June Governing Body Meeting
We have had a busy few months so there was a lot to discuss at the Board Meeting last week. It was a packed agenda which kicked off with a presentation from Katie Denton, Deputy Director of Primary Care Development about the exciting plans we have to create a joined up new model for “out of hospital” care in Wandsworth. This is the term we use to describe all the care people receive in the community.
Building on our five year plan for out of hospital care, our intention is to create a multispecialty community provider (MCP) where groups of clinicians, specialists and social care workers all work together for patients. This is particularly important for patients with complex health needs.
The Board was asked to approve the first stage of this plan which would mean incorporating enhanced primary care and community services which would then be joined by other NHS services and with social cares The plan is still in the early stages and there were comments from the Board and members of the public about the importance of seeing a detailed work plan, communications, the timings and the resources required.
The Board also discussed the proposal to contract NHS 111 and out of hours services in a joined up way. This would fit better with the national way of doing things which means NHS 111 is the first port of call for people that need urgent and emergency care services. For example, integration will mean NHS 111 can book patients into appointments at urgent care centres without people having to phone another number.
We were given a detailed analysis of the circumstances that led to the financial deficit at St George’s by their chief executive Miles Scott. He explained how investigations were being carried out by the Trust, Monitor and Price Waterhouse Coopers. The deficit is the result of a combination of factors, some of which have affected all large acute teaching hospitals over the last few months – rising demand, winter pressures, overspending on agency staff and a fall in income. There is now a turnaround plan in place with the emphasis on cost control, but with quality and safety prioritised.
Our Board asked that the Trust take note of best practice being followed by other Trusts and in answer to a query from the public about what would happen if the cost improvement plan didn’t work, Miles said that there was simply ‘no plan B’. In other words, we have to make it work.
If you would like to come along to our next meeting to see how we are progressing, it is on Wednesday 8 July 2015. I look forward to seeing you there.