To receive and if so determined, to approve as a correct record, the minutes of the last meeting of the Joint Health Scrutiny Committee held on 14 January 2013. 

The Committee considered the minutes of the previous meeting. The Chair noted that the previous recommendations requesting additional information in relation to the Falls Service Redesign and Winter Resilience Plans had not been received. The Chair said that all information requested by members should be circulated in a timely manner.

Councillor Chilton requested that his attendance be recorded in the minutes of the meeting held 10 November 2015.

Decision

To approve the minutes of the meeting on 10 November 2015 as a correct record subject to the above amendment.

To note any declarations of interest.

The following personal interests were declared:

Councillor Bruer-Morris declared a personal interest as a practice nurse at a GP practice in Manchester.

Councillor Chilton declared a personal interest as an employee of the General Medical Council.

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

To receive update reports on the New Health Deal for Trafford from representatives from Trafford CCG, UHSM and CMFT.

The Committee welcomed Gina Lawrence, Trafford Clinical Commissioning Group (CCG); Julie Crossley, Trafford CCG; Silas Nicholls, Deputy CEO, University Hospital of South Manchester NHS Foundation Trust (UHSM); David Hounslea, Director of Estates and Facilities, UHSM; Keith Bennett, UHSM; Julia Bridgewater, Chief Operating Officer, CMFT; Dr Jon Simpson, Clinical Head of Division for Acute Medicine, CMFT; Mary Burney, Divisional Director for Trafford Hospitals, CMFT and Ben Squires, NHS England.

Ms Lawrence introduced the report submitted by Trafford CCG which provided current performance data against national targets for Accident and Emergency activity. A member commented that the reports were received late and the extensive use of acronyms made them difficult to read and understand in parts. She said that report authors needed to be mindful that the information provided to the Committee needs to be in an accessible format.

A member said that the issue of Delayed Transfer of Care is a recurring theme in the reports submitted to the Committee; with little signs of improvement and that this is a concern for the members. Ms Lawrence responded by saying that this is recognised as an issue and that they are developing a number of schemes to address this. She said that the 18 intermediate care beds are now full and the ambition is to open more intermediate beds to improve patient flow. She said that the cost of residential nursing homes, which had always been high in the Trafford area, had been renegotiated to a lower price. Mr Bennett informed the Committee that there had been no critical incidents as a result of a delayed transfer of care.

In response to a question from a member regarding the Community Nursing

Specification Ms Lawrence said that the CCG commission this service from the Pennine Care NHS Foundation Trust. She said that this complex negotiation process is currently ongoing. She said that once these negotiations are concluded the outcomes will be shared with the Committee.

A member asked why the Falls Service required a redesign. Ms Lawrence responded saying that this area of work was being undertaken in recognition that incidents of falls in Trafford are high. She advised that this redesign is being delivered through the Better Care Fund and will deliver better care pathways for patients by combining a range of services with an emphasis on preventative work.

The Chair reminded all those present of the previous assurances given at the last meeting regarding the programme of works at UHSM which were expected to begin in January 2016 and to take 18 months to complete. He invited Mr Nichols to comment on the redevelopment of the Emergency Department at UHSM. However, the written report for this meeting stated that major work was expected to commence in June 2016 and to be completed two years later.

Mr Nicholls said that he acknowledged the frustrations expressed by the members in the delay in the delivery of this project. He said that he was confident that the redevelopment would deliver better outcomes for  ...  view the full minutes text for item 21.