Venue: Mandela Room
Contact: Scott Bonner/ Chris Lunn
Declarations of Interest
There were no declarations of
interest received at this point in the meeting.
minutes of the Health Scrutiny Panel meeting held on 17 January 2023 were
submitted and approved as a correct record.
The Chief Executive of Teesside Hospice will be in attendance at the meeting to update Members on the work and current position of the organisation.
The Chair welcomed the Chief Executive of Teesside
Hospice to the meeting and invited him to make his presentation.
During the presentation it was explained the Chief
Executive had been in post for four years and would have attended more Health Scrutiny
Panel meetings, but Covid-19 had prevented that. The hospice had been set up
approximately 44 years ago, with the intention of providing end of life care,
something the NHS had not catered for at the time.
It was increasingly the case that, due to
improvements to health care generally, people had complex illnesses requiring
more specialist care. That was borne in mind when the hospice was created. It
was seen as an ambitious project at the time.
Palliative medicine had become a speciality, but that
was not well known. The hospice offered four core services and had 10
specialist beds, which were the only ones in the area. It was commented that
James Cook University Hospital depended on the hospice with teams at both sites
being fully integrated. That meant the In-Patient unit benefitted from a range
of medical professionals.
The In-Patient Service had three general areas:
End of Life - for patients who chose to die at the hospice and could
have multiple and complex illnesses. Patients on the unit took an unknown time
Pain Management - delivered by specialists, as the drugs used had to be
Psychosocial and Spiritual Management - issues that could not be dealt
with via generalist means.
It was the In-Patient Service that the hospice was
best known for.
The hospice also had a Wellbeing Centre, which
focussed on mental health needs and was often seen as a day service. The
service provided techniques that could be administered to someone with other
The hospice also offered a Lymphedema Unit, which
provided pain management and treatments for those suffering from lymphedemas.
The unit saw 594 referrals in 2022.
The final service was the Bereavement Counselling
Service, which was described as much more than a shoulder to cry on. Grief
after death was not a mental illness and as such the service allowed people to
deal with grief after the death of a loved one. Within the Bereavement
Counselling Service there was a specialised counselling service for children.
While that was a smaller service, it had a longer-term impact.
The hospice had 168 paid staff members which
included back-office staff. The hospice was regulated by the CQC to the same
standards as James Cook University Hospital, which was challenging. However, the
hospice was capable of meeting that challenge.
The hospice also relied on volunteers particularly
around retail and fundraisers.
The overall vision for the hospice was to not allow
people to die scared and alone. Teesside Hospice was the only hospice in
The hospice was previously funded via grants, which were not reviewed in line with inflationary increases. The Covid-19 Pandemic showed there was a financial cliff-edge that had resulted in a transformation team being established, ... view the full minutes text for item 21/149
For Members’ information only.
The Chair advised Members that a stakeholder
briefing had been circulated, advising of an update regarding investment in
urgent care services in Middlesbrough and Redcar and Cleveland.
The briefing pointed out that following a patient
engagement survey, 83% of respondents were in favour of the introduction of the
Integrated Urgent Care model at James Cook hospital as well as the extension of
opening hours of the Redcar Primary Care Hospital’s Urgent Treatment Centre.
Members were asked to note the briefing from the
Integrated Care Board.
Chair's OSB Update
The Chair advised that at the previous meeting of
the Overview and Scrutiny Board, held on 22 February 2023, the Board had
the Executive Forward Work Programme;
the Corporate Performance Update for Quarter Three 2022-2023;
the Revenue and Capital Budget Projected Outturn Position for
Quarter Three 2022/23;
the Children's Finance Improvement Plan;
the Statutory Finance Report;
the Mayoral Budget Proposals 2023/24, Medium Term Financial Plan
and Investment Strategy, including the outcome of the consultation;
the Final Report of the Children and Young People's Learning
Scrutiny Panel on Youth Offending and Partnership Working with Schools;
the Final Report of the Culture and Communities Scrutiny Panel on
Off Road Bikes; and
updates from the Scrutiny Chairs.
Any other urgent items which in the opinion of the Chair, may be considered.