082a/2014 Board Quality & Safety Committee - Tuesday 21 October 2014 Summary report CQC visit to Leeds and York Partnership Foundation Trust (LYPTF) CQC visit highlighted no concerns with the Leeds site, but some for York. Overall, LYPFT Leeds considered to be performing well. Quality report Friends and Family Test now featured ‘would/wouldn’t recommend’ score which will be monitored with providers. Action plans to be requested to address concerns. LNCCG within target on healthcare acquired infections. Leeds Teaching Hospitals Trust (LTHT) ‘deep cleans’ had reduced C. Difficile infections. Slight downward trend for patients who experienced harm-free care. Commissioners seeking assurance on how Safer Staffing issues being handled. Reporting of safeguarding incidents in care homes can reflect a culture of increased safety and quality awareness. Council, CQC, the CCG and other agencies have robust processes to monitor trends and agree action. Quality Strategy Strategy covers provider contracts over 3-5 years. Need to ensure patient satisfaction risks being monitored and addressed. Strategy to be brought back to next meeting. Joint Improvement Programme (JIP) Winterbourne JIP provides assurance that in-patient provision meets national requirements. The Local Area Team were assured, and did not have any concerns with Leeds. Serious Incidents Assurance given that processes for managing provider serious incidents robust. LTHT reviews now to be undertaken annually. Audits also being planned for LCH and LYPFT. Board Assurance Framework - quality risks Assurance that plans in place to address quality risks. BAF to become more of a ‘live’ document, with a stronger focus on the impact of controls. BAF risks to play greater role in informing Q&S agenda. No current corporate quality risks gave concern. Cost Improvement Plan (CIP) Feedback Summary Feedback given to three main Leeds providers following meetings between the Directors of Nursing and Medical Directors from providers and commissioners. Where concerns raised, further assurance sought together with actions and timescales. 082a/2014 Board – Feedback from Q&S Committee 21 October 2014 Page 1 of 2 Issues reported to each Leeds CCG and Leeds Quality Surveillance Group. Star Chamber of key stakeholders to be arranged early 2015 to review the CIP process. Concerns around LCH Improving Access to Psychological Therapies process and whether cost savings would affect quality. Concern that streamlining LCH CAMHs service might have quality issues. Q&S needed an oversight of all services where quality of service might be affected. Professional Standards Update (Francis et al) Assurance on progress against the Francis report. Recommendations from the Francis report and Savile Enquiry were monitored closely. Four recommendations at risk of slippage. Quality Team will continue to monitor the action plan and update will be reviewed at February 2015 Q&S committee. National Reporting and Learning System Update Reports show the position of NHS Trusts on patient safety incident reporting. Low reporting by LYPFT and YAS noted. Assurance given that plans in place to address. Safeguarding Annual Report Report gave assurance on processes and systems for Leeds CCGs to meet their statutory responsibilities. Concern expressed with the poor level of communication with general practitioners over case reviews. A pilot scheme aimed to improve arrangements. Quality Issues Reporting 24 out of 28 of LNCCG GP practices recording patient concerns on quality of provider services. LSE CCG now share data, so issues for two-thirds of the city can be flagged with relevant provider. Practices to be further encouraged to use the system, and GPs informed about how information is being used to improve patient care. Anti-microbial Strategy Strategy aims to ensure that antibiotics are only prescribed when needed and are in line with the Leeds Health Pathways guidance. Good audit results achieved. Continued focus on reducing anti-microbial prescribing and results monitored. Primary Care Quality Improvement Group (PCQIG) CCG PCQIG acts as a ‘bridge’ between practices and NHSE Area Team. There was a need to clarify how the PCQG fitted into the CCG decision making framework. Ebola Update LNCCG leading on this for Leeds. Will help NHS England and Public Health England to communicate with general practitioners and the public. 082a/2014 Board – Feedback from Q&S Committee 21 October 2014 Page 2 of 2