Name of Group Maternity and Child Health Steering Group Date 1 September 2014 Time 2pm – 4pm Venue Millennium Rooms, Waterfront 4, Newburn Riverside Present Mark Anderson, Newcastle Hospitals NHS FT Joanne Baxter, NEAS Ginny Birrell, South Tees NHS FT Elaine Blair, Newcastle Hospitals NHS FT Lynda Dearden, Northern England Strategic Clinical Networks Jane Gibson, Newcastle Hospitals NHS FT Sue Gordon, Public Health England Sheila Ford, City Hospitals Sunderland Sundeep Harigopal, Newcastle Hospitals NHS FT Ellen Hoida, South Tees CCG Anne Holt, County Durham and Darlington NHS FT Kumar Kumarendran, South Tees NHS FT Geoff Lawson, SCN Child Health Network Janice McNichol, Northumbria Healthcare NHS FT Robin Mitchell, Northern England Strategic Clinical Networks Janet Mackie, North Tees and Hartlepool NHS FT Fiona Ottewell, City Hospitals Sunderland Boleslaw Posmyk, Hartlepool and Stockton CCG Stephen Sturgiss, SCN Maternity Network Louise Turnbull, Service User Debbie Wade, Northumbria Healthcare Claire Ward, Health Education North East Martin Ward-Platt, RMSO Steve Wild, North Tees and Hartlepool NHS FT MA JB GB EB LD JG SG SF SH EH AH KK GL JMc RM JM FO BP SS LT DW CW MWP SW In attendance Naomi Tinnion, Northern England Strategic Clinical Networks NT Apologies Martyn Boyd, Northern Neonatal Network Steve Cronin, County Durham and Darlington NHS FT Lainey Fraser, Northumbria Healthcare NHS FT Aileen Fitzgerald, NECS Karen Giles, Health Education North East Maureen Gordon, NEAS Iain Johnston, Newcastle Hospitals NHS FT Mark Knowles, Northumberland, Tyne and Wear NHS FT Jayne McQuillan, South Tyneside NHS FT Shonag Mackenzie, Northumbria Healthcare NHS FT Gabriel Okugbeni, South Tyneside NHS FT Anthony Prudhoe, NHS England Sarah Stanton, Sunderland CCG Craig Steele, City Hospitals Sunderland Gill Thompson, Gateshead Health NHS FT Kathleeen Vasey, County Durham and Darlington NHS FT Jason Waugh, Newcastle Hospitals NHS FT Jonathan Wyllie, South Tees NHS FT MB SC LF AF KG MG IJ MK JMcQ SM GO AP SS CS GT KV JW JWy 1 MINUTES 1. INTRODUCTION 1.1 Welcome and apologies RM welcomed everyone to the meeting and introductions were made around the table. 1.2 Minutes of the last meeting SG asked for SC to be added to the list of those present and for the initials KT in the third paragraph of item 2.4 to be amended to KV. The remainder of the minutes were agreed to be an accurate reflection of the meeting. NT 1.3 Matters arising not covered by the agenda There were none. 2. STRATEGY, PLANNING & POLICY 2.1 Governance Framework CCG nominated leads: LD had met with some of the CCG nominated leads to discuss the commissioning of maternity and child health services. BP advised that a list had been put together of who in each CCG attends Network meetings which he agreed to forward to LD for information. BP Role of the Oversight Group: RM advised that this Steering Group is accountable to NHS England through the Oversight Group and that the first meeting of the Oversight Group will take place on 5 September. He also advised that Simon Stevens, the Chief Executive of NHS England is undertaking a further review of the organisation including Clinical Networks and Senate. He agreed to keep the Group updated on this. 2.2 Clinical Lead Appointments RM welcomed DW to her first meeting as the new Clinical Lead for Health Visiting. He also congratulated GL on his appointment as the Clinical Lead for Child Health. LD advised that interviews for the Midwifery Clinical Lead post were taking place on 8 September. She agreed to advise the Group of the outcome of these interviews. LD 2.3 National SCN Priorities LD advised that the Network continues to be represented at national meetings where possible. There are a number of national priorities in place although these had become more focused around stillbirths, transition and long term conditions especially asthma. SS advised that, for maternity, there were four national workstreams: (i) Smoking: this is covered in the North East by the Babyclear initiative which, although not fully implemented, had made real progress; (ii) Implementation of the Growth Assessment Protocol (GAP) and the GROW software; 2 (iii) Cardiotocograph interpretation; (iv) Reduced movement. Work regionally on these workstreams matches (broadly) the national agenda albeit with a need for the clinical advisory group to consider in more detail the recommendations in relation to the management of CTGs, and of women with reduced fetal movements. Additional action taken by the local maternity clinical advisory group has included a recommendation that women be advised of recent evidence suggesting that induction of labour at 41 rather than 42 weeks will reduce the incidence of stillbirth – and offered the opportunity of earlier induction if they so wish. LD advised that national Task to Finish Groups were being established by the national team to take these workstreams forward. They are looking to make the North a pilot area which they hope to have in place by 6 October. GL informed the Group that, for child health, the focus nationally is on the following: (i) acutely unwell children. He had received a national document on this from RCPCH which details how primary and secondary care could work together to improve services. (ii) Paediatric surgery needs support from DGH general surgeons. Unfortunately fewer general surgeons have been trained in paediatric surgery leading to gaps in service when surgeons retire. Groups focusing on long term conditions and transition to adult services are to be established both nationally and locally. BP advised that accessibility of an acutely ill child to a surgeon, which is now entering the second phase of development, is a priority in the south CCG cluster