Annual Report 2019-2020

Powys Community HealthAneurin Council Bevan CHC Operational Plan 2020-2021

August 2020

www.communityhealthcouncils.org.uk1 Aneurin Bevan CHC Operational Plan 2020-2021 Community Health Councils (CHCs) are the independent voice of peoplewww.communityhealthcouncil.org.uk in Wales who use NHS services. We are made up of local volunteers who act as the eyes and ears of patients and the public. There are 7 CHCs covering different parts of Wales.

An electronic copy of this document can be found on our website: www.communityhealthcouncils.org.uk/ powys

This report is also available in Welsh. If you would like this publication in an alternative format and/or language, please contact us: st 1 Floor Neuadd Brycheiniog Room 1.3 Ladywell House Cambrian Way Newtown Brecon SY16 1JB LD3 7HR

Tel: 01874 624206 / 01686 627632 Email: [email protected] Twitter: @powys_chc Facebook: PowysCHC

Powys CHC Annual Report 2019-2020

Contents

4 Message from our Chair 6 About us 7 Our vision 8 Our strategic framework 9 Our equality objectives 10 Our functions 11 Our year at a glance 12 Membership 13 Our ways of working 13 Our national standards 14 How we have made a difference 28 Working with others 29 Our plans for next year 30 How can you get your voice heard or become involved 31 Appendices 1-5

PowysPowys CHC CHC Annual Annual Report Report 2019 2019--20202020

Message from our Chair

I have pleasure and pride in document, we present our presenting this report. achievements and identify the impact our interventions have It is a strange time to look made. backwards. Current events have forced many of us to re-evaluate Over the past twelve months, priorities, ways of working and Powys CHC has represented the mobilise many new responses to interests of the public and ensure that Powys residents patients in all aspects of its continue to receive the very best work – enabling their voices to in health care. be heard in all areas of the NHS. Looking back is what accountable organisations do. It is the time We have continued building when we ask what did we set out partnerships across the area, to achieve, what issues did we with colleagues in the health help resolve or prevent, and system and with the voluntary importantly, what did we learn to and community sector, carry forward into 2020? examples of which you can find throughout this report. In 2019, we continued to engage with a large number of individuals I am particularly proud of the and organisations and, in this work we have done in respect

Powys CHC Annual Report 2019-2020 we have done in respect

of responding to service In terms of health care change, our work scrutinising services, our Members are the service provision, our “eyes and ears” in their local increased engagement communities and I am very activities, and the support pleased that during the year provided through our we have been able to increase Advocacy Service. their number and provide dedicated and bespoke We are taking forward the training to enable them to learning from this year into carry out their duties. our Operational Plan for 2020/21 and, in this report The CHC movement stands on you will find outlined the local the cusp of an exciting and priorities we are aiming to transformational chapter - the respond to. These include: development of a Citizen further work on Primary Care; Voice Body for Health and work with young people and Social Care - so there is much children; mental health to look forward to and much services; services for those in work to be done. We look vulnerable situations; gender forward to working with Welsh identity services, sexual Government and others to health services, emergency ensure that the voices of medical services, delayed residents of Powys are heard transfers of care and virtual throughout all aspects of the wards. increasingly complex environments that make up None of our activities would our health and care system. be possible without the Members and staff of the CHC, and I want to praise their ongoing commitment, hard work and dedication to improving the health and wellbeing of our local population. Frances C Hunt Chair

5 Powys CHC Annual Report 2019-2020 Powys CHC Annual Report 2019-2020 About us

Powys Community Health Council (CHC) is the independent watchdog of NHS services in Powys. We use surveys, apps and social media to What we do engage with our community. Powys CHC seeks to work with the NHS and inspection and regulatory bodies. We provide an important link between those who plan and deliver NHS services, those who inspect and regulate it, and those who use it.

Our Advocacy Powys CHC hears from the public in many Service helps different ways. We visit NHS services to people who talk to patients and carers. We talk to want to raise a people at public events, and through concern about community groups. NHS care or treatment.

Powys CHC Annual Report 2019-2020 Our vision

People in Powys know that they can share their views of the NHS easily and recognise that doing so can have a real influence on the shape of healthcare services.

People understand and value the role played by CHCs in supporting them to be heard and in representing the collective interests of patients and the public.

Powys CHC Annual Report 2019-2020

Our strategic framework

To help make our vision a reality the CHC movement in Wales has agreed a strategic framework incorporating 5 key priorities. These priorities underpin our plans and activities.

