South Glamorgan Community Health Council (CHC) Executive Committee Meeting (Skype) Tuesday 28 April 2020 10.00 – 12:50 Confirmed Minutes Present South Glamorgan Community Health Council Executive Members Malcolm Latham (ML) Chair, South Glamorgan CHC Val Evans-Tomlinson (VET) Chair, Cardiff Local Committee Brenda Chamberlain (BC) Vice Chair, South Glamorgan CHC Stephen Allen (SA) Chief Officer, South Glamorgan CHC Stephen Nicholls (AW) Vice Chair, Cardiff Local Committee Christine Cave (CCa) Chair, Vale of Glamorgan Local Committee CHC In attendance Daniel Price (DP) Deputy Chief Officer, South Glamorgan CHC Wendy Orrey (WO) Business Manager, South Glamorgan CHC [minutes] Cath O’Brien (COB) Chief Operating Officer, Velindre University NHS Trust Abi Harris (AH) Executive Director of Strategic Planning, Cardiff & Vale University Health Board (Health Board) Apologies Robert Henley (RH) Vice Chair, Vale of Glamorgan Local Committee Mark Cadman (MC) Ambulance Operations Manager, Cardiff & Vale Localities WAST ExC01/20 Welcome and Introductions The Chief Officer welcomed everyone to the Executive Committee meeting and noted that ML would resume as Chairman of the meeting when possible. It was noted that a minutes silence would be observed at 11.00 am to remember key workers who have lost their lives to coronavirus. ExC02/20 Apologies for Absence - Apologies noted above. ExC03/20 Declaration of Interests - None ExC04/20 Adoption of Standing Orders It was noted that the CHC Standing Orders were being revised to include the Covid restrictions. EC 28.04.2020 Page 1 of 12 Ex05/20 To Receive Unconfirmed Minutes of Executive Committee Meeting 4 February 2020 The Executive Committee RECEIVED and APPROVED the minutes of the meeting held on 4 February 2020 ExC06/20 To Receive Actions from Executive Committee Meeting As recorded. Outstanding items for action and / or matters arising: Not received. AP1: 1. CHC to arrange a meeting to discuss Whitchurch Village Practice / Meddegfa Llwyncelyn Practice Estates to include, GP Practices, Patient Participation Group and Community Health Council. Not completed to remain as action until update provided. 2 CHC to write to the GP Practices who have not provided a response to the visit report in line with the deadline. Complete. A letter had been sent to the practices to request the responses and it had appeared that the delays had been more an admin procedure error. ExC07/20 Service Change – Covid 19 The Cardiff & Vale University Health Board (HB) were providing the CHC with Service Change that was being undertaken in response to the Covid Pandemic and a spreadsheet had been developed to monitor the changes. The CHC and UHB had discussed the changes and it was agreed that following the relaxation of the emergency measures more detailed discussions would be held. It was noted that the CHC were supportive of all measures put in place to manage the current situation. The CHC informed the HB that it was eager to see any areas of good practice be made permanent if there was evidence to support benefit to the patient however it was reiterated that any change that was controversial and not supported by the CHC would need to go through the appropriate process. It was noted that the Director of Nursing had provided an informative update to the Chief Officer on the draft plans for the next steps for the HB which included the possibility of colour coding areas/services to allow some activity to resume over the HB area and the CHC would be informed when the plans had been agreed. The HB asked for the CHC to support the messages to the public when activity was to be reintroduced to ensure as many people as possible were informed. The CHC Local Authority Members would be contacted EC 28.04.2020 Page 2 of 12 to provide the information to their communities and the Chair names for the relevant Local Authority Committees was provided. It was noted that the Dragon Heart Hospital was to receive patients as of 28 April 2020 and an invitation has been extended for the Chief Officer to visit the site with the Deputy Director of Nursing. (10.45) CHC Chair joined the meeting and resumed the chairman role. ExC08/20 Scrutiny Activity Draft Scrutiny Plan September – December 2020 Received and noted. It was noted that the view was to concentrate on the remaining GP visit programme to enable a report to be provided at the end of the visiting period. It was queried if the visits did not recommence in September would there be enough information to write a report? It was explained there would not be enough information and it was important to finish the programme. Planning was being undertaken to look at ways to enable information to be gathered if the Covid measures were not relaxed. Even if visiting in some guise was reintroduced member availability would need to be a consideration