Venue: Meeting Rooms A&B
Contact: Julie Gallagher
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.
There were no declarations of interest made at the meeting.
PUBLIC QUESTION TIME
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.
The minutes of the meeting held on 25th April 2019 are attached.
It was agreed:
That the minutes of the meeting held on 25th April 2019 be approved as a correct record.
· Geoff Little, Chief Executive Bury Council will provide an update on the One Commissioning Organisation
· Kath Wynne Jones, Chris O’Gorman and Julie Gonda will provide an update on the Locality Care Organisation
Presentations are attached.
· One Commissioning Organisation
Geoff Little, Chief Executive Bury Council and Tony Bruce, Director of Transformation attended the meeting to provide members with an update in respect of the development of the One Commissioning Organisation. The presentation contained information in respect of the development of the Local Care Organisation (LCO), the One Commissioning Organisation (OCO) and also work that is underway with the public and communities in relation to Neighbourhood working.
The Chief Executive reported that the establishment of the OCO is necessary to close the financial gap of £25 million, improve outcomes and re-balance from a system that all too often results in late intervention in hospitals and residential care to early intervention in communities. GM Devolution is a once in a generation opportunity to do this. £19 million pounds of transformation monies have been made available to investment in transformation projects within the Borough.
The main objective of the proposed changes is to empower people to remain well for longer, make informed choices and create a different model of services for Bury people.
Ultimately and over time the Bury “One Commissioning Organisation” will encompass all strategic commissioning from the Council and CCG and other public services where possible. The Chief Executive reported that by 1st October 2019 the Strategic Commissioning Board, health and social care will commence work. The OCO staffing function (health and social care) will be fully operational by the 1st April 2020.
Those present were invited to ask questions and the following issues were raised.
Responding to a Member’s question the Chief Executive reported that the majority of the 19 million pounds of GM transformation monies will have been spent within the Locality Care Organisation, transforming services and developing new services. Very little monies have been spent on organisational structures. The closer working arrangements across both the CCG and the Council including the appointment of joint posts for the positions of Chief Finance Officer, Chief Accountable Officer and Head of Communications will reduce costs and bureaucracy.
Members asked for assurance in respect of how the development of these organisations will assist those most vulnerable in society whom rely and depend on these services and how these organisations link in with the development of the anti-poverty strategy. Responding, the Chief Executive reported that the anti-poverty strategy will at a population level, help people to secure economic growth, better quality of life. The LCO via the integrated Neighbourhood teams will result in integrated service provision and improve the quality of services for residents in the Borough.
The Chief Executive reported that health outcomes need to improve in the Borough, this cannot be done in isolation. Schools, further education colleges and higher education institutes are vital partners in this process. Improvements to the education and skills of the Borough’s residents will ultimately lead to better health outcomes and reduce costs across the public sector.
With regards to the establishment of the Strategic Commissioning Board, the Chief Executive reported that the Board will still ... view the full minutes text for item HSC.4
Jon Hobday, Public Health Consultant to report at the meeting. Presentation is attached.
Jon Hobday, Public Health Consultant attended the meeting to provide members with an overview of key health and wellbeing data for Bury and to highlight the interventions which will improve health and wellbeing over the life course. The presentation included information in relation to:
· Life expectancy
· Healthy life expectancy
· Mortality from preventable causes
· Impact of health inequalities across the life course
· What works
· Actions to promote health equity and tackle health inequalities
Members discussed using JSNA data more effectively to provide meaningful neighbourhood profiles. Work is undertaken to understand what interventions should improve outcomes and then to commission and target resources into the areas of most impact.
It was agreed:
Members will be kept informed of the work undertaken to expand the neighbourhood profiles and developments with the Joint Strategic Needs Assessment.
A report from Julie Gallagher Principal Democratic Services Officer is attached.
The Principal Democratic Services Officer presented a report outlining a proposed work programme for the Health Scrutiny Committee.
It was agreed:
1. Amendments will be made to the work programme to include:
A more extensive mental health update including Healthy Young Minds and waiting times; Fairfield Hospital update and a report from the Coroner.
2. A training session will be arranged prior to the next meeting to discuss health and social care reform.
Councillor S Smith
In the Chair
(Note: The meeting started at 7pm and ended at 9.10pm)