Making every voice count

Improving our influence and reputation

Building and developing an effective learning and values based culture

Valuing our members and staff

Strengthening our national voice

Powys CHC Annual Report 2019-2020

Our equality objectives

To help us deliver our key priorities, we have also identified these equality objectives:

▪ We will work with others to find better ways to hear from everyone, including those who are in the most vulnerable situations and those whose voice might not otherwise be heard.

▪ We will adapt our approaches to reach those whose care is delivered out of hospital and develop our resources and advocacy services to ensure that they are widely accessible, available and relevant.

▪ We will develop our plans with the public and with our partners so that they focus on the things that matter most and have the best chance of making a difference.

▪ We will build on our existing partnerships and forge new ones where working together increases our chances of making a difference.

▪ Our membership must reflect the diversity of the communities they represent and support. We will monitor our membership and develop targeted and more inclusive ways of recruiting new members so that we become more representative.

Powys CHC Annual Report 2019-2020

2019-2020

Our functions

CHCs have four main functions these can be described as:

Systematically Representing the interests of patients visiting and and the public in the 1 scrutinising 2 planning and local Health agreement of NHS

Services Service Change

Enabling users of Continuously the NHS to raise engaging with the 3 concerns about the 4 communities we services they receive represent and the through an Health Service Independent providers serving Complaints those communities Advocacy Service

Powys CHC Annual Report 2019-2020

Our year at a glance

Our advocacy We visited 21 service gave services to hear advice and from people information to whilst they were receiving care 100 people

nd Undertook our 2 5 areas of service change peer review to across Powys were measure our performance considered during 2019- against the CHC National 2020. Standards Our advocacy service Our advocacy service Closed 73 cases opened 53 new supported 68 people once the concern cases to support who had raised their had been resolved people raise formal concerns the previous or the process concerns through the year through the NHS ended. NHS concerns process concerns process

21 members supported Powys CHC to perform its functions during 2019-2020.

Powys CHC Annual Report 2019-2020

Membership

Our volunteer membership

Powys CHC membership is made up of 17 full members.

Our members are all local people who give their time for free. We also have 4 co-opted members who we recruit directly from local communities.

If you are interested in becoming a member, please contact us by using the details at the front of our report.

Powys CHC Annual Report 2019-2020 Powys CHC Annual report 2019-2020

Our ways of Our national working standards

1. CHCs act in the interests of the public and patients in Wales The way in which we 2. CHCs work effectively with organise ourselves to others to safeguard and carry out our activities is promote the welfare of people set out in regulations who use NHS services passed by the National 3. CHC activities and services Assembly for Wales. meet the needs of and are accessible to all

The activities we carry 4. CHC activities are open, transparent and inclusive out are co-ordinated and overseen by our 5. CHC activities are properly led, resourced and supported Executive Committee, Services Planning 6. CHCs plan and carry out their activities in a way that Committee, maintains their independence Montgomeryshire Local and demonstrates their Committee and accountability to the Radnorshire & Brecknock communities they serve Local Committee. These 7. CHCs strengthen the voice of committees make up our patients and the public by full council. Our working together and with others Executive Committee is ultimately responsible 8. CHCs reflect the views and for what we do and how experiences of patients and the public about NHS services we do it. 9. CHCs share the results of their activities in a balanced and timely way 10. CHCs evaluate the impact of their actions and apply the learning to future activities

PowysPowys CHC CHC Annual Annual report Report 2019 2019-2020-2020

How we have made a difference: Working locally

During 2019-2020 we set local priorities. We looked at the issues that people told us were most important to them and responded to concerns raised through our activities and those of others. As with every year, our main priority has been to give patients and the public a voice.

We have increased our activity to ensure that patients are represented both in primary and secondary care, we have held various focus groups and have spent time returning to wards to ensure that action plans have been implemented.

