Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 16 February 2018.

The Minutes (copies of which had been circulated) of the meeting held on 16 January 2018 were approved as a correct record and signed by the Chair.

Councillors and officers to declare any interests which they have in any of the items on the agenda for the meeting.

Councillors and officers were invited to declare any interests they had in any of the items on the agenda for the meeting.

No declarations of interest were made.

To consider call-in items (if any).

There were no call-ins to consider.

To consider a report of the Deputy Director of Public Health.

The Scrutiny Committee has previously been informed of the Healthy Communities programme and the work being progressing to support individuals’ adopt healthier lifestyles. One of the new developments this is starting to be introduce is Patient Activation Measures. At the Meeting it is hoped to share this work and colleagues from Life Leisure who are piloting this approach will attend to explore and explain the work in more detail.

The Scrutiny Committee is asked to receive the attached report and provide comments on the proposals being presented.

Officer contact: Jennifer Connolly, 0161 474 2442, jennifer.connolly@stockport.gov.uk

The Deputy Director of Public Health submitted a report (copies of which had been circulated) providing an update to the Scrutiny Committee on the introduction of Patient Activation Measures as part of the Healthy Communities programme, intended to support individuals to adopt healthier lifestyles. The approach was being trialled, and if successful would be rolled out in a number of different services in Stockport Together.

The Patient Activation Measure (PAM) was a validated, commercially licenced tool that had been extensively tested with reviewed findings from a large number of studies. Individuals undertook a self assessment that determined their level of need which in turn determined the type of interventions and support they received. The approach would also complement existing programmes of support, including the PARiS scheme delivered by Life Leisure, and would support Stockport Together aims of empowering individuals to take better care of their own health.

Jennifer Connolly, Public Health Consultant, and Claire Duffy, PARiS Coach, attended the meeting to answer questions from councillors.

The following comments were made/ issues raised:-

·         The take up and response from users so far had been positive following pilots in Brinnington and Hazel Grove. The information gathered from the surveys of patients had proved very useful and rather than prolong the assessment process as original feared, had allowed the setting of realistic goals.

·         What were the pathways into services? In response it was stated that patients were being referred in where they were in need of health coaching, and that progress was being monitored. The focus currently was on those with long term conditions where improvements in physical activity would improve those conditions, although there was scope to use the PAM for preventative purposes.

·         What were the metrics used to determine effectiveness? There was an evidence base on the effectiveness of PAM, but locally there was specific interest in measuring the impact and change on PAM scores over time.

·         What long term support was there to keep users engaged and motivated? Working through the PARiS scheme meant users sessions were monitored over 6 months, but this often lead to ongoing engagement with organised groups and supervised sessions. Even where there was no improvement in PAM level for a user, an improvement in the score was shown to be beneficial.

·         Where was the ‘fun’? Through the activities and opportunities available to users.

RESOLVED – That the report be noted and Jennifer Connolly and Claire Duffy be thanked for their attendance.

To consider a report of the Deputy Director of Public Health.

The local Health and Wellbeing Board has a duty to prepare and publish a regular Pharmaceutical Needs Assessment (PNA) that are comprehensive assessments of the current and anticipated pharmaceutical needs of the community to assist local commissioners (particularly NHS England) and service providers by giving an evidence base for how best to plan and commission pharmacy services to meet the needs of the population.

A full review of the Stockport PNA is being undertaken in 2017-18 to update the understanding of the priority needs of the population and meet statutory duty to publish an update in April 2018.

This report presents the draft Stockport PNA 2018 for consideration and comment by the Stockport Adult Social Care & Health Scrutiny Committee.

The Scrutiny Committee is invited to give comments for each of the consultation questions as follows:

·         The document sets out the draft results of the pharmaceutical needs assessment for Stockport. Does it achieve this?

·         Do you know of any relevant information that has not been included which could affect the statements or conclusions in this document? If yes, then please provide the additional information.

·         This document shows that pharmaceutical provision within Stockport is satisfactory with limited identified gaps. Do you agree with this statement? If you do not agree, what else should be considered?

·         Are there any issues raised in the Making the Most of Community Pharmacy review that are not sufficiently referenced within this PNA?

