Minutes

Welcome and apologies - NKCCC 19/20-58

58.1    Chair welcomed members of the meeting; apologies for absence were received and noted as above; some apologies were received as above.

Minutes of the previous meeting - WNKCCC 19/20-59

59.1    The minutes of the last meeting were approved with a few amendments and agreed as an accurate record of the meeting. 

Matters arising and outstanding actions from the last meeting - WNKCCC 19/20-60

Outstanding actions from the previous meeting

• 32.1 JT enquired about 10 year long term plan; the plan is available on the website - https://www.longtermplan.nhs.uk/; ND to liaise with Jacqui Davis, Mental Health Programme Manager about the final Kent and Medway STP Five-Year Strategy Delivery Plan 2019/20 – 2023/24 Mental Health Impact Statement – new action
• 41.1 JA enquired about the Safe Haven in Medway; ND advised that information about Safe Havens will be shared with minutes and he will be liaising with the Commissioner about location of the Safe Haven in Medway - ongoing           
• 43.3 ND mentioned carers awareness training for staff; DJ and JC would be happy to get involved; information shared with Louise Gascoyne, Allied Health Professional Lead CRCG; they don’t have any training planned at the moment but will save DJ and JC contact details for the future – action closed
• 49.2 The group asked how KMPT Carer Champions are operating in the community; Louise Gascoyne couldn’t join this meeting but she shared Community Recovery Care Group – update regarding carers champions; this will be also shared with minutes – completed
• 51.1 GC would like to set up a meeting with ND to discuss her concerns about psychiatric specialisms.  Nick did contact but not heard back,  pointed our GC may have been away – ongoing

Member's reports - WNKCCC 19/20 - 61

61.1    BR, Medway 5 Carers, at the last Board meeting care plans were discussed; he drafted a document, something like how care plans might look like (it is a record sheet of a user); it was shared with MM

61.2    LC, mentioned Time to Talk event on 6 February and other opportunities available via Patient Experience Team; he encouraged people to participate in 15 steps challenge; LC congratulated Forensic and Specialist Services for their successful application on winning the RHS Garden for Friendship for the Rosewood Mother and Baby Unit, Dartford

61.3    JC, attends Involve Kent meetings; she volunteered with her son to be on Electronic Prescribing Medicines Administration (ePMA) steering group; KMPT has partnered with Civica in a new five-year contract to implement an electronic prescribing and medicines administration (ePMA) system; the message about this project was shared by Patient Experience

Executive team member - WNKCCC 19/20 - 62

62.1 An update was given by MM:

• MM is the Trust’s Accountable Officer for Emergency Planning and Risk; she had conference calls around regulations and plans regarding Covid-19 last week; the Trust is starting to see increase in Single Point of Access calls, many calls are not related to mental health and each of them needs to be triaged and signposted; people need to call 111 if they will be experiencing any symptoms related to Covid-19
• MM is the CQC Advisor for KMPT, the Trust was notified about another Well-led inspection; deadline for submitting information is tomorrow; the Trust will be notified 16-18 weeks before their visit
• KMPT provides 4 core services and their visits are informed by their risk profile or by places which haven’t been previously visited

62.2 Discussion:

• JL asked if the CQC go to the Board meeting; confirmation received, they are attending and observing, they will speak to service users  and carers, the CQC is happy to set up a telephone calls with people wanting to give feedback
• JC mentioned an electronic feedback option available in education sector; MM advised that as organisation we can suggest that we have a mechanism to collect feedback to the CQC, but this is their inspection
• BR attended the CQC meetings before, he worried there is no programme of work; MM assured him that the Trust have procedures, systems, and process guidance in place

62.3 Care plans:

• MM advised that the Trust receives regularly positive responses from the Patient Reportable Experience Measure (PREM) which contains a Friends and Family test (FFT) question; we have around 1,000 PREMs each month with a very positive score above 90%
• National Patient Survey (NPS) is for people who are using our services under Community Mental Health teams; their experience is not the same; we received around 280 responses last year but our results were less positive than for most trusts; ND added that NPS is an annual event done by the Quality Health; this year’s survey will be sent to a random selection of 1250 people; the Trust wants to encourage maximum participation; ND asked the group to encourage their loved ones to complete the survey if they receive one;  the Trust taking the results very seriously and it is important that people engage with the survey
• MM advised that two questions in PREM which were flagged. 2-4% of respondents were not fully engage in care planning process; Care planning is the area that the Trust wants to focus on; MM included that in her Board Report and the Quality Committee approved that; if we focus on one priority across Kent and Medway people might have a better experience; the plan is to set up a Quality Improvement project; MM asked if there are any volunteers who would like to get involved; BR, Medway 5 Carers would like to get involved