Engaging with These events included: people in our local ▪ Royal Welsh Show communities ▪ National Eisteddfod ▪ Men’s Shed Eishedfod 2019-2020 has been an ▪ Rural Health & Care active year in terms of Wales Conference engagement. Patients and the ▪ Powys Association of public have been actively Voluntary Organisations engaged with during each of AGM our scheduled visits so that ▪ Powys Teaching Health we can gain an understanding Board AGM of the current experience. ▪ Powys Dementia Network ▪ Community Workers Network Meetings We also increased the (Brecon, Newtown and number of engagement Ystradgynlais) events that we carried out ▪ Local shows throughout with the public, taking our CHC stand to many events Powys during the summer throughout the year. ▪ Local markets and supermarkets

Powys CHC Annual report 2019-2020

▪ Events organised by local Scrutiny voluntary organisations We have continued to ▪ Events organised by monitor and scrutinise the Powys Teaching Health health services that are Board available to patients. Where ▪ Libraries around Powys we have seen a drop in performance level or we have CHCs have a responsibility to had queries about the impact represent the interests of on patients, we have patients and the public within requested an explanation. the geographical areas they serve. We scrutinised services by receiving presentations from Often, the priorities identified healthcare providers at CHC by patients and the public will meetings when members be local to a particular CHC were able to comment and area or even to a specific ask questions. We also hospital or service. There will, attended many NHS Board however, always be themes and Committee meetings to and priorities that are feed in people’s views and common to CHCs across ensured that the interests of Wales. the patients and public were considered (see Appendix 4 for a list of the meetings When this happens, CHCs attended). work together to ensure that the views and experience of patients and the public are The CHC received regular reflected both locally and updates from Powys Teaching nationally; providing a strong Health Board, presentations patient voice to influence the on Welsh Ambulance Service development of national performance, information policy and local delivery. relating to Delayed Transfers of Care (patients waiting to move from hospital to their Our national reports are home setting), and available on our website. information on Aneurin Bevan

Powys CHC Annual report 2019-2020

University Health Board’s spoke passionately about Clinical Futures Programme. young people’s We were particularly keen to experience of health hear how the development of services, in particular the Grange University mental health services, Hospital near Cwmbran would sexual health services affect services provided to and primary care Powys residents. services. We used our Full Council meetings to focus on themes that were aligned to our Changes in local Operational Plan for 2019/20. NHS services The themes included: Throughout 2019-2020 the ▪ Development of Mental Health Board have made, or Health Services and planned to make, some services for people living significant changes to with Dementia; services. Powys CHC was ▪ Services for people in appraised of and consulted on vulnerable situations various NHS service changes including a presentation from local to regional from Calan Domestic proposals. Our involvement in Violence Service and a these proposals was to presentation from Powys ensure that the public and County Council on patients’ views were at the services for Refugees; heart of the changes and that the impact on the service ▪ Health services for young user would be as positive as people, including a possible. We were involved presentation on in the proposals and plans of: developments in sexual health services in Powys ▪ Dyfi Valley Health – and a presentation on Closure of the GP surgery Child & Adolescent Mental in Cemmaes Road; Health Services. We ▪ Brecon Medical Group were joined by a Powys Practice - Closure of member of the Welsh Sennybridge Health Youth Parliament. She Centre for afternoon

Powys CHC Annual report 2019-2020

dispensing services; services will be made ▪ The future delivery of an later in 2020; Integrated Out of Hours ▪ Amman Tawe Partnership Primary and Community – Application to close Care Model for Powys Cwmllynfell Surgery (the (this has been paused); engagement process has ▪ North Powys Wellbeing concluded and the next Programme - a once in a stage is to be confirmed generation opportunity to by Swansea Bay improve health and University Health Board); wellbeing across north ▪ Major Trauma Network Powys. Plans are for South and West Wales underway to develop a and South Powys; new state of the art ▪ The Future Shape of facility in Newtown. This Adult Thoracic Surgery will be connected to a Services in South Wales; number of community ▪ Herefordshire & wellbeing hubs to offer more services locally and Worcestershire bring the latest Sustainability & Transformation technology and training Partnership Review of to mid Wales; Stroke Services; ▪ Meeting the Challenges in ▪ Betsi Cadwaladr Podiatry Services in University Health Board Powys: Redesigning Review of Nuclear Services for the Future. The Health Board Medicine and PET-CT undertook a period of Scanning Services; engagement between ▪ Aneurin Bevan University 19 February 2020 and 12 Health Board – interim May 2020 when they arrangements for outlined the challenges in paediatrics, neonatal, podiatry services and obstetrics and proposals for the future gynaecology services of services. The decision prior to the opening of on how to develop The Grange University Hospital;

Powys CHC Annual report 2019-2020

▪ Velindre NHS Trust – cessation of outreach service at Nevill Hall

Hospital.

