Hillingdon External Scrutiny Committee July 2015
Items of particular interest from the papers for the meeting are noted below but this is not a report of the meeting itself.
London Ambulance Service: This is the busiest emergency ambulance service in the UK .
It was reported in June that mental health continued to feature prominently in the work of LAS and six mental health nurses had been appointed to support the teams from the clinical hub.
It was also noted that staffing had been a big issue that was likely to continue given the shortage of paramedics, but LAS had a robust recruitment plan with more joiners than leavers.
Defibrillators in Hillingdon schools: All the Borough’s primary and secondary schools have been equipped with defibrillators.
Central & North West London NHS FT: The Trust employs 7000 staff to provide over 300 different health services across 150 sites. Approximately 1000 CNWL staff work in Hillingdon.
In Hillingdon its mental health services include inpatient and community services for adults, older adults, children and adolescents, specialist memory services, psychiatric liaison services with in-reach to Hillingdon Hospital A&E and wards, mental health rehabilitation services, and addiction services.
Its community physical health services include the Rapid Response Service, speech and language therapy, community dentistry, specialist wound care, adult rehabilitation services, wheelchair service, health visiting, Hillingdon Centre for Independent Living, Looked After Children specialist team, community based palliative care team, inpatient intermediate care in Hawthorn Ward on its Hillingdon Hospital site, podiatry and musculo-skeletal physiotherapy.
Royal Brompton & Harefield NHS FT: This is the largest specialist heart and lung centre in the UK and amongst the largest in Europe. It works from two sites the Royal Brompton in Chelsea, West London and Harefield Hospital in Hillingdon.
Investment plans are in place to expand capacity by 20% at Harefield Hospital in three phases. Phase1: An additional 6 critical care beds, a new scanning centre and a new 18 bed inpatient ward (Holly Ward) completed early 2015.
Phase 2: An endoscopy / minor procedures facility and more day case / short stay beds and a daycare lounge, plus Oak Ward to be rebuilt on two storeys with 20 additional beds, reconfiguration of the hospital entrance, and the lodge house to be converted for up to four patients who are medically but not socially fit for discharge.
Phase 3: A new three storey graduated care unit, an imaging centre and bringing together 48 critical care and high dependency beds, with completion in the next 3-4 years.
The Hillingdon Hospitals NHS FT: The Trust has been awarded £12.4m from the Dept. of Health to re-engineer its Emergency Care Department at Hillingdon Hospital – the second largest successful bid awarded to a London Trust as part of the allocation to England. This is the biggest development on the site for 40 years.
As part of North West London’s Shaping a Healthier Future the Trust expects £17m for backlog maintenance work plus £23m for theatre upgrade, the expansion of A&E, maternity and critical care services. £741k of Government funding has been used to modernise ten delivery suites in the Maternity Department and additional funding is expected to increase the Trust’s maternity capacity.
Local Medial Committees: London has 27 LMCs. These are elected committees of GPs enshrined in statute. They represent GPs and practice teams in negotiations with decision makers from the NHS and local government.
Care Quality Commission (CQC): This inspects all health and social care services in England and takes enforcement action to ensure people receive safe and effective care. It inspects hospitals, community health services, care homes, GPs, and dental practices.