Agenda and draft minutes

Health Scrutiny Committee
Monday, 5th March, 2018 7.00 pm

Venue: Meeting Rooms A&B, Bury Town Hall

No. Item




Councillors  P Adams and J Grimshaw




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.


There were no declarations of interest made at the meeting.




Questions are invited from members of the public present at the meeting on any matters for which this Committee is responsible.


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



MINUTES pdf icon PDF 67 KB

Minutes of the meeting held on the 18th January 2018 are attached.


It was agreed:


That the minutes of the meeting held on 14th November 2017 be approved as a correct record.




Dr K. Patel, Chair Bury CCG and Stuart North, Chief Operating Officer Bury CCG will provide members with a verbal update.  Presentation attached.


Dr Patel, Chair Bury CCG and Stuart North, Chief Operating Officer, Bury CCG attended the meeting to provide an overview of the proposed plans for a new model of Urgent Care within the Borough.  An accompanying report had been circulated to members prior to the meeting.


The CCG Chair provided members with an overview of the proposals, proposals will include plans for a new Urgent Treatment Centre located at Fairfield General Hospital in Bury, running alongside the accident and emergency department; initially three integrated health and social hubs in Bury, Radcliffe and Prestwich, to offer a range of services, including GP led walk-in services.  NHS 111 service will remain and patients requiring urgent care will be advised to contact the GP in the first instance.


The integrated health and social care hubs will provide a range of services, initially it is propose that they will deliver:


·           GP-Led (including nurse) Walk-In Services

·           Urgent GP appointment requests

·           Access to Bury patient notes (currently not available in WICs)

·           GP Extended Working Hours appointments

·           Wound Care Services

·           Sign posting advice to other services

·           Social Care advice and services

·           Co-ordination of the other services to support patients in the community

Those present were invited to ask questions and the following issues were raised.


Members discussed the lack of public confidence in the 111 national phone triage service.  Dr Patel reported the use of the 111 number is encouraged nationally, however following feedback from the engagement phase, the proposals have been altered to include a local GP number.


The Chief Operating Officer clarified that the new health and social care integrated hubs will be staffed by a multi-disciplinary team and still include a walk in service.


Responding to members concerns in respect of navigating the new system, the CCG Chair reported that the Integrated Hubs will benefit those in the Borough that are elderly or living with a long term conditions.  A number of different services will be provided in the same place thus reducing the need to attend multiple appointments at multiple venues.


In response to a Members question, the CCG Chair reported that it is envisaged that between 30 and 40% of patient traffic will be diverted from A&E to the new Urgent Treatment Centre.  Similar facilities will be available at North Manchester General Hospital and Bolton Hospital.



The CCG Chair reported that the services provided at the Integrated Hubs will be different to those currently provided at the Walk in Centres, information will be provided to those patients that could have been seen elsewhere (eg a pharmacy) as to the most appropriate facility for their condition.


Members expressed their concerns in respect of problems with GP recruitment and availability of GP appointments.  Responding to those concerns the Chief Operating Officer reported that GPs will be encouraged to work differently and collaboratively.  The CCG Chair reported that the service needs to be delivered differently and as part of Multi-disciplinary teams to create resilience in the system. 


In response to a question from  ...  view the full minutes text for item HSC.420



Lorraine Chamberlin & Anne Whittington will provide members with a verbal update at the meeting, report and presentation attached.

Additional documents:


Lorraine Chamberlin Head of Health and Environmental Protection

A Whittington, Public Health Register attended the meeting to provide members with an overview of the health protection annual report.


The Head of Health and Environmental Protection reported that this is the first Health and Environmental Protection Annual Report for Bury and aims to provide a means of assurance for the Council in relation to its Health and Environmental Protection Duties. The report covers work being undertaken to safeguard the people of Bury from the hazards presented by communicable diseases and the environment.  The report highlights many areas of achievement and excellence in Bury and also provides recommendations for areas of focus in the coming year and beyond, to ensure we maintain a high standard.


Health protection is an essential part of achieving and maintaining good public health. It involves planning, surveillance and response to incidents and outbreaks. Health protection prevents and reduces the harm caused by communicable diseases and minimises the health impact from environmental hazards such as chemicals and radiation. It also includes the delivery of major programmes such as national immunisation and screening programmes and the provision of health services to diagnose and treat infectious diseases.


Key areas of achievement:


·         MRSA bacteraemia infections were lower than national rates and there none were assigned to Bury CCG in 2016/17. 

·         Bury is performing well both regionally and nationally with regards to uptake of the flu vaccine

·         Uptake of other vaccines is also generally good, particularly for the childhood vaccinations of MMR and 5-in-1. 

·         Coverage of the cervical screening programme is above regional and national levels, which is good.

·         HIV late diagnosis has reduced significantly in recent years and is now below national levels.

·         Neighbourhood working embraced by assigning two Environmental Health officers to the trailblazer Radcliffe and Bury East Hubs

·         Digital mobile working introduced in Pest Control to be rolled out to all Environmental health services

·         87% of our Food businesses are broadly compliant and 68% have been awarded the highest Food Hygiene rating of 5 with only 5% having a rating of 2 or less



Recommendations for action:


·         Bury has not yet achieved the cervical screening 80% uptake target. We will continue to work with PHE and Bury CCG to increase uptake.

·         We need to develop a better understanding of our local TB prevalence and ensure prevention and treatment are optimised.

·         There have been issues with data collection for HIV diagnosis in women and this needs further exploration.

·         Environmental quality issues around fly tipping, accumulations and nuisance continue to dominate the reactive workload and a new Environmental Quality strategy is to be implemented.

·         Food hygiene inspections are increasingly being carried out by consultants as a result of job cuts within environmental health - there was a drop in total interventions in 2016 which has come to the attention of the Food Standards Agency for monitoring in 2017/18.  We will continue to monitor and manage the situation as effectively as possible within available resources.


Those present were invited to ask questions  ...  view the full minutes text for item HSC.421



Any other business which by reason of special circumstances the Chair agrees may be considered as a matter of urgency.


There were no items for Urgent Business.