Agenda and minutes
Please let us know if you are planning to attend and have any access requirements or other needs which we need to take account of.
PDF 62 KBVenue: Peel Room, Elizabethan Suite, Town Hall, Bury
Contact: Andrea Tomlinson 0161 253 5133 Email: a.j.tominson@bury.gov.uk
| No. | Item |
|---|---|
|
DECLARATIONS OF INTEREST Members of Health Scrutiny Committee are asked to consider whether they have an interest in any of the matters on the agenda and if so, to formally declare that interest. Minutes: Councillor Simpson declared a personal interest in any item relating to the NHS as she was employed by a medical practice in Salford.
Councillor D Bailey declared a personal interest in any item relating to BARDOC as she was employed by them.
|
|
|
MINUTES OF THE LAST MEETING The Minutes of the Meeting held on 28 January 2014 are attached. Minutes: It was agreed:
That the Minutes of the Last Meeting held on 10 December 2013 be approved as a correct record and signed by the Chair.
|
|
|
MATTERS ARISING Minutes:
Sharon Martin, Head of Commissioning at Bury CCG reported that the gynaecological services would be provided at Oldham but the pre operation assessments would be kept locally. The CCG were actively working to ensure that services would be retained at Fairfield General Hospital.
|
|
|
GP FEDERATION - INTRODUCTION Michelle Armstrong, GP Federation Chief Officer will attend the Meeting. Minutes: Michelle Armstrong, Chief Officer and Dr Simon de Vial Chair of the Bury GP Federation gave a presentation explaining what the Federation was and the services it provided.
It was explained that the GP Federation was a company Limited by shares which was incorporated in November 2103. There were originally 26 GP practice members who jointly invested £250 000 to establish the federation and a further 4 had expressed an interest in joining which if successful would mean that 30 out of the 33 practices across Bury would be members.
It was explained that the Federation had a shared ethos and core beliefs which are aimed to provide an equitable standard of healthcare for all users across Bury.
The accountability of the Federation was set out and it was explained that when bidding for a contract there were clear guidelines in relation to any conflicts of interest and the requirement for all members to declare these interests upon becoming members this was to ensure that no conflicts arose.
It was also explained that each GP Practice still held their contract with NHS England with regards to the provision of GP services
Michelle explained that the GP Federation had been commissioned to work with the Radcliffe GP practices to help set up and operate the Radcliffe Demonstrator Pilot which provides extended access to GP surgeries 7 days a week from 8am to 8pm on weekdays and 8am to 6pm on weekends. The extra appointments available would provide an additional 19, 500 appointments a year. The project had been successful during stage one of its implementation and was now moving onto the next stage which would incorporate other services such as social care.
Work had also been carried out to assist with the winter pressures that GP surgeries were under during the winter season and had seen surgeries providing extra hours to assist with this. The scheme was due to end on 31 March and had been well received.
It was reported that the Federation had recently submitted a bid to the Prime Minister's Challenge Fund and if successful this would see extended services provided on a wider scale across the borough.
Members of the committee were given the opportunity to ask questions and make comments and the following points were raised:-
It was explained that the membership was practised based and not individuals. The plan aims to pay back the initial investment to all partners after 10 years and any profits made would be shared back to the member practices.
It was explained that the practices that hadn't joined would always have the option of becoming members if they wished and the patients within those practices would not be excluded. The services that the federation was looking to provide ... view the full minutes text for item HSC.909 |
|
|
BURY CLINICAL COMMISSIONING GROUP STRATEGIC PLAN 2014 - 2019 Sharon Martin, Head of Commissioning at Bury CCG will give a presentation at the meeting. Minutes: Sharon Martin Head of Commissioning and Howard Hughes Clinical Cabinet Chair at NHS Bury CCG gave a presentation setting out the CCGs Strategic Plan for 2014 – 2019.
It was explained that the Vision of Bury CCG was to continually improve Bury’s health and wellbeing by listening to you and working together across boundaries”.
The strategic aims were reported as:-
The plan contained 7 outcome ambitions which had been reported to the Health and Wellbeing Board and were included within the presentation.
