Agenda and draft minutes

There were no declarations of interest made at the meeting.

The Chair invited questions from members of the public present and the following questions were raised:

Mr Coates a member of the public asked the following question

“Given that the CCG's consultation survey:

1. dishonestly reports the results of its "engagement" survey, 2. does not consult about the key issue of whether the Walk-in-centres should be closed or kept open, 3. fails to mention in the question about the phone help line that the first contact will be with the unpopular NHS111, and 4. words every one of its questions asking for the public's opinion of its proposals in a way which is clearly leading,

I would like to ask the representatives of the CCG: [if they are present]

a.   whether, when the consultation is re-started, you will replace the current survey with one that genuinely tries to establish the public's view of your proposals, and if not:

b.   are you are not ashamed of the dishonesty of your consultation, and

c.   how can you expect a public which you clearly hold in contempt  to have any further trust in you?”

The Principal Democratic Services Officer reported that as no member of the Senior Leadership Team from the CCG was present, the question would be forwarded on to them for consideration and a written response would be compiled and sent on to Mr Coates within five working days.  

In respect of the Committee Mr. Coates expressed concern that the online survey would form a major part of the review and asked for the Committees views on this.  Responding on behalf of the Committee, Chair Councillor Kerrison reported that, the Committee had in the first instance received information in respect of the engagement exercise undertaken.  The Health O&S Chair met with the Chair of the CCG to discuss the consultation arrangements.  At the meeting held on 7^th February the Committee reserved the right to receive details about the outcome of public consultation before it makes its response so that the response can be informed by patient and public opinion.  

The Principal Democratic Services Officer reported that the consultation on Bury’s proposed future model for urgent care is to be paused to allow NHS Bury Clinical Commissioning Group a chance to consider a new directive aimed at improving urgent and emergency care nationally.

It was agreed:

Democratic Services would liaise with Bury Clinical Commissioning Group to obtain a response to the Public Question raised by Mr. R. Coates.  Once received, the response will be circulated to members of the Health Overview and Scrutiny Committee.

Minutes of the meeting held on the 7^th February 2017 are attached.

It was agreed:

That the minutes of the meeting held on 7^th February 2017 be approved as a correct record.

The following representatives will report at the meeting.  Presentation attached:

·         Parity of Esteem          Dr Jeff Schryer, Clinical Lead MH

·         Dementia                   Shirley Allen, Programme Manager

·         Children and Young      Dr Cathy Fines, Clinical Lead

People

·           Suicide                       Jon Hobday, Public Health Consultant

Karen Richardson, Deputy Director of Commissioning and Cath Tickle, Senior Commissioning Manager Bury CCG will also be in attendance.

·         Parity of Esteem

Dr Jeff Schryer, Clinical Lead for Mental Health, Bury CCG attended the meeting to update Members on the work undertaken on behalf of the CCG with regards to parity of esteem.  The presentation contained the following information:

There is a national requirement that Bury CCG increases expenditure in Mental Health by at least the same percentage as the CCG overall growth. Bury CCG growth 2017/18 is 2.01%; 2018/19 is 1.99%.

Dr Schryer reported that the CCG would want to ensure Mental Health services are not disadvantaged as a result of other competing pressures, mental health expenditure in the CCG in 2016/17 was cica £31.5m.

Dr Schryer reported that work is already underway and that includes planned investments in Children and Young People’s Services (refreshing plan with stakeholders including Local Authority); investments in Learning Disabilities and Dementia, working with local providers to ensure patient safety and working with third sector to improve local services.

Recent investments include, safer staffing on wards, early Intervention in Psychosis, Rapid Access Interface and Discharge Service (RAID) and telephone street triage; health minds; big white wall project.

Dr Schryer reported that there is an acute transformation pilot to support the crisis pathway and avoid hospital attendances and admissions. This will include:

•      Next day clinics staffed by RAID practitioners

•      Supported discharge team

•      Increase in capacity in the Home Treatment Team

•      7 day Community Therapy Programme

•      Clozapine Initiation Clinic in the community

Dr Schryer reported that there has been a number of recent investments via the voluntary sector including grants to Turning Point, Groundwork and Earlybreak.

Questions were invited from those present at the meeting and the following points were raised:

In response to a Member’s question, the Clinical Lead for Mental Health reported that the majority of patients would complete a talking therapies session within eighteen weeks.  Once completed the practitioner would look at the patient’s need and how they have responded to the treatment before deciding what course of action to take next.

With regards to only 15% of patients with depression accessing psychological therapy support, Dr Schryer reported that this is a relatively new service and it is hoped this will increase to 25% by 2020/21.

Dr Schryer reported that mental health service providers are actively engaged in providing training to police officers in how to recognise members of the public who may be in distress as a result of a mental health condition.

In response to a Member’s question Dr Schryer reported that funding for projects in the voluntary sector are usually for two years.  The providers must evidence how the work undertaken relieves pressure in other areas of the NHS as well as evidence outcomes.

In respect of funding for mental health services, the Commissioning Manager reported that the CCG is working with a number of different agencies to better recognise mental health problems before they escalate to crisis point.  The Director of Public Health reported that one of the workstream within  ...  view the full minutes text for item HSC.608

There was no urgent business reported.