Agenda and draft minutes

It was agreed:

1.   That Councillor Colin McLaren (Oldham MBC) be appointed Chair of the Joint Health Overview and Scrutiny Committee for the Municipal year 2017/18.

2.   That Councillor Stella Smith (Bury MBC) be appointed vice Chair of the Joint Health Overview and Scrutiny Committee for the Municipal year 2017/18.

Members of the Joint 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.

Minutes from the meeting held on 28^th February 2017.

The Joint Health Overview and Scrutiny Officer reported that an update in respect of the Retinopothy fixed camera in Saddleworth/Uppermill had been received.  The NE Diabetic Eye Screening Programme has only recently appointed a programme manager, the query highlighted from the JHOSC has been shared with the new postholder and a response as of yet has not been provided.

Representatives from Manchester and Oldham asked for further information in respect of the £10 million capital spend allocated for the North Manchester General Hospital (NMGH) and the Oldham Royal (ORH) Site.  The Finance Director confirmed that the majority of this money will be spent in NMGH on infrastructure, heating and car parks and in ORH on the Healthier Together implementation.

It was agreed:

1.   That the minutes of the meetings held on 28^TH February 2017 be approved as a correct record.

2.   Pennine Acute NHS Trust will provide further detailed information in respect of the £10 million capital spend at the Royal Oldham Hospital and the North Manchester General Hospital.

Members of the public present at the meeting are invited to ask questions on any matter relating to the work or performance of Pennine Acute NHS Trust. A period of up to 30 minutes is set aside for public questions.

There were no public questions.

A report from the Joint Health Overview and Scrutiny Officer is attached.

Members of the Joint Health Overview and Scrutiny Committee considered a report from the JHOSC Officer.

It was agreed:

That the necessity, that the Joint Health Overview and Scrutiny Committee for Pennine Acute NHS Trust be politically balanced, be waived for the municipal year 2017.2018.

Representatives from Pennine Acute NHS Trust will report at the meeting.  Report attached.

Representatives from the Salford Royal NHS Trust and the Pennine Acute NHS Trust attended the meeting to provide members of the Committee with a Trust wide update with particular regards to the Financial position at the Trust and also workforce issues.

It was agreed:

The following four items listed on the agenda; Trust wide financial update; Workforce Update; City of Manchester Single Hospital Service Update and Healthier Update would be considered as a single item.

The Presentation contained the following information:

The Trust has ensured that there has been a focus on stabilisation and quality improvement, the Trust has established strong governance and leadership and overseen the commencement of significant clinical transformation.

The Director of Strategy reported that like the rest of the NHS, the Pennine Acute NHS Trust faces significant financial pressures and investment is required to improve and transform.

The Trust delivered a £2m deficit in 2016/17 on a turnover of £644m; this was better than planned. For 2017/18, the PAT has a £11.3m deficit plan.  The Director of Strategy reported that the main areas of pressure is, costs associated with activity over performance, continued use of clinical agency staff and delivery of efficiencies.

In respect of the Leadership arrangements, the new organisational arrangements have been in place since April 2017.  Care Organisations have been established that connect to their local health and care economy as well as the development of more robust clinical operating procedures to drive continuous improvement and resilience.

Significant change and transformation is required of PAT services in order to secure clinical and financial resilience. Key drivers include:

•           Urgent need to improve quality of care, including addressing the CQC findings.

•           Meeting commissioning requirements, particularly a significant shift to integrated out-of-hospital care (through Local Care Organisations).

•           Establishment of the (proposed) Single Hospital Service for the City of Manchester and associated changes to NMGH.

•           The GM Theme 3 clinical strategy for hospital based services.

•           Addressing 7 day services standards and provision.

In respect of the Single Hospital Service, the Director of Strategy reported that a provisional report has been published by the Competition and Markets Authority, the creation of the new trust remains on track for October 2017.  The NMGH is likely to join the new Trust 12-18 months after CMFT/UHSM merger.

A North east sector Clinical Service Strategy has been developed, its primary aim is to describe how FGH, RI and ROH will deliver safe, high quality, clinically and financially sustainable services that meet the needs of local people.

The strategy will also support the future clinical and financial sustainability of NMGH and there will be separate governance arrangements in place for this.  The Strategy will focus on acute services at PAT sites, but this will be closely aligned to the development of improved services out-of-hospital.

In respect of the workforce, the Director of Strategy reported that there has been significant effort to stabilise the workforce and create a culture of improvement, new models of care will require  ...  view the full minutes text for item 6.

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

There was no urgent business reported.