Although the consultation process has ended and decisions have been made in respect of the following service changes, the CHC continued to monitor and scrutinise the development of the plans: Complaints Advocacy and ▪ NHS Future Fit – about enquiries hospital services provided at Royal Shrewsbury Hospital & Powys CHC provided Princess Royal Hospital independent complaints in Telford; advocacy support and advice for anyone living in their area ▪ Aneurin Bevan who wants help to raise a University Health Board concern about NHS services Clinical Futures and wherever they were development of The delivered. Grange University Hospital; During 2019-2020 we ▪ Hywel Dda University assisted 100 people to Health Board resolve concerns by offering Transforming Clinical initial advice, signposting or Services. supporting people to resolve issues informally.

We also offered support and advice throughout the NHS

Concerns Procedure known as

Powys CHC Annual report 2019-2020

Putting Things Right (PTR). We have been instrumental in We opened and carried over changes in governance and 75 cases offering this clinical practice as well as support. staff training.

Every concern is different and Some of the changes the CHC people wanted and needed has recommended and which different levels of support to have had an impact on the take their concern forward. patient are:

We helped by explaining the ▪ Improving Communication concerns process and helping ▪ Treatment/second opinion people to think about what for treatment they want and expected to ▪ An apology to the happen as a result of raising their concern. complainant from the NHS We provided practical support provider to those who wanted it, ▪ An explanation as to why including helping people write the event occurred letters, going with them to ▪ Reduced incidence of meetings, helping people similar issues arising again understand the information ▪ Improved patient safety and response provided by NHS organisations. ▪ Better experience for people wishing to raise a Advocacy is an integral part concern of the CHC’s core functions. ▪ Reduced the number of Our case work provided concerns that are important information about escalated NHS services and issues and we used this to inform our We have had frequent other activities. discussions and meetings

with the Concerns Team As a result of concerns raised within the Health Boards by clients, changes are often (Powys and cross-border). made which have a wider We used these discussions to benefit. ask for improvements in the

Powys CHC Annual report 2019-2020

time taken for concerns to be the work we do and enable responded to and also the the NHS to learn lessons from sharing of action plans for complaints. when service failures may be An example is shown below: identified. ▪ Mr A complained about

An example of a client’s the care and treatment comment is shown below: commissioned by Powys Teaching Health Board for

his daughter, at three

separate mental health

facilities. Mr A also “My Advocate was complained about the always available to nature of his daughter’s provide me with support transfer between two of throughout the complaints the facilities.

process. Her help, support and ▪ The Health Board’s advice was invaluable and investigation found that nothing was too much trouble access to medical treatment was delayed for her. She kept in contact with and that there were me on a regular basis which failings to follow up kept me fully updated with the concerns about adult complaint process and protection. The responded efficiently investigation also found to all of my issues.” evidence of poor and inaccurate communication between the Health Board and Mr A. The Health Board apologised for the identified failings. The content of the investigation was discussed with the The CHC uses summaries of relevant Health Board complaints in our newsletters staff to identify what and reports to demonstrate lessons could be learned.

Powys CHC Annual report 2019-2020

Finally, it was ▪ Cleanliness was high in recommended that the hospitals; Health Board share the ▪ There were items and investigation report with activities available for the identified providers patients to relieve and review its process for boredom; monitoring commissioned ▪ We received positive services for adults. feedback on food and menu choices and we were told that Visiting alternatives were provided if meal times Over the past year our were missed. members have conducted 21 visits to a range of acute and We highlighted the following community hospital wards, issues that required emergency departments, improvement: health centres and GP surgeries. In total 36 wards/ ▪ Better signposting departments/GP surgeries internally and externally have been visited and 4 of required throughout the visits were follow up visits Powys; which are in place to monitor the progress of action plans ▪ There was a lack of that are provided by the hearing loops or, where Health Board or GP Practice. they were available, there was a lack of training for staff to use From our visits to hospitals, them; we noted the following positive points: ▪ Handwashing facilities were not always easily ▪ The standard of accessible for wheelchair individual care shown by users; staff, from receptionist to senior nurse, was ▪ Although very clean, very high in all some areas in hospitals hospitals; throughout Powys were found to have dated

