Agenda item

TRAFFORD COUNCIL AND TRAFFORD CCG INTEGRATION

To receive a presentation from the Interim Accountable Officer, Trafford CCG.

Minutes:

Before going through the presentation, the Chairman of Trafford CCG informed the Committee that the meeting would be the last one attended by the Interim Accountable Officer and thanked him for all the work he had done during his time at Trafford CCG.  The Interim Accountable Officer then went through the presentation which had been circulated with the agenda. The presentation showed the timeline for the integration and the results of the staff consultation. The feedback from the consultation had helped to shape the approved senior management structure and had led to the organisation being named Trafford Together for Health & Social Care.

 

The Committee were shown a diagram of the senior management structure and were informed that a Joint Finance Officer had been appointed and interviews for the Medical Director and Commissioning Director positions were soon to be held. It had been proposed that the Chief Executive Officer of Trafford Council be appointed to the role of Accountable Officer of Trafford CCG. The Chief Executive was undergoing training for the role whilst awaiting approval from NHS England. The Structure included the position of Corporate Commissioning Director who would support the Chief Executive for the first year of the new role. Trafford CCG was required to have a clinical Chairman and Sally Johnstone had been elected to replace Matthew Colledge from the start of June 2018.

 

The Committee were shown an overview of the programme of work which was required to complete the integration. There were nine integration domain working groups which were responsible for delivering aspects of the work programme. Each domain group had experts from both Trafford Council and CCG with a Senior Responsible Officer and a Subject Matter Expert who led the groups. The main focus of the domains was to ensure that there would be no failures on day one of the integrated organisation. The Interim Accountable Officer, Trafford CCG explained that it was critical to know what would be happening on day one and that the Domains were looking at the dependencies and inter dependencies within and between Trafford Council and Trafford CCG for this purpose.

 

Another key aspect of the integration was working out how the reporting structures were to function. There was a large amount of cross over between how health and social care were being reported. As two organisations these were being reported separately and work was ongoing to look at how reporting could be aligned and/or combined.

 

The Chairman asked about the vacant director of Human Resources (HR) position and the impact that the integration would have upon staff. The position was to be advertised again and it was hoped that an appointment would be made soon. The Interim Accountable Officer stated that some staff members were to have new line managers and that staff would be co-located. However, these changes were not to be implemented straight away but would be phased in after the start of the new organisation in April.

 

A Member of the Committee asked whether there were any issues about the changes or structure. The Interim Accountable Officer responded that there had been 220 questions raised during the consultation with staff which had informed both the changes and structure. He noted that there were still some people who were unhappy with the changes but that was to be expected. The Corporate Director for CFW added that the organisations had worked with Deloite in designing the new shape of services going forward and that staff had reacted well to this work in the sessions that had been held. The Corporate Director offered to share the results of that work with the Committee outside of the meeting.

 

Members asked a number of questions relating to the accountability and monitoring of the new services. The Chairman of Trafford CCG responded to these questions explaining the CCG’s current accountability and how the services were monitored. The Committee were assured that increasing public involvement and accountability were a key aspect of the design of the new organisation. The relationships that the new organisation was to have with members of the public, partner organisations, and other bodies were still to be worked out and it was hoped that the Health Scrutiny Committee could aid in that development.

 

The Chairman stated that the Committee needed to be informed about the effects of the transformation as it was to have a large impact on the people of Trafford. A lot of resources had been invested in the integration and the Committee needed to be assured of the progress and benefits that would be delivered. The Chairman requested that regular updates be brought to the Committee over the course of the 2018/19 municipal year.

 

The Executive Member for Wellbeing stated that the Health and Wellbeing Board would also want assurance of the progress and benefits of the new organisation. In order to minimise duplication it was suggested that the Chairmen of both and the Leader of the Council and Chairman of Trafford CCG meet to discuss how this was to be achieved. The Chairman of Trafford CCG added that officers would make themselves available to meet with Committee members to answer questions and do a deep dive on any areas that they wanted to know more about.

 

The Chairman then raised a query about the progress of the proposed changes to IVF treatments within Trafford. The Interim Accountable Officer informed the Committee that Trafford CCG were still speaking with the public on a number of issues including; prescriptions, gluten free food, delaying surgery for smokers/obese people, and only offering IVF treatments by exception. A public meeting was scheduled for 27th March at Trafford CCG and that meeting was where the final decision on all those areas would be made.

 

The Interim Accountable Officer added that the chances of success with IVF were very low and Trafford CCG were looking at the evidence around the procedure in an attempt to see whether there were any indicators for improved success. The Interim Accountable Officer said that he would go into this in more detail with the Chairman and Vice Chairman at their next meeting.

 

RESOLVED:

1)    That the update be noted.

2)     That the results of the staff sessions be shared with Committee Members.

3)    That the Committee receive regular updates on the progress of the integration.

4)    That a meeting is to be arranged between the Chairman of the Committee, the Executive Member for Wellbeing, the Chairman of Trafford CCG, and the Leader of the Council in order to agree assurance arrangements for the Committee and the Health and Wellbeing Board.

5)    That the Interim Accountable Officer provide the Chairman and Vice Chairman further details as to the changes to Trafford CCG services at their next meeting.

 

 

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