| HSC.875 | Councillor Bailey declared a personal interest in any items where Bardoc may be discussed as she was an employee. |
| HSC.878 | There were no members of the public present to ask questions under this item.
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| HSC.879 | Councillor Rishi Shori, Cabinet Member Adult Care, Health and Wellbeing and Dr Jeffrey Schryer, GP Lead, Mental Health, Bury Clinical Commissioning Group presented the Bury Mental Health Strategy to the Committee.
The Strategy had been produced by Bury Council and NHS Bury and with a number of other organisations having an input including Pennine Care NHS Foundation Trust, Greater Manchester Probation Trust, ADAB, Bury Asian Women’s Centre, Jobcentre Plus, Bury College and Rochdale and Bury District Mind.
The Strategy aims were to improve the mental health and emotional wellbeing of all adults in Bury and it explained how this will be achieved over the coming five years.
It was also explained that the strategy responds to the national mental health strategy ‘No Health Without Mental Health’ and the six themes that have been identified by the government as the most important areas to tackle.
The Strategy was ambitious and far reaching and covered:-
• Preventative services which can delay or stop mental health conditions from developing amongst the general population;
• Services for individuals with mild to moderate mental health and wellbeing needs; and
• Services for those people with severe and enduring mental health conditions.
It was explained that dementia was an area that was recognised as a huge challenge to society both currently and in the future and it was predicted that nationally one in six people over the age of 80 and one in 14 over the age of 65 has a form of dementia with this figure set to rise over the coming 10 years. This had led to the development of a separate Dementia Strategy for Bury.
Members of the Committee were given the opportunity to comment and ask questions and the following points were raised:-
• Councillor Ann Audin stated that she found the document quite long and repetitious in places and asked how the outcomes would be measured?
It was explained that the impact of the strategy would be monitored by using an action plan. This would then be reported back to Health Scrutiny in six months. It was also explained that the cost to the borough in relation to mental health was very significant and all agencies were determined to make the strategy successful.
• Councillor Walker referred to the figures that were included within the strategy and the fact that they were estimated. Councillor Walker asked if actual figures were available rather that estimates.
Dr Schryer explained that the strategy contained information from a
number of different providers and agencies who looked at the figures in different ways so it was difficult to provide definite figures.
• Councillor O’Hanlon referred to the Joint Strategic Needs Assessment (JSNA) and that his had been considered a robust starting point. He asked why this was considered robust.
It was explained that the JSNA takes information from a wide variety of different sources across many agencies to build up as big a picture as possible and set the scene across the whole borough.
• Councillor O’Hanlon also asked that a cost benefit analysis be included within the action plan and statistics on the current situation across the borough.
• Councillor Walker asked about referral times through GPs and whether there would be some sort of priority booking for patients with mental health issues.
It was explained that work was ongoing in this area and the CCG was working alongside Pennine Care on a rapid access service.
• Councillor Holt referred to the 5 year vision that was included in the strategy and the stigma around mental health issues being reduced. Councillor Holt explained that as a society we seemed to becoming more intolerant and asked what could be done.
Councillor Shori explained that this was something that needed to be championed and people needed to be educated around mental health issues earlier.
• Councillor Fitzwalter asked what work was being done in relation to mental health patients that may be a danger to themselves or the public.
Councillor Shore explained that the Police have a representative on the Health and Wellbeing Board and therefore have an input into the JSNA and the Mental Health Strategy and are able to advise on areas relating to public safety.
• Councillor Ann Audin referred to carers and stated that funding for carers had not been included.
Sharon Martin reported that there were a number of funding opportunities available for carers such as respite breaks and a carers centre and it was also explained that a Carers Strategy was being produced separately.
• Councillor O’Hanlon asked whether a grouped approach should be considered when educating people on issues relating t o mental health and whether Councillors should undertake this.
Councilloir Shori stated that this would be welcomed. Other groups would also be assisting in the education side of things including the Health and Wellbeing Board and voluntary groups associated with mental health issues.
• Councillor Hussain asked whether there were any issues in Bury with GPs administering drugs before considering other options.
Dr Schryer explained that talking based therapies were being rolled out nationally and the service provided across Bury in this area was very good. It was also pointed out that the strategy included a section on regularly educating GPs on mental health issues.
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| HSC.880 |
Councillor Rishi Shori, Cabinet Member Adult Care, Health and Wellbeing and Dr Jeffrey Schryer, GP Lead, Mental Health, Bury Clinical Commissioning Group presented the Bury Adult Autism Strategy to the Committee.
The Strategy had been developed by Bury Adult Care Services in conjunction with NHS Bury and the Autism Services Development Group which included members from Adult Care Services, Education, Communication Difficulties staff, Psychology, CAMHS, Additional Needs Team, Youth Services, Children’s Service, carer representatives, health colleagues and the National Autistic Society.
The Strategy gave an overview both nationally and locally of adults with autism it set out Bury’s priorities in relation to autism among adults in Bury and explained what had been learnt through gathering the information required when producing the strategy.
Appended to the Strategy were the results of surveys carried out with service users, carers and professionals and the 2013/2014 Action Plan.
Members of the Committee were given the opportunity to ask questions and make comments and the following points were raised:
• A member of the Committee asked why there was no strategy for children that could link into this one.
It was explained that there was no requirement to have an Autism Strategy for children but this was something that could be discussed with Children’s Services.
• Councillor O’Hanlon stated that the report was clear, concise and very easy to understand and asked that all those involved in its production be thanked.
