Agenda item

NHS Integrated Quality and Performance Report

To consider the report of the Head of Governance and Scrutiny Support which presents the latest available NHS Integrated Quality and Performance Report (IQPR). 

 

(Report attached)

 

Minutes:

The Head of Governance and Scrutiny Support submitted a report that introduced the latest available NHS Integrated Quality and Performance Report (IQPR).

 

The following documents were appended to the report:

 

-  A brief summary of key performance issues from NHS Leeds Clinical Commissioning Group (CCG)

-  IQPR Reporting period February 2018

-  IQPR Reporting period April 2018 (supplementary information)

 

The following were in attendance:

 

-  Sue Robins, Director of Operational Delivery, NHS Leeds CCG

-  Julian Hartley, Chief Executive, Leeds Teaching Hospitals NHS Trust

-  SajAzeb, Assistant Director of Operations, Leeds Teaching Hospitals NHS Trust

 

The Director of Operational Delivery gave a brief introduction to the report.

 

Members discussed a number of matters, including:

 

·  A&E waiting times. Members expressed concerns regarding the percentage of patients in A&E seen within 4 hours, which in Leeds was 67.5% against the 95% target in February 2018. Members were assured that the percentage had since increased to over 90% for May and June. Members were further assured that Leeds was in the upper quartile (nationally) for its performance in this area. 

·  Winter pressures. Members were informed that additional funding to support LTHT during the winter period had been used in a number of ways; including the development of a new Frailty Unit, the introduction of a GP within A&E and additional community care beds.

·  Early cancer diagnosis. Members expressed concerns regarding the underperformance against the national targets for cancer screening, and requested more information around the steps being taken to increase early diagnosis. The NHS representatives advised Members of ongoing work of Professor Sean Duffy and the West Yorkshire and Harrogate Cancer Programme, which included the introduction of the Accelerate, Coordinate, Evaluate (ACE) Programme for multi-disciplinary early diagnosis, and working in partnership with Public Health teams around campaigns to encourage screenings.

·  Personal Health Budgets (PHBs). Members requested more information regarding of approach taken to encouraging uptake of PHB, considering the low uptake across all areas of the city. The NHS representatives expected a significant increase in patients choosing to manage their own care following Leeds becoming a demonstrator site for the application of the personalisation agenda, along with additional project development by the CCG. Members were also informed that the PHB offer had also recently been extended to adults and children who use wheelchairs, which had significantly increased the most recent figures.

·  Workforce issues. NHS representatives noted the national challenge of recruiting doctors and nurses, and informed Members that Leeds does have shortages in certain specialist areas such as Critical Care, where specialist skills are needed. However, Members were also informed that there had been a significant increase in nurses overall in Leeds in the last 5 years. The Board requested that the NHS representatives provide a summary of workforce data for the City – including primary care.  The Board also requested a map of the city showing the current location of GPs and GP practices. 

·  GP provision in deprived areas. Members expressed concerns around the amount of GP provision in deprived areas, particularly inner city wards, and the prevalence of people using walk-in centres as they are not registered with a GP. NHS representatives agreed to provide further information to relevant Members.

·  Post-mortems in hospitals. Members expressed concerns regarding apparent challenges for conducting post-mortems in hospitals during weekend hours. Members were subsequently informed that post-mortems are coordinated by the Coroner’s office, rather than the hospital Trust; and more information would be provided on this relationship and associated issues.

·  Future IQPRs. Members suggested that the emerging local care partnerships be incorporated into future reports. The Board was advised that the report was an emerging document and it was the intention to present information at a local care partnership level as data flows are developed. 

 

RESOLVED –

a)  That the report and appendices be noted.

b)  That the information requested be provided to the Board.

 

Cllr Iqbal entered the meeting at 1:40pm during this item.

 

 

Supporting documents: