Agenda and draft minutes

Councillor Joan Grimshaw declared a personal interest in all matters under consideration as a Member of the Patient’s Cabinet.

There were no questions from Members of the public present at the meeting.

The minutes of the last meeting held on 19^th March 2014 are attached.

It was agreed:

That the Minutes of the last meeting held on 19^th March 2015 be approved as a correct record and signed by the Chair.

In response to a question from Councillor Mallon, the Assistant Director of Operations for Adult Care reported that the re-tendered Drug and Alcohol services provided in Bury provides a recovery model of care.

It was agreed:

Performance data in relation to the recently re-tendered Drug and Alcohol Service will be considered at a future meeting of the Health Overview and Scrutiny Committee.

A representative from Pennine Acute NHS Trust will report at the meeting.

Joanne Moore Divisional Director for Medicine, Pennine Acute NHS Trust will report at the meeting. Report attached.

Joanne Moore, Divisional Director for Medicine Pennine Acute NHS Trust attended the meeting to provide members of the Committee with an update in relation to concerns raised with regards to delayed discharge.  An accompanying report had been circulated to Members which provided information in relation to; the current process to manage delayed discharges the reasons for delays and the current actions that are being taken to address the issues.

The Divisional Director for Medicine reported that there are two measurable types of delayed discharge.  The first group are the Delayed Transfers of Care (these are externally monitored) DTC and the second group are those that are defined as Medically Fit for Discharge (MFFD).

Members considered the types of delays; the proportion of patients delayed across all hospital sites, the number of MFFD by site and the distribution of medical MFFD and DTC by local authority area and hospital site.

The Divisional Director reported that the reason for the delays are multi-factorial and community and Local Authority partner organisations are working with the Trust to develop and implement solutions.

In response to a Member’s question the Divisional Director reported that at North Manchester General Hospital all staff are involved in the discharge process form acute, community and local authority as they work as an integrated team based on the same site and are line-managed on a daily basis by one Trust Manager.   

The Divisional Director reported that it is the Trust’s aspiration to have single site discharge, a northeast sector discharge group meets regularly to discuss these issues and monitor progress.

In response to a Member’s question the Divisional Director reported that the Trust’s performs very well in respect of readmission rates and within the Northwest are in the top quartile.

In response to a question from the Chair the Divisional Director reported that the Trust are currently conducting a ‘Perfect Week’ exercise which is a focussed piece of work which involves senior staff spending time at each hospital site observing and logging issues.

It was agreed:

That a follow up report from the Trust wide discharge planning group will be considered at a future meeting of the Health Overview and Scrutiny Committee.

Stuart North, Chief Operating Officer, Bury CCG will report at the meeting.

Stuart North, Chief Operating Officer Bury CCG provided members with a verbal briefing in respect of the proposal to transfer the BARDOC treatment rooms to Fairfield General Hospital.

BARDOC will be situated at the outpatients department, Foulds Suite.  The BARDOC clinical team have audited referrals received to their GPs from the Bury Urgent Treatment Centre and BARDOC believes there is no clinical risk in moving the Out of Hours GPs from the Moorgate site.

In response to concerns raised by Members, the Chief Operating Officer reported that there will be no difference in the service provided to patients.

It was agreed:

The proposed changes to Bury and Rochdale Doctors on Call be noted.

Stuart North, Chief Operating Officer Bury CCG will report at the meeting.

Stuart North, Chief Operating Officer Bury CCG reported that a meeting of the Healthier Together Committees in Common took place earlier today (17.07.2015).  The Committee confirmed that there would be four specialist sites the details of which will be confirmed on 15^th July 2015.

It was agreed:

Stuart North, Chief Operating Officer Bury CCG would provide the Health Overview and Scrutiny Committee with a further briefing in relation to Healthier Together at the next meeting of the Health Overview and Scrutiny Committee.

A  work programme report will be sent to follow.

Julie Gallagher, Democratic Services Officer, submitted a report setting out the terms of reference for the Committee along with a Work Programme discussion report to assist members in the development of a Work Programme for 2015/2016.

The report also highlighted a number of issues/topics carried over from last years programme.

It was agreed:

1.   In addition to the items highlighted within the work programme report that the following items be included part of this Committee’s Work Programme for 2015/16:

·               Healthier Radcliffe update report

·               Access to Primary Care – do members of the public know where to go? How is this information communicated?

·               I Will If You Will update

·               How is Social Care delivered in Bury and levels of satisfaction with the     services provided?

·               Devolution Greater Manchester

2.   Julie Gallagher, Democratic Services Officer will meet with Linda Jackson, Assistant Director, Operations, Adult care to discuss the development of the work programme prior to the next Health Overview and Scrutiny meeting.

There was no urgent business reported.