Agenda and minutes

Scrutiny Committee
Wednesday, 13th July, 2016 7.00 pm

Venue: Civic Offices, St Nicholas Way, Sutton SM1 1EA

Contact: Aimee Wittams-Smith, Senior Business Support Officer (Democratic Services)  Tel: 020 8770 4171 Email:

No. Item


Apologies for absence and notifications of substitutes


Apologies were received from Councillor Doug Hunt, Councillor Sunita Gordon attended as a substitute.


Minutes of the last meeting pdf icon PDF 133 KB


The minutes of the meeting held on 13 April 2016 were signed and agreed as a correct record of the meeting, subject to the post-meeting note that minute 31 (Scrutiny Investigation – Support for Victims of Crime) recommendation 2 will be postponed to the meeting of Scrutiny Committee on 2 November 2016. The reason for the delay was that a restructure and retender of MOPAC was underway following the Election of a new Mayor of London.


declarations of interest


There were no declarations of interest.


Order of Items


The Chair, Councillor Pat Ali, informed the committee that agenda item 7 would be considered at the meeting on 2 November 2016, and that item 4b would be taken before item 4a. As such, the items were taken at the meeting as follows in the minutes.


Epsom and St Helier Trust - Response to CQC results pdf icon PDF 219 KB

Roger James, Inspection Manager at the Care Quality Commission is invited to discuss results of the recent inspections. A summary of the results is included in this agenda pack, and the full results report can be viewed at the following link:


Indicative timing: 40 minutes


Roger James, Inspection Manager at the Care Quality Commission (CQC), gave a presentation on the results of the recent inspections at the Epsom and St Helier hospital sites. The full report on the results can be found at


Councillor Mary Burstow asked whether there was a benchmark that the CQC would be satisfied for a hospital to reach, and Mr James confirmed that the CQC would expect continual improvement from NHS Trusts.


Councillor Nick Emmerson noted that both hospital sites had been marked as ‘inadequate’ for maternity and gynaecology and Councillor David Bartolucci asked how the CQC interpret all of the data, a lot of which must be qualitative, and are able to present it in a graded fashion. Mr James informed the committee that the presentation of data that he had displayed to them was set out in such a way for ease of discussion at the meeting, and that they had collected a very large amount of data throughout the inspection.


Councillor Sunita Gordon expressed her concerns that surgery had received an ‘inadequate’ rating at the St Helier hospital site, and that the decrease in staff morale, and difficulty employing staff, could be an effect of the “better value” part of the South West London “Better Service, Better Value” initiative.


Following further questions, it was confirmed that the ratings received by the ESTH NHS Trust were common across South London and that the staff surveys had driven improvement in the NHS. A discussion ensued about the hierarchical structure and its effect on staff feeling as though they were not supported.


Roger James highlighted the issues that the inspection had found that required immediate action. He informed the Committee that the Trust must deliver an action plan else the CQC will escalate enforcement.


Daniel Elkeles, Chief Executive at the ESTH NHS Trust responded that the Trust had submitted a plan that would be available to the public and undertook to circulate a copy to the Committee (post-meeting note: this has now been circulated to Committee members). He also informed the Committee that the Trust intended to implement everything suggested by the CQC and wished to express that a lot of the issues they were already aware of and formed part of the 5 year plan previously brought in front of the Committee.


Daniel Elkeles went on to inform the Committee that they had done a lot of work to improve Leadership and Governance through Trust Executive Committee which he Chaired every month with 60 members, 40 of which were the lead clinicians from the organisation. He also emphasised a lot of improvements on the B5 Ward which had been particularly highlighted as problematic in the report – he especially wished to commend the Ward Sister Lyndsey. He went on to outline improvements being progressed in Critical Care, Cross-Site Working, Maternity and Infection Control.


Councillor Nick Emmerson went on to point out that some things had come up in the CQC inspection that should have been on the  ...  view the full minutes text for item 5.


Epsom and St Helier Trust - Performance and Estates Review update pdf icon PDF 206 KB

Daniel Elkeles, Chief Executive and Tim Hamilton, Directors of Communications to present an update on the performance of the trust and the Estates Review discussed at the previous meeting.


