To receive and, if so determined, to agree as a correct record the Minutes of the meeting held on 10 February 2016.

RESOLVED: That the minutes of the meeting held 10 February 2016 be agreed as an accurate record and signed by the Chairman.

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 personal interests were declared;

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

Councillor Harding in relation to her employment by a mental health charity and as a member of Trafford Carers Centre Board.

Councillor Taylor in relation to her employment within the NHS.

To introduce the Chairman of the Adult Safeguarding Board and discuss the relationship between the board and Health Scrutiny.

The Chairman of the Adult Safeguarding Board attended the meeting to inform the Committee of the status of Trafford’s Adult Safeguarding Board. He explained that the Board was not yet able to give assurance to the Committee that adults were being treated correctly and that there were no issues regarding safeguarding. Whilst this did not mean that there were any issues within Trafford it indicated that work had still to be done to provide the required levels of assurance. The main issue was that there was not enough data available to the Adult Safeguarding Board to enable effective scrutiny.

Committee members asked a series of questions relating to the Board and what the Chairman of the Adult Safeguarding Board wanted from the Committee. In response the Committee were told of the membership of the Board and the work that they were planning to do. The Chairman of the Adult Safeguarding Board said that he would like the Committee to take a more active interest in the work that the Board did and that the Committee should hold the Board accountable by requesting reports and asking questions of both providers and commissioners.

The Chairman of the Adult Safeguarding Board offered to support the Committee in any way that he could and offered to attend a future meeting to give a presentation. The Committee accepted the offer of a presentation at a later date. The Chairman of the Committee added that all Health Scrutiny Committee Members should receive safeguarding training in order that they are in a better position to scrutinise the Adult Safeguarding Board.

RESOLVED:

1)    That the Chairman of the Adult Safeguarding Board be thanked for attending the meeting.

2)    That the Chairman of the Adult Safeguarding Board attend a future meeting of the Committee to cover the work of the Board in more detail.

3)    That all members of the Health Scrutiny Committee receive Adult Safeguarding training in the 2016/17 municipal year.

4)    That the Adult Safeguarding Board delivers regular reports to the Health Scrutiny Committee.

To receive an update report Head of South Area Team: YOS and CAHMS.

The Head of South Area Team: Youth Offending Service (YOS) and Children and Adolescents Mental Health Service (CAMHS) went through the main points of the report which had been submitted prior to the meeting. He reiterated that the service was on a transformation journey which would see the service change from a specialist only service to one which offered support to young people at an earlier stage. The aim of the redesigned model was to prevent mental health issues escalating to the point where more specialist treatment was required by working with schools and other organisations.

The review of the service had been completed and the redesign had been drawn up and was being signed off. The redesign of the service entailed changing the skill set of the CAMHS team by reducing the number of consultants and hiring a greater number of staff enabling the service to do more work with other organisations. A stakeholder event in June 2016 would be the final stage of consultation confirming the final model before implementation.

Councillors asked many questions about this service including the impact of budget cuts on the service, how staff at other organisations would be trained by the CAMHS team and whether the new model was set up to deal with underlying causes of mental health issues. The Committee’s questions were answered in detail in the areas where information was available. However there were a number of questions posed which the Head of South Area Team: YOS and CAMHS was unable to answer at the meeting.

In addition to the questions put forward by the Committee a member of Trafford’s youth parliament asked what steps had been taken to ensure that children had a smooth transition between the numerous organisations involved in interventions as part of the new model and the CAMHS team. As this was an area of interest for the Youth Parliament and given that answers to their questions and many others were not available at the time the Chairman requested that the Head of South Area Team: YOS and CAMHS attend another Health Scrutiny Committee meeting in the 2016/17 municipal year and invited the youth parliament to attend that meeting.

A number of Committee members voiced their concerns about the capacity of mental health services across the country. Councillor Harding proposed that in response to these concerns the Leader of the Council should nominate a member of the Executive to act as the mental health champion.

RESOLVED:

1)    That the Head of South Area Team: YOS and CAMHS and the member of the youth parliament are thanked for attending the meeting.

2)    That the Head of South Area Team: YOS and CAMHS attend the next meeting of the Committee in the 2016/17 municipal year.

3)    That a member of the youth parliament be invited to any future meetings where CAMHS is on the agenda.

4)    That the Leader considers assigning the role of Mental Health Champion to a member of the Executive.

To receive a report from Central Manchester Foundation Trust (CMFT).

The Director of Strategic Projects for Central Manchester Foundation Trust (CMFT) provided an update on the services which were previously held at Stretford Memorial prior to its closing last year. The Committee were informed that since the services had been moved there had been a similar take up of the services at their new locations as there were at the Stretford memorial facility. An additional phlebotomy clinic had opened on Seymour Grove and CMFT were collecting data as of the meeting.

The one area where there had been a drop off in terms of attendance was TB treatment which had been moved to Altrincham Hospital. In response to this CMFT planned to move the service from Altrincham to Trafford General Hospital and continue to measure attendance levels.

The Chairman thanked CMFT for their communications regarding the cessation and subsequent relocation of services at Stretford Memorial and requested that updates on attendance continue.

RESOLVED:

1)    That the Director of Strategic Projects for CMFT be thanked for the update.

