Agenda item

Andrew Bland, Chief Officer NHS Southwark Clinical Commissioning Group, will present the attached report.

7.1  Andrew Bland, Chief Officer NHS Southwark Clinical Commissioning Group introduced the CCG performance report.

7.2  A member commented on the KCH 4 hour wait target performance going down marginally and concerns about possible downward drift and asked about a scheduled visit to the Emergency Department at Denmark Hill. The Chief Officer commented that they will be visiting soon, but Friday’s planned visit was going to be rescheduled.

7.3  A member said that she had been told by the Ambulance Services personal that on occasions hospitals will not admit from ambulances for thirty minutes to protect the four hour target. The Chief Officer explained usually patients are allowed to wait 15 minutes before being admitted - however there are ‘black breaches’ where patients have to wait more than 60 minutes to be admitted to the Emergency Department. He explained that the targets for the Ambulance Service and the 4 hour target are there to manage this interplay. He commented that he did not think abuse of ambulance waiting times are common, but that on occasions he thinks it does happen.  He reported that there had been 8 black breaches reported, which is not a huge amount.  The most important issue is patient safety. 

7.4  The Chief Officer was asked if the figures for Princess Royal University Hospital (PRUH) are going to effect the overall KCH performance targets. He explained that the SCCG have agreed that they will closely monitor the figures supplied for both emergency departments managed by KCH; Denmark Hill site and PRUH. The SCCG are the lead commissioner for KCH, but they are really judged and responsible for local residents. A member asked for assurance that figures will continue to be available on local performance. The Chief Officer commented that the KCH will be reporting nationally on top line figures for all their sites, however the CCG will be focusing strongly on local performance and ensuring it is closely monitored and does not get worse.