Governing Body Q&A 2016 Governing Body Q&A 2016

Governing Body - Thursday 24 November 2016

Q. Why is Whitby and Esk areas not mentioned in either York/Humber/North Lincs ST or Tees/Stockton STP plans?

A. Janet Probert advised that the Darlington, Durham, Teesside, Hambleton, Richmondshire, Whitby STP covered the whole of the CCG area. Janet had seen a draft of the STP which named the communities. Janet advised the CCG would ensure all communities were represented.

Q. The CCG have closed the Lambert Memorial Hospital, which has provided terminal or ‘end-of-life’ care for the people of Thirsk and villages for generations. There are currently no nursing home facilities in Thirsk and District. For those people who are unable to die at home (and there are many), or simply prefer not to, what replacement facilities are there now or will the CCG provide in future?

A. Gill Collinson advised that the bed at Sycamore Hall served all people in the Dale and the pilot had been a success with 3 patients admitted and discharged. Step up/step down beds was currently in mobilisation phase. 3 flats in Thirsk had been commissioned (1 for palliative care and 2 for rehabilitation and re-cooperation). All flats were ground floor and would be named ‘The Lambert Suite’. 2 flats would become available in Leyburn, 2 more at Benkhill Lodge and 2 in Northallerton. With regard to palliative care, the CCG were working with STHFT on third sector providers and a new model for primary care which would hopefully be up and running from January 2017.


Governing Body - Thursday 22 September 2016

Q. Will the CCG be following last week’s NHS guidance on public and patient consultation on the STPs, and in particular publish the full plans as soon as they are finalised?

Q. Will the MH section of this STP plan be used as an opportunity to bring a coordinated approach to these seven programmes?

Q Will the CCG consider holding either a Governing Body workshop, or a HRW MH summit or similar event in order to give direction to the mental health content of the CCG’s 2017/18 operational plans, and to facilitate meaningful patient and public engagement? 

A. Dr George Campbell noted that the Sustainability and Transformation Plan had started long before HRW CCG joined up. HRW CCG will publish everything that comes out of the STP. The CCG are doing a lot of work locally with TEWV, the CCGs assessed mental health need is 8% of our budget but the CCG has invested in mental health and spent 10% of our budget. More services within the community are needed. George noted he could see no reason why a workshop could not go ahead. Janet Probert noted a workshop could take place when the CCG had something to present. Charles Parker noted improving access and delays would remain a priority.

Q. What is the current staffing situation at the Maternity and Paediatric Wards at the Friarage Hospital? How many consultants are now available?

Q. What hours is the Paediatric Ward now open and on what days?

Q. Why have some clinics, which were available at the Friarage, now been moved to James Cook?

A. It was noted that there were no issues regarding recruitment of midwives and children’s nurses at the Friarage Hospital and there were no consultant gaps in obstetrics or paediatrics.

It was noted a paediatric consultant was based at the Friarage Hospital and the Short Stay Paediatric Assessment Unit was open Monday to Friday 9:00am – 7:00pm (excluding bank holidays). An eye clinic was now available at the Friarage.

Dr George Campbell advised that there was a national shortage of Opthalmologists and staff had left but had not been replaced due to there being nobody adequately qualified. Charles Parker noted that the CCG were aware that transport was an issue and Jane Ritchie noted that she transported a friend to hospital and was willing to help someone out with transport if possible. It was noted that where there were smaller cohorts of patients, services became more centralised. Charles noted the following 5 clinics were now available: Urgent Access, Cystic Fibrosis, Cardiology, Enhanced Renal, and Enhanced Neuro Disability.

Q. We were informed that the surgery would no longer be able to use E-Consultations as the project had finished (see Heartbeat Alliance update to Co-Commissioning). To continue it would require a license of £750 per 1000 patients per year. In this world of E-technology is this not a backward step? Any way forward?

A. Charles Parker noted that the above was a pilot as part of the Prime Minister’s Challenge Fund. The results of the assessment were not yet available from Heartbeat Alliance but it may be something that Primary Care CoCommissioning would like to take forward. David agreed to the same.


Governing Body - Thursday 28 July 2016

Q. Can you tell me at what stage Hambleton, Richmondshire and Whitby CCG are within the STP process?

As STP’s are to be tasked with showing how local services are going to evolve and become sustainable over the next five years, can you assure me that the footprint we are part of ensures maximum public engagement and includes the maximum number of stakeholders of local services?

How are you, Hambleton, Richmondshire and Whitby CCG, going to ensure that the public, who use and pay for the NHS, are genuinely engaged right from the start which was after all a month ago?

A. Janet Probert noted that most of the population who require specialist treatment go to James Cook University Hospital (JCUH) however there are a range of other organisations who provide specialist care. Most of the planning and care is provided locally, the nearest place for people usually being their general hospital.

The HRW Transformation Board is fully informed and provides feedback at local levels which is then passed upwards. Janet noted the CCG are developing relationships with organisations and sharing information and Debbie Newton has also been involved in a National Funding Tool. The CCG are looking at working collectively and locally and a workshop was scheduled for the following day to discuss this further. The patient would remain at the centre and the CCG will commission together with other organisations and ensure everyone is on the same pathway.


Governing Body - Thursday 26 May 2016

Questions raised related only to the Shuttle Bus. Please refer to the Shuttle Bus FAQs


Governing Body - Thursday 24 March 2016

Questions were raised as submitted prior to the meeting and answered as below:

Q. Will the CCG support the distribution of returned medicines to other countries (i.e third world) if no longer needed?

A. Gill Collinson noted she was unsure if it was possible for HRW CCG to support the above due to regulations in medicines. Gill advised she would check this with Ken Latta.

Q. Will the CCG support having district nurses on one rota to aid continuity of care for the patient?

A. Gill Collinson advised that there were currently two rotas however Humber NHS FT were committed to patient care and were working to ensure continuity of care.

Q. There is concern that the ‘outside’ chemist holds patients prescriptions and orders six months repeat which may not be needed. Will the CCG address this?

A. Charles Parker asked that medicines management take this forward and provide feedback.