Agenda and draft minutes

Venue: Committee Room 2 and 3, Trafford Town Hall, Talbot Road, Stretford, M32 0TH.. View directions

Contact: Fabiola Fuschi  Governance Officer

Items
No. Item

43.

ATTENDANCES

To note attendances, including Officers, and any apologies for absence.

Minutes:

Apologies for absence were received from Councillors Akinola, Thomas and D. Western.

44.

DECLARATIONS OF INTEREST

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.

Minutes:

Councillors Dr. Carr, Hartley and Taylor declared a general interest in so far as any matter related to their employment.

 

Councillor Lloyd declared a personal interest in item 6 of the agenda – Coverage on Cancer Screening Programmes in Trafford by virtue of her previous role as portfolio holder for Public Health and support to applications for funding for cancer screening and diagnosis.

45.

URGENT BUSINESS (IF ANY)

Any other item or items (not likely to disclose "exempt information") which, by reason of special circumstances (to be specified), the Chairman of the meeting is of the opinion should be considered at this meeting as a matter of urgency.

 

 

Minutes:

There were no items of urgent business received.

46.

QUESTIONS FORM THE PUBLIC

A maximum of 15 minutes will be allocated to public questions submitted in writing to Democratic Services (democratic.services@trafford.gov.uk) by 4pm on the working day prior to the meeting. Questions must be within the remit of the Committee or be relevant to items appearing on the agenda and will be submitted in the order in which they were received

 

Minutes:

The Chair of the Committee read out the following public question received via email on 27th January 2020:

 

“As you may know, the CCG has decided not to recommission this service - which is entirely their decision to make.

I am a member of staff at TCC living in Sale West.

The service ends on 30th June but we have not been given any information about what plans are in place to ensure that the support currently provided to the vulnerable elderly will be transitioned seamlessly to another provider, and the vulnerable adults will not be significantly disadvantaged or placed at risk.

I understand that this matter is being brought to Council at a meeting on 30th January.

Would it be possible for you and your colleagues to gain robust assurances from the CCG that they actually have a plan in place, and obtain details of what that plan consists of?”

 

The Chair read out the following answer provided by Trafford Clinical Commissioning Group:

 

“Exit discussions have taken place with DXC Technologies who deliver the Trafford Coordination Centre following the Trafford CCG Governing Body decision on the 7th Jan 2020 not to extend the TCC contract.

 

Summary of the discussions and agreement is below:

 

•All elements of the service currently delivered by the TCC will remain in place up until the 30th June. A review of all services delivered by the TCC has already been undertaken as part of the independent review of the TCC.

 

•The CCG has been working with DXC the provider of the TCC and Mastercall Healthcare who are subcontracted by DXC to deliver the Care Co-ordination aspect of the TCC, to ensure a robust exit strategy is  in place.

 

•On 30/1 the CCG and the TCC will commence a joint programme of work to start the transition of services currently provided by the TCC where appropriate and initiate the full communications plan.

 

•Every patient currently under care coordination service will be reviewed by the clinical team to identify any further clinical and non-clinical interventions which need to be put in place before the end of June.

 

•Both the CCG/TCC will engage with all existing service providers and stakeholders – Trafford Local Care Organisation Community Services, the Voluntary Community & Social Enterprise Sector, North West Ambulance Service, One Trafford Response, Care Navigators to identify existing patients under the care of the TCC who require on-going support.

 

•Each patient will continue to receive telephone a contact from the TCC between now and the end of June to advise what the patient should do from July. For clinical issues this will be primarily to contact their GP, unless they are already under the care of another clinical service. A written communication will be issued to all patients setting out contact details of other non-clinical services which the patient may need to access.

 

•All members of staff at the TCC have now received formal communication about the decision and DXC / Mastercall are leading on this based on the contracts  ...  view the full minutes text for item 46.

47.

MINUTES pdf icon PDF 222 KB

To receive and, if so determined, to agree as a correct record the Minutes of the meeting held on 20th November 2019

 

Minutes:

RESOLVED that the minutes of the Health Scrutiny Committee meeting held on 20th November 2019 be approved as a correct record.

48.

COVERAGE OF CANCER SCREENING PROGRAMMES IN TRAFFORD pdf icon PDF 434 KB

Minutes:

The Committee gave consideration to a report of the Director of Public Health which provided an overview of the three cancer screening programmes in Trafford and described related improvement activity.

 

The author of the report accompanied by a representative from NHS England, a medical general practitioner and the Executive Member for Health, Wellbeing and Equalities attended the meeting to present the information and address the enquiries of the Committee.

