Agenda and minutes

To note that the Borough and District Councils have now agreed to their four voting members on the Committee.  The Members are as follows:-

Councillor Marilyn Peters, Dartford Borough Council

Councillor Annabelle Blackmore, Maidstone Borough Council

Councillor Jackie Perkins, Canterbury City Council

Councillor Michael Lyons, Shepway District Council

Colleagues from West Kent have a pool of substitutes should Councillors Peters or Blackmore be unable to attend.  The pool of Members are:-

Councillor Janet Sergison, Tonbridge and Malling Borough Council

Councillor John Cunningham, Tunbridge Wells Borough Council

Councillor Diane Marsh and Councillor Leslie Hollis, Gravesham Borough Council

Councillor Richard Davison, Sevenoaks District Council

(Mr Fittock, Vice Chairman, presiding)

(1)       It was reported that the Borough and District Councils had now agreed their four voting members on the Committee.  The Members are as follows:-

Councillor Marilyn Peters, Dartford Borough Council

Councillor Annabelle Blackmore, Maidstone Borough Council

Councillor Jackie Perkins, Canterbury City Council

Councillor Michael Lyons, Shepway District Council

Colleagues from West Kent would have a pool of substitutes should Councillors Peters or Blackmore be unable to attend.  The pool of Members are:-

Councillor Janet Sergison, Tonbridge and Malling Borough Council

Councillor John Cunningham, Tunbridge Wells Borough Council

Councillor Diane Marsh and Councillor Leslie Hills, Gravesham Borough Council

Councillor Richard Davison, Sevenoaks District Council.

(2)       That the Borough and District Council Membership on the Committee, as set out above be noted.

RESOLVED That Mr B R Cope be elected Chairman of the Committee.

Proposed by Mr G A Horne, Seconded by Mr M J Northey

RESOLVED that the Minutes of the meeting held on 5 September 2008 are correctly recorded and that they be signed by the Chairman.

(1)       The Committee received a report which updated them on the Access to Healthcare (Transport) piece of work and the “Picture of Health in Outer South East London.  

(2)       RESOLVED that the report be noted.

Steve Phoenix, Chief Executive and Sharon Jones, Director of Community Services, West Kent Primary Care Trust; Nikki Luffingham, Chief Operating Officer, Maidstone & Tunbridge Wells NHS Trust; Jessica Scott, Head of Clinical Site and Operational Safety, Medway Foundation Trust; Sarah Andrews, Director of Nursing, Simon Perks, Deputy Director of Commissioning and Sue Baldwin, Assistant Director, Intermediate Care Services, Eastern & Coastal Kent Primary Care Trust; Andy Schofield, Head of Nursing for Medicine and Lesley White, Acute and Emergency Services Manager, East Kent Hospitals Trust; Steve Leidecker, Director of Operations, KASS and Anne Tidmarsh, Head of Adult Services, East Kent and Janice Duff, District Manager, East Kent, KASS will be in attendance for this item.

(Steve Phoenix, Chief Executive, Sharon Jones, Director of Community Services and Daryl Robertson, Director of Performance & Delivery, West Kent Primary Care Trust; Nikki Luffingham, Chief Operating Officer, Maidstone & Tunbridge Wells NHS Trust; Jessica Scott, Head of Clinical Site and Operational Safety, Medway Foundation Trust; Sarah Andrews, Director of Nursing, Simon Perks, Deputy Director of Commissioning and Sue Baldwin, Assistant Director, Intermediate Care Services, Eastern & Coastal Kent Primary Care Trust; Andy Schofield, Head of Nursing for Medicine and Lesley White, Acute and Emergency Services Manager, East Kent Hospitals Trust; Anne Tidmarsh, Head of Adult Services, East Kent, Janice Duff, District Manager, East Kent, KASS and Margaret Howard, Director of Commissioning and Provision, West Kent were in attendance for this item). 

(Mr Clark, MP, joined the meeting during this item)

(1)       The Chairman welcomed colleagues from the NHS and Social Care to the meeting and invited Members to ask questions and to raise any issues on this subject. 

(2)       Ms Harrison referred to reports of a situation where patients seemed to be kept at Medway Acute Hospital rather than being moved to Sittingbourne and Sheppey and that families were told that there were no beds available at Sheppey when there actually were.  She stated that the system should be made easier for all families to access.

(3)       Ms Baldwin, Assistant Director, Intermediate Care Services, Eastern and Coastal Kent PCT stated that she did not understand why there was a delay in moving patients from Medway to the community hospitals in Swale.  She stated that assessments beds were being rolled out to Sittingbourne and Sheppey hospitals and that a new community matron was being recruited.  A Health colleague explained the discharge process from the acute beds at Medway Hospital to the Swale Community Hospital’s.  They had a multi-disciplinary team and cases were looked at individually to determine whether assessment, rehabilitation or end of life beds were needed, all of which were available at Sittingbourne and Sheppey Community Hospitals.

(4)       Mrs Angell commended the excellent procedures for discharge that were in place at Darent Valley Hospital for planned procedures. However, it was a more complex situation when people had been admitted through A&E or had MRSA, she asked how these complexities were dealt with to ensure that delayed discharges did not occur.

(5)       Ms Howard (Director of Commissioning and Provision, West Kent)explained that social care services across East and West Kent worked closely with colleagues from the health service in relation to providing intermediate care and avoiding delayed discharges.  Social care had staff based in or near hospitals.

(6)       Mr Tolputt asked the following questions.  If a self funder is offered a place away from home and they refuse to take it, is that bed blocking?  A lot of nursing homes have a two tier funding system, does this cause a problem?  Does the new Dover Community Hospital have any in-patient beds?

(7)       Mrs Tidmarsh (Head of Adult Services, East Kent) clarified that self funders could refuse to leave hospital  ...  view the full minutes text for item 50.

RESOLVED that the date of the next meeting be noted