Agenda item

·       Elective Care ‘Building Back Better’ – Presentation provided by Ian Mello, Director of Secondary Care Commissioning, Bury CCG and Penny Martin, Director of Operations Northern Care Alliance NHS Group. Presentation attached.

 

·       Developing Neighbourhood Health Improvement Plans – Presentation provided by Jon Hobday, Consultant in Public Health and Lesley Jones, Director of Public Health. Presentation attached.

 

·       Wider Determinants of Health: Work, Employment and Skills   report provided by Tracey Flynn, Unit Manager - Economic Development. Report attached for information only.

 

·       Social Prescribing Support for Health and Social Care – presentation provided by Sajid Hashmi, Acting Chief Officer Bury VCFA. Presentation attached.

 

Elective Care ‘Building Back Better’

 

Ian Mello, Director of Secondary Care Commissioning, Bury CCG and Penny Martin, Director of Operations, Northern Care Alliance attended the meeting to provide a presentation.

 

Covid-19 has significantly impacted upon the delivery of acute services across the NHS. There has been considerable increase in the time patients are waiting to receive non-urgent treatments. There is a joint programme of work to change the ways of delivering acute care to patients. The key focus is addressing health and inequalities and inclusion at a neighbourhood level. 

 

Since the pandemic began Bury has experienced significant decreases in elective activity across acute providers. 43% of patients on waiting lists have been waiting 18 weeks or longer and 10% of patients on the waiting list are waiting 52 week or longer. There is an increased demand on primary care clinicians and secondary care clinicians from scanning waiting lists to make sure people are not being harmed by waiting a long time for their treatment. 

 

A plan of the programme was shared with members, including timescales of when the programme would be implemented.  The framework is inclusive, and all care organisations and localities are involved in the programme. New approaches will be explored to re-design person-centred, neighbourhood based holistic models across multiple agencies. The system will consider overarching socioeconomic approaches, rather than just statutory healthcare targets. The programme will be evaluated by outcomes.

 

Greater Manchester Elective Care Chair has requested that this way of thinking be shared, so other partners across Greater Manchester can implement it.

 

A member discussed issues of patients returning to their G.P’s because they are still on the waiting list which is causing an increased demand in primary care. It was suggested that some communication should be created about the reality of the size of current waiting lists.

 

It was agreed:

 

1.      Ian Mello and Penny Martin be thanked for their update.

2.      Ian Mello and Penny Martin update at a future Board meeting.

3.      Penny Martin to create communication about the reality of the size of current waiting lists.

 

Developing Neighbourhood Health Improvement Plans

 

Lesley Jones, Director of Public Health gave an update on the early stages of work that in being developed in relation to the Neighbourhood Health Improvement Plans.

 

The Neighbourhood Improvement Plans are being developed to align with the vision, aims and objectives of a number of key existing strategies to significantly reduce health inequality in Bury. The vision is to ensure the people and communities of Bury are supported to recover both physically and mentally from living with COVID-19, individually and collectively.

 

The data collected shows that COVID-19 has had negative impact on mental and physical health. People are needing more support around mental health, getting active, eating healthier and alcohol consumption. Data identified certain groups that have been impacted more than others during the pandemic where there will be targeted work. COVID-19 is considered as the deconditioning pandemic which has increased inequalities.

 

Jon Hobday, Consultant in Public Health will be programme lead with the Public Health Team and the Live Well Team to acting as facilitators.

 

A Board member explained that businesses were working through Bury Business forum to donate a small amount of money to create a neighbourhood fund, there is no money in the fund yet, but a lot of interest.

 

Board members expressed the importance of including wider staff across the neighbourhood hubs.

 

Kath Wynne Jones explained that the health and care teams are working with different partners and are looking at a broader piece of work around the early help offer at neighbourhood level.

 

It was agreed:

 

1.      Lesley Jones be thanked for the update.

2.      Kath Wynne Jones to present information about the early help offer at a future Board meeting.

 

Wider Determinants of Health

 

Tracey Flynn, Unit Manager for Economic Development provided a report to the Board on work, employment and skills for information.

 

A discussion took place between members who thought that this is important work. It was though that work needs to be completed with organisations and businesses to enable them to be good employers looking at the health of their staff.

 

Tracey to be invited to a future Board Meeting to look at how relationships can be built further.

 

It was agreed that this work could link in with the anti-poverty strategy.

 

It was agreed:

 

1.      Tracey Flynn to be invited to a future Board.

2.      The anti-poverty strategy to be on the agenda at a future Board meeting.

 

Social Prescribing

 

Sajid Hashmi, Acting Chief Officer Bury VCFA updated the Board on Social Prescribing.

 

VCFA Beacon social prescribing service helps patients access support and help in the local Voluntary Community and Faith Sector (VCSE) that can help them improve their health and wellbeing. 

 

The service helps reduce the pressure on the G.P and gives patients the opportunity to take control of their own health. A significant part of the work is around loneliness and isolation.

 

The service is open to people who are aged over eighteen, registered with a Bury GP, are a Bury Resident and willing to engage with the programme.

 

The impact the service had on the people that were referred were that:

 

60% of referrals increased their satisfaction.

40% increased in feeling of worthwhile.

80% increased happiness levels.

80% decreased in anxiety levels.

 

It is expected that this impact will be higher in the future as in the last 12 months, the service was operating remotely and there was no face-to-face contact.

 

It was explained that people can self-refer to social prescribing and also be referred through their G.P and Secondary Care.

 

It was explained that Bury Primary Care network only has one social prescriber, The Beacon Service is negotiating with them to fund one more social prescriber.

 

It was agreed:

 

1.      Sajid Hashim be thanked for the update.

2.      That a summary of conditions be circulated or reported on at a future Board.