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

The Committee noted apologies from Councillor Cooley (Manchester City Council).   The Chair explained that Councillor M Murphy was attending as substitute for Councillor Cooley and explained that there was currently one Liberal Democrat vacancy on the Manchester City Council membership for which no substitute was available.  The Chair noted that substitute members may attend the meeting and contribute to discussions but could only vote if they were attending in their capacity as a substitute.  The Committee welcomed its members, NHS representatives and members of the Save Trafford General Campaign in the public gallery. 

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 1 August 2013. 

The Chair noted that Councillor Lamb was not present at the previous meeting but that Councillor Wilkinson was present.

Decision

To approve the minutes of the meeting on 1 August 2013 as a correct record, subject to the above amendment.

To note any declarations of interest.

The following personal interests were declared:

·         Councillor Lloyd declared a personal interest as an employee of the Stroke Association based at Salford Royal NHS Foundation Trust.

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

To note the Committees revised terms of reference as agreed by Trafford Council and Manchester City Council. .

The Chair explained that the Committee had initially been set up as a result of a legal requirement to consider the New Health Deal for Trafford Proposals.  Following consideration of the proposals the Committee had made a referral to the Secretary of State as it felt the proposals were “not in the interests of the health service or patients of Trafford and Manchester”.  The Secretary of State had supported the New Health Deal for Trafford proposals but advised that NHS England needed to be assured that the concerns raised by the Joint Health Overview and Scrutiny Committee of Manchester and Trafford (JHOSC) had been addressed.  The Secretary of State however had signalled a continued role for the JHOSC in an assurance capacity whilst the proposals were implemented; and indicated that NHS England needed to provide assurance to the JHOSC that its concerns had been addressed.  As the remit of the JHOSC had changed it had been necessary to revise its terms of reference to reflect its new role and both Trafford and Manchester Councils had approved them.  The Committee considered the new terms of reference.

Decision

To note the Committees revised terms of reference as agreed by Trafford Council and Manchester City Council

A report to the Trafford Strategic Programme Board on the 16^th October 2013 and the Minutes of the meeting are attached.

The Joint Health Scrutiny Committee will be briefed on the following issues.

The Chair explained that the purpose of the meeting was to assess whether the concerns raised by the JHOSC about the New Health Deal for Trafford had been addressed, and to what extent.  It was noted that 23 professionals were in attendance from the NHS to deliver presentations and respond to queries and concerns.  Members were issued with supplementary information provided by the NHS which included print-outs of the presentations which would be delivered and letters of support and assurance from the local NHS Trusts.  Members were issued with supplementary information from the Committee Support Officers’ including  letters from Kate Green MP and Mike Deegan, Chief Executive, CMFT, the Secretary of State’s decision letter of the 11 July 2013, Cllr Newman’s notes of points to be raised at the 3 July 2013 meeting with Mike Burrows, and a note of that meeting.  

Mike Burrows, Director (Greater Manchester) of NHS England delivered the first presentation entitled ‘Greater Manchester Area Team Joint Health Overview & Scrutiny Committee’.  He drew members’ attention to the letters of support and assurance from the local NHS Trusts that were included within their packs.  He explained that the letters met four key assurances as outlined in the presentation.  Dr Nigel Guest, Chief Clinical Officer, Trafford CCG delivered the presentation entitled ‘Developing Integrated Services in Trafford’.  Dr Scott Pearson, GP with interest in Older People, Pennine Care and Gill Eccles, Pennine Care delivered presentations entitled ‘Integrated care in Trafford’.  Dr J Simpson, CMFT delivered a presentation entitled ‘Changing hospital services in Trafford’.

Mr Burrows talked members through the minutes of the Strategic Programme Board (SPB) held on the 16^th October that were contained within the supplementary agenda.  NHS Greater Manchester had agreed to the New Health Deal for Trafford proposals subject to 6 conditions and he advised that conditions 1, 2, 3a and 3b had now been met.  Condition 4 had been noted at the meeting but was not relevant for discussion this evening as it was not applicable at this time.  Conditions 5 and 6 had been met and best practice would be shared throughout the NHS in respect of the latter.  He explained that a significant piece of assurance work had taken place in order to achieve the conditions and noted the letters from the 3 acute hospital trusts, Greater Manchester West Pennine Care and the North-West Ambulance Service that detailed this.   

In respect of Accident and Emergency Department (A&E) performance Mr Burrows explained that the target required 95% of patients to be seen within 4 hours but that it was not further defined to be yearly, monthly or weekly.  Admissions fluctuated within the NHS by season and through the week and the regulator ‘Monitor’ considered a failure to occur where the target was not achieved across 3 consecutive quarters.  The Secretary of State had not provided any further definition than this in his response to the JHOSC referral in his wording “consistently meeting their waiting time standards”.  Mr Burrows explained that A  ...  view the full minutes text for item 5.