Powys CHC Annual report 2019-2020

décor; ▪ Many practices ▪ There needed to be throughout Powys do better information on not have automated the “Putting Things doors making access for Right” process; wheelchair users difficult; ▪ Parking was an issue in many hospitals. We ▪ Triage was often seen as were told that, often, an inconvenience, spaces were taken up by particularly for working people who were not people and those that attending the hospital. were not given an estimated time for a call

back had to wait in all From our visits to GP day in some instances; Practices, we noted the following positive matters: ▪ Waiting times for an appointment with a ▪ The overall impression doctor could be lengthy; gained from discussions with patients and ▪ Ringing through to the through survey feedback surgery was often was that they were very difficult; satisfied with the service ▪ There was a high and had confidence in dependency on locum the doctors and other staff due to difficulty in medical staff; recruitment; ▪ Internal signage was ▪ Concerns were raised clear and helpful; about support for mental ▪ Surgeries were clean health issues; and tidy; ▪ We received reports ▪ For most practices, throughout Powys that there were ample there had been an parking spaces increase in lead time for available. prescriptions. Often when collecting multiple We highlighted the following medicines, only one was issues which required available resulting in improvement: people having to make

Powys CHC Annual report 2019-2020

repeat journeys; Some examples of the work ▪ The availability of we are proud of this year are: hearing loops to patients ▪ We were pleased to was not always made welcome the Welsh obvious and not all staff Government Minister for were trained on how to Health & Social Services, use them. Vaughan Gething, as a key speaker at our Annual General Meeting. We also received a very Achievements inspiring and moving presentation about the The relationship we have built Wales Air Ambulance with the Health Board in Service. Powys continued this year in ▪ Following the Health allowing us to identify where Board’s decision to allow change is needed for the Dyfi Valley Health to benefit of patients. Our visit close the surgery in reports have been welcomed Cemmaes Road, we and used effectively in worked with them to producing action plans to develop a mitigation make improvements. Our plan to minimise the Chair and Chief Officer met negative impact of the with the Chair and Chief closure on patients. We Executive of the Health Board continue to monitor on a regular basis and we services at Dyfi Valley had meetings with individual Health against that plan. Executives to discuss ▪ In January 2019, particular services. This Shropshire and Telford & meant that the CHC had the Wrekin Clinical opportunity to discuss many Commissioning Groups aspects of healthcare with the approved the decision to commissioners and providers transform hospital of the services to ensure that services for the people they are the best possible of Shropshire, Telford services available for Powys and Wrekin and mid residents. Wales (the process

Powys CHC Annual report 2019-2020

known as NHS Future to the Secretary of Fit). Princess Royal State, the Panel made Hospital (PRH) in Telford reference to the will become a dedicated information provided by Planned Care site and the CHC. The Secretary the Royal Shrewsbury of State upheld the NHS Hospital (RSH) will Future Fit decision. become a specialist Emergency Care site. The CHC attends the This will allow specialist Shrewsbury & Telford doctors to treat the Hospital NHS Trust most serious cases on Oversight Group the Emergency Care meetings in order to site, which is proven to scrutinise the be safer, provide better development of the results for patients and plans for change. reduce the amount of ▪ We continued to work time people have to stay behind the scenes to in hospital. ensure that, from the outset of any project or Telford & Wrekin Council plan to develop or referred this NHS Future change services, the Fit decision to the voice of the patient is Secretary of State for taken into consideration, Health in England and eg the Health Board’s an independent review programme for the was carried out over the future delivery of an summer 2019. Powys integrated out of hours CHC was engaged in this primary and community process and our Chair care model for Powys. and Chief Officer ▪ During the year 2019- participated in a session 2020, we developed a with the Independent comprehensive plan Review Panel when they outlined the potential which saw an increase in impact of the Future Fit our engagement options for Powys activities. We also developed a simple residents. In its report

Powys CHC Annual report 2019-2020

survey which asked survey about people for their views orthodontics services. and experience of local 181 young people in NHS services. We Powys completed the received and analysed survey. This was a 450 completed surveys. national survey across We received many all CHCs in Wales and positive comments the outcome of it will be about health services reported soon. and many people said The contacts we have they received very good made with schools and care and treatment from colleges, along with the GP services and in link we made with the hospitals and specialist Welsh Youth Parliament centres. From the this year, will help us things which people with our work to find out thought did not work so about children and well, a significant young people’s views number of comments and experience of NHS were made about services. accessing GP services. ▪ We were successful in We undertook a piece of recruiting 6 new work to map out the members during the appointment and triage year and we have been systems in each of the able to provide bespoke GP surgeries in Powys. training for them. We This work will form the have a team of basis of our plan to look enthusiastic members more deeply at who are willing to accessibility of primary challenge health service care services. providers on behalf of ▪ We made contact with their communities. every secondary school ▪ Significant CHC time and and college in Powys resource was given to and asked them to responding to the Health encourage their young and Social Care (Quality people to complete a and Engagement)

