Professor Matt Makin, Medical Director, Pennine Acute NHS Trust, will report at the meeting. Report attached.
Minutes:
Professor Matt Makin, Executive Medical Director, Pennine Acute NHS Trust attended the meeting to provide members of the committee with an update in respect of the Single Hospital Service. The presentation contained the following
Professor Makin, Executive Medical Director Pennine Acute NHS Trust, reported that 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.
Members of the Committee discussed the implications for the three remaining hospital sites as well as issues with patient pathways and patient flows into NMGH. Members expressed their concern that uncertainty around the future of the Trust would not help alleviate the problems identified within the CQC report.
Those present were given the opportunity to ask questions and make comments and the following issues were raised:
Members of the committee raised concerns about the proposals, the pace and amount of change ongoing with in the Greater Manchester area at the present time.
Members expressed concern that the proposals would not help services already identified as fragile within the Trust.
In response to a Member’s question, the Executive Medical Director reported that money has previously been spent in the wrong places within the Trust, including £19 million on locum medical staff in the previous financial year. Money needs to be re-invested working in partnership with CCGs and the Local Authorities in the right places which may include public health and community based projects.
The Executive Medical Director reported that the Healthier Together reconfiguration will result in all high risk surgery being transferred to Oldham Royal Infirmary. These proposals will improve the outcomes of those suffering major trauma by combining expertise in designated centres. Dr Patel reported that there is too much duplication in the health service and Health service Leaders need to be brave about making future decisions in respect of health service reconfiguration.
The Executive Medical Director reported that there may be issues with the viability of low risk surgery at Fairfield Hospital, including concerns with regards to emergency services for children.
A new governance structure is being developed in respect of the north east sector, led by Martin Farrar.
The proposals will result in a whole system changes to how services are provided; this will include the ambulance service, to avoid un-necessary admittance and improve access to GP services.
Members of the Committee discussed the devolution monies available via the Transformation Fund, Dr Patel reported that each locality will bid for money from the fund. Salford Royal have also be awarded a £10 million additional funding for support IT project within the Trust and it is hoped some of that funding will be spent within the Pennine Acute NHS Trust.
It was agreed:
1. The Executive Medical Director, Pennine Acute NHS Trust be thanked for his attendance.
The update report being developed at part of the North east sector governance review will be shared with members of the Joint Health Overview and Scrutiny Committee.