Agenda and draft minutes

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

Contact: Alexander Murray 

Items
No. Item

25.

MINUTES pdf icon PDF 131 KB

To receive and, if so determined, to agree as a correct record the Minutes of the meeting held on 25 September 2018.

 

Minutes:

RESOLVED: That the minutes of the meeting held 25 September 2019 be agreed as an accurate record and signed by the Chair.

26.

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:

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

      Councillor Brophy in relation to her employment within the NHS..

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

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

      Councillor Taylor in relation to her employment by the NHS.

27.

QUESTIONS SUBMITTED BY 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 day prior to the meeting.  Questions must be relevant to items appearing on the agenda and will be considered in the order in which they were received.

 

Minutes:

No question were received from the public.

28.

COMMUNITY SERVICES pdf icon PDF 133 KB

To receive a presentation from the Corporate Director of Commissioning for

Trafford CCG and Trafford Council.

Minutes:

The Corporate Director of Commissioning briefly explained her role and what the Integrated Commissioning Unit (ICU) was. She then went through the presentation which had been circulated with the agenda. It was explained to the Committee that the presentation was to provide them with an overview and an update of the community services model delivered by Pennine Care.

 

The Committee were receiving an update as Pennine had given notice in October that they would be withdrawing services from Trafford.  Since October it had been decided that Trafford would keep their model of community services and replace Pennine with another provider. There were 38 services in total which included services for both adults and children. Other than community services, the 38 services included CAMHS and the integrated health and social care model. The ICU was also considering the role of the new provider in strengthening the services following the transition through the formation of the Local Care Alliance.

 

The programme was being led by the ICU who recognised the importance of retaining staff who were motivated in ensuring a smooth transition. The objectives of the programme were; to make sure that a model is in place which was robust and resilient, to ensure that the handover was effective and done in a timely manner, and to maintain focus upon clinical quality and financial pressures. The timeline of the programme was challenging as notice was given in October and the ICU planned to have the new provider in place by Quarter one of 2019/2020. There were five key components that needed to be delivered by the programme in order for it to be successful. The five components were; mobilisation of the programme, agreeing the scope and process, due diligence process, Transition and implementation in quarter one and delivery of year one including development of LCA.

 

The Corporate Director of Commissioning explained how the programme was being run. There was a Community Services Transition Board which reported to the CCG Board, Council Executive and Pennine Care. Below the Board were six task groups which had already begun working. These groups had membership from both commissioning and providers with members from all three organisations on each group. The Committee were told the different aspects of the programme that the groups were responsible for and were assured that each of the groups was being led by senior officers from either the Council or Trafford CCG. The Health Scrutiny Task and Finish group had been added into the programme structure in recognition that the programme needed to link into scrutiny throughout the transition.

 

The most important part of the governance structure was the membership of the Transition Board which was to include a member from NHS England and NHS improvement. The Committee were told that the Board had senior officers of the Council and Trafford CCG as well as Pennine Care and the full Membership of the Board was listed within the presentation. Once the new preferred provider was found they would also have representation on  ...  view the full minutes text for item 28.

29.

TRAFFORD COORDINATION CENTRE pdf icon PDF 3 MB

To receive a presentation from the Corporate Director of Commissioning for

Trafford CCG and Trafford Council.

 

Minutes:

The Associate Director of Commissioning for Trafford CCG delivered a presentation to the Committee on the Trafford Coordination Centre. The Committee were told that the TCC had evolved and so had its role and purpose in line with the changes within the Trafford health economy. The Committee were told that the TCC had performed over 4000 Care Coordination interventions in the past year.

 

The Associate Director of Commissioning then focused upon the innovative work that had been done over the year. 300 people had received support on the falls pathway, which had been introduced during the year. The service consisted of a devoted clinical team who could direct patients to a number of services targeted at preventing further falls. The service had been developed with the North West Ambulance Service so the TCC was alerted whenever someone had a fall.

 

A winter wellness programme had been created for all people who had been admitted to hospital during the previous winter. The team arranged wellness calls to check that these patients were receiving the correct support. During Christmas the TCC were going to ring patients who had been identified as being at risk on Christmas Day and Boxing Day to check on them and offer support if needed. 

 

The TCC had managed 75% of all referrals made within Trafford in 2018 and over 1000 referrals had been redirected into community services instead of secondary services. A diabetes clinical triage had been created which reviewed all referrals relating to diabetes to ensure that they were appropriate and had been made to the correct services.

