To note that Council has appointed Councillors Judith Lloyd and Patricia Young as Chairman and Vice-Chairman respectively of this committee for the Municipal Year 2015/16.

RESOLVED: That it be noted that Councillor Lloyd and Councillor Mrs Young have been appointed Chairman and Vice-Chairman respectively for the Municipal Year 2015/16.

To note the membership of this Committee, as determined by Council, for the Municipal Year 2015/16.

RESOLVED: That the membership of the committee for the Municipal Year 2015/16 be noted.

To note the terms of reference for the Committee, as determined by Council, for the Municipal Year 2015/16.

RESOLVED: That the Terms of Reference be noted.

Members to give notice of any interest and the nature of that interest relating to any item on the agenda in accordance with the adopted Code of Conduct.

Councillor Brophy in relation to her employment by Lancashire Care Foundation Trust.

Councillor Chilton in relation to his employment by General Medical Council.

Councillor Harding in relation to her employment by a mental health charity.

Councillor Lloyd in relation to her employment with the Stroke Association.

Councillor Mitchel in relation to his employment with Greater Manchester West.

Councillor Taylor in relation to her employment within the NHS.

To receive and, if so determined, to agree as a correct record the Minutes of the meeting held on 4 March 2015.

The Committee considered the Minutes from the meeting on 4 March.

Councillor Chilton provided the Committee with a verbal update regarding his visit to the Meadway Health Centre. He informed the Committee that Pennine Health Care NHS Trust are recruiting more district nurses to meet demand as highlighted within their recent review. Pennine had also offered to share the results of their review with the Committee.

Councillor Chilton recommended that the Head of Service at Meadway Health Centre be invited to deliver a presentation on the recent district nursing review in October.

RESOLVED:

1)    That the Minutes of the meeting held on 4 March 2015 be agreed as a correct record and signed by the Chairman.

2)    That the update from Councillor Chilton be noted; and

3)    That the Head of Service at Meadway Health Centre be invited to the Health Scrutiny Committee in October to provide an update on issues at the Centre.

To receive a presentation on the Trafford Care Coordination Centre from the Chief Operating Officer of Trafford CCG.  

The Chief Operating Officer of Trafford Clinical Commissioning Group (Trafford CCG) attended the meeting and delivered a presentation to the Committee on the Trafford Care Coordination Centre (TCCC).

The presentation described the way that the TCCC will track patients to create a more holistic approach to health care. The new system was intended to simplify healthcare for patients with only one phone number for all health services. The system had cost £15 million but projections indicated that it would make back the investment within 2 years of running.

All patients would be asked whether they were happy with their information being stored and shared with an alternative pathway in place for those who opt out. Once a patient was signed up to the system all contact with health services would be conducted through it and, over time, data would be collected to create a profile which would be continually updated to enable a patient centred approach. 

The Committee inquired about the TCCC.  These included questions about patient experience, how the system would deal with different referral processes and how the public would be informed about the TCCC. The Chief Operating Officer gave detailed answers to the questions raised by Members and invited them to visit the TCCC in October 2015 once phase two is in place.

The Committee thanked the Chief Operating Officer for attending the meeting and giving an update.

            RESOLVED:

1)    That the Chief Operating Officer be thanked for her presentation. ;

2)    That all Committee members be invited to visit the TCCC in October 2015.

To receive a report from the Democratic and Performance Services Manager.

The Chief Operating Officer of Trafford Clinical Commissioning Group (Trafford CCG) provided an update to the Committee on specialised cancer services within Greater Manchester.

The Chief Operating Officer explained that under Devolution Manchester, Trafford CCG would be the lead for specialist commissioning across Greater Manchester and included four specialised cancer services and that gynaecological and hepatobiliary cancer services were fully compliant with NHS guidelines and upper GI cancer services were mainly compliant with a few gaps remaining. 

A number of issues had occurred while trying to implement a similar reconfiguration in Urology. These issues had led to the service going through a procurement process earlier in the year. However, the subsequent award had been challenged and meant that the existing pathways for Urology services had remained in place.

The Chief Operating Officer informed Committee members that this work was continuing as part of Devolution Manchester with the aim of the service being compliant by March 2016.

RESOLVED:

1) That the Chief Operating Officer be thanked for her update.

2) That the update be noted.

To receive a report from the Head of Service South Area Family Support Team in relation to the review of CAMHS 2015/16.

