Agenda item

In attendance will be Howard Hughes, Clinical Director, Bury CCG, Catherine Tickle, Commissioning Programme Manager, Bury CCG and Jo Stevens, Service Manager, PCFT. Presentation attached.

Cath Tickle, Commissioning Programme Manager, Howard Hughes, Medical Director, Bury CCG and Jo Stephens, Representing Pennine Care Foundation Trust attended the meeting to provide members with an overview of the development of the community rehabilitation services serving Stroke and Neuro patient groups.  The presentation contained information with regards to the following areas:

• GM Community Neuro Rehab Provision Review
• GM Acute Service Reconfiguration
• Current GM Model of Neuro Rehab
• Proposed model of care – NHS CCG Commissioning intention
• Rationale for a Local Service, benefits and next steps.

The Commissioning Manager reported that at the October (2018) meeting of the Clinical Cabinet a business case was approved for the development of a Community Neuro Rehabilitation Service. Building on the existing well performing Bury Stroke Service, commissioned from Pennine Care Foundation Trust (PCFT).  It was reported that an integrated Stroke and Neuro Rehabilitation Service will support, an initial target cohort of the most complex neuro patients from Floyd Unit Rochdale and those in an acute settings that require rehabilitation; this will be approximately 100 patients.

The Commissioning Manager reported that the capacity of the new local service will be enhanced over a period of time, based on levels of actual local need, as opposed to estimated levels of need.

Those present were invited to ask questions and the following issues were raised.

Responding to a Member’s question in respect of how service delivery will be measured, the Commissioning Manager reported that quarterly performance monitoring reports will be provided to the GM operational delivery network as well as local internal monthly CCG reports.  Examples of key performance indicators will include response time, and physiotherapy waiting times.  It is envisaged that integrated services will enhanced outcomes for Bury Neurology patients, improve patient experience and drive up quality.

The Commissioning Manager reported that the data collected from the initial phase of delivery will be collated and will influence how subsequent services are developed.  Data collated will include patient flow information, length of stays and waiting times.

Responding to concerns raised by members in respect of this cohort of highly complex patients receiving the right and appropriate support in the community; the Pennine Care representative acknowledged that previously there had been some issues with care in the community.  These proposals will ensure that there is a co-ordinated timely and meaningful input from a specialist co-located MDT team that will now include a clinical psychologist.

The facilitated discharge from an inpatient unit would mean the patient could have a shorter and less intense care package with less likelihood of becoming institutionalised.

Responding to a Member’s question, the Clinical Director, CCG reported that the third sector will be an important partner in the Locality Care Organisation, service delivery will be devolved in its entirety to this organisation, this will result in an increased role from some of the third sector organisations that currently support and provide smaller scale projects.

The CCG Clinical Director reported that an additional 400,000 pounds has been made available to support the establishment of this service. 

It was agreed:

Representatives from the CCG and Pennine Care be thanked for their attendance and a further update in respect of performance against key performance indicators, the impact of the new service and the role out of the service to a wider cohort be considered.