Agenda item

The Assistant Director, Strategy, Procurement and Finance, Julie Gonda and Brett Nelson, Bury MBC will attend the meeting.  Reports attached.

The Assistant Director, Strategy, Procurement and Finance, Bury Council attended the meeting to present the Draft Locality Plan for Bury. The Locality Plan sets out the five year vision for improving health and

social outcomes across Bury.

The strategic vision is to ensure that the population is as healthy, happy and independent as possible, living with minimal intervention in their lives. This will be achieved through targeted strategies of self help, prevention and early intervention, reablement and rehabilitation.

The Bury Locality Plan forms part of the Greater Manchester Strategic Plan:

“ To produce during 2015/16, a comprehensive GM Strategic Plan for health and social care aligned to the NHS 5 forward view describing how a clinically and financially sustainable landscape of commissioning and provision could be achieved over the subsequent five years.”

The Greater Manchester Plan will aim to deliver fundamental change for Greater Manchester:

1.   Radical upgrade in population health prevention

2.   Standardising Community Care

3.   Standardising Acute Hospital Care

4.   Standardising Clinical Support and Back Officer Services

5.   Enabling Better Care

Bury’s Locality Plan will set out a local “place view” and key focus on an integrated care approach.  Bury Council and Bury CCG have committed to work towards establishing one single commissioning function.

The Assistant Director Strategy, Procurement and Finance reported that there is a financial challenge in Bury that needs to be taken into consideration.  The Financial gap within Bury will be £125 million by 2021; this is equates to £85 million in the NHS; £40 million within Social Care.

Questions and Comments were invited from those present at the meeting and the following points were made:

In response to concerns raised by Members in respect of finances, the Chief Operating Officer, Bury CCG reported that there is £500 million pump priming money available to support Devolution, this money may be used to support dual running of some services until those services are fully established in the community.  The Chair of the CCG reported that any dual running will be time limited.

In response to a Member’s question, the Assistant Director Strategy, Procurement and Finance reported that the Devolution proposals will result in a streamlined engagement process and a robust engagement strategy.

Members discussed how the voluntary sector/third sector can be involved in the devolution proposals and in particular the Locality Plan.  The Executive Director Communities and Wellbeing reported that there will be a number of work programmes established as a result of the Locality Plan and it would be expected that the third sector would be involved in their development.

In response to concerns raised in respect of the drive to encourage patients to take greater responsibility for their own health, Dr. Patel reported that there will be a safety net for those vulnerable patients who are unable to self care and require greater support. 

In response to concerns expressed in respect of palliative care provision in the Locality Plan.  Dr. Patel reported that the purpose of its inclusion is to ensure that those patients requiring palliative care receive care that is appropriate to their needs and do not end up having to present at Accident and Emergency.

The Chief Operating Officer reported that the Local Authority and the CCG will work with providers to move care out of the acute sector and into the community, providers will be fully engaged in the process. 

Delegated decision:

                1. That the Health and Wellbeing Board agrees to sign off, prior to re-submission, the Bury Draft Locality Plan.

                            2. Regular updates in respect of the Bury Locality Plan will be considered at     future meeting of the Health and Wellbeing Board.