Working on Behalf of NHS Newark and Sherwood CCG, NHS Mansfield and Ashfield CCG, NHS Rushcliffe CCG, Nottingham North and East
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RCCG/GB/15/182 (i) Working on behalf of NHS Newark and Sherwood CCG, NHS Mansfield and Ashfield CCG, NHS Rushcliffe CCG, Nottingham North and East CCG, NHS Nottingham West CCG, NHS Bassetlaw CCG Safeguarding Committee Held on Monday, 10 July 2015 12.00pm at Birch House, Ransomwood Business Park, Mansfield Present: Amanda Callow Deputy Chief Nurse, Newark and Sherwood and Mansfield and Ashfield CCGs (joint Chair) Val Simnett Designated Nurse Safeguarding Children, Newark & Sherwood CCG (joint Chair) Cathy Burke Nurse Consultant Safeguarding, Bassetlaw CCG Amanda Jones Adult Safeguarding Lead, NHS Nottingham North and East CCG (items 70-83) Amanda Edmonds Designated Nurse Children in Care Nottinghamshire and Nottingham City Rebecca Stone Deputy Director of Nursing and Quality, Nottingham North and East CCG, Nottingham West CCG and Rushcliffe CCG Nicola Ryan Deputy Chief Nurse, Bassetlaw CCG In attendance: Sue Wass Corporate Governance Officer (minutes) ADULT SAFEGUARDING AGENDA WELCOME AND INTRODUCTIONS (SG/15/42) The Chair welcomed members to the meeting. It was noted that the meeting was not quorate and that virtual agreement on key items on the agenda would be sought to prevent delays in the progress of key documents. APOLOGIES FOR ABSENCE (SG/15/43) Apologies were received from Elaine Moss, Nichola Bramhall, Gary Eves, Mary Corcoran, Dr Emma Fillmore, Dr Fiona Straw, Dr Emma Fillmore, Dr Amy Taylor and Dr Vicki Walker. DECLARATIONS OF INTEREST (SG/15/44) No declarations of interest were made in relation to the agenda. MINUTES OF THE ADULTS SAFEGUARDING COMMITTEE HELD ON 27 APRIL 2015 (SG/15/45) The minutes were agreed as an accurate record of the meeting. However as the meeting was not quorate, the minutes would require formal ratification by the absent members of the Committee prior to the next meeting in order to meet timescales for distribution to governing bodies. ACTION: SW to circulate the minutes to all members seeking ratification. 1 Post meeting note: minutes circulated to members 16 July asking for amendments by 22 July: no amendments received. MATTERS ARISING (SG/15/46) The following actions arising from the previous meeting were noted: AS/14/46 NSAB PRESENTATION: Elaine Moss will take up discussions with Tina Morley. It was noted that Elaine had not been able to meet with Tina Morley. ACTION: SW to set up teleconference between EM and Tina Morley. Action deferred until the next meeting. AS/14/75 FORWARD LOOK ACTIONS: GP member to be requested going forward – Elaine Moss. Cathy Burke and Nicola Ryan suggested that a GP representative for Bassetlaw was not required as ad hoc advice would be sought from their GP safeguarding lead on specific issues. Nichola Bramhall will be asked for an update the position for the south at the next meeting. AS/415/9 STRATEGIC REVIEW OF CARE HOMES: Chris West and Amanda Jones to bring a presentation of the work to the next meeting. It was noted that a lot of joint work was being undertaken around care homes and papers have been submitted to respective Quality and Risk Committees. Action closed. All other actions were noted as completed. PERSONAL HEALTH BUDGETS (SG/15/47) The Committee noted the report, which gave an overview of the current position, proposed the scoping of the work to be undertaken and appoint a project manager. Joint work was being undertaken between the local authority and the five CCGs to identify how PHBs would be rolled out and integrated with social care in the county. It was acknowledged that the PHB agenda, although containing elements of safeguarding was not a key priority for this committee and that PHB would in future be considered through Quality and Risk Committees unless safeguarding exceptions were raised. JOINT SAFEGUARDING AGENDA DECLARATIONS OF INTEREST (SG/15/55) No declarations of interest were made in relation to the agenda. MINUTES OF JOINT SAFEGUARDING MEETING HELD 27 APRIL 2015 (SG/15/56) The minutes were agreed as an accurate record of the meeting. However as the meeting was not quorate, the minutes would require formal ratification by the absent members of the Committee prior to the next meeting in order to meet timescales for distribution to governing bodies. ACTION: SW to circulate the minutes to all members seeking ratification. Post meeting note: minutes circulated to members 16 July asking for amendments by 22 July: no amendments received. MATTERS ARISING (SG/15/57) 2 SAAF: It was reported that in Mid Notts Jane Brady, the recently appointed Associate Designated Nurse for children’s safeguarding, was progressing the implementation of the audit tool with GP practices and an update would be given at the next Committee meeting. It was acknowledged that compliance could not be tested in all practices due to the large amount of work this would entail. However GPs would be asked to raise