Stuart North Chief Operating Officer, Bury CCG and Professor Matt Makin, Medical Director, Pennine Acute NHS Trust will report at the meeting.
Minutes:
Matthew Makin Pennine Acute NHS Trust provided an update on the proposals for the City of Manchester Single Hospital Site (SHS). Matthew gave an overview and stated that care service provision in Manchester was fragmented with variations in the success of clinical outcomes for patients, variations in specialist opinions and the length of hospital stays across the city. Clinical care services are currently provided over three major hospital sites in Manchester (University Hospital South Manchester (UHSM); Central Manchester Foundation Trust (CMFT) and Pennine Acute Trust (PAT).
Manchester City Council Health and Wellbeing Board (MCCHWB) had appointed Sir Jonathon Michael as an Independent Review Director with a commission to produce a report on the proposed SHS. The review was set out in two phases:-
Phase 1 – Benefits Assessment (completed April 2016)
Phase 2 – Governance and Organisational Arrangements (recommendations submitted to the Manchester City Council Health and Wellbeing Board on 8 June 2016. A copy of the report had been circulated.)
The review has recommended the creation of a new NHS Trust to encompass the three hospitals in Manchester (UHSM, CMFT and PAT). This would deliver a Local Care Organisation and enable a single commissioning function that would also support the Manchester Locality Plan. The MCCHWB agreed to request CMFT, UHSM and PAT to enter into discussions to consider the creation of a new single organisation and to provide an initial assessment on implementation requirements and timescale.
The outcome of the discussions would be reported back to the MCCHWB within 6 weeks. In addition, the review also highlighted that further discussions were required on the strategic alignment between the Manchester Single Hospital Service review and the North East sector review. This would include minimising any adverse impact from the realignment of North Manchester General Hospital on the sustainability of either the remaining clinical services provided by Pennine Acute Trust or the proposed new City wide Hospital Trust.
The Chair invited questions.
Mark Carriline made the point that the proposal appeared to be an annexation of services and asked what regard had been given to the rest of the health care services outside of the city area when the decision was made on Manchester based services?
It was reported that within the North East sector clinicians had been involved at engagement events to discuss the benefits and interdependency of Healthier Together. The view of Sir Jonathon Michael was that Manchester would gain significant benefits from the formation of a single hospital based unit.
Councillor Shori stated that that proposals could result in significant change to health service provision and asked if the reasons behind the proposals were improved outcomes for patients or just financial. The proposals may also have an impact on the services provided at Fairfield Hospital and it was important to know what was involved and the potential impact to local services in Bury.
Stuart North joined the meeting at this point and confirmed that the proposals had only been considered by the Manchester Health and Wellbeing Board and not by the Greater Manchester HWB. The management of three hospitals would be moved on to one site (expected to be Central Manchester).
The meeting was informed that it was unlikely that maternity services would move from North Manchester. There would also be a consolidation of services across the three sites. Consideration would also be given to the wider footprint of service provision across Salford, Bury, Oldham and Rochdale. The Board would have an opportunity to comment on the SHS proposal when it is next considered by the MCCHWB.
The Chair recognised that the SHS issue could not be considered and discussed in the detail required at the meeting and in view of the timescale available, suggested that a special meeting of the HWB be convened during August. Details would be circulated in due course.
Delegated decisions:
1. That the City of Manchester Single Hospital Site update be noted.
That further consideration be given to the proposals for a City of Manchester Single Hospital Site and the wider implications on the provision of clinical services for Bury residents