Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 27 May 2015.

The Minutes (copies of which had been circulated) of the meeting held on 27 May 2015 were approved as a correct record and signed by the Chair.

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

The following interests were declared:-

Personal Interests

There were no call-ins to consider.

This item has been included on the agenda at the request of the Chair.

On 17 June 2015 the Clinical Commissioning Groups’ Committees in Common (CiC) announced their decision to move to a model of four ‘single services’ or networks of linked hospitals working in partnership “as the best way to deliver hospital services in Greater Manchester to improve standards of care and save more lives”. The CiC did so following a review of a range of evidence such as; the feedback from the public consultation held last year; data relating to travel and access; quality and safety; how easy it will be to achieve the change, and affordability and value for money.

CiC will meet on Wednesday, 15 July to decide the location of the single services and which hospitals will work in partnership.

This item had been placed on the agenda at the request of the Chair.

The Scrutiny Committee were reminded of the recent decision of the Greater Manchester Clinical Commissioning Groups’ ‘Committees in Common’ (CiC) on 17 June 2015 in relation to Healthier Together. The CiC had agreed the option for four ‘single services’ or networks of linked hospitals working in partnership. The decision followed a review of a range of evidence, including feedback from the public consultation held last year; data relating to travel and access; quality and safety; ease of achieving the change, and affordability and value for money. A further decision was due on 15 July 2015 on the location of the single services and which hospitals would work in partnership.

Dr Ranjit Gill (Chief Clinical Officer), Stockport Clinical Commissioning Group and member of the CiC attended the meeting to answer questions from the Scrutiny Committee.

Dr Gill explained that there would be a series of workshops and other activities to determine the best choice for the 4^th hospital site to be designated as having specialist status. He stressed that the CiC’s decision would be based on the best interests of Greater Manchester, not just the narrow local interests of each hospital or local authority area. This would also need to consider the impact of the Devolution agenda and the work around integrating health and social care.

The Executive Councillor (Independence & Wellbeing) welcomed the development of the Single Service model and the greater emphasis given to the two other strands of Healthier Together (Primary Care and Joined-Up Care) than had been the case in the press coverage of the programme and the consultation. This would link well with the ongoing Stockport Together Programme.

Councillors asked a number of questions in relation to the decision of 17 June 2015. The issues raised included:-

·         Members queried the role of