area. (iii) Groups focusing on long term conditions (asthma, diabetes, epilepsy and neurodisability) and transition to adult services are to be established both nationally and locally. EB asked if mental health issues would continue to be a local priority given it is not a priority nationally. SS advised that as so much good work had been done on this, and other local issues, work would continue. EB and the Group welcomed this news. 2.4 Maternity Clinical Advisory Group update SS advised that the Group had agreed a region wide maternity early warning score (MEWS). This had been developed by a small Task and Finish Group and is on the verge of being released. Some of the topics discussed at the last Network meeting had been really challenging (eg tackling public health issues such as smoking and obesity), and the group will need to hear more evidence before agreeing action plans. It has been agreed to have fewer items on future agendas. This should allow better discussion and generate more outputs. 3 2.5 Child Health Clinical Advisory Group update GL advised that the Group is currently discussing: (i) reconfiguration of services and was keen to involve CCGs to ensure the successful commissioning of services. (ii) transition is also being discussed especially long term conditions. (iii) paediatric surgery is being discussed especially issues around demographics, training and specialisms which were causing some anxiety and needed to be addressed. PB advised that, as part of SeQISH, clinical leadership groups were being set up to develop the case for change to enable service models to be put in place which have maternity, neonatal and paediatrics on an equal footing. They have done a lot of work in the south CCG cluster on this and have met with all Health and Wellbeing Boards and Health Watch organisations to discuss how and where services should be delivered. 2.6 Moving SCN priorities forward LD advised that the SCN workplan was now in place and that SS and GL were working with their Groups to ensure the Network continues to move in the right direction. She encouraged those around the table to let her know if they were happy with the way the Steering Group is being run or whether they had suggestions about how the meetings could be held differently. 2.7 Neonatal, Maternity and Child Health Stakeholder Event There had been a strong feeling at the first Steering Group meeting that a stakeholder event should be held before the end of the year. However, given the amount of work needed to set up such an event it was suggested that it be moved to early 2015. SS advised that everyone’s contribution would be needed for this event to be successful and the following suggestions were put forward by the Group: GB suggested involving more than just clinicians to ensure input at all levels especially if discussing service configuration. BP said that the new timeline suggested for this event fitted in well with the SeQIHS deadlines and would help keep the momentum of those going. MWP asked that views and opinions of young people, as stakeholders, be included in this event as frequent users of services. There is a wellestablished Children and Young People’s Parliament who could be included in the event especially as they missed out on the ASE event in 2010. The Group agreed that this was an excellent idea. LD advised that a Youth Council Lead is to be recruited onto this Group. SG advised against having too great an expectation of a one day event and not to be too over ambitious. SW suggested getting the public involved in this event. 4 BP advised, from a CCG perspective, that the Group had to be mindful when recommending service changes that there is a need to ensure providers remain viable, that the Trusts are involved at every stage and that the need to make a case for change has to be a strong one so that any recommendations do not disappear once the Election is over. AH advised that there had been significant change in County Durham and Darlington since the ASE event in 2010 although this had been done by making small changes rather than one large change which may something worth considering. A key element will be to get the commitment of Trusts, CCGs and clinicians. MWP suggested bringing in out of area colleagues such as the Royal Colleges to go down the route of an independent event rather than a facilitated event. There was broad agreement that pushing the event forward to early 2015 would allow for better planning. It was also agreed that this event needed to be held in good time before the General Election to allow time for any outcomes to be moved forward. LD agreed to take all of these ideas and suggestions into consideration when preparing a briefing for the event which she agreed to circulate once finalised. It was agreed that a date in early 2015 should be identified and posted into diaries by the end of September. 2.8 Senate Update LD advised that she is currently Acting Senate Manager. The Senate Council are now getting pieces of work to do including reviewing services in North Cumbria, transforming urgent and emergency care and reviewing various plans. The senate is also providing the assurance process for the work currently underway in Teesside. 2.9 SCN Annual Conference LD advised that the first SCN Annual Conference will take place on 15 May 2015 at the Stadium of Light in Sunderland. The format is yet to be finalised although it is likely that there will be presentations throughout the morning and breakout sessions for individual networks in the afternoon. 2.10 Any Other Business There was none. 2.11 Date and time of next meeting 2pm – 4pm on Tuesday 16 December in Waterfront 4, Newburn Riverside. 3. CLOSE OF MEETING 5
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