South Tees Health Scrutiny Joint Committee Minutes

South Tees Health Scrutiny Joint Committee Minutes

Monday 4 December 2017
2:30 p.m.
Mandela Room, Town Hall, Middlesbrough

Attendance Details

Councillor Dryden (Chair); Councillors Cooney, Holyoake, Goddard, O’Brien, McGee, Rooney, Walker, Walters and Watts.
C Breheny and A Pearson.
Apologies for absence:
Declarations of interest:

There were no declaration of interest.

Item Number Item/Resolution

The Associate Director of Commissioning, Delivery and Operations and the Director of Operations for ELM Alliance Limited provided a further update on the CQC’s inspection of the recently commissioned out of hours and urgent care service.


As part of the ensuing discussion, the following points were raised: 

  • STCCG continued to undertake unannounced assurance and significant improvements have been made.
  • Issues of safety had been addressed.
  • Standard protocols were in place and new ones continued to be developed.
  • A focussed re inspection by CQC (limited to the warning notices) was undertaken on 9 November 2017.
  • The CQC reported that staff were very positive and engaging.
  • There was strong evidence of new processes being implemented, in particular Safety First ( sign in - huddle - sign out)
  • Improvements had been made with respect to patient safety, effectiveness and leadership following the inspection on 11 and 12 July 2017.
  • Improvements had been made with regard to effective governance and management within the service.
  • Further work was needed to improve medicines management - record keeping.
  • Further development by documentation of any learning points from significant events or incidents.
  • The inspection team found on the evening of 9 November, 2017, that some of the risks highlighted in the warning notices issued to the provider had significantly reduced.
  • A full announced inspection would be undertaken by the CQC at the end of January 2018.
  • Patient experience was good and the service was highly recommended.
  • Accessibility was good and patients were happy to see a different clinician.
  • 90% of patients rated the clinician experience as either 9 out of 10 or 10 out of 10.
  • More than half would have attended A&E had they not been seen (according to the data).
  • A&E waiting times at South Tees Hospitals NHS Foundation Trust remainder a national outlier, with 98.2 per cent of patients seen within 4 hours, which helped evidence that the service was working:- NOTED

AGREED that a further update be provided to the Committee following the CQC’s announced inspection at the end of January 2018.

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