually full, and NHS Newham were promoting home births. Many people fail to realise that home births were as safe as hospital births if planned well.
- Newham ... view the full minutes text for item 6.
Members to consider and agree the final report of the review into men’s health: prostate and testicular cancer in Newham.
Members discussed and approved the recommendations and report on prostate and testicular cancer in Newham.
Members noted that the report would go to Overview and Scrutiny Committee in July, Cabinet in September and Council in November.
Members agreed the draft final report of the Health Scrutiny Commission – Men’s Health: Review into prostate and testicular cancer in Newham
NORTH EAST LONDON REVIEW: UPDATE
Members to receive a briefing from Penny Pereira, Director of Strategy and Service Improvement, Newham University Hospital Trust on forthcoming the forthcoming North East London Review consultation entitled “Health for North East London”.
(A printed copy of the North East London Review “Case for Change” document for the N E London Review will be distributed with the agenda for Members of the Commission)
The Commission received a presentation from Helen Brown, Programme Director, Health for North East (Health4NEL) London (NHS) on the North East London review of acute providers in the North East London sector.
Helen Brown was joined by Even Drayton Hill, NHS Newham and Penny Pereira, NUHT to answer Members questions.
The Commission was told that Health4NEL was a strategic service review designed to deliver of high clinical quality and sustainable health services for residents in North East London. The review was clinically led, with six clinical working groups and an overarching clinical reference group making recommendations for changes that they believe will improve quality of local services.
Some of the clinical recommendations emerging from the review were explained to the Commission, these covered the following aspects of acute care:
- Children’s services
- Planned care
- Specialist Care
- Urgent medicine
- Urgent surgery
- Maternity & newborn
The Commission was told the next steps for the review would be:
· Priority focus for next 12 months is on short and medium term quality and efficiency improvements, including localisation / out of hospital agenda.
· Continue to work through options for change in more depth to fully understand potential benefits, implications, deliverability and risks.
· Review clinical working groups and refresh mandate (focus on delivering quality improvements now), membership and support.
· Review organisational arrangements to deliver change.
· Develop Stakeholder Advisory Group/s (INEL and ONEL) & continue/increase patient and public engagement in care pathway driven improvements.
Key questions raised by Members included:
Population: Members questioned the population figures of 333,256 being used for Newham. It was felt that Newham was losing out on health funding due to much lower population figures being used when allocating resources to Newham. It was explained that the 333,256 figure was based on the GP registrations for Newham.
Transport: Members expressed concern at the impact on travel arrangements for patients, who may be asked to travel further to visit services that are currently based in Newham if any services are moved out of the Borough. It was felt that increased travel distances would create a further barrier to Newham’s residents accessing healthcare. It was explained that around 40% of services currently provide in hospitals would moved to local community settings. This would make it much easier for some patients to access care, but it was accepted that some distances would increase. It was felt that this would be acceptable to patients as the clinical quality of specialist care would increase. Consultation has indicated that patients were happy to travel to get the best possible treatment, rather than just go to the nearest hospital.
Newham General: Members expressed felt that the Accident & Emergency service at Newham General Hospital was a vital service to local residents and to the long-term viability of having an acute hospital in Newham. Members were told that assumptions should not be made in advance that the review will necessarily has a negative impact on health.
Maternity Services: Concern was expressed that Newham had not been fully represented on the ... view the full minutes text for item 8.
FUTURE SCRUTINY REVIEW
Members to consider the scope for a future scrutiny review on Children with Diabetes in Newham.
The Commission received a draft scope from Iain Griffin, Scrutiny Manager, on the new topic for Health Scrutiny Commission.
The topic chosen by the Overview & Scrutiny Committee for the Health Scrutiny Commission was children and young people with diabetes in Newham. This will be a short review that would report in December 2009.
It was agreed that the Chair would approve the terms of reference and the scope for this short review in advance of the September meeting of the Commission.
Members agreed to take on the review into childhood diabetes, but also expressed that they would like to receive regular updates on polyclinics on agendas.
Members to consider the work programme for the Commission.
Members agreed the work programme
ANY OTHER BUSINESS
There was no other business