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Report of

Health, Wellbeing and Social Care Scrutiny

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Title: Meeting Wednesday, 28th April 2010

Actions: That members identify a couple of issues in relation to the hospital that	they would want to explore further and gather information from patient groups as to their views on the services and treatment received. Some suggestions were the patient passport, help with feeding, the patient charter for the hospital, how is the 18 week target working in practice.

It was agreed this would be explored at a future meeting when membership of the panel had been confirmed along with other issues for the work programme.

Recommendations: That the Community, Health and Social Care Directorate consider how the hospital passport could be used within the wider community. Members felt that the hospital passport was a really good idea and would be useful for individuals in their own homes who receive services from the council and partners. It would be particularly helpful for elderly individuals or those with dementia.

EXECUTIVE SUMMARY: Members met at SRFT (Salford Royal Foundation Trust) and were given an overview of a number of areas of work which are highlighted in the report. The presentations were followed by a tour of single sexed accommodation in the hospital.

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BACKGROUND DOCUMENTS – These can be found on SOLAR

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SOURCE OF FUNDING:	Not applicable

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CONTACT OFFICER: Linda Sharples, Scrutiny Support Officer

Tel: 793 3530 E-mail: linda.sharples@salford.gov.uk

Attendances = present A= Apologies received

2009/2010

Councillor	Nov	Jan	Feb	March	April	May
Cllr Bramer-Kelly
Cllr Heywood	A	A
Cllr Kean
Cllr Loveday	A	A
Cllr Jane Murphy	A
Cllr J Taylor	A	A
Cllr N Turner
Cllr King	A
Cllr Mould	A
Cllr Pennington	A
Sharon Brearley - co - opted	A
Margaret Dixon - Co-opted	A	A	A
Harold Kershner - Co-opted
Marian Wilson - Co-opted	A	A
Jim Wheelton - Co-opted	A	A

Apologies:

1	Declarations of interest: None

Questions from members of the public - None

2	Update on issues from the previous visit - Simon Neville (Director of	Strategy and Development)

Hospital redevelopment - Further work on the hospital is on target for completion	in August 2011. At this point there will be a new emergency village, once the new	hospital has been completed the old wards will be demolished which will make	way for new visitor parking which will replace the current car park on Stott Lane.

Maternity Services - The changes are planned for completion at the end of 2011.	SRFT are keen to keep gynaecology services on this site and have started to plan	physical moves. It is likely that gynaecology services will need to move elsewhere	on the SRFT site until the new building is finished.

Stoke services - recent advertising has helped to raise awareness and SRFT is	making plans to become the new stroke centre. Currently some services are	being	transferred from Trafford and the Pennine Trust to SRFT.

Christies at SRFT - Significant progress has been made on this building and it is	on target for completion in Spring 2011. The new unit at Oldham has recently	opened and SRFT will be watching closely to see if there are any lessons that can	be learnt from this new unit.

3	Quality Improvement Project - Peter Murphy (Assistant Director of Nursing-	Quality Improvement)

Members were given an overview of this project and the work involved.	There	are a number of significant areas within this project which were	outlined in the presentation.

Discussion took place around the mortality rate and harmful incidents in the	hospital. SRFT is one of the first organisations to say that they want to reduce	harm in the hospital. It is important to be honest and acknowledge that harm and	deaths do happen as a result of hospital admission so that ways of reducing these	numbers can be explored.

Staffing levels are very important and it is hoped that there will not be a reduction	in staff. Agency staff account for approximately 5% of staff.

One improvement that has been initiated is that of hourly checks on	patients who are felt to be at risk. Members welcomed the introduction of these	checks as they felt it was very important in relation to patient care.

The executive walk rounds have been popular and it is important to listen to staff	who are involved in the day to day workings of the hospital.

The Quality Improvement Project has been refreshed and the 3 key areas are	Mortality, Harm and the Safety Culture.

4	Facilities for patients with disabilities - Beverley Tabernacle - Assistant	Director of Nursing and Mike Hall - Associate Director of Operations-	Facilities

Officers gave members a presentation on what is being implemented to help	patients with	learning difficulties and the facilities for patients with disabilities.	Strong links have been made with the Partnership board and staff work closely	with the safeguarding team when a person with a learning disability is	admitted to hospital. The Patient Passport has proved popular and is	currently being evaluated as this has now been in existence for just over 12	months.

Staff receive training in relation to dealing with vulnerable patients. It is felt that	good progress is being made in respect of this area of work with regular reports	being forwarded to the board.

In respect of facilities for patients with disabilities, a full DDA inspection has been	completed for the site which has resulted in a comprehensive report with a	number of recommendations. There is a programme to make the whole of the site	compliant with the regulations but the manager will be competing for funds against	other capital programmes. Staff have worked with people with disabilities who	have helped with the review of the site. As a result of this some changes will be	made to the front entrance of the hospital along with other areas outlined in the	report.

Members were pleased to see that people with disabilities had been involved in	the review as it is important to understand their needs, as the regulations do not	always ensure that a facility is suitable for people with different disabilities and	needs.

5.	Single Sex Accommodation - Carolyn Fox (Assistant Director of Nursing)	and Lindsay McCluskie (Redevelopment Project Manager)

Members were given an overview of the changes that had been implemented in	respect of single sex accommodation in the hospital . Over 95% of patients were	now admitted to single sex accommodation on the emergency assessment unit,	emergency clinical decisions unit and heart care unit. The term single sex	accommodation means that there will be separate sleeping areas for men and	women and separate bathroom facilities.

A number of improvements have been made throughout the hospital to promote	and increase single sex accommodation and patient feedback so far has been	good.

Members split into two groups and were taken on a tour of a couple of single	sexed units.

Members thanked officers from the hospital for their hospitality and for the	meeting today which they found useful and informative.

Action: That members identify a couple of issues in relation to the hospital that	they would want to explore further and gather information from patient groups	as to their views on the services and treatment received. Some suggestions were	the patient passport, help with feeding and the patient charter for the hospital, how	is the 18 week target working in practice.

It was agreed this would be explored at a future meeting when membership of the	panel had been confirmed along with other issues for the work programme.

Recommendation: Members thought that the hospital passport was a really good	idea and that this should be more widely used within the community. It was felt	that this would be useful for individuals in their own homes who receive	services from the council and partners. It would be particularly helpful for elderly	individuals or those	with dementia.

Cllr Kean thanked everyone for attending the meeting, especially Cllr Murphy on	her work in this committee and wished her good luck in the future.