Meeting documents
- Meeting of Health and Wellbeing Board, Thursday 18th January 2018 10.00 am (Item 1.)
The minutes of the meeting held on 7 December 2017 to be agreed as a correct record and signed by the Chairman.
Minutes:
The following actions were reviewed:
Mr Naylor had provided a declaration of interest form.
Ms Baker had sent the Healthwatch report on a joint project with Mind to Ms McDonald for circulation to the Board.
The Health and Wellbeing Governance Review paper had been amended to include that Mr G Peart would be the district council representative.
The action for a meeting to be arranged between Fiona Wise from the STP and the Chairman was carried forward.
Action: Ms K McDonald
The Chairman followed up on the winter preparedness item (item 7 of previous minutes) and asked for an update on how the healthcare system had performed recently.
Mr N Macdonald, Chief Operating Officer, updated that the organisation had been under significant pressure due to the bad weather and higher demand, which was more than forecast. Buckinghamshire Healthcare Trust (BHT) had received good support from partners resulting in a reduced number of people waiting for transfer of care; down to the lowest levels of the year. A & E attendance had been up by 3.5% and ambulance attendance by 10%. There had been 31 admissions for patients with flu since the second week of January and four were in critical care. Extra domiciliary care had been provided but it had not been physically possible to use it all due to capacity; however, it had freed up medical staff. There had also been planned reduced out-patient work. The opening of the new space in A & E had to be delayed until 22 January. Mr Macdonald said that the figures compared to peers regionally and nationally. Mr Macdonald thanked all the staff in the care sector for their hard work over the last few weeks.
The Chairman asked for clarification on the four hour waiting time in A & E and was advised that the national standard was for 95% of patients to be treated or have left A & E within four hours. BHT had performed at 82% in December but was expecting a slightly higher figure for January. Mr Macdonald advised that nursing shortages, as highlighted in the media, was an issue for BHT.
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Dr J Sutton, Clinical Director of Children's Services, CCGs, updated on the situation in secondary care and reported that it had been the worst winter for staff being off sick despite having had the flu vaccination. The levels of sickness had been unprecedented, contingency plans had been put in place and had been working but there were a lot of very sick people. The Chairman thanked everyone for their efforts.
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Mr R Bajwa, Clinical Chair, Chiltern CCG, pointed out that the proportion of people attending A & E this year with acute care needs was higher due to primary care putting measures in place for people to receive care out of hospital.
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In response to a comment that ambulance response times were very long due to ambulances being backed up at the hospital front doors, Mr R Majilton, Deputy Chief Officer, CCGs, said that the way in which ambulances responded had changed in November and was still in a period of transition but handover delays had been quite good generally. |
In response to the Chairman’s question on whether a lessons learned debrief would take place, Mr Macdonald said there would be national and local debriefs as is standard practice. Mr Macdonald also said he would discuss with Ms Baker how Healthwatch Bucks could help from a patient’s perspective and that he would share the lessons learned with the Board.
Action: Mr N Macdonald
The minutes of the meeting held on 7 December 2017 were agreed to be an accurate record of the meeting and were signed by the Chairman.
Supporting documents:
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