Greenwich Council

Agenda and minutes

Venue: Rooms 4 & 5, Town Hall, Wellington Street, Woolwich SE18 6PW. View directions

Contact: Jean Riddler  Email: jean.riddler@royalgreenwich.gov.uk or tel. 020 8921 5857

Items
No. Item

1.

Apologies for Absence

To receive apologies for absence from Members of the Panel.

Minutes:

Apologies for absencewere received for Councillors Make James and Paul Morrissey.

2.

Urgent Business

The Chair to announce any items of urgent business circulated separately from the main agenda.

Minutes:

There were no items of urgent business.  However, the Chair drew the Panels attention to the Winter Plan briefing note to Item 4, which was circulated on a Supplementary Agenda.

 

The Chair advised that Item 6 – Greenwich Mind Position Update would be taken as the second item of business, after Item 4 – Winter Pressures report.

3.

Declarations of Interest pdf icon PDF 34 KB

Members to declare any personal and financial interests in items on the agenda.  Attention is drawn to the Council’s Constitution; the Council’s Code of Conduct and associated advice.

Additional documents:

Minutes:

Resolved –

 

That the list of Councillors’ memberships as Council appointed representatives on outside bodies, joint committees and school governing bodies be noted.

4.

Winter Pressures on the Health and Social Care System - cover report pdf icon PDF 55 KB

To consider the presentation by Directorate of Health and Adults Services and Greenwich Clinical Commissioning Group on their preparedness to meet the winter pressures on the health and social care system.

Additional documents:

Minutes:

The Chief Executive from Lewisham & Greenwich Trust (L&GT) and the Councils Senior Assistant Director Partnership and Operations Health and Adult Services (H&AS) presented the item.

 

In response to Members question as to what lessons had been learned from previous year, the Chief Officer (L&GT) responded that one of the major issues had been that the various partners have not been working together effectively.  There had been a lot of good will and positive intent but this had not led to improved performance.

 

He continued that although hospital services had not performed as effectively as needed, work by all partners over the last year had led to improvements. He advised that the senior teams hold 8am meetings to review the previous day and what actions needed to be undertaken for the upcoming day; this was supported by three pathway meetings held through the day.  He advised that there was a concerted effort to discharge patients early in the day, which has a beneficial impact on the patient and the ward.  Also a lot of work was being undertaken to make weekends function like weekdays. 

 

The Senior Assistant Director (H&AS) reflected the L&GT Chief Executives comments confirming that all parties were willing but had found it difficult to achieve collaborative working.  Continuing that a frailty unit had now been developed at Eltham with ‘wrap around’ services being provided by the L&G Trust, Oxleas and Greenwich Council to support its introduction.

 

She continued that other actions had now been jointly undertaken to address issues around bed base capacity and improved support to nursing homes to grow their confidence and competency to admit elderly frail people on discharge.  Further, the L&G Trust and Greenwich were working together to improve patient discharge and weekend working practices.  It was accepted that there were areas in need of improvement particularly around domiciliary care, social support provision and signposting where people can get responsive assistance.

 

The Managing Director Greenwich Clinical Commissioning Group (GCCG) confirmed that planning was late in being enacted and some actions were not in place, such as joined work around the frailty unit, until the summer.  He continued that implementing joined up working had been a key action this year which has seen an improved A&E plan, a coherent cross working support plan and clearer leadership support. The key factor had been ensuring changes at ground level and whilst there were areas that could be improve on the overall outcomes and approach had been positive and all providers and staff were working together well to tackle problems and put patients at the centre of services.

 

In response to Members questions the Chief Executive (L&GT) advised that national guidance for bed occupancy rates were 95% to be reduced to 92%; Queen Elizabeth Hospital had an occupancy rate of 97-98% and, whilst it was expected that it would be possible to reduce this to 95% it would be difficult to achieve 92%. 

 

The Senior Assistant Director (H&AS)  ...  view the full minutes text for item 4.

5.

Thrive Mental Health Programme pdf icon PDF 80 KB

To provide an update to the panel on implementing Thrive London in Greenwich.

Additional documents:

Minutes:

Members agreed to formally note the report without debate.

 

Resolved –

 

1.     That it be noted that the report provided an update to the panel on implementing Thrive London in Greenwich. That it be noted that Thrive is a London wide approach to improve Mental Health and Wellbeing. This work forms part of the priorities of the Greenwich Health and Wellbeing Board.

 

2   Noted that the two stage programme to raise awareness of and reduce stigma for mental health, empowering communities to take action is being proposed which links to the Thrive London initiative.  

 

 

6.

Greenwich MIND position update pdf icon PDF 72 KB

To consider this report from the Healthier Communities and Adult Social Care Scrutiny Panel Co-Chairs as an overview of recent problems at Greenwich MIND.

Additional documents:

Minutes:

The Chair welcomed Mr Clark (Treasurer and Trustee Board Member for Greenwich Mind) to the meeting.

 

The Treasure Greenwich Mind (GM) advised that he was attending in place of the Chair of Greenwich Mind Board of Trustees, who was unable to attend as she was out of the country. 

 

The Treasure (GM) confirmed that over the past few months Greenwich Mind had gone through a review which had highlighted that services had not been constructed with appropriate levels of income which were compounded of staffing and pensions cost and a rise in general costs, which were not being matched by income.  He continued that in financial year 2013-2014 Greenwich Mind had built up cash reserves, which was not ring fenced, being available for trustees to spend as they felt appropriate.  There was no preconception on what this reserve would be spent on and a number of additions to existing services and new services were brought in.

 

The Chair asked if Greenwich Council were the main funder and if the financial reserves were entirely invested in services rather than some retained in reserve.  Further, did the Council re-assure the trustees of further funding or was there a level of complacency.

 

Treasure Greenwich Mind (GM) confirmed that Greenwich is the main funder and the reserves were spent on the basis that the Trustees believed they could gain funding from Greenwich Council for advisors.

 

The Director of Health and Adult Services (H&AS) advised the Panel that the Council had been a long term supporter of Greenwich Mind and commissioned services from them, which the Council were happy with.  That the Council was aware of the reserves held when Greenwich Mind were seeking funding.  He continued that concerns arose early in the year but were increased when a request for early funding payment was made for July/August and it became clear that there were financial issues.  He stated that Council Officers regularly met with the former Chief Executive of Greenwich Mind and it became clear that cash flow was not the only area of concern.  

 

The Director (H&AS) added that officers were made aware of the position by Greenwich Mind and, whilst there were concerns officer were not aware of the true position.  Further, the Council does not have contracts which allow officer to look at groups accounts and there’s a reliance on trustees who were receiving assurances from the Chief Executive Greenwich Mind.  He confirmed that this was an area that was being re-examined.

 

The Director (H&AS) responded to the Panel that he was unable to state why Mr Milne resigned or did not share the true state of the situation.  The recovery plan would jeopardise some of the services he had commissioned.

 

He continued that a number of options for a solution were considered, which took a number of weeks to explore, during which commissioned services needed to be maintained.  That there were three months of intensive work, involving a legal financial adviser and funding was provided, on a  ...  view the full minutes text for item 6.

7.

Update report from Oxleas NHS Foundation Trust - Mental Health pdf icon PDF 40 KB

To consider the update report from Oxleas NHS Foundation Trust.

Additional documents:

Minutes:

The chair proposed that this item deferred for consideration to the additional December meeting.

 

Resolved –

 

That it be agreed to re-present the update report from Oxleas NHS Foundation trust – Mental Health to the additional meeting scheduled for December 2017.