Agenda item

Performance slides attached to be presented by Will Blandamer Executive Director (Health and Adult Care)

The item began with an introduction where members and the committee were reminded to have reviewed the slides in advance. The chair acknowledged the extensive data and proposed a discussion on the best approach to review it, suggesting either a page-by-page review or focusing on the summary.

Will Blandamer Head of Health and Adult Care provided a brief overview of the ICP Locality Performance Report, noting that it is a report in development and highlighting some gaps, particularly in key indicators and children's services. The report is used by the locality board to review the operation of the health and care system.

During the discussion, several key points were addressed. Will Blandamer explained that the report is owned and coordinated by the ICB (Integrated Care Board) and acknowledged that there are gaps in the report, especially in key indicators and children's services.

He emphasized that the report is used by the locality board to review the health and care system's operation.

The performance metrics included in the report were discussed, with Blandamer highlighting the importance of indicators related to primary care, hospital discharge, and prevention work. He specifically pointed out the health checks for those with learning disabilities on Page 55 and the number of GP appointments within 14 days on Page 68.

Councillor Rubenstein questioned the rationale behind using 14 days as a measure for GP appointments. Will Blandamer explained that the 14-day measure is a national indicator and provided context on how GP appointments are recorded.

A Councillor inquired about the impact of COVID-19 on the data and figures presented in the report. Blandamer addressed the impact of COVID-19 on various areas, including elective care, mental health services, and routine health checks.

A Councillor asked about the assurance that the health side of the locality plan is meeting its objectives, particularly for children starting school ready to learn. Will highlighted the work of the Starting Well and Early Health Partnership Board in supporting children and families.

Councillor Lancaster raised concerns about the safety of the inpatient mental health unit following recent newspaper reports. Blandamer preferred not to comment on that at the moment but agreed to provide a briefing to the committee outside the meeting.

Councillor Gold questioned the accuracy of the 14-day GP appointment measure and how it accounts for patients who cannot get an appointment within that timeframe. Will provided context on how GP appointments are recorded and emphasized the importance of looking at a range of indicators to assess the overall performance of the health system.

Adrian Crook provided additional context on the performance of the health system, emphasizing the importance of primary care and community-based interventions. He discussed the correlation between primary care performance and hospital admissions.

The importance of presenting data in a way that reflects the patient journey was discussed, and the need for better access to data on the quality of maternity services for Bury residents was highlighted.

It was Agreed:

·         The report be noted 

• Will Blandamer to check the rationale behind the greyed-out numbers in the elective care section.
• Consider presenting data in a way that reflects the patient journey.
• Follow up on the safety of the inpatient mental health unit.