Powys CHC Annual report 2019-2020

(Wales) Bill. This had with the public and focused on the need for patients, we paused our the new Citizen Voice visiting and engagement Body to be independent processes, we closed our and have proper offices and staff began authority (teeth) to to work from home. represent the interests Some staff put their of patients. We worked names forward for with Assembly Members redeployment with the and key stakeholders Health Board so they throughout the process could help where it was and development of the most needed. Bill in order to put Members and staff also forward the views of joined up as COVID-19 CHC members. We will health and care continue to work with volunteers. We have Welsh Government as worked hard to continue the Act comes into force to play our part in and throughout the reflecting people’s views transition to the new and representing their Citizen Voice Body. interests in the NHS at ▪ Towards the end of the this critical time. We financial year, we began also continued to to face drastic provide our Complaints restrictions and changes Advocacy Service for to health services in people who wished to response to the COVID- raise concerns or 19 pandemic. As a CHC complaints about NHS we worked hard to services. reconfigure the way we work. We had to stop all face-to-face contact with our members and

PowysPowys CHC CHC Annual Annual Report report 20192019--20202020

How we have made a difference: Working nationally

Working together, the Board and CHCs highlight issues that do or will impact on people’s experiences across Wales. We draw on our local knowledge to shape the national agenda and challenge policy makers and those who deliver our services to do better.

We do more than offer responses on issues raised by others; we set out the case for change on those issues that matter most for patients and the public; describing where improvements are needed and holding the NHS in Wales to account on its performance.

National themes

Working through the Board of ▪ Orthodontics Community Health Councils in ▪ Time to go home? Wales, in 2019-2020 the 7 CHCs also kept a close eye on CHCs in Wales worked on 4 the progress being made in national projects. response to the projects carried out in the previous We wanted to hear what year. people had to say across Wales about the NHS in some

key areas:

▪ GP Out of Hours

▪ Eye care services in

Wales

Powys CHC Annual report 2019-2020

Working with others

During the year we undertook some of our activities with others.

We worked alongside neighbouring CHCs on various projects.

We met with Healthcare Inspectorate Wales on a regular basis to share information and inform our work programme. We referred clinical concerns to Healthcare Inspectorate Wales.

We had regular discussions with Ombudsman’s staff to discuss how concerns were being handled by the NHS and offered suggestions on how improvements could be made.

We worked with third sector colleagues and community groups from:- ▪ Alzheimer’s Society ▪ Brecon Community Workers Network ▪ Dementia Matters in Powys ▪ Llys Glan yr Afon, Newtown ▪ Machynlleth Community Workers Network ▪ Men’s Sheds Cymru ▪ Mid Wales Joint Committee for Health & Social Care ▪ Montgomery Medical Practice Patients Association ▪ Newtown Community Workers Network ▪ Powys Association of Voluntary Organisations ▪ Shrewsbury & Telford Hospital NHS Trust public engagement team ▪ Ystradgynlais Community Workers Network

Powys CHC Annual report 2019-2020

Our plans for next year

During 2020-2021 we will be working with people across Wales to look at the issues impacting on the Powys population.

We will be responding to local priorities identified by patients and the public and drawn from our own activities. This will include:

▪ Coronavirus ▪ A new Citizen Voice Body ▪ Accessibility and sustainability of Primary Care (including GP, dental and pharmaceutical services) ▪ Young people’s and children’s experience of NHS services in Powys ▪ Health services for people with dementia ▪ Mental health services ▪ Services for individuals in vulnerable situations eg. Refugees/ homelessness and those from less-heard groups eg. Gypsy traveller communities ▪ Gender Identity Services ▪ Sexual Health Services ▪ Performance of Emergency Medical Services – handovers, red calls ▪ Delayed Transfers of Care (DTOC) ▪ Virtual Wards

Powys CHC Annual Report 2019-2020

How can you get your voice heard or become involved

We are always keen to hear from anyone who wants to share their views and experiences of NHS services. You can contact us using any of the details included at the end of this plan. You can also tell us if you would like us to include you on our distribution list for surveys and updates.

