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 29 January 2014. 

Decision

To approve the minutes of the meeting on 29 January 2014 as a correct record.

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 receive an update from NHS Representatives. The latest data pack is attached and an update will be presented at the meeting.

The Committee welcomed Dr Mike Burrows, Director (North West) NHS England, Dr Nigel Guest, Chief Clinical Officer of Trafford Clinical Commissioning Group (CCG), Gina Lawrence, Director of Commissioning and Operations of Trafford CCG, Jim O’Connell, Interim Chief Operating Officer of University Hospital South Manchester (UHSM) and Dr Bob Pearson, Clinical Director of Central Manchester Foundation Trust (CMFT) to the meeting. Dr Burrows, Mr O’Connell and Dr Pearson gave a presentation to the Committee which provided an update on the new health deal for Trafford. The key points were:

·         Combined Accident and emergency (A&E) attendances at the three neighbouring hospitals for Trafford residents were 6% less than expected and admissions were 2% less than expected in the period since Trafford A&E department had been downgraded;

·         However, in the case of Wythenshawe Hospital there had been 215 more A&E admissions than expected during this period;

·         Wythenshawe Hospital A&E did not meet its 4 hour performance target in 2013/14 (ie. 95% of patients to be seen, treated, admitted or discharged within 4 hours of arrival);

·         In the first three months of 2014, its 4 hour performance had fallen to below 91%;

·         On Monday, 31 March 2014 there had been 335 attendances at Wythenshawe Hospital’s A&E, and UHSM recognised that a daily attendance greater than 300 was difficult to deal with;

·         In response to their failure to build resilience for A&E winter pressures, which were exacerbated by the downgrading of Trafford A&E to an urgent care centre, UHSM introduced a number of changes that had led to improvements, though some concerns still remained;

·         A key improvement at UHSM A&E was the introduction of a new performance management and monitoring system, which clarified demand and capacity;

·         At CMFT, which took over the running of Trafford Healthcare Trust in March 2012, the rolling HSMR (hospital standardised mortality ratio) at both CMFT and Trafford had fallen since the acquisition, while Trafford’s rolling crude mortality rates for non-elective admissions had fallen by 1%.

A member asked whether the lower than predicted A&E attendance and admissions had led to additional pressure on GPs. Ms Lawrence said there had been no significant increases in GP attendance, but there had been an increase of 10-15% in attendances at walk in centres, but they were able to accommodate this.

The Committee discussed long stay patients. Ms Lawrence clarified that there were two trigger points at which long stay patients were monitored: when they had been admitted for 14 days and at 28 days. She said not all patients in hospitals for these lengths of time were delayed in leaving and many still needed to be in hospital. Currently, UHSM had two long stay patients who were waiting for social services to find them an appropriate place to be discharged to. UHSM currently had 126 people who had been admitted for 28 days or more, 38 of whom were Trafford residents.

A member asked for more details on Alamac and what  ...  view the full minutes text for item 3.