A&E delivery board Summary Briefing

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Meeting dated 26 September 2016 Venue Conference room, Barking Learning Centre Resilience Group meeting. The meeting was chaired by Conor Burke (Chief Officer, BHR CCGs) and attended by members as per the Terms of Reference. A&E improvement Members were updated on the latest position for the ECIP review. A draft report will be provided at the October meeting. An update was provided against each workstream, all of which are progressing well. Feedback expected from trialling direct booking for the Integrated Urgent Care workstream. Evaluation from the discharge to assess pilot expected at the next meeting. Members were updated on the latest work going on as part of the North East London Urgent and Emergency Care Network and the Sustainability and Transformation Plan. Monday 31st October 2016 1pm 3pm Committee room 3a, Havering Town Hall Main Road, Romford RM1 3BB

Meeting dated 31 October 2016 Venue Committee Room 3A, Havering Town Hall Reflection on ECIP feedback A&E Improvement Plan Members discussed the feedback from the ECIP review and were tasked with identifying the top 5 priorities, following receipt of the final ECIP report, which will need to come back to the November meeting for agreement. Members were updated on the winter submission and the proposal to align local escalation systems with the new Operational Pressures Escalation Framework. Due to time constraints, following the ECIP review feedback session, it was agreed to pick up the following at the November meeting: Feedback expected from trialling direct booking for the Integrated Urgent Care workstream. Members received the evaluation from the discharge to assess pilot and the recommendation to pause was agreed. It was agreed to bring an update to the next meeting following submission of the STP. Wednesday 23rd November 2016 9am 11am Bentley/Willow Rooms 3rd Floor, Imperial Offices, 2-4 eastern Road, Romford, RM1 3PJ

Meeting dated 23 November 2016 Venue Bentley room, Imperial Offices -Romford Response to ECIP review Members discussed and agreed the 5 priority areas for the U&EC work programme. Members agreed to hold a workshop to discuss and agree the vision of the U&EC programme in line with the ECIP feedback and to align the workstreams with the 5 concordat priority areas. A proposal for a new dashboard report will be brought to the next meeting for discussion. Members were updated on performance of flu uptake. An update will routinely come to these meetings. It was agreed to bring a detailed update to the next meeting on latest position. Monday 12th December 2016 3.30pm-5.30pm

Meeting dated 12 December 2016 Venue Board room, Trust Offices - Queens Hospital The proposal for the new dashboard report was reviewed. Members were asked to provide comments/feedback which will be incorporated in the next iteration. Members received an update on the winter resilience arrangements in place to provide assurance to NHSE. Workstream leads provided an update on the latest position of their workstream. The next iteration of the dashboard will need to incorporate the performance of the integrated urgent care workstream. The importance of providers ensuring they keep in contact with the DoS team was flagged so that it remains up to date and will help with real time information. Members noted the current timeline for the out of hospital workstream. Members were sighted on the governance arrangements between the U&EC Network and the A&E delivery board to understand which area is leading on the delivery of the various parts of the programme. Monday 23 rd January 2017 10am 12pm

Meeting dated 23 January 2017 Venue Board room, Trust Offices - Queens Hospital Members reviewed the latest update of the proposal for the new dashboard and agreed the final version will be presented at the next meeting. Members received an update on the winter resilience arrangements in place to provide assurance to NHSE. The for the SAFER bundle workstream was agreed to be brought to the next meeting. Members noted the latest performance of BHR under the national flu programme. Members noted work is continuing to progress the two areas of focus; LAS and the management at a NEL wide level and the Integrated Urgent Care procurement. Monday 23 rd January 2017 10am 12pm