Agenda and minutes

Councillor FitzGerald declared a personal interest in any item relating to the NHS as she was employed by an NHS joint venture.

Councillor Grimshaw declared a personal interest in any item relating to the NHS as she was a member of the Patients’ Cabinet.

Councillor Mallon declared a personal interest as his relative was Head of Safeguarding for an NHS organisation.

Councillor Pickstone declared a personal interest as his partner was employed by the NHS locally.

No questions were asked by the members of public present at the meeting.

It was agreed:

That the Minutes of the last meeting held on 20 March 2014 be agreed subject to the following amendments:-

HSC.909 on page 626, that the word ‘shred’ be changed to ‘shared’.

HSC.910 on page 629, that the following sixth transformational area be included:-

‘a step-change in the productivity of elective care’.

·         With reference to Minute HSC.909, GP Federation introduction. Members asked whether the Prime Ministers Challenge Fund bid that was referred to had been successful.

Stuart North reported that the bid had been successful and that the GP Federation had secured £2.8m to help roll out the Radcliffe Demonstrator Pilot across the borough.

·         Councillor Bury referred to Minute HSC.909 and the question that had been asked in relation to patients moving from one GP practice to another. Councillor Bury asked whether patients could move to a practice in another geographical area from where they reside as he had been advised that this was not possible.

Stuart North stated that as far as he was aware it was possible to move to a surgery in another geographical area. GPs were nationally commissioned and it was common for people to be registered with a GP in another town.

·         Councillor Mallon referred to Minute HSC.910 and asked when the Committee would be updated on the CCGs Strategic Plan.

It was explained that the CCG reported regularly to the Committee to keep them updated on CCG issues.

·         Councillor Walker referred to Minute HSC.910 and the fact that Dr Schryer was lead for all mental health. Councillor Walker asked whether mental health should have a number of leads as it was such a large area. Councillor Walker referred to dementia as an example and the fact that this area would warrant a lead of its own.

Stuart North explained that Bury CCG was a lean organisation and wouldn’t be able to have a large number of leads.  Dr Schryer was an excellent lead for mental health. Stuart explained that Pat Jones Greenhalgh was national lead on dementia for adult care services.

An update will be given at the meeting.

Stuart North, Chief Officer at NHS Bury Clinical Commissioning Group attended the meeting to report on the Healthier Together pre consultation business case that would soon be available on the Healthier Together website.

The Committees in Common had met earlier in the day with a view to agreeing to pre consultation business case and recommending that the consultation commence on 8 July for 90 days.

It was explained that the Committees in Common had received  guidance from NHS England in respect of the consultation and that NHS England required the business case to meet 96 standards before consultation could begin.

Stuart explained the case for change and the need to change the way that services were provided;

•      Variation in patient outcomes, quality and safety standards

•      Rising demand on services

•      Workforce availability

•      Many patients using hospital rather than primary and community services

•      More care needs to be provided within the community

The future model of care was set out;

•      Deliver care locally for the majority of patients – Local Services

•      Upgrade Local Services so all attain standards

•      Create a smaller number of Specialist Services for the few patients with ‘once in a lifetime’ life threatening illness and injury delivered in line with GM standards

•      Create Single Services – multi-disciplinary teams responsible for Specialist and Local Services for a population of GM

•      Work with the Ambulance Service to direct patients to the right place at the right time

•      Consultant led care delivered to best practice standards

•      Effective clinical leadership and decision making

It was explained that local services would remain and provide care locally, specialist services would be provided at either 4 or 5 sites depending on the outcome of the consultation

Stuart explained that the consultation would be looking at where services should be provided. There were 8 options available with Manchester, Oldham and Salford already being identified as specialist sites and Bolton, Wigan, South Manchester and Stockport being considered as the possible other sites.

The key elements to appraise were explained:

·         Capital Estate Capacity

Ø  All options reviewed to understand the capital estate requirement.

Ø  Every option is possible, however the cost of the options varies dependent on existing estate capacity and quality

·         Workforce Capacity

Ø  Analysis of the standards identifies a consultant requirement for 4 and 5 site options

Ø  This is then compared to the current number of consultants to determine a deficit

·         Travel and Access Standards developed:

Ø  Standard 1: 20 minute emergency access to a hospital (general or specialist)

Ø  Standard 2: 45 minute emergency access to a specialist site

Ø  Standard 3: 75 minute public transport access to a specialist site

Ø  All options are compliant with Standards 1 and 2

Ø  There is a range between the options when meeting Standard 3 (Access by Public Transport)

Ø  The lowest compliance of any CCG area is 97%

4. Financial Revenue Implications

Plus, understanding different ways Single Service could be developed.

Stuart explained that  ...  view the full minutes text for item HSC.47

Members of the Committee were asked to discuss items to be included on the work programme for the 2014/2015 municipal year.

The Committee were also asked to discuss topics that could be considered for task and finish/sub group work.

The Committee discussed the following agenda reports:-

·         Drug and Alcohol Team – introduction from new service provider

·         Patient appointment

·         Public Health – the work of and future work programme

·         Care Quality Commission

·         Legal highs

·         Update from the Integrated Community Diabetes Service

·         Complaints report

·         Adults and Children’s Safeguarding update

·         Update on the Radcliffe Demonstrator

Sub Groups would be established to look at the following areas:-

·         Dentistry provision across the borough to include the number of children and adults without access to an NHS dentist.

·         Transport issues relating to Healthier Together.

·         Supporting Carers or Dementia

It was also discussed that Members needed to receive information in relation to the recent reviews that had been undertaken – Francis, Winterbourne, Keogh etc and the implications from these.