The Head of Service - South Area Family Support Team presented a report on how the Children & Adolescent Mental Health Service (CAMHS) will work to meet the mental health needs of children and young people in Trafford. 

The report covered the current structure of CAMHS in Trafford, the work they do and the children they work with. The Head of Service went on to detail the recent change of staff within CAMHS. He explained that this change would not affect the level of service which was provided.

The report detailed the aims and proposed outcomes of the review being carried out within CAMHS in 2015/16. The Head of Service stated that by going through the review process and ensuring that resources were utilised in the most efficient way CAMHS could meet savings targets whilst improving the service.

Committee members raised a number of questions about the proposed review and savings. The questions covered various aspects of the service including the support in place for the transition of children to adult services, the year on year increase in the number of referrals, preventative work being conducted by CAMHS, partnership working within the CAMHS service and the current provision for tier four placements. The Head of Service gave in depth answers to the questions asked by the committee.

In addition to the responses from the Head of Service, the Committee requested further information regarding the costs of staff within CAMHS and the total amount of CAMHS funding. The Committee members agreed to revisit the CAMHS review later in the year.

The Committee members thanked the Head of Service for his overview and update of Trafford CAMHS.

            RESOLVED:

1) That the report be noted.

2) That the Committee be provided with additional information on the cost of staff and the total amount of CAMHS funding.

3) That the Committee be provided with an update on the review of CAMHS again in March 2016.

To receive a report from the Chairman of Healthwatch Trafford.

The Chairman of Healthwatch Trafford attended the meeting and presented Healthwatch Trafford’s annual report.

The report covered the work which Healthwatch Trafford had conducted during 2014/15. This included details of community engagement, consultations, meetings and visits that Healthwatch Trafford staff and volunteers had taken part in as well as an update on their internet and social media presence.

Committee Members asked about the remit of Healthwatch Trafford in dealing with Trafford residents in out of borough placements. The Chairman of Healthwatch Trafford informed members that Healthwatch Trafford was unable to respond to complaints for health organisations that did not operate in Trafford.

The Chairman of Healthwatch Trafford told the Committee about a number upcoming enter and view reports and offered to send these and all other reports created by Healthwatch Trafford to Members.

            RESOLVED:

1)    That the Chairman of Healthwatch Trafford be thanked for attending the meeting.

2)    That all reports by Healthwatch Trafford be sent to members of the committee.

To receive an update on the work of the Joint Health Scrutiny Committee meeting 1 July 2015 from the Chairman.

To receive the draft minutes of the Joint Health Scrutiny Committee 23 March 2015.

The Chairman gave a verbal update of the JHOSC meeting held on the 1^st July 2015.

The main points from the meeting were that Trafford CCG have purchased an additional 18 intermediate care beds in Ascot House which would be in place to cope with the winter pressures and that the Committee asked Trafford CCG to support Wythenshawe Hospital in the vote at the Committee In Common 15^th July.

RESOLVED:

1)    That the Update be noted.

To receive an update on the work of the Greater Manchester Interim Health and Wellbeing Board from the Vice Chairman.

The Vice-Chairman distributed the minutes of the Greater Manchester Interim Health and Wellbeing Board meeting held on 22^nd May 2015. The meeting had focused upon developing an age friendly Greater Manchester, the working well pilot and an update on the progress of the devolution of health and social care in Greater Manchester.

RESOLVED:

1)    That the minutes be noted.

To receive an update on the work of the AGMA Joint Health Scrutiny Committee from the Vice Chairman.

The Vice Chairman distributed notes from the AGMA JHOSC meeting held on the 24^th June 2015. The meeting included the Christie’s Quality Account, an update on Healthier Together by NHS England and a presentation from the North West Ambulance Service.

The Committee discussed the various joint working arrangements in the context of their own work programme for the year.  The Chairman listed the topics which made up the provisional work plan for 2015/16. Councillor Mitchell offered to follow up on a site visit of Altrincham Hospital conducted by the Chairman and Vice Chairman.

The Chairman asked members to put forward proposals for any additional items for the Committee to consider and two proposals were outlined by members of the Committee which concerned addressing Hospital discharges and stroke rehabilitation.

RESOLVED:

1)    That Councillor Mitchell visits Altrincham General and provides an update at the next meeting.

2)    That the Chairman and Vice Chairman finalise the work programme and provide an update to the next meeting.