2)    That CMFT continue to provide updates on attendance at the services reallocated from Stretford Memorial.

To receive the draft CMFT Quality Account 2015 for comment.

The Committee went through the quality account which had been provided by CMFT. Committee members noted that there was a lot of data missing from the account. The Director of Strategic Projects told the board that this was due to CMFT waiting for feedback from CQC regarding their recent inspection. It was explained that the remaining information would be shared with the Committee at the earliest possible opportunity.

The Committee fed back that, given the size of the document, an overview presentation with a question and answer session would have been appreciated and Members requested that this be done for the following year’s account. The Director of Strategic Projects offered to answer questions where possible and filled in the gaps in information where able.

The Committee agreed that the additional information was required before comments on the document could be made and agreed that the Chairman and Vice Chairman should do this on the Committee’s behalf following the meeting.

RESOLVED:

1)    That CMFT provide a presentation of their future quality accounts.

2)    That CMFT provide the additional information as soon as they are able.

3)    That the Chairman and Vice Chairman review and submit comments on behalf of the Committee for the 2015 quality accounts of CMFT and UHSM.

To receive a report from the Chairman and Vice Chairman of the Committee.

The Chairman of the Committee went through the recommendations of the report and asked members whether they had any amendments to make. The Councillors made a number of suggestions for minor adjustments to the report and its recommendations before agreeing it to be sent to the Executive and the relevant health organisations.

RESOLVED:

1)    That the Committee agree the report and that Officers refer it to the Executive and the relevant health organisations for their comments.

To receive a report from the Delayed Discharges Task and Finish Group.

The Committee considered the report, discussed the review and considered how the work done by the task and finish group should be followed up. The recommendations of the report were agreed by the Committee with the addition of an extra recommendation relating to the Trafford Care Coordination Centre (TCCC). The Committee also agreed that a visit to Ascot House to view the intermediate care facilities was to be arranged for committee members in the 2016/17 municipal year.

RESOLVED:

1)    That the Committee agree the report and that Officers refer it to the Executive and the relevant health organisations for their comments.

2)    That a visit for Committee members to go to Ascot House be arranged in the 2016/17 Municipal year.

To receive a verbal update from the Vice Chairman on the latest meeting of the Trafford and Manchester Joint Health Scrutiny Committee 22 March 2016.

The Vice Chairman gave a verbal update to the Committee on the meeting of the Joint Health Scrutiny Committee held 22 March 2016. The Vice Chairman informed Committee members that the meeting had been focused upon the possible down grading of the Urgent Care Centre (UCC) at Trafford General Hospital and the construction of the new Emergency Department at UHSM.

The Joint Health Scrutiny Committee members were also going to arrange a visit to the UCC and the Vice Chairman stated that the Trafford Councillors would also visit the walk in centre which is on the same site.

RESOLVED:

1) That the update was noted.

To receive a verbal update from the Vice Chairman on the latest meeting of the GMJHSC.

The Vice Chairman gave a verbal update to the Committee on the most recent meeting of the Greater Manchester Joint Health Scrutiny Committee 24February 2016. The meeting covered the Case for Change for the clinical service transformation of two specialised surgical services within Greater Manchester and adjacent areas and the Implementation of the GM Health and Social Care Strategic Plan which will be aligned to five transformation programmes.

RESOLVED:

1)    That the update was noted.

To discuss the Committees work programme for the municipal year 2016/17.

The Committee members looked through the work programme which was provided for them at the meeting. The Committee agreed that the topics which were listed be kept on the work programme. In addition members requested that the TCCC, primary care services, CAMHS, adult mental health services and changes to public health be added to the main work programme.

RESOLVED:

1)    That the extra items mentioned in the meeting be added to the committee’s work plan.

2)    That the work plan be agreed for the 2016/17 municipal year.

To receive updates on general health issues from the Chairman and Vice Chairman of the Committee.

The Chairman, the Vice Chairman and Councillor Taylor had all met with the Chief Operating Officer at Trafford Clinical Commissioning Group (CCG) to discuss Brooks Bar Medical Centre which had recently received an inadequate rating by the CQC. Trafford CCG had been aware of a number of issues with the practice for some time but the majority of these issues related to the building which was used by the practice.

The practice had drawn up an action plan to meet the requirements of the CQC follow up inspection and Trafford CCG were happy with their progress. Trafford CCG told the Councillors that they would be updated regularly on the progress with the practice.

RESOLVED:

1)    That the update was noted.

As the Chairman of the Committee was to become Mayor in the municipal year 2016/17 Councillor Mrs Young thanked Councillor Lloyd for all the work that she had done during her time of being Chairman of the Committee. Councillor Mrs Young spoke of the numerous pieces of work that the Committee had done under Councillor Lloyd’s leadership and commented on how difficult a task it would be for the next Chairman to follow. All members of the Committee voiced their agreement with the words of the Vice Chairman and they collectively wished Councillor Lloyd all the best.

In response Councillor Lloyd thanked all of the Committee Members and Officers for the work and support that they had provided during her time as Committee Chairman. Councillor Lloyd made special mention of Councillor Mrs Young and the excellent working relationship that they had built and shared over the years.

RESOLVED:

1)    That Councillor Lloyd be thanked for her years of service to the Committee as Chairman.