Agenda item

Tim Furness, Director of Business Planning and Partnership, Sheffield Clinical Commissioning Group, introduced a report concerning quality in the new health system. The report provided an update from the Clinical Commissioning Group of March 2013 relating to the second inquiry by Robert Francis concerning the Mid Staffordshire Hospital review.

The report included a review of recommendations and implications for commissioners and actions for the CCG. It also set out the implications, for the CCG, of the Government response. The report also outlined the National Nursing Strategy Compassion in Practice implementation plan and local actions from the Care Quality Commission (CQC) Winterbourne View recommendations.  The CCG would develop an action plan, following the Government’s final response in September 2013.

The report had also been presented to the CCG governing body and was submitted to the Health and Wellbeing Board for information.

The Board discussed issues arising from the report, as summarised below:

·         The reports had implications for the NHS and providers and strengthened providers’ duty in relation to quality.

·         The Francis report included the themes of openness, transparency and accountability in relation to public bodies.

·         Children and young people and developing management and leadership were two cross cutting themes emerging from the action plan. The experience of transition from child to adult services was problematic and more continuous services should be developed, with children and young people included on related working groups. This issue could be brought to the Board for the purpose of establishing how best to co-ordinate transition.

·         In reference to the review of Winterbourne View, it was important that carers were able to have confidence in others to provide care when they themselves could not and shared values were needed, which would underpin this approach. The Safeguarding Board had considered the report concerning Winterbourne View and a joint response was due to be submitted to the Health and Wellbeing Board in September 2013.

·         The reviews highlighted that people were identifying problems with care and there was a need for the health services and the local authority to make sure such voices were heard and that difficulties were not ignored in the early stages.

·         Healthwatch Sheffield had a role in ensuring that issues of concern were identified before they begin to escalate further, using, for example, enter and view, focus groups and volunteers.

·         There was a role for the Health and Wellbeing Board in making sure organisations are not duplicating effort or wasting resources in response to the reviews and with a view to streamlining.

·         There was a need to co-ordinate joint work on quality, between the CCG and both adults and children’s care.

6.1

RESOLVED: that the Health and Wellbeing Board, having considered the recommendations of all four reports:

1.    Notes the current actions for commissioners to take forward the Francis (2) recommendations and the current position.

2.    Supports the development of a Commissioning for Quality Strategy for Sheffield CCG.

3.    Requests that reports be submitted to future meetings of the Board upon the following:-

                    (i)        the response to the CQC Winterbourne View recommendations (September 2013); and

                  (ii)        the Commissioning for Quality Strategy for Sheffield CCG (December 2013).

6.2

REASONS FOR THE DECISION
To ensure that the Clinical Commissioning Group (CCG) is commissioning and implementing national recommendations in relation to safe and effective health care.