 

A key service which was to be introduced in 2019 was the smoking cessation pilot. GP’s were to identify patients who wanted to quit smoking and then refer them to the TCC.  The clinicians were then to contact these patients to support them through the difficult time whilst they quit smoking. All of the clinicians within the TCC had received motivational interview training to enable them to provide this support. The service was to work alongside the respiratory pathway to prevent respiratory problems and reduce demand.

 

An alerts service for carers had been developed and was to be implemented in 2019. The TCC would be alerted whenever carer was admitted hospital so adequate support could be provided for the person they cared for. The TCC were also working with care navigators in MFT to improve the discharge process and to ensure the right support networks were in place including; care, equipment, and social interactions. It was hoped that this work would prevent readmissions.

 

The Committee were then shown the basic package of care provided by the TCC. They were told that patients were identified by GPs or the community care team and then referred into the TCC. These individuals were then contacted and their level of need, the services they required, and how often they needed to receive follow-up wellness calls was assessed. The information was stored within the system and made available to the team whenever they  ...  view the full minutes text for item 29.

30.

ALL AGE FRONT DOOR pdf icon PDF 69 KB

To receive an update report from the Acting Director of Safeguarding.

Minutes:

The Chair gave a brief summary of the report, which updated the Committee on the progress of the development of an all age front door for social services. The Corporate Director for Adults Services said that whilst this was not their area of expertise they did have some knowledge of the service. A Committee Member asked whether it was known why there had been less cross over between adult and children’s services than expected. The Corporate Director for Adult Services explained that it had originally been believed that many of the people who were involved with adults’ and children’s services would be a part of the same family. However, it had turned out that there was actually very little cross over amongst the residents who accessed the services. Whilst there had not been the impact expected in this area there had still been a number of advantages to placing the teams together which were listed in the report.

 

RESOLVED: That the update be noted.

31.

SINGLE HOSPITAL SERVICE pdf icon PDF 97 KB

To receive a report from Deputy Programme Director of the Single Hospital Service.

Minutes:

The Chair gave a brief overview of the report which had been circulated with the agenda. As a fuller update was due to come to the Committee in January the Chair asked if anyone had any urgent questions or requests for information that they would like in January and nothing was raised.

 

RESOLVED: That the report be noted.

32.

HEALTHWATCH TRAFFORD UPDATE pdf icon PDF 736 KB

To receive a report from the Chair of HealthWatch Trafford.

Minutes:

The Chair thanked the Chair of HealthWatch Trafford for another excellent report. The Committee were given the opportunity to raise questions but none were raised.

 

RESOLVED: That the report be noted.

33.

GREATER MANCHESTER JOINT HEALTH SCRUTINY COMMITTEE UPDATE

To receive a verbal update from the Vice Chair of the Committee.

Minutes:

The Vice Chair informed the Committee that there had been a meeting of the Greater Manchester Joint Health Scrutiny Committee but that both her and the substitute member had been unable to attend the meeting. The Vice Chair asked that officer circulate the agenda of the meeting to the Committee so that they could request documents of any items that were of interest.

34.

COMMITTEE WORK PROGRAMME pdf icon PDF 183 KB

To consider the items on the Committee’s work programme and suggest any items to be added for consideration.

Minutes:

The Chair informed the Committee of the developments of the Phlebotomy Task and Finish Group. Following the withdrawal of community services by Pennine it had been suggested that the task and finish group broaden its scope to cover all of these services. The Chair had agreed this in principle and a meeting relating to the transition of community services had gone ahead. The Chair then asked the Committee to agree to this change or to suggest an alternative solution. The Committee agreed that the scope of the Phlebotomy group be widened to include all services provided by Pennine and for them to act as the point of contact for the Community Services Transition Board.

 

The Vice Chair informed the Committee of the progress of the Period Poverty Task and Finish Group. The Group had contacted local food banks and a local charity who had confirmed that there was a high demand for sanitary products for women within Trafford. The group had approached the Public Health team and asked them to conduct a survey amongst schools to get an indication as to the level of need amongst young women and girls in Trafford. The group had discussed arranging an event to raise awareness of the issue and funds in order to help establish and support charities that were committed to tackling this issue.

 

RESOLVED:

1.    That the Scope of the Phlebotomy Task and finish group is to be expanded to include all services delivered by Pennine.

2.    That the update on Period Poverty be noted.