any identified concerns and issues with the CCG for further support and advice if necessary. It was suggested that practices that required improvement following the forthcoming round of CQC inspections should be prioritised for a SAAF audit. Cathy Burke reported that Bassetlaw had introduced a similar tool during the previous year and were currently drafting an assurance report, which she would circulate when finalised. ACTION: CB to circulate the Bassetlaw SAFF Assurance Report once finalised. KPIs: At the last meeting it was decided that the Committee should focus on up to three key safeguarding issues concerning providers and to build a set of KPIs for the Committee to audit. A number of areas were suggested: Children in Care Health service; mandatory safeguarding training uptake; how providers are implementing the DSAM role; midwifery/ health visitor liaison and handover (note item SG/15/81); recommendations from the Kate Lampard report (SG/15/58); SAAF. As the meeting was not quorate it was agreed to take a final decision at the next Committee Meeting. ACTION: Committee to agree three KPIs. DISCLOSURE AND BARRING (SG/15/58) Cathy Burke introduced the paper, which considered the implications to CCGs of the Kate Lampard report, “Themes and Lessons Learnt from NHS Investigations into matters relating to Jimmy Saville”, which focused on enhancing the Disclose and Barring Service. In discussion the Committee considered that more investigation was required to understand the implications of agreeing to the recommendations. It was agreed that individual CCGs should review current arrangements for lay members in each organisation and seek advice from HR and NHS Employers to feedback at the next meeting for a further discussion on the way forward. Becky Stone agreed to circulate a copy of South Notts’ lay member code of conduct. ACTIONS: BS to circulate South Notts CCGs’ lay member code of conduct BS/AC/CB to investigate current arrangements for their respective CCGs JOINT ACTION PLAN UPDATE: DOMESTIC ABUSE (SG/15/59) Val Simnett introduced the paper. It was noted that NHSE would shortly be writing to CCGs to understand their plans to implement the IRIS project, a programme to aid the identification and support of individuals experiencing domestic abuse. Nottingham West and Mansfield and Ashfield had already introduced the project and it was noted that GPs in Mansfield and Ashfield had been very supportive of the project which had evaluated well. CCG representation on the Domestic and Sexual Abuse Executive Group and its sub committees was discussed to ensure adequate CCG representation at the meetings. It was noted that Elaine Moss represented the Nottinghamshire CCGs on the Executive Group and Amanda Callow sat on the Newark and Sherwood and Bassetlaw CSP. It was agreed to confirm CCG representation on the Mansfield and Ashfield and South Notts CSPs. ACTION: AC/VS to confirm CSP representative for Mansfield and Ashfield CSP; BS to confirm the CCG representative for the South Notts CSP. 3 FEMALE GENITAL MUTILATION (SG/15/60) Val Simnett introduced the item. It was anticipated that an increasing number of cases would be identified requiring multi-agency responses and CCGs needed to ensure that provision was adequate to meet demand. A cross authority working group had been established with CCG representation under the banner of the NSCB to take forward work in this area. Progress would be reported to the Committee on an exception basis, with an update given in 6 months’ time. TRANSFORMING CARE: A RESPONSE TO THE WINTERBOURNE REVIEW (SG/15/61) The report had been tabled at the Committee due to rising concern at the national level that recommendations arising from the Winterbourne Review into allegations of abuse of people with learning disabilities had not been fully implemented. New guidance on Care and Treatment Reviews (CTRs) had recently been published and CCGs were required to have a number of additional processes in place by September. A number of concerns and risks had been identified and a new risk had been drafted for the Committee’s Risk Register. In discussion concern was raised over the ‘blue light’ process, which required commissioners to convene a meeting if an urgent admission was required on a patient without a CTR review. It was agreed that Amanda Callow would seek an urgent update on this issue from Charlotte Tyler and this item would be included on the agenda for the next Committee when Charlotte would be able to give the Committee more detail on CCG actions. ACTION: AC to ask Charlotte Tyler to provide an update on the ‘blue light process’ GP SECURE E-MAIL ACCOUNTS (SG/15/62) Val Simnett gave an update on progress on improving the transmission of information between the local authority and GP practices in relation to child protection conferences. All Nottinghamshire CCGs had now identified secure email accounts for GP practices in the county and the local authority had established secure gcsx accounts for sending invitations and reports.