To receive and, if so determined, to agree as a correct record the Minutes of the meeting held on 26 June 2018.

RESOLVED:  That the Minutes of the meeting held on 26^th June 2018 be agreed as a 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.

The following declarations of personal interests were reported to the meeting:

• 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 Longden in relation to his employment as Joint Director of Chauden Limited

• Councillor Taylor in relation to her employment by the NHS.

To consider a report of the Deputy Programme Director, Single Hospital Service.

The Committee received a report from Stephen Gardner, Deputy Programme Director, Single Hospital Service.  This provided an overview of the work to establish Manchester University Foundation Trust (MUFT) as an organisation, an update on the integration activity that is under way and information on progress with the proposed acquisition of North Manchester General Hospital (NMGH).

Committee Members had an opportunity to ask questions and discussions followed regarding:

•  Waiting lists for surgery

•  Location and size of services following the acquisition of NMGH

•  Issues concerning the acquisition of NMGH and the need to utilise resources at  the appropriate time

•  Alignment of computer systems

The Chair thanked Mr. Gardner for his attendance at the meeting.

RESOLVED:

(1)       That the report be noted.

(2)       That a further update be provided at the next meeting.

To receive a presentation from the Accountable Officer for Trafford CCG.

Committee Members received a presentation from Anthony Hassall, Accountable Officer, Trafford Clinical Commissioning Group on ‘Working Together to Shape the Future of our Hospital Services’.  The presentation advised on the services which would be affected and the aim to create a system that irrespective of location ensured that an acute and specialist service was provided in the right setting.

The presentation also identified the five areas of change:

1. Radical upgrade in Population Health Prevention
2. Transforming Community Based Care and Support
3. Standardising Acute Hospital Care
4. Standardising Clinical Support and Back Office Services
5. Enabling Better Care

Committee Members were given an opportunity to ask questions and discussions followed regarding:

•  Review and adaptation of services

• The importance of funding social care and supporting health care in the community.

•   The increasing demands on services with people living longer

•  The challenges that Brexit may bring including work force issues

•  Preparation of services for the winter months

•  How to strategically drive integrated care

•  Timescales involved within the areas identified

•  IT implications

            RESOLVED: That the content of the presentation be noted.

To receive a presentation at the meeting on behalf of Trafford CCG.

Diane Eaton, Director of Integrated Services Trafford Council and Pennine Care, and Mary Moore, Chief Nurse, Clinical Commissioning Group, delivered a presentation regarding Care Quality in Care Homes and the Care Quality Commission.

Committee Members were given an opportunity to ask questions and discussions followed regarding:

• Standard of services provided and the impact this can have in the wider health context

• Issues following closure of homes

• The importance of providing support for carers in homes

• Training Consortium

• Nurse led teams – aimed at reducing hospital admissions

RESOLVED: 

(1)       That the content of the presentation be noted.

(2)       That an update be provided at a future meeting.

To receive a presentation by Trafford CCG.

Rebecca Demaine, Clinical Commissioning Group, delivered a presentation regarding Community Service Pathways.  The presentation outlined the commissioning of a Local Care Alliance. This would be a fundamental building block for transforming the system and ensuring delivery of co-ordinated care closer to home.

Committee Members were given an opportunity to ask questions.

            RESOLVED: That the content of the presentation be noted.

To receive an update from the Public Health Service.

Committee Members received an update on Trafford’s Flu Plan 2018/19 explaining the importance of keeping people healthy over the winter and thereby reducing hospital stays.  The update identified actions taken to vaccinate the most vulnerable people and to increase vaccination for key groups of staff in order to keep them healthy and prevent the spread of flu to high risk people.

The report also highlighted the changes to the flu vaccination process for the current year with a new vaccine being offered to persons aged over the age of 65.

Committee Members were given an opportunity to ask questions and discussions followed regarding:

•  The significance of the new flu vaccine for persons over the age of 65

•  The importance of health and care staff workers to take up the offer of vaccination

The Chair thanked P. Davey, B. Fryer and D. Quantz, Public Health for their attendance at the meeting.

                        RESOLVED: That the update be noted.

To receive an update report from the Public Health Service.

Darryl Quantz, Public Health, provided Committee Members with an overview of the Greater Manchester Population Health Plan 2017-2021.

Committee Members were given an opportunity to ask questions and discussions followed regarding:

• Submission of a similar presentation would be provided at the next full Council meeting

• Linkage to relevant mental health isues

• The importance of reducing inactivity – promotion of active travel and accessing green spaces

• Issue concerning air quality

          The Chair thanked Darryl Quantz for his attendance and report.

          RESOLVED: That the report be noted.

To receive an update report from the Chairman of HealthWatch Trafford, and an Enter and View Report on Heathside Retirement Home.

Heather Fairfield, Chair of Healthwatch, provided Committee Members with an overview of the Healthwatch Performance Report 1^st June to 31^st August 2018 and an update in respect of Phlebotomy Services.

The Chair thanked Heather Fairfield for her informative report.

RESOLVED: That the oral be noted.

To receive a verbal update from the members who visited Ascot House Friday 7^th September 2018.

The Committee received a verbal update from Members who had visited Ascot House on Friday 7^th September 2018.

RESOLVED: That the oral update be noted.

To receive an update from the Vice Chairman of the Committee.

Committee Members received a brief update from Councillor Duffield who had attended the last meeting of the Greater Manchester Joint Health Scrutiny Committee.

                      RESOLVED: That the oral update be noted.