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					   Tees Valley Health Scrutiny Joint Committee                                        13 August 2007

                       TEES VALLEY HEALTH SCRUTINY JOINT COMMITTEE

   A review meeting of the Tees Valley Health Scrutiny Joint Committee was held on 13 August
   2007.

   **PRESENT:          Representing Darlington Borough Council:
                       Councillor Mrs Swift (Chair) and Councillor Mrs Scott

                       Representing Hartlepool Borough Council:
                       Councillors Brash and Sutheran

                       Representing Middlesbrough Council:
                       Councillor Biswas

                       Representing Redcar & Cleveland Borough Council:
                       Councillors Carling, Mrs Collins and Mrs Wall

                       Representing Stockton-on-Tees Borough Council:
                       Councillor Aggio.

   **PRESENT BY INVITATION:
                  Tees, Esk & Wear Valleys NHS Trust Patient and Public Involvement Forum:
                  David Sugden

                       South Tees Hospitals NHS Trust Patient and Public Involvement Forum:
                       Ann Raw, Jenny Shepherd and Bob Storey

                       Harry Cronin, Director of Nursing, Tees, Esk & Wear Valleys NHS Trust.

   ** OFFICIALS:       A Metcalfe (Darlington Borough Council), C Burnham (Hartlepool Borough
                       Council), J Bennington and J Ord (Middlesbrough Council) and, C Moon and
                       A Pearson (Redcar & Cleveland Borough Council).

   **APOLOGIES FOR ABSENCE were submitted on behalf of Councillor Vasey (Darlington
                 Borough Council), Councillor Plant (Hartlepool Borough Council) and
                 Councillor Dryden (Middlesbrough Council).

   ** DECLARATIONS OF MEMBERS’ INTERESTS

   No declarations of interest were made at this point of the meeting.

   ** MINUTES

   The minutes of the meeting of the Tees Valley Health Scrutiny Joint Committee held on 23 July
   2007 were taken as read and approved as a correct record.

FOUNDATION TRUST CONSULTATION – TEES ESK & WEAR VALLEY NHS TRUST – PATIENT
AND PUBLIC INVOLVEMENT FORUM

   Further to the meeting of the Joint Committee held on 23 July 2007 the Scrutiny Support Officer
   submitted a report on the evidence to be sought from the Patient and Public Involvement Forum
   attached to the Tees, Esk & Wear Valleys NHS Trust.

   Members were reminded that the current consultation centred on how the Foundation Trust
   would be run; how it would involve the local communities it served; and how the Trust would be
   governed in line with stakeholder’s views.

   David Sugden, Joint Chair of the Tees, Esk & Wear Valleys NHS Trust addressed the Joint
   Committee and outlined some concerns and areas which required clarification on the
   methodology of the current statutory consultation the key points of which were as follows: -




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Tees Valley Health Scrutiny Joint Committee                                         13 August 2007

a) although it was stated that there had been no deliberations with the PPIF prior to the
   consultation exercise on the format of the process it was subsequently confirmed that indeed
   a meeting had taken place on the overall procedure;

b) concerns were expressed that the focus of many of the arranged meetings and public events
   seemed to be inviting a presence not necessarily engaging with the public;

c) it was considered important that the Trust was responsive to actual patient and public issues
   raised throughout the process;

d) reference was made to a number of venues which were on a ‘paid-entry’ format which was
   considered likely to deter and may exclude some patients and carers;

e) specific reference was made to a recent press release event on 30 July for which the PPIF
   had not been consulted upon and it was felt had resulted in some confusion between
   recruiting interest in an ‘anti-stigma campaign’ with recruiting members for the Trust;

f) it was acknowledged that since the establishment of the new Trust the PPIF had had to adapt
   to a different style of consultation;

g) there was recognition that the drive towards Foundation Trust status seemed an inevitable
   consequence of current NHS policy and that there were no alternatives;