Following the discussion on the CQC results, Daniel Elkeles informed the Committee that he had jointly set up a "Epsom Health and Care Group" with the Chief Executive of Surrey County Council for Social Services in Epsom, the Chief Executive of the Community Provider and the lead GP in Epsom. ESTH NHS Trust wished for Tolis Vouyioukas, Strategic Director for People Services at Sutton to be included. He said it was a new organisation especially for the elderly to join services together and make everything more accessible.


Daniel Elkeles referred to the flooding in the building when it rains heavily and the water tank that had not been replaced since 1937. He told the Committee that the CQC had difficulties evaluating the Trust as so much money and staff time was spent making up for the poor building, and indicated that they could provide much better services if the building was improved.


Councillor Pat Ali asked for an update on the consultation and business case for the Estate Strategy, which was discussed at the previous meeting on 13 April 2016. Tim Hamilton, Director of Communications at the Trust, informed the Committee that discussions at the NHS England level were still ongoing and that they hoped to be able to hold a public engagement in the early autumn. The Committee had previously been informed that public engagement would be carried out in May 2016, and were informed that the Trust did not have control over the progress at this stage.


Healthwatch pdf icon PDF 1 MB

David Williams and Peter Flavell, Healthwatch, to report on their investigation of patients’ experience of using outpatients clinics at St Helier Hospital.


Indicative Time: 20 minutes


Peter Flavell and David Williams, Healthwatch, presented a report on the outpatient services at St Helier hospital. In particular, they took the committee through the findings and recommendations outlined in pages 40-41 of their report.


Councillors asked questions about the methods of research that Healthwatch undertake and it was confirmed that whilst they could lawfully visit unannounced, they did work with the services to arrange visits. They had worked to overcome financial barriers in accessing patients with visual and hearing impairments or for whom English was not their first language. Healthwatch researched using anonymous surveys in order to ensure true results, and David Williams told the Committee that in general participants had wanted to share their experiences with them.


Where the report had indicated problems with the in-house pharmacy at the hospital site, Daniel Elkeles confirmed that the Trust would be procuring a high street chemist to take over the pharmacy as they believed it would improve the service.


The Committee thanked David Williams and Peter Flavell for their work.


Flood Risk Management pdf icon PDF 324 KB

Roger Archer-Reeves and Dani Parfitt to attend from the Highways team to report back on the Flood Risk Management Strategy action plan.

Indicative Time: 30 minutes

Additional documents:


Roger Archer-Reeves, Nick (Philpott?) and Dani Parfitt attended from the Kingston and Sutton Shared Environment Services to present a report updating the Committee on the Flood Risk Management Strategy Action Plan. Roger Archer-Reeves informed the Committee that they had identified 39 areas in the borough that would be most prone to flooding, and that the recent floods in Wallington had been due to the fact that there was more water in the network than the system was able to deal with. The team were working with schools and other large sites to arrange for sustainable drainage sites, where rain water would be soaked up on the site rather than drain the water to neighbours.


Following questions from Committee members, it was confirmed that preparation for periods of heavy rain is undertaken in the 24 hour lead up, including cleaning drainage systems to reduce the risk of flooding, and clearing clogging points in rivers. Dani Parfitt told members that there had been some isolated incidents of internal flooding. Overall, the best way to prevent flooding would be to invest in the network and gain an improved understanding in order to mitigate risks. The recent problems were due to the intensity of the rain and not a failure of the authority, the Education Authority or Thames Water.


Councillor David Bartolucci asked how Sutton would be able to resolve issues caused by boundaries, both political and water provider catchment areas. Nick (Philpott??) referred to the London Plan and Drain London, who were looking to bring everything together as a group. There was more national oversight over Planning matters than in the past, and planning applications in Sutton had to adhere to the London Plan.


Councillor Patrick McManus asked whether gullies in Wallington could have been better maintained to prevent the recent flooding. Roger Archer-Reeves confirmed the levels of silt are tested and that the team were doing their best to keep them as clean as possible however the capacity in the pipes was the real underlying problem and Councillor Gordon mentioned that she knew that in Wallington the gullies were cleaned quarterly and had been cleaned in April.


The Committees discussed the dangers of those driving into large puddles, and it was confirmed that Officers intended to use electronic signs on roads where flooding had superseded a certain level to deter drivers.




any urgent business


There was no urgent business.