Items
No. |
Item |
1. |
Apologies for Absence
Minutes:
1.1
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Apologies for absence were received from
Councillor Colleen Harwood (Nottinghamshire County Council) and
Betty Rhodes (Wakefield MBC).
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2. |
Exclusion of Public and Press
To identify items where resolutions may be
moved to exclude the press and public
Minutes:
2.1
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No items were identified where resolutions may
be moved to exclude the public and press.
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3. |
Declarations of Interest
Members to declare any interests they have in
the business to be considered at the meeting
Minutes:
3.1
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There were no declarations of interest.
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4. |
Minutes of Previous Meeting PDF 83 KB
To approve the minutes of the meeting of the
Committee held on 8 August 2016
Minutes:
4.1
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The minutes of the meeting of the Committee
held on 8th August, 2016 were approved as a correct
record.
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5. |
Ambulance Support - Review of Hyper Acute Stroke Services in South Yorkshire, Bassetlaw and North Derbyshire and Review of Children's Surgery and Anaesthesia Services in South and Mid Yorkshire, Bassetlaw and North Derbyshire: Feedback and Discussion
Steve Rendi and
Jackie Cole, Yorkshire Ambulance Service, and Peter Bainbridge,
East Midlands Ambulance Service in attendance
Minutes:
5.1
|
The Committee received two briefing papers,
which had been circulated to Members prior to the meeting, on
Ambulance Support. The first of these
had been provided by the Yorkshire Ambulance Service (YAS) and
covered response times, staff training and stroke care in relation
to Acute Stroke cases and further information in relation to
Children’s Surgery. The second
briefing paper, from the East Midlands Ambulance Service (EMAS)
outlined the way in which the service had begun to reconfigure the
way in which it dealt with patients.
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5.2
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In attendance for this item were Jackie Cole
and Mark Inman (YAS) and Peter Bainbridge (EMAS).
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5.3
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Members made various comments and asked a
number of questions, to which responses were provided as
follows:-
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Whilst statistics showed that approximately two thirds of ambulance
responses in Barnsley for suspected stroke patients (category C2T)
were within target time, it was not possible to say what the
performance for the other one third was.
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·
The YAS standard time for arrival at the hyper acute stroke centre
was 60 minutes and it would not be possible to make comparisons
with reported figures relating to London (30 minutes) until the
final operating model had been completed.
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Financial help was available to people who were struggling to meet
the financial demands of having to travel long distances to visit
friends and relatives who were in hospital.
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The YAS did prioritise calls and always endeavoured to be with the
patient as quickly as possible.
Patients would be called back in the event of any delay.
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Increases in demand and turnaround times would be addressed when
the final operating model for YAS was in place.
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The important time to consider in stroke cases was the time from
symptoms to treatment and education was an important factor in
reducing this.
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The EMAS had started to reconfigure the way in which it dealt with
patients in 2010, with stroke patients in the Bassetlaw area of
Nottinghamshire being conveyed to Doncaster Royal Infirmary since
2011. All ambulance clinicians were
trained in assessing patients to determine if they had had a stroke
and all units accepted patients who were identified as FAST (face,
arm, speech test) positive and had the necessary skills to manage
them during their journey to hospital.
In addition, staff support measures had been introduced which
included service directories on all vehicles, with telephone
numbers and postcodes of the units.
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In relation to reduced mortality, evidence was anecdotal with
statistics only being available from individual stroke units.
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In relation to setting the time for ambulance arrival, the YAS
worked from an algorithm, which prompted questions, so that key
details were obtained.
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In making comparisons with the ambulance service in London, it
should be noted that London was more compact and that larger units
had shown a reduction in stay.
Furthermore, the larger volume of patients led to more sustainable
units and improved experience.
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It was felt that the EMAS reconfiguration was resulting in patients
getting the right treatment in the right place ...
view the full minutes text for item 5.
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6. |
Communications and Engagement - Hyper Acute Stroke Service Provision and Children's Surgery and Anaesthesia Service Provision: Public Consultation Update PDF 257 KB
Background Documents Attached:-
(a)
Hyper Acute Stroke Services Consultation Document
(b)
Children’s Surgery and Anaesthesia Services Consultation
Document
Helen Stevens, Associate Director of
Communications and Engagement, Commissioners Working Together
Programme, Graham Venables, Clinical
Adviser to Hyper Acute Stroke Service Review and Tim Moorhead,
Clinical Lead for Children’s Services to present
Additional documents:
Minutes:
6.1
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Helen Stevens (Associate Director of
Communications and Engagement, Commissioners Working Together
Programme), gave a presentation, a copy of which was circulated at
the meeting, which provided an update on the public consultations
regarding proposed changes to Hyper Acute Stroke Services in South
Yorkshire, Bassetlaw and North Derbyshire and to Children’s
Surgery and Anaesthesia Services in South and Mid-Yorkshire,
Bassetlaw and North Derbyshire. The
presentation covered the approach, engagement so far, with 78
responses to the Hyper Acute Stroke Services consultation and 60
responses to the children’s surgery and anaesthesia services
consultation, all of which had been received online. The presentation went on to provide an analysis of
the responses to each consultation exercise and set out the key
themes emerging which were:-
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travel times to specialist unit
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visiting loved ones and the impact on families
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people being unconvinced that this wasn’t about saving
money
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challenging the numbers of children affected in Barnsley
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6.2
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The next steps in the process involved a
mid-point gap analysis, staff sessions and an independent analysis
at the end of the consultation period.
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6.3
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Members made various comments and asked a
number of questions, to which responses were provided as
follows:-
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·
The majority of responses were from the Barnsley area, with this
being mainly due to the activities of the local Save Our NHS
Campaign, which sought to oppose the proposed changes. Officers of the local CCG were engaging with the
campaign.
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·
The challenge to the numbers in Barnsley needed to be worked
through
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The next Committee meeting on 13th February, 2017 would
include an analysis of the results of the consultations.
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If Members or officers had any other ideas regarding the
consultations, they should let Helen Stevens know.
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6.4
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RESOLVED: That the Committee:-
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(a) thanks Helen Stevens
for her contribution to the meeting; and
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(b) notes the contents of the presentation and responses
to questions.
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7. |
Date of Next Meeting
The next meeting of the Committee will be held
on Monday 13 February 2017 at 2.00pm at Birch and Elm, Oak House,
Bramley, Rotherham S66 1YY
Minutes:
7.1
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It was noted that the next meeting of the
Committee would be held on Monday, 13th February, 2017
at 2.00 p.m. at Birch and Elm, Oak House, Bramley, Rotherham S66
1YY.
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