Download file - Northern England Strategic Clinical Networks

Name of Group
Maternity and Child Health Steering Group
1 September 2014
2pm – 4pm
Millennium Rooms, Waterfront 4, Newburn Riverside
Mark Anderson, Newcastle Hospitals NHS FT
Joanne Baxter, NEAS
Ginny Birrell, South Tees NHS FT
Elaine Blair, Newcastle Hospitals NHS FT
Lynda Dearden, Northern England Strategic Clinical Networks
Jane Gibson, Newcastle Hospitals NHS FT
Sue Gordon, Public Health England
Sheila Ford, City Hospitals Sunderland
Sundeep Harigopal, Newcastle Hospitals NHS FT
Ellen Hoida, South Tees CCG
Anne Holt, County Durham and Darlington NHS FT
Kumar Kumarendran, South Tees NHS FT
Geoff Lawson, SCN Child Health Network
Janice McNichol, Northumbria Healthcare NHS FT
Robin Mitchell, Northern England Strategic Clinical Networks
Janet Mackie, North Tees and Hartlepool NHS FT
Fiona Ottewell, City Hospitals Sunderland
Boleslaw Posmyk, Hartlepool and Stockton CCG
Stephen Sturgiss, SCN Maternity Network
Louise Turnbull, Service User
Debbie Wade, Northumbria Healthcare
Claire Ward, Health Education North East
Martin Ward-Platt, RMSO
Steve Wild, North Tees and Hartlepool NHS FT
In attendance
Naomi Tinnion, Northern England Strategic Clinical Networks
Martyn Boyd, Northern Neonatal Network
Steve Cronin, County Durham and Darlington NHS FT
Lainey Fraser, Northumbria Healthcare NHS FT
Aileen Fitzgerald, NECS
Karen Giles, Health Education North East
Maureen Gordon, NEAS
Iain Johnston, Newcastle Hospitals NHS FT
Mark Knowles, Northumberland, Tyne and Wear NHS FT
Jayne McQuillan, South Tyneside NHS FT
Shonag Mackenzie, Northumbria Healthcare NHS FT
Gabriel Okugbeni, South Tyneside NHS FT
Anthony Prudhoe, NHS England
Sarah Stanton, Sunderland CCG
Craig Steele, City Hospitals Sunderland
Gill Thompson, Gateshead Health NHS FT
Kathleeen Vasey, County Durham and Darlington NHS FT
Jason Waugh, Newcastle Hospitals NHS FT
Jonathan Wyllie, South Tees NHS FT
1.1 Welcome and apologies
RM welcomed everyone to the meeting and introductions were made
around the table.
1.2 Minutes of the last meeting
SG asked for SC to be added to the list of those present and for the
initials KT in the third paragraph of item 2.4 to be amended to KV. The
remainder of the minutes were agreed to be an accurate reflection of
the meeting.
1.3 Matters arising not covered by the agenda
There were none.
2.1 Governance Framework
CCG nominated leads: LD had met with some of the CCG nominated
leads to discuss the commissioning of maternity and child health
services. BP advised that a list had been put together of who in each
CCG attends Network meetings which he agreed to forward to LD for
Role of the Oversight Group: RM advised that this Steering Group is
accountable to NHS England through the Oversight Group and that the
first meeting of the Oversight Group will take place on 5 September.
He also advised that Simon Stevens, the Chief Executive of NHS
England is undertaking a further review of the organisation including
Clinical Networks and Senate. He agreed to keep the Group updated
on this.
2.2 Clinical Lead Appointments
RM welcomed DW to her first meeting as the new Clinical Lead for
Health Visiting. He also congratulated GL on his appointment as the
Clinical Lead for Child Health. LD advised that interviews for the
Midwifery Clinical Lead post were taking place on 8 September. She
agreed to advise the Group of the outcome of these interviews.
2.3 National SCN Priorities
LD advised that the Network continues to be represented at national
meetings where possible. There are a number of national priorities in
place although these had become more focused around stillbirths,
transition and long term conditions especially asthma.
SS advised that, for maternity, there were four national workstreams:
(i) Smoking: this is covered in the North East by the Babyclear
initiative which, although not fully implemented, had made real
(ii) Implementation of the Growth Assessment Protocol (GAP) and the
GROW software;
(iii) Cardiotocograph interpretation;
(iv) Reduced movement.
Work regionally on these workstreams matches (broadly) the national
agenda albeit with a need for the clinical advisory group to consider in
more detail the recommendations in relation to the management of
CTGs, and of women with reduced fetal movements. Additional action
taken by the local maternity clinical advisory group has included a
recommendation that women be advised of recent evidence suggesting
that induction of labour at 41 rather than 42 weeks will reduce the
incidence of stillbirth – and offered the opportunity of earlier induction if
they so wish.
LD advised that national Task to Finish Groups were being established
by the national team to take these workstreams forward. They are
looking to make the North a pilot area which they hope to have in place
by 6 October.
