South East Hampshire CCG Board Papers 2013-2014

As with other CCGs, the South East Hampshire CCG (one of three CCGs in Hampshire) was established on 31^st March 2013. The reason for having a look at the Board papers for South East Hampshire CCG is that the headquarters of Southern Health NHS Foundation Trust is in Hampshire. Furthermore, the NHS Oxfordshire PCT document “Maintaining and improving quality during transition” (designed to inform newly created CCGs and other new NHS agencies) specifically stated with respect to Ridgeway (now Southern Health):

5.3.3. NHS Oxfordshire and all of the direct receiver organisations will not be the lead commissioner for Southern Health and a relationship needs to be developed with CCGs in Hampshire to make sure that clinical quality is reviewed to a high level.

Because of this statement, I thought it was worth looking at the Hampshire CCGs’ Board papers to see if I could find any Hampshire CCGs either identifying themselves as the lead commissioner for Southern Health learning disability services or identifying any other agencies as the lead commissioner.

South East Hampshire CCG Board (Governing Body) papers are available here http://www.southeasternhampshireccg.nhs.uk/about-us/gbmeetings.htm

Papers for March 2014 Governing Body meeting

 Performance Report. No mention of Southern Health’s learning disability services in reporting on the performance of Southern Health.

Joint CCG Governing Body Report (think this is joint between Fareham & Gosport and South East Hampshire CCGs) contains the following:

Southern Health Foundation Trust Mental Health and Learning Disability Services Exception Report.

Care Quality Commission (CQC) visits. Out of Hampshire areas visited by CQC include Learning Disabilities (LD): Slade House and John Sharich House. The Trust has received enforcement notices in relation to these services and NHS England has subsequently held a risk summit which identified key work streams to progress, with a follow up meeting planned for March 2014. The LD service pathway in Oxford is under review and there are plans to implement the Hampshire model. Monitoring continues via the Lead Commissioner (West Hampshire CCG) [Bold is my emphasis] with local CCG quality and vulnerable adults team input.

Papers for January 2014 Governing Body meeting

Performance Report. No mention of Southern Health’s learning disability services in reporting on the performance of Southern Health.

Joint CCG Governing Body Report (think this is joint between Fareham & Gosport and South East Hampshire CCGs): No exception reporting for learning disability services within Southern Health.

Papers for November 2013 Governing Body meeting

 Performance Report. No mention of Southern Health’s learning disability services in reporting on the performance of Southern Health.

Joint Quality and Safety Report contains the following:

Southern Health Foundation Trust Mental Health and Learning Disability Services Exception Report.

Non-Hampshire Learning Disability quality concern - A CQC inspection outlined concerns re care for patients in a residential setting in oxford. In addition a SIRI was reported in association with LD services, raising concerns around governance. The NHS Wessex Area Team have met with SHFT to discuss in response to concerns voiced by commissioners and have agreed a way forward.

Papers for September 2013 Governing Body meeting

No papers beyond the agenda seem to be available online.

Papers for July 2013 Governing Body meeting

 Performance Report. No mention of Southern Health’s learning disability services in reporting on the performance of Southern Health.

Quality Report contains the following:

CCQ Joint Quality and Safety Committee proceedings:

An update on the review of placements following the “Winterbourne View “ report, which demonstrated that all in & out of area placement review s for Fareham and Gosport and South Eastern Hampshire patients has now been completed.

Southern Health NHS Foundation Trust [Provider Quality Report]:

Safety/HCAI/SIRIs. There were 5 unexpected deaths in April 2013, all of which occurred within Psychiatric Mental Health.

Patient outcomes & risks to quality. Postern House: This LD unit was transferred over to SHFT from Ridgeway Partnership earlier this year and has one resident from Hampshire who was transferred from Winterbourne View. Other issues were raised regarding staffing. A review has been undertaken by SHFT staff and found there to be no safeguarding concerns. It is planned to undertake an in-depth review in July/August to determine the future of Postern House.

2012/13 Quality Account.  SHFT have provided the CCGs with an opportunity to review their Quality Account for 2012/13. The Trust is congratulated on the improvement against a number of local key quality indicators namely a reduction in incidents involving patient violence, increase usage of the structured handover tool, increased percentage of patients with a physical health assessment, and increased usage of patient reported outcome measures.

SHFT also achieved a reduction in violent incidents in Adult Mental Health, Older People’s Mental Health and Specialised services and a small increase in Learning Disabilities and Integrated Community services by the end of 2012/13.

Summary of Achievements, Best Practice and Areas Under Review. SHFT Areas Under Review include: Ridgeway transfer; Restraint policies.

Papers for May 2013 Governing Body meeting

Performance Report. Very little mention of Southern Health services at all – no mention of their learning disability services.

Contracting Update for 2013/14. Includes the following:

SOUTHERN HEALTH FOUNDATION TRUST MENTAL HEALTH (WEST HAMPSHIRE COORDINATING COMMISSIONER) [Bold my emphasis]: The Contract document is largely complete. However, there have been some recent QIPP changes and utilisation of CQUIN money raised by CCGs which need to be reflected in the documentation. The expectation is that the contract will be signed by 7 May 2013.

[Are Southern Health’s learning disability services assumed to be part of their mental health service in terms of the contracting arrangements?]

Joint Quality Report

Southern Health NHS Foundation Trust Provider Quality Report:

Safety/HCAI/SIRIs. The national reporting and learning system (NRLS) March report shows some improvement for the period 04/12 to 09/12 but SHFT appears to be in the lowest 25% of all MH and LD trusts for reporting incidents. The trust are reviewing the data and attribute the fall in reporting to the implementation of a new data system. Further assurances will be sought.

Patient outcomes & risks to quality. Ridgeway: a clinical quality review of all former Ridgeway services was undertaken prior to merger and an action plan is in place to improve quality. Concerns remain around the quality of services.

2012/13 Quality Account.  SHFT have provided the CCGs with an opportunity to review their Quality Account for 2012/13. The Trust is congratulated on the improvement against a number of local key quality indicators namely a reduction in incidents involving patient violence, increase usage of the structured handover tool, increased percentage of patients with a physical health assessment, and increased usage of patient reported outcome measures.

SHFT also achieved a reduction in violent incidents in Adult Mental Health, Older People’s Mental Health and Specialised services and a small increase in Learning Disabilities and Integrated Community services by the end of 2012/13.

Summary of Achievements, Best Practice and Areas Under Review. SHFT Areas Under Review include: Ridgeway transfer; Restraint policies.