62.4 Discussion:

• JA asked about learning from complaints; MM meets with HealthWatch and Engage Kent and they are highlighting peoples’ experiences; as a result of that meeting will create a “you said we did” document with themes which will be shared with everyone
• JL, Medway 5 Carers would like to invite MM to their meeting; action JL to email dates of their meetings to KL
• HB attended another carers forum in Sevenoaks, there was confusion because people were receiving two care plans: one from KMPT and a second from KCC; she asked to involve Social Care in the Care planning project; MM emphasised that this is additional point for escalation to some of the strategic meetings, we need to make that connection
• CR advised that she can ask carers from Involve Kent if they want to be involved; CR to send any contact details to KL
• ND advised that this year’s Carers Survey is in the process of being finalised; it will be send to carers in June – July; the Carers Survey goes to as many carers as were are able to contact; report with results will be available in September; CR asked if she can set up a computer in one of her groups with survey to complete available; confirmation received, ND will send her a link when this is life action

KCC accommodation strategy - WNKCCC 19/20 - 63

63.1    The document was presented by MC and HB; this is a refreshed document with a clear indication to the market on what they want to deliver

• It provides strategic direction for delivering suitable housing and care home provision for all Kent County Council Adult Social Care client groups
• Their achievements are the increase in mental health accommodation; reducing residential and nursing care admissions; securing accommodation to variety of cohorts for the next 5 years; number people in supported accommodation has increased and the government started a review of the supported accommodation
• JL asked about plans for care homes; HB advised that to build a care home you need to consider land, building, capital, and revenue; they have links with local district authorities, local housing authorities and developers
• JL asked why Medway is not mentioned in that document, which is because KCC has no authority in Medway; Medway is under Medway County Council;
• Discussion about careers in care and how KCC try to encourage people to choose that profession    
• ND mentioned that some carers who are not present today are passionate about a particular supported housing scheme; MC advised the property mentioned is not fit for purpose, they are bringing that scheme to an end, they are making sure that individuals who were staying there are supported; they are communicating with SWK Rethink carers
• MC advised that once this strategy is published a link will be shared with the group action

Statutory reports - WNKCCC 19/20 - 64

64.1    MS, Trainee Clinical Psychologist at Kent University was tasked with the Quality Improvement project around how well the Trust is involving carers in the complaint process (this project covers Maidstone); the project has 3 parts: what is available in Maidstone, focus group with staff in Maidstone (what works well, what are the barriers), and focus groups with carers; she would like to finish this project by July; agreement received that MS would send her presentation with findings in September.

ND mentioned Triangle of Care initiative and suggested inviting Carers champions to the focus group.

Any other business - WNKCCC 18/19 - 65

65.1    ND advised that Workforce Information and Organisational Development are seeking a patient to join the Leading the Way programme for the Understanding the Landscape session on 25 June; they also secured some funding to record stories of various staff and stakeholders as part of a ‘standing in their shoes’ project - these would be short insights into the lives and experiences of those people, recorded and then used in various training activities for staff;  ND asked to let him know if people are interested in participating

65.2    HB said that the structure in mental health in KCC sits under Adult Social Care; the structure on higher management is changing; she would like to bring a presentation with those changes to add it to the next meeting agenda – action

65.3    BR felt positive about what is going to happen around Care plans

65.4    JC brought some topics to discuss but she was happy to defer these to the next meeting; it was about the effectiveness of this meeting

• MM mentioned her intentions to review these meetings, if they are meeting people’s needs and are effective; she added that we have 100s of carers on our books and we are not hearing from everyone; MM asked about Terms of Reference for this group – action Patient Experience to share that document with MM
• MM was grateful for people’s commitment; and ask how to engage some other carers; she had conversations with Engage Kent and HealthWatch to review our consultative committees to help us get that feedback and get some recommendations
• ND advised that Carers Survey mirrors some of the issue we discussed here; JA mentioned carers packs which could include invitations to various groups, committees, surveys; MM advised that the Trust has a standardized carers pack
• MM asked if the carers booklet was brought to this meeting; action to share that document with consultative committees for comments; and add it to the next meeting agenda
• MM asked what is that people would value in these meetings; peer support, developments

• JA said that a mixture of both, to tailor that for carers
• ND mentioned his aspiration to use the Audio Visual equipment to connect east and west meeting for carers; he also mentioned a merge of east Kent Patient and east Kent Carer consultative committees which might mean the CCC is open to East Kent carers
• CR said that some carers in Tunbridge Wells wouldn’t come to these meetings because of the distance
• BR said that Time to Talk worked well with the video-conferencing, we could do it in Tunbridge Wells
• JC highlighted that the group have Terms of Reference but people are still bringing their personal issues; there are some individual complaints which cannot be minute; KL suggested continuing promotion of Meet the manager meetings

Date of the next meeting - WNKCCC 18/19 - 66

66.1    Please note that face to face meeting will not be held until the current contact restrictions have been lifted. For more information please contact kmpt.patient.experience@nhs.net