• Councillor Holt referred to adults with autism being more likely to live in accommodation rented from a social landlord and the fact that there were a limited number of properties available within this area.
Councillor Shori explained that the Council and other partners would have to ensure that we have the right landlords to provide the most suitable and appropriate accommodation.
• Councillor Tariq asked what the membership of the sub group mentioned on page 24 of the Strategy was.
It was reported that this group included the following agencies:
Adult Care Services, Education, Communication Difficulties staff, Psychology, CAMHS, Additional Needs Team, Youth Services, Children’s Service, carer representatives, health colleagues and the National Autistic Society.
• Councillor Walker referred to the fact that there were a number of other strategies relating to adult care services and their customers and asked how they would all work together.
It was explained that all of the strategies were linked and had been produced that way purposely.
• Councillor O’Hanlon asked whether there was any work being done to assist with identifying undiagnosed adults as this had not been mentioned within the strategy.
Dr Schryer explained that the strategy included regular education updates for GPs and it would also be possible to include a self diagnosis objective within the action plan.
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| HSC.881 | Naomi Ledwith, Progamme Management Office Lead, Bury CCG and Deborah Jones presented a report updating Members on the service provided by the Posture and Mobility Centre which was commissioned jointly by NHS Heywood, Middleton and Rochdale and NHS Bury from Pennine Care Foundation Trust.
It was reported that there were currently issues with waiting times for the service due to an increase in demand and a small working group had been established to review and resolve the issues.
The group had focussed on the referral criteria and looked at ways to bring it in line with the majority of other services commissioned by NHS Bury.
It was explained that clinicians within NHS Bury had worked with clinicians in provider trusts to determine a variety of referral criteria’s which are aimed at ensuring that interventions will only be delivered to patients who will receive the most benefit from them.
The group had consulted with the CCG Clinical Cabinet, Patients’ Cabinet and the Local Authority regarding the criteria and all supported its introduction.
It was explained that the clinically agreed criteria for provision would be:
•Wheelchair is the main source of mobility and is utilised inside and outside of the home.
• Wheelchair is required for social inclusion - access to mainstream services.
• Service users on the End of Life care pathway.
The amended specification would apply to anyone on the waiting list from 1 April 2013 and current users would retain their chair until it was beyond economic repair.
It was anticipated that the waiting time for service provision would be reduced allowing those with most need to be seen quicker.
Clients who do not meet the criteria will be signposted to alternative providers of mobility equipment.
Members were given the opportunity to make comments and ask questions and the following points were raised:-
• Councillor Audin asked whether the service provided mobility scooters.
It was explained that the service would never provide a wheelchair for outdoor only use.
• Councillor O’Hanlon referred to the fact that the service would link with a social enterprise around the provision of the wheelchairs and asked how this would work equally across the borough.
Naomi explained that the service would try to ensure that an equitable model was in place and that all users received the same high standards across the borough.
• Councillor Holt asked how the service to repair or maintain the wheelchairs operated.
Naomi explained that the service was sub-contracted to a company that provided this service. It was up to the clients themselves to arrange the appointments for this service.
• Councillor Bailey referred to Appendix A where examples were given of eligibility and stated that she felt that if a person required a wheelchair to take their children to school they should qualify.
Naomi explained that if a person required a wheelchair both inside and outside of the home they would qualify. If a person required one solely for outdoor use they would not.
• Councillor Fitzwalter asked how quickly a person would receive support if they were fast-tracked.
Naomi reported that each case would be considered on its own merits but it could be within 5 working days.
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| HSC.882 | Naomi Ledwith, Progamme Management Office Lead, Bury CCG presented a report setting out the engagement work that had been undertaken in relation to the priorities set out with he Everyone Counts publication.
It was explained that the publication encouraged CCGs to pay particular attention to three priority areas to be jointly developed and delivered by NHS Bury CCG and Bury Council through the Health and Wellbeing Strategy for Bury.
It was reported that a shortlist of five priorities had been identified. A short online survey had been prepared and this had been put to local people and healthcare professionals asking which three of the five should be chosen to be worked on jointly.
The survey was launched on 15 February 2013 and closed on 8 March 2013. Local meetings were also held and other engagement activities undertaken.
The three priority areas that were identified were reported as:-
1. Improving the health related quality of life for people with long term health conditions
2. Reducing the number of emergency hospital admissions for alcohol related liver disease; and
3. Reducing the number of people under the age of 75 who die from respiratory diseases.
The three identified priorities had been presented to the Shadow Health and Wellbeing Board at its meeting on 13 March 2013 and had been supported.
Members of the Committee were given the opportunity to ask questions and make comments and the following points were raised:
• Councillor Fitzwalter expressed concern that the survey had been carried out over a very short space of time.
• Councillor Ann Audin asked what the long term health conditions were in relation to priority 1.
Naomi stated that this information would be provided.
• Councillor Fitzwalter explained that all Councillors have a good knowledge of their own areas and this resource should be used.
• Councillor Smith asked for assurances that the consultation process for future years would be started earlier.
It was confirmed that this would be the case.
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| HSC.883 | Dr Kiran Patel, Chair of the Clinical Commissioning Group attended the meeting to update Members on the work of the Clinical Commissioning Group.
It was reported that the CCG had been given the authorisation to start operating officially and would be doing so from 1 April 2013. All key officer posts had been recruited to.
Dr Patel explained that the CCG had received the pre consultation documents from Healthier Together. The CCG would be looking through them over the following few weeks and would benefit from reporting to the Health Scrutiny Committee prior to submitting comments. |