 

Officers reported that, in Trafford and across the UK, three cancers screening programmes were delivered: cervical screening, bowel screening and breast screening. Eligible people were invited to complete the tests. The screening programmes reduced mortality rate significantly. However, inequalities in screening uptake were an important public health consideration. In Trafford, areas of deprivation had higher incidence and higher mortality from cancer compared to the more affluent areas. The range of screening coverage by practice in Trafford varied with the lowest coverage in the North of the borough. Amongst the measures that Public Health was putting in place to address inequalities, a piece of work had taken place with Black and Minority Ethnic groups and as a result 110 women had their first appointment for cervical cancer screening. Furthermore, the Council had agreed that women could access cervical screening during work time and a pharmacy led programme was taking place in the North of the borough to increase the uptake of breast screening. NHS England was reviewing its commissioning process to ensure that more specialist services could be provided than those currently available at GP’s surgeries. 

 

Members asked what they could do to help to promote cancer screening programmes especially in those areas of the borough with a low uptake. Officers explained that talking to residents and having posters on display in public buildings were effective ways to spread the message that cancer was more treatable if diagnosed earlier. Members discussed having a link to Jo Trust (cervical cancer charity) on the Council’s web-site. The Committee queried whether there was a model of delivering screening programmes that worked better; officers explained that they targeted GP practices that were not performing well. Training, mentorship and a clinical enquiry line were in place to support GP practices with cervical screening tests. Members asked whether exception reporting continued to receive invite. Officers explained that this depended on the type of exception. With regard to breast screening and variation in GP practices, Members asked whether the population was aware that there were only female radiographers. The Committee also discussed screening accessibility for people with learning difficulties and was reassured that health inequalities were top priorities for NHS England. Members discussed the opportunity to publicise prostate cancer screening and officers explained that this was a diagnostic test and not part of the prevention programme as the mortality rate for this type of cancer was low, although it affected many men. Members discussed the options to have pop up clinics in the north of the borough; officers explained that this was being considered and members would be involved.  ...  view the full minutes text for item 48.

49.

STRETFORD MEMORIAL

Minutes:

Members had requested information on the latest plans for Stretford Memorial Hospital. This was a health facility in Stretford managed by Central Manchester University Hospitals NHS Foundation Trust. The hospital had been closed since 2015. Trafford CCG Accountable Officer explained that the site was owned by Manchester University NHS Foundation Trust (MFT) which had formed in October 2017, after the merger of Central Manchester University Hospitals NHS Foundation Trust and University Hospital of South Manchester NHS Foundation Trust. MFT would be best placed to provide an update about the site.

 

Members were also interested to know more about the plans for the health and social care provision for the North of the borough.

 

RESOLVED that contact be made with MFT to request information about the plans for Streford Memorial Hospital’s site. 

50.

UPDATES ON ADULT SOCIAL CARE, LEARNING DIFFICULTIES BOARD AND SUICIDE PARTNERSHIP pdf icon PDF 164 KB

Minutes:

The Committee received a presentation of the Executive Member for Adult Social Care on the services that comprised her portfolio and the link with the work of other Executive Members on areas such as Public Health, Children’s Services and Strategic Housing. The increasing complexity of the health and social care needs of the population and the growing demand for adult social care services set a difficult scenario, made even more challenging by the current financial constraints in local and national government.

 

The Executive Member went on explaining that to address these challenges, Trafford Council worked with Greater Manchester Combined Authority and other partners and stakeholders to focus on prevention, the population’s health and wellbeing and to ensure that people could live independently in their homes for longer. The Executive Member added that she would be willing to come back to provide the Health Scrutiny Committee with any further information on topics and matters concerning the health and social care provision for Trafford.   

 

The Committee also considered a progress report on the Suicide Prevention Plan and the actions that had been taken by Public Health to address the recommendations agreed by the Committee in September 2020.

 

The Committee commented that social care provision would need to be joined across hospital sites. Members also draw attention on the transition services for young people moving into Adult Services and the challenges in service provision for children with Special Educational Needs and Disabilities.  Members commented on the scope for proactive work to look at the high proportion of people who did not access mental health services and attempted suicide. The Executive Member for Adult Social Care explained that a small grant had been accessed and it would be used to divulge information on suicide prevention through a conference and a photographic exhibition on the “Many Faces of Trafford”.

 

The Chair thanked the Executive Member for her presentation and welcome her presence at future meetings of the Committee. 

 

RESOLVED that the progress report be noted.

51.

HEALTH SCRUTINY WORK PLAN 2019/20 pdf icon PDF 308 KB

Minutes:

The Committee gave consideration to the work plan for the current Municipal Year and noted that they wished to review the following items:

-       Provision for alcohol and substance misuse;

-       Hospital provision in the North of the borough

 

RESOLVED that the comments of the Committee Members about future items for the work plan be noted.

52.

EXCLUSION RESOLUTION (REMAINING ITEMS)

Motion   (Which may be amended as Members think fit):

 

That the public be excluded from this meeting during consideration of the remaining items on the agenda, because of the likelihood of disclosure of “exempt information” which falls within one or more descriptive category or categories of the Local Government Act 1972, Schedule 12A, as amended by The Local Government (Access to Information) (Variation) Order 2006, and specified on the agenda item or report relating to each such item respectively.