Representatives from the Clinical Commissioning Group will report at the Meeting.
Minutes:
Sharon Martin, Director of Commissioning at Bury CCG gave a presentation setting out the work currently being undertaken by the CCG in relation to the commissioning of services.
It was explained that the commissioning intentions were set out well in advance of them being provided to ensure that providers were aware of what was being planned and able to prepare.
It was explained that there were a number of factors to consider when looking at the commissioning of services including demand and cost.
Sharon reported that the Radcliffe Demonstrator Pilot was in the process of being rolled out. The pilot included all Radcliffe GP surgeries as well as the Mile Lane surgery in Bury and would provide access to medical advice and assistance within Radcliffe from 8am to 8pm and during weekends. The pilot was aimed at reducing presentations at A & E and providing services locally.
Work was being carried out in relation to long term conditions early intervention and risk profiling for people with these to hopefully recognise long term conditions earlier before they become more severe.
Work was being done around referrals within Pennine Acute and the hope that consultant to consultant referrals would be minimised.
The work that had been undertaken in establishing the integrated Diabetes Team was now being rolled out to other medical teams including cardiology.
Service provision around Cancer services and End of Life pathways and diagnostics were being reviewed.
There was also work being carried out in relation to reablement, urgent care and emergency care development, Mental Health and learning disabilities and a future review of the CAMHS strategy.
The next steps would involve working with clinicians, partners and patients to look at current services and produce an overarching plan for the coming 2 years.
Members were given the opportunity to ask questions and make comments and the following points were raised:-
· Councillor Walker referred to the Radcliffe demonstrator pilot and the fact that his would incorporate Mile Lane Surgery and asked how this had been promoted as he was a regular attendee of the surgery and he wasn't aware of it.
It was explained that the Clinical Commissioning Group had been working with the Patient Cabinet to promote the roll out. There had been a soft communication campaign that had been run prior to the pilot going live this week and a much harder campaign would be launched next week.
· Councillor O'Hanlon referred to the Radcliffe pilot and asked whether figures would be available setting out projections and actual savings as well as demand.
It was explained that this would be available and would allow for the project to be changed if required. Patients would be consulted throughout the pilot to ensure that the service was what was required and fit for purpose.
It was suggested that the presentation that had been given to the Radcliffe Township Forum should also be presented to Bury West Township Forum.
· Councillor O'Hanlon also referred to alcohol dependency of residents in their 30s and 40s and the fact that this had been recognised as an issue. Councillor O'Hanlon asked what work was being carried out or planned in relation to this.
Sharon explained that alcohol dependency was a priority area and work was being undertaken in partnership with Public Health.
· Councillor Parnell referred to the reablement service and explained that he had first hand experience with the service as a close relative of his had used it recently. Councillor Parnell explained that he felt it was a very good service.
· Councillor Parnell also referred to the anticoagulant service that had been mentioned within the presentation and asked for more information on this.
Sharon explained that work was being carried out to look at the possibility of bringing the anticoagulant service into the community at local health provision sites rather that at hospital sites as is currently.
· Councillor Smith referred to the Radcliffe demonstrator Pilot and asked what the indicators of success would be.
Stuart North explained that measurable indicators would be financial, reduced presentations to A & E, reduced activity in hospitals, under 75 mortality rates, patient feedback and the measured use of the service. It was explained that statistics on use would be recorded and reviewed in relation to patient use of the pilot service when compared to the use of other services.
· Councillor Fitzwalter asked what training GPs were required to undertake in relation to refreshing and updating their skills and knowledge.
It was explained that training was regularly offered and taken up by all GP surgeries across Bury and the Clinical Commissioning Group were committed to raising standards across the board.
· Councillor Walker asked whether statistics in relation to hospital readmissions were reviewed.
Stuart explained that the statistics were reviewed and all service providers were committed to reducing readmissions and to make discharge as straightforward as possible.
· Councillor Bury referred to recent media reports that some procedures weren't being commissioned such as cataract operations and knee and hip replacements and asked whether this was the case in Bury.
Stuart reported that the recent Dr Foster Review had made reference to to Bury as being one of the biggest reducers in procedures offering limited clinical value.
Sharon Martin explained that the Clinical Commissioning Group would be more than willing to work with the Committee in any reviews that they may want to undertake in relation to the provision and commissioning of services.
It was agreed
That Sharon and Stuart be thanked for their presentation.