Officer contact: Eleanor Banister, 0161 474 2447, eleanor.banister@stockport.gov.uk

The Deputy Director of Public Health submitted a report (copies of which had been circulated) inviting the Scrutiny Committee to consider the draft Stockport Pharmaceutical Needs Assessment (PNA), the comprehensive assessments of the current and anticipated pharmaceutical needs of the community. The PNA would assist local commissioners and service providers by giving an evidence base for how best to plan and commission pharmacy services to meet the needs of the population.

A full review of the Stockport PNA was being undertaken in 2017-18, including a consultation process, prior to agreement by the Health & Wellbeing Board and subsequent publication in April 2018.

The Cabinet Member for Health (Councillor Tom McGee) attended the meeting to respond to questions from councillors.

The following comments were made/ issues raised:-

·         The report was welcomed, as was the identification of the needs in Woodford.

·         Was there need to reference the increased move toward community based working?

·         Concern was expressed that funding reductions, combined with a drive to divert low level demands to pharmacies, would put undue pressure on community pharmacies. In response the funding challenge was acknowledged and the potential impact this may have on a number of ancillary services, such as home delivery, which had significant benefits to users.

·         Clarification was sought on commissioned smoking cessation services from pharmacies. In response it was stated the evidence suggested that most smokers would seek assistance from their GP in the first instance, or would simply use over the counter remedies of vaping, suggesting the need to evaluate the effectiveness of pharmacy services. There was also scope to improve public health/ lifestyle engagements and interventions in hospital. It was also commented that there was significant geographical variation in smoking prevalence, and commissioning tended to focus on those areas of highest need.

·         Assurance was sought that the move to electronic dispensing would not disadvantage older or vulnerable residents. In response it was stated pharmacies, which were businesses, recognised the need to provide services to meet the needs of their populations, and since the most medicines was dispensed to older people community pharmacies often provided home delivery services, and other facilities. It was further commented that for some residents home deliveries could provide additional challenges if they were unwell and deliveries needed to be signed for.

·         Clarification was sought on the regulation of internet pharmacies and whether this matched the standards of level as community pharmacies. In response it was stated that the Council and other commissioners had taken a strong line on internet pharmacies and had used their powers to object to some operators who were using residential premises etc. The move toward seven day GP working may change patterns of community pharmacy operations to the detriment of internet pharmacy. .

·         Concern was expressed about the limited availability of emergency contraception and its concentration in Stockport Town Centre and along the A6. In response it was stated that evidence suggested that those accessing this provision preferred the anonymity of town centre provision. Given the limited funding available it was important to ensure that facilities were provided from where it was most effective.

·         Assurance was sought that concerns about communications and information sharing between pharmacies and GPs raised previously as part of a Scrutiny Review were being addressed. In response it was stated that progress was being made, although these were complex issues that took time.

RESOLVED – (1) That the draft Pharmaceutical Needs Assessment be noted.

(2) That in response to the consultation question posed in the report the Scrutiny Committee:

·         agrees that the document sets out the draft results of the pharmaceutical needs assessment for Stockport;

·         does not know of any relevant information that has not been included which could affect the statements or conclusions in this document;

·         agrees that the document shows that pharmaceutical provision within Stockport is satisfactory with limited identified gaps;

·         does not believe there any issues raised in the Making the Most of Community  ...  view the full minutes text for item 5.

To consider a report of the Democratic Services Manager.                                                          

The report sets out planned agenda items for the Scrutiny Committee’s next meeting and Forward Plan items that fall within the remit of the Scrutiny Committee.

The Scrutiny Committee is invited to consider the information in the report and put forward any agenda items for future meetings of the Committee.

Officer contact: Jonathan Vali, 0161 474 3201, jonathan.vali@stockport.gov.uk

A representative of the Democratic Services Manager submitted a report (copies of which had been circulated) setting out planned agenda items for the Scrutiny Committee’s next meeting and any Forward Plan items that feel within the remit of the Scrutiny Committee.

RESOLVED – That the Democratic Services Manager be requested to make arrangements to invite representatives from Stockport Managed Care and Stockport NHS Foundation Trust to future meetings to discuss development and issues with their organisations.