Agenda and minutes

To appoint a Chair who will be a Cumbria Councillor representative for the ensuing year.  The Chair shall be appointed by the Cumbria representatives serving on the Committee.

RESOLVED, that Mr M Wilson be elected Chair for the ensuing year.

To appoint a Vice-Chair who will be a Lancashire Councillor representative for the ensuing year. The Vice-Chair shall be appointed by the Lancashire representatives serving on the Committee.

RESOLVED, that Mr D Westley be elected Vice-Chair for the ensuing year.

An apology for absence was received from Ms V Hughes.

Members are invited to disclose any disclosable pecuniary interest they have in any item on the agenda which comprises

1          Details of any employment, office, trade, profession or vocation carried on for profit or gain.

2          Details of any payment or provision of any other financial benefit (other than from the authority) made or provided within the relevant period in respect of any expenses incurred by you in carrying out duties as a member, or towards your election expenses.  (This includes any payment or financial benefit from a trade union within the meaning of the Trade Union and Labour Relations (Consolidation) Act 1992.

3          Details of any contract which is made between you (or a body in which you have a beneficial interest) and the authority

            (a)     Under which goods or services are to be provided or works are to be executed; and

            (b)     Which has not been fully discharged.

4          Details of any beneficial interest in land which is within the area of the authority. 

5          Details of any licence (alone or jointly with others) to occupy land in the area of the authority for a month or longer. 

6          Details of any tenancy where (to your knowledge)

            (a)     The landlord is the authority; and

            (b)     The tenant is a body in which you have a beneficial interest.

7          Details of any beneficial interest in securities of a body where

            (a)     That body (to your knowledge) has a place of business or land in the area of the authority; and

            (b)       Either –

(i)        The total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body; or

(ii)       If that share capital of that body is of more than one class, the total nominal value of the shares of any one class in which the relevant person has a beneficial interest exceeds one hundredth of the total issued share capital of that class.

In addition, you must also disclose other non-pecuniary interests set out in the Code of Conduct where these have not already been registered.

Note

A “disclosable pecuniary interest” is an interest of a councillor or their partner (which means spouse or civil partner, a person with whom they are living as husband or wife, or a person with whom they are living as if they are civil partners).

Ms L Collinge declared a non-pecuniary interest as a Governor of the University Hospital of Morecambe Bay Trust and a personal interest as her spouse worked for NHS England.

Mr E Pope declared a non-pecuniary interest as a Governor of Lancaster Teaching Hospital.

RESOLVED,that the press and public be not excluded from the meeting during consideration of any items of business.

To consider the minutes of the previous meeting held on 6 September 2019 (copy enclosed).

RESOLVED,that the minutes of the meeting held on held on 6 September 2019 be agreed.

To consider a report by the University Hospitals of Morecambe Bay NHS Foundation Trust (copy enclosed).

The Committee received a report that provided the outcome of the CQC inspection that took place in April 2021 and a subsequent unannounced inspection in August 2021 to medical services at Royal Lancaster Infirmary. The outcome of the inspection was that the Trust remained at a rating of requires improvement. The paper described the must and should do’s the Trust was required to undertake.  The importance of system wide working with partners on such issues as discharge pathways and information sharing on discharge, ED pathways and direct referrals/direct access was recognised.  The paper also described the NHS England/Improvement (NHSEI) Recovery Support Programme (RSP) that had been established to ensure the delivery of sustainable quality improvements across the Trust.

The Chief Executive, introduced the report by thanking system partners for their hard work and commitment, working in a very pressurised environment, over the last 18 months.  The Chief Executive introduced the Interim Chief Nurse who outlined the key findings from the CQC Inspection Report.  Members were informed that there were a total of 90 recommendations, 57 Must Dos and 33 Should Dos.  It had been recognised that a number of the recommendations were duplicated and had therefore been incorporated into one recommendation for the purpose of the Improvement Plan.  The Interim Chief Nurse informed the Committee of the Section 31 Notice issued to the Trust, the license for Stroke Services and a Notice of Proposal to impose conditions for regulated activities in relation to Maternity and Midwifery Services on all three sites.

Members were informed that since the receipt of the CQC Inspection Report, the Compliance and Assurance Team had worked with partners to develop the Improvement Plan.  The Plan had been submitted to the CQC on 1 October 2021.  The Trust representatives outlined action that had and was being taken to address the recommendations.  Members noted that all the recommendations had been assigned to a responsible Executive Director and Assurance Committee and progress of them would be reported to the relevant Committee and then onto the Trust Board on a monthly basis.  The need for sustainability was reiterated throughout the report.

The Intensive Support Director outlined the National Policy Context – System Oversight Framework (SOF) and Recovery Support Programme (RSP).  Organisations in SOF 4 would be provided with a new Recovery Support Programme (RSP) which also required local system partners to play a key role in addressing system related challenges and develop supporting system solutions to the challenge(s). The NHSEI North West Region established the Morecambe Bay System Improvement Board in April 2021.  The Intensive Support Director outlined the development of the exit criteria from the RSP and the recovery support proposal.  The themes from the recommendations overlapped with themes identified as areas of focus in the Trust’s Forward Improvement Plan and were included in the Recovery Support Programme. 

To conclude the report, the Chief Executive, endorsed the new approach and expressed confidence in the sustainability of the changes in the long term.

Members, in discussion, requested sight of the  ...  view the full minutes text for item 19.

To be confirmed.

The next meeting of the Cumbria and Lancashire Joint Health Scrutiny Committee was to be confirmed.