If you are part of a group or available on our website and organisation and would like through our social media to work with us on any of our pages. activities we would love to hear from you. We are also We have increased use of our happy to come and hear from social media pages, Facebook any groups who have a story and Twitter, to publicise the to share about any aspect of work we are doing and to share NHS services. We publish a important information from calendar of meetings on our health and community services. website so that you can see And…we are always when and where we will be looking for new members! discussing key issues affecting NHS services. The vast majority of our work is undertaken by local Our committee meetings are volunteers who have an held in public so you are interest in helping their welcome to attend. Please let communities to have a say in us know if you would like to how their NHS is designed receive a set of committee and delivered. papers in advance. If you could spare some time We publish a newsletter on a over 3-5 days a month please quarterly basis. This is get in touch.

Powys CHC Annual Report 2019-2020

Appendix 1 Financial statement

The financial statement recording the budget and expenditure for the period 1 April 2019 to 31 March 2020 is set out below.

The information below relates to the core funding provided by Welsh Government, through the Board of Community Health Councils for the performance of the Council’s functions including the provision of the Complaints Advocacy Service.

Powys CHC are able to report an underspend of £0.00 at the end of the financial year 2019-2020.

Fixed costs Annual Budget Expenditure to Variation 31 March Staff salaries £213,135.00 £211,646.00 £1,489.00 Office expenses £4,090.00 £4,161.00 -£71.00 Accommodation £34,560.00 £34,537.00 £24.00 costs Total (Fixed) £251,785.00 £250,344.00 £1,441.00

Variable costs Annual Budget Expenditure to Variation 31 March Travel and £14,960.00 £14,954.00 £6.00 associated expenses Office £8,457.00 £10,374.00 -£1,917.00 expenses Total £23,417.00 £25,328.00 -£1,911.00 (Variable)

Powys CHC Annual Report 2019-2020

Complaints Advocacy costs Annual Expenditure Variation Budget to 31 March Staff salaries £69,436.00 £75,116.00 -£5,680.00 Office £2,760.00 £2760.00 £0.00 expenses Budget £6,150.00 £0.00 -£6,510.00 transfer Total £78,346.00 £77,876.00 £470.00

Overview Annual Expenditure Variation Budget to 31 March Total £347,398.00 353,548.00 -£6,150.00 (fixed, variable and advocacy) Budget £6,150.00 £0.00 £6,150.00 adjustment agreed by the CHC Board Total £353,548.00 £353,548.00 £0.00

Powys CHC Annual Report 2019-2020

Appendix 2 Declarations of interest

Executive Committee members’ directorships of companies or positions in other organisations likely, or possibly, seeking to do business with the NHS are published in the Council’s Annual Report to Welsh Ministers required under Regulation 25 of the CHC Regulations 2015.

Name Position held in Directorship Other CHC positions of authority Mrs Frances Chair of Powys CHC None Secretary – Hunt declared St Dogfan’s Church, Llanrhaeadr ym Mochnant, Secretary – Tanat Valley Mission Area

Dr David Vice Chair of Powys None None Collington CHC declared declared

Dr Anthea Chair of None Teaching Wilson Montgomeryshire declared on contract Local Committee basis via Open University in field of Health and Social Care

Powys CHC Annual Report 2019-2020

Cllr David Vice Chair of None None Jones Montgomeryshire declared declared Local Committee Jacqui Chair of None None Wilding Radnorshire & declared declared Brecknock Local Committee

Geoffrey Vice Chair of None None Davies Radnorshire & declared declared Brecknock Local Committee

Ms Katie Chief Officer of None None Blackburn Powys CHC declared declared

Powys CHC Annual Report 2019-2020

Appendix 3 Members of Powys CHC 2019-2020 (*Membership ended during the year)

Name Position held in Locality CHC Mrs Frances Hunt Public Appointment Montgomeryshire and Chair of CHC Dr David Collington Third Sector and Montgomeryshire Vice Chair of CHC *Cllr Heulwen Hulme Local Authority Montgomeryshire Member Mrs Flavia Humphreys Co-opted Member Montgomeryshire Cllr David Jones Local Authority and Montgomeryshire Vice Chair of Montgomeryshire Local Committee (LC) Mrs Jane Randall- Public Appointment Montgomeryshire Smith Member Cllr Lucy Roberts Local Authority Montgomeryshire Member Ms Nicola Ruck Third Sector Montgomeryshire Member Mr Rex Shayler Third Sector Montgomeryshire Member Dr Anthea Wilson Public Appointment Montgomeryshire and Chair of Montgomeryshire LC Cllr Beverley Baynham Local Authority Radnorshire & Member Brecknock Cllr Jackie Charlton Local Authority Radnorshire & Member Brecknock