h) concerns were expressed at the abolition of PPIF’s and a belief that overview and scrutiny
   committees had a potential for political influence and may be the only body representing
   patient concerns;

i) taking into account the experience of other trusts in seeking foundation trust status it was
   considered that the function of members of the trust should be clarified in order to ensure and
   demonstrate that they had an effective role to play;

j) the Joint Committee’s attention was drawn to a Government document published in July 2006
   entitled ‘A Stronger Local Voice’ in which it stated that that ‘NHS organisations need to have
   effective and systematic ways of finding out what people want and need from their services.
   They need to reach out to those people who find it hard to give their views’;

k) whilst the PPIF agreed with the above objective it was considered that the development of
   Links and the Foundation Trust were not seen as a step forward towards greater public
   involvement.

Whilst it was acknowledged that further work was to be undertaken to ensure the engagement of
service users and carers Members expressed support for the endeavours of the Trust to improve
the methods of consultation. Specific reference was made to the use of a wide range of
community-based events and venues rather than relying on specifically arranged public
meetings.

Harry Cronin, Director of Nursing, Tees, Esk & Wear Valleys NHS Trust commented on ongoing
work with a view to improving the current consultation arrangements with the PPFI. Reference
was also made to work currently being undertaken in relation to the overall consultation process
including: -

i)      importance of ensuring that service users and carers understood the proposals which
        had been put forward;

ii)     a sub-committee had been set up to consider appropriate ways of consulting service
        users and carers at a strategic level;

iii)     recognition that lessons would continue to be learnt as the current and future
        consultation exercises progressed.




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Tees Valley Health Scrutiny Joint Committee                                          13 August 2007

Members commented on the current composition and operation of overview and scrutiny
committees across the Tees Valley which, as part of their investigations would seek the views of
the local community on matters under consideration where appropriate and available. Although
such committees were politically balanced the main objective was to achieve a consensus view
on the evidence presented.

It was considered important that a wide range of consultative mechanisms were pursued in order
to engage meaningfully with the broader community.

AGREED that David Sugden and Harry Cronin be thanked for the information provided and
participation in subsequent deliberations.

FOUNDATION TRUST CONSULTATION – SOUTH TEES HOSPITALS NHS TRUST –
PATIENT AND PUBLIC INVOLVEMENT FORUM

Further to the meeting of the Joint Committee held on 23 July 2007 the Scrutiny Support Officer
submitted a report on the evidence to be sought from the Patient and Public Involvement Forum
attached to the South Tees Hospitals NHS Trust.

Representatives of the South Tees PPIF outlined the main observations on the current
consultation. Involvement with the Co. Durham & Darlington NHS Foundation Trust and
information gained from other acute Trusts pursuing a similar process had assisted them in
gaining a better understanding of the principles of Foundation Trusts.

Similar concerns were expressed regarding the need to ensure that the current consultation
arrangements were effective in engaging with the public and sought to gain the views of service
users and carers.

The key points on the current consultation exercise included the following: -

a) although a list had been publicised of a series of open meetings clarification was required as
    to how the Trust intended to engage with the public, service users and carers;

b) it was also felt that clarification was needed as to who would be directing and co-ordinating the
    above meetings;

c) reference was made to the population of the Upper Esk Valley area which accessed services
    at James Cook University Hospital but for which there was no specific consultation or public
    meetings arranged for in that area;

d) an assurance needed to be given that the new arrangements would continue to take the
    patient’s experience and views into consideration throughout the processes;

e) it was considered important that the current corporate functions in meeting national targets
    and standards would continue and develop;

f) clarification was required regarding the appointment and role of Governors;

g) given the principles of foundation trusts in terms of greater financial freedom it was considered
    that Governors should have appropriate financial experience and knowledge.

It was suggested that representatives of the Trusts could be invited to the next meeting of the
Joint Committee in order to discuss the issues raised by the PPIF’s.

AGREED that the representatives of the South Tees Hospitals NHS Trust PPIF be thanked for
the information provided which was noted.




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