It was also reported that work was being undertaken to identify the priority areas for Bury and information has been reviewed from the following:-
It was explained that a number of possible priorities were under consideration and these included:-
Some of the priorities are being considered based on information provided by Public Health and the CCG must also consider the ambitions and national direction of the NHS. It was also explained that there were six Transformational Areas that need to be addressed within the plan;
Ø Citizen inclusion and empowerment Ø Wider primary care, provided at scale Ø A modern model of integrated care Ø Access to the highest quality urgent and emergency care Ø Specialised services concentrated in centres of excellence
The process for agreeing and delivering the Strategic Plan was also set out as follows:-
Those present were given the opportunity to make comments and ask questions and the following points were raised:-
· Councillor Ann Audin referred to the work highlighted around alcohol but also pointed out that drugs were an area where work needed to continue.
Sharon reported that work around drug use and abuse would continue to be carried out in preventative and treatment work. The priorities were just there to highlight where ... view the full minutes text for item HSC.910 |
|
|
COMMUNITY SERVICES Sharon Martin, Head of Commissioning at Bury CCG and Howard Hughes, CCG Clinical Cabinet Chair will give a presentation at the meeting.
Minutes: Sharon Martin Head of Commissioning and Howard Hughes Clinical Cabinet Chair at NHS Bury CCG gave a presentation explaining the future procurement of community services across Bury.
It was explained that Bury Clinical Commissioning Group served a population of approximately 185,000 people (196,017 GP registered).
The emerging priorities for the CCG in tackling health inequalities and reducing the life expectancy gap will be:-
· Coronary heart disease and stroke. · Cancer · Chronic Obstructive Pulmonary Disease · Liver Disease/Alcohol · Mental Health and Learning Disability Mortality · Reducing unplanned activity
Bury CCGs vision was:-
“Continually improve Bury’s Health and wellbeing by listening to you and working together across boundaries”.
The vision is set within the context of
Ø An integrated health and social care model of delivery Ø Reduced dependency on hospital care Ø Reduced health inequalities Ø Improved patient outcomes Ø Promotion of self care and shared decision making Ø Placing people and carers at the heart of their care Ø GPs at the centre of community/primary care model Ø Access to services 7 days a week 8.00am – 8.00pm
The Provider Landscape was explained as being broken down into 6 areas: - Primary Care (Mostly commissioned by NHS England), Secondary Care (most costly to provide) , Tertiary Care , Mental Health Services, Third Sector providers and Community Services.
Pennine care had been the successful bidder when Community Services had first been commissioned. The contract was due to run out in 2014 but could be extended for a further year if required.
Howard explained that proposed Community Service Redesign meant that some services were being reviewed and changes in provision could be made.
The following services would be tendered for commencement in 2015:-
· Core Podiatry Service · Core Audiology Service · Community Eye Service · Treatment Room Service · Tissue Viability Service · Lymphoedema Service · Anticoagulation Service
It was explained that Pre Qualification Questionnaires would be advertised on Supply2Health and service specifications would be available at that point. Successful providers would be informed December 2014/January 2015. Service development /mobilisation January – March 2015 and the commencement of new services from 1 April 2015.
Members of the Committee were given the opportunity to ask questions and make comments and the following points were raised:-
Sharon explained that GP contracts were with NHS England and completely separate from the CCG but it was hoped that if the PF federation were successful with their bid for the Prime Ministers Challenge Fund it would help with looking at minimum standards across all GP practices.
It was explained that District Nurses would be within the procurement process planned to commence in 2015 as currently there was quite a lot happening within this service and it ... view the full minutes text for item HSC.911 |
|
|
UPDATE ON STROKE SERVICES A letter explaining the further centralisation of stroke services in Greater Manchester is attached.
Appendix attached. Additional documents: Minutes: Attached to the agenda was a letter from Alan Campbell and Khalil Kawafi setting out the plans to improve equity of access to stroke services in Greater Manchester
It was explained that a new service had been implemented starting in 2010 where patients are taken to one of three hospitals specially equipped to deal with emergency stroke patients. Under the new services all three centres will be open 7 days a week with Salford continuing to be open 24 hours a day, 7 days a week.
|
|
|
EXTRA MEETING OF THE HEALTH SCRUTINY COMMITTEE Any other business which by reason of special circumstances the Chair agrees may be considered as a matter of urgency. Minutes: It was explained that it was hoped that a further meeting of the Health Scrutiny Commission would be arranged to be held sometime in early April. The suggested date of 8 April was discussed but it was felt this was unsuitable.
It was agreed:
That an alternative date would be suggested.
|