Powys CHC Annual Report 2019-2020

Mrs Joanne Coleman Co-opted Member Radnorshire & Brecknock Mrs Karen Collins Co-opted Member Radnorshire & Brecknock Mr Nigel Craddock Co-opted Member Radnorshire & Brecknock Mr Geoffrey Davies Third Sector and Radnorshire & Vice Chair of Brecknock Radnorshire & Brecknock LC Dr Patricia Dryden Third Sector Radnorshire & Member Brecknock *Mrs Auriol Graham Public Appointment Radnorshire & Member Brecknock *Mr Gareth Hayton Co-opted Member Radnorshire & Brecknock Mr Rhobert Lewis Public Appointment Radnorshire & Member Brecknock Cllr Peter Roberts Local Authority Radnorshire & Member Brecknock Cllr Edwin Roderick Local Authority Radnorshire & Member Brecknock Mr Roger Smart Public Appointment Radnorshire & Member Brecknock Mrs Jacqui Wilding Public Appointment Radnorshire & and Chair of Brecknock Radnorshire & Brecknock LC

Powys CHC Annual Report 2019-2020

Appendix 4 External representation 2019-2020

Committee/group CHC representative Aneurin Bevan University Health Geoffrey Davies Board (ABUHB) - Board Meeting Hywel Dda CHC Ceredigion Local Nicola Ruck Committee Mid Wales Joint Committee for Frances Hunt Health & Social Care NHS Future Fit Travel & Transport Anthea Wilson Group David Jones Powys teaching Health Board Frances Hunt (PtHB) - Board Meeting Katie Blackburn PtHB Joint Chair / CEO Meetings Frances Hunt Katie Blackburn PtHB Out of Hours Programme Katie Blackburn Board Andrea Blayney PtHB Audit Risk & Assurance Anthea Wilson Committee PtHB Experience, Quality & Safety Geoffrey Davies Committee PtHB Performance & Resources David Collington Committee PtHB Strategy & Planning Jacqueline Wilding Committee PtHB Ex-Armed Forces Forum Jacqueline Wilding PtHB Diabetes Planning & Delivery David Collington Group PtHB Mental Health & Learning Nicola Ruck Disabilities Planning & Delivery Group PtHB Mental Health Engage to Andrea Blayney Change Subgroup Flora Buckle

Powys CHC Annual Report 2019-2020

PtHB Sexual Health in Powys Anthea Wilson Network PtHB Brecon War Memorial Car Park Rhobert Lewis Group PtHB Crickhowell Health Focus Geoffrey Davies Group PtHB Llanfyllin Patient Participation Frances Hunt Group PtHB Llanidloes Patients Forum David Collington PtHB Machynlleth Patients Forum Nicola Ruck PtHB Ystradgynlais Health Focus Pat Dryden Group Red Kite Healthcare Solutions Geoffrey Davies Robert Jones & Agnes Hunt Rex Shayler Orthopaedic Hospital NHS Trust Anthea Wilson (RJAH) Board Meeting RJAH Patient Experience & Rex Shayler Involvement Panel Shrewsbury & Telford Hospital NHS David Collington Trust(SaTH) Trust Board Meeting SaTH Acute Reconfiguration Katie Blackburn Implementation Oversight Group SaTH/Healthwatch Shropshire/ Andrea Blayney Healthwatch Telford & Wrekin/ CHC Welsh Ambulance Service NHS Geoffrey Davies Trust Board Meeting Wye Valley NHS Trust Board Geoffrey Davies Meeting Wye Valley NHS Trust Stakeholder Rhobert Lewis Group

Powys CHC Annual Report 2019-2020

Appendix 5

CHC staff

CHC members are supported in their work by a team of local CHC staff, who are based at the CHC offices across Powys.

Team Whole time posts Chief Officer 1.0 W.T.E. Deputy Chief Officer 1.0 W.T.E. Complaints Advocates 1.0 W.T.E. Business Manager 0.85 W.T.E. Advocacy Support Officers 1.0 W.T.E. Administrative team 1.80 W.T.E. Patient and Public Engagement Officers 0.85 W.T.E. Total 7.5 W.T.E.

Powys Community Health Council

1st Floor Neuadd Brycheiniog Cambrian Way Brecon LD3 7HR

Room 1.3 Ladywell House Newtown SY16 1JB