GL informed the Group that, for child health, the focus nationally is on
the following:
(i) acutely unwell children. He had received a national document on
this from RCPCH which details how primary and secondary care could
work together to improve services.
(ii) Paediatric surgery needs support from DGH general surgeons.
Unfortunately fewer general surgeons have been trained in paediatric
surgery leading to gaps in service when surgeons retire. Groups
focusing on long term conditions and transition to adult services are to
be established both nationally and locally. BP advised that accessibility
of an acutely ill child to a surgeon, which is now entering the second
phase of development, is a priority in the south CCG cluster area.
(iii) Groups focusing on long term conditions (asthma, diabetes,
epilepsy and neurodisability) and transition to adult services are to be
established both nationally and locally.
EB asked if mental health issues would continue to be a local priority
given it is not a priority nationally. SS advised that as so much good
work had been done on this, and other local issues, work would
continue. EB and the Group welcomed this news.
2.4 Maternity Clinical Advisory Group update
SS advised that the Group had agreed a region wide maternity early
warning score (MEWS). This had been developed by a small Task and
Finish Group and is on the verge of being released.
Some of the topics discussed at the last Network meeting had been
really challenging (eg tackling public health issues such as smoking
and obesity), and the group will need to hear more evidence before
agreeing action plans. It has been agreed to have fewer items on
future agendas. This should allow better discussion and generate more
2.5 Child Health Clinical Advisory Group update
GL advised that the Group is currently discussing:
(i) reconfiguration of services and was keen to involve CCGs to ensure
the successful commissioning of services.
(ii) transition is also being discussed especially long term conditions.
(iii) paediatric surgery is being discussed especially issues around
demographics, training and specialisms which were causing some
anxiety and needed to be addressed.
PB advised that, as part of SeQISH, clinical leadership groups were
being set up to develop the case for change to enable service models
to be put in place which have maternity, neonatal and paediatrics on an
equal footing. They have done a lot of work in the south CCG cluster
on this and have met with all Health and Wellbeing Boards and Health
Watch organisations to discuss how and where services should be
2.6 Moving SCN priorities forward
LD advised that the SCN workplan was now in place and that SS and
GL were working with their Groups to ensure the Network continues to
move in the right direction. She encouraged those around the table to
let her know if they were happy with the way the Steering Group is
being run or whether they had suggestions about how the meetings
could be held differently.
2.7 Neonatal, Maternity and Child Health Stakeholder Event
There had been a strong feeling at the first Steering Group meeting that
a stakeholder event should be held before the end of the year.
However, given the amount of work needed to set up such an event it
was suggested that it be moved to early 2015. SS advised that
everyone’s contribution would be needed for this event to be successful
and the following suggestions were put forward by the Group:
GB suggested involving more than just clinicians to ensure input at all
levels especially if discussing service configuration.
BP said that the new timeline suggested for this event fitted in well with
the SeQIHS deadlines and would help keep the momentum of those
MWP asked that views and opinions of young people, as stakeholders,
be included in this event as frequent users of services. There is a wellestablished Children and Young People’s Parliament who could be
included in the event especially as they missed out on the ASE event in
2010. The Group agreed that this was an excellent idea. LD advised
that a Youth Council Lead is to be recruited onto this Group.
SG advised against having too great an expectation of a one day event
and not to be too over ambitious.
SW suggested getting the public involved in this event.
BP advised, from a CCG perspective, that the Group had to be mindful
when recommending service changes that there is a need to ensure
providers remain viable, that the Trusts are involved at every stage and
that the need to make a case for change has to be a strong one so that
any recommendations do not disappear once the Election is over.
AH advised that there had been significant change in County Durham
and Darlington since the ASE event in 2010 although this had been
done by making small changes rather than one large change which
may something worth considering.
A key element will be to get the commitment of Trusts, CCGs and
MWP suggested bringing in out of area colleagues such as the Royal
Colleges to go down the route of an independent event rather than a
facilitated event.
There was broad agreement that pushing the event forward to early
2015 would allow for better planning. It was also agreed that this event
needed to be held in good time before the General Election to allow
time for any outcomes to be moved forward.
LD agreed to take all of these ideas and suggestions into consideration
when preparing a briefing for the event which she agreed to circulate
once finalised.
It was agreed that a date in early 2015 should be identified and posted
into diaries by the end of September.
2.8 Senate Update
LD advised that she is currently Acting Senate Manager. The Senate
Council are now getting pieces of work to do including reviewing
services in North Cumbria, transforming urgent and emergency care
and reviewing various plans. The senate is also providing the
assurance process for the work currently underway in Teesside.
2.9 SCN Annual Conference
LD advised that the first SCN Annual Conference will take place on
15 May 2015 at the Stadium of Light in Sunderland. The format is yet
to be finalised although it is likely that there will be presentations
throughout the morning and breakout sessions for individual networks
in the afternoon.
2.10 Any Other Business
There was none.
2.11 Date and time of next meeting
2pm – 4pm on Tuesday 16 December in Waterfront 4, Newburn