with some members having to shield. It was confirmed that any visit report produced reflected the period covered by Covid. Members discussed different data collection methods and the importance of reaching people who did not interact via modern technology. It was suggested that an offer to speak directly to the CHC requested to complete a questionnaire could be included on promotional notification. It was confirmed that the focus activity would be undertaken following consideration on how to collect data. It was noted that support had been offered from Aneurin Bevan CHC to plan the Car Park focus activity. Following discussion, it was agreed that the follow-up visits could be completed within existing capacity during 2020-21. It was proposed that a small number of visit slots be dedicated to the follow-up activity and break the visits down in to Localities. It was suggested the visits be completed in February to allow time for the report to be completed in March. It was suggested that a Senior Officer and Executive Committee member complete the follow up visits, this would allow the Chief EC 28.04.2020 Page 3 of 12 Officer and Chair to undertake the final stage escalation visits if actions were still outstanding following response to the written report. The Executive Committee agreed to: 1) Note the contents of the report 2) Approve the prioritisation of the Primary Care visiting programme 3) Approve the split of visiting activity outlined in the report. Draft SGCHC Operational Plan 2020 -2021 Received and noted. SGCHC Operational Plan Revisions (COVID-19) 2020-2021 Received and noted. Concern was raised at the decision to cancel the Cancer Pathway Project. It was explained that although a significant amount of work and communication had already taken place, however, with the impact of Covid 19, student capacity and staff capacity it was not possible to complete the project. The Velindre OSPG would be tasked with undertaking a smaller project on cancer services. It is proposed that all the cancelled work streams be included in the South Glamorgan CHCs legacy statement for the new Citizen Voice Body to consider taking up. The Executive Committee agreed to: 1) Note the contents of the report 2) Note and approve the changes to the Operational Plan 2020/2021 3) Agree the recommendations made in the report and publish as an additional supporting document to the Operational Plan 2020/2021 ExC09/20 Engagement Activity It was anticipated that Covid 19 would be in communities for some months and into next year depending on the availability of mass vaccination. Many events for June, July and August have already been cancelled with the expectation that more would follow. Even if lockdown was relaxed it was anticipated that social distancing would continue. The safety of CHC members and staff, and the wider community had to be considered in any planning and to achieve this there would be a need EC 28.04.2020 Page 4 of 12 to refresh the SGCHC engagement plan, which the Executive Committee would review. Initial views include utilising technology in a more prominent way through social media channels and the website. A discussion took place on the use of platforms such as Facebook and increasing its reach by members actively sharing posts by South Glamorgan CHC. The Executive Committee agreed to: 1) Note the contents of the report 2) To note and approve the steps to be taken to meet the statutory function 3) Provide support to the CHC staff with an EC Member lead to drive this work forward. 4) Review and approve the refreshed engagement plan by E- mail as detailed in this report A member of the Executive was requested to work with the Chief Officer to develop an appropriate engagement plan and BC and CCa agreed. The Executive Committee supported BC, Vice Chair, and CCa, Chair, Cardiff Local Committee support the Chief Officer in developing an Engagement Plan. ExC10/20 CHC OSPG Executive Report Key Priorities Received and noted. The Executive Committee agreed to: 1) Note the contents of this report 2) Approve the key priorities for the OSPGs Clinical Diagnostics & Therapeutics The report noted that the Executive Committee has responsibility for this servicearea, however it was agreed to ask the full membership to express an interest in becoming the lead on this area and feed issues into the Executive Committee. It was agreed that this would be included in the update to members. AP2: CHC to invite expression of interest from CHC membership to be lead for the Clinical and Theraputic services with the HB. ExC11/20 To Receive an Update on Key Issues and Developments (a) Cardiff & Vale University Local Health Board (HB) EC 28.04.2020 Page 5 of 12 It was noted that the first stage of the HB response had been fixed on emergency response and the planning around the anticipated risk to the services.