To receive and, if so determined, to agree as a correct record the Minutes of the meeting held on 7 October 2015.

RESOLVED:

1)    That the minutes of the meeting held on 7^th October 2015 be agreed as correct record and signed by the Chair.

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 Bruer-Morris in relation to her employment within the NHS.

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

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

Councillor Taylor in relation to her employment within the NHS.

To receive a presentation from the Head of Personalised Care for Trafford CCG.

The Head of Personalised Care from Trafford Clinical Commissioning Group (CCG) delivered a presentation to the Committee on Continuing Health Care (CHC). The presentation laid out what CHC is, the structure of Trafford CCG’s CHC team and the progress that they have made over the year. The Officer reported that there had been massive strides made within this area during the year so that Trafford CCG is now seen as one of the best CCGs in terms of their approach to CHC.

One area that the Head of Personalised Care focused upon was the Previously Unawarded Packages of Care (PUPoC).  A PUPoC is where the family of the deceased may claim that their relative was eligible for CHC before they died. If it was found that they were eligible the family could claim compensation from the CCG for the care that person would have received. Because these awards are for high cost care over a number of years each case awarded is a large financial settlement for the CCG. On top of this the nature of the investigation itself takes up a large amount of time and resource for the CCG. Since PUPoCs were introduced Trafford CCG has identified 181 cases, 40% have been completed and half of those have been awarded.

Committee members asked a number of questions on areas including end of life care, staffing levels, patient tracking, out of borough placements, provision of care within Trafford and the impact of PUPoCs on the CCG. The Head of Personalised Care gave detailed answers to all of the Councillor’s questions and Committee Members were satisfied with the answers received.

RESOLVED:

1)    That the Head of Personalised Care be thanked for her presentation to the Committee.

2)    That the Committee revisit CHC in the next municipal year.

To receive a verbal update from Councillor Chilton.  The Associate Director of Commissioning for Trafford CCG and the Joint Head of Service – Adult Health & Social Care Integration (South) from Pennine Health Care will provide a verbal report on the Trafford District Nursing Review.

Councillor Chilton gave a brief verbal update to the committee regarding his recent visit to Firsway Health Centre. Councillor Chilton stated that he was happy with the district nursing service overall but expressed his concerns at the staffing levels at Firsway Health Centre and the general difficulties of recruitment within the service.

The Joint Head of Service – Adult Health & Social Care Integration (South) did not cover District Nursing as a separate presentation to the committee as it was to be covered as part of the Integrated Care presentation.

RESOLVED:

1)    That the update be noted by the Committee.

To receive a report from the Associate Director of Commissioning for Trafford CCG, the Joint Head of Service – Adult Health & Social Care Integration (South) from Pennine Health Care and the Joint Director for Adults (social care).

The Associate Director of Commissioning for Trafford CCG, the Joint Head of Service – Adult Health & Social Care Integration (South) from Pennine Foundation Trust and the Joint Director for Adults (social care) gave a presentation to the Committee on the integration of Health and Social Care within Trafford. The presentation covered the many areas of health and social care which Trafford Council, Trafford CCG and Pennine Care were bringing together into a single model. As well as updating Committee members on the progress made this year,  the presentation also covered Pennine and Trafford Council’s integrated strategy up to 2020. This part highlighted the growing deficit being accumulated by the Council and Health Organisations in the area with projections indicating a deficit of £111m by 2020.

Once the presentation concluded the Councillors posed a large number of questions to the officers. The questions covered a wide array of points, concerns and services. The Councillors received a number of detailed answers to their questions but due to time restraints many more questions could not be covered adequately.

It was agreed that the integrated health and social care work programme was too large and area to cover within a single meeting. It was agreed that additional meetings between Officers and Committee members be set up to cover integrated Health Care in more  detail.

RESOLVED:

1)    That the officers from Trafford Council, Trafford CCG and Pennine be thanked for presenting to the committee.

2)    That additional meetings be arranged to cover integrated health care.

To receive a presentation from the Acting Corporate Director of Children, Families and Wellbeing.

The Acting Corporate Director of Children, Families and Wellbeing delivered a presentation to update Committee Members on the position of Trafford’s Locality Plan. The presentation covered the transformation of services, the goals of the transformation and the dependencies of the plan.

Councillors asked questions about various aspects of the Locality Plan including how Trafford’s locality plan compared to other areas, staffing and recruitment, funding and the consultation process. All of these questions received detailed answers and the Committee was satisfied with the information they received. However concern was raised as to the level of integration and communication between mental health services and the other services within the plan. Committee members agreed that this was an area that should be looked into in more detail at a later meeting.

RESOLVED:

1)    That the Acting Corporate Director for Children Families and Wellbeing be thanked for his presentation.

2)    That the integration and communication links for mental health services be added to the Committee’s work programme.

To receive a verbal update from the Chairman of Healthwatch Trafford.

The Chairman of HealthWatch Trafford gave a brief update to the Committee on the work of the HealthWatch in recent months. Councillors thanked the Chairman of Healthwatch Trafford, noted the quality of the reports that were provided and thanked Healthwatch Trafford for the excellent work that they continue to do on behalf of the residents of Trafford.

The Chairman of Healthwatch Trafford mentioned that the organisation was still not commissioned for the 2016/17 municipal year. The Committee agreed to send an email to the Leader and Chief executive of the Council commending the work that Healthwatch Trafford has done.

RESOLVED:

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

2)    That the Committee note the quality of the reports submitted by HealthWatch Trafford.

3)    That the Chairman send an email to the Leader and Chief Executive of the Council to commend the work that Healthwatch Trafford do.

To receive the minutes from the Joint Health Scrutiny Committee meeting held 10 November 2015.

RESOLVED:

1)    That the Committee noted the minutes from the meeting held on the 10^th November 2015.

To receive a verbal update from the Chairman and Vice Chair on the two Health Scrutiny Task and Finish groups.

The Chairman of the Committee gave a verbal update on the progress of the task and finish groups looking at delayed hospital discharges at Wythenshawe Hospital and stroke rehabilitation services within Trafford. The Committee noted the update and a further update will be provided at the next meeting.

RESOLVED:

1)    That the update be noted

2)    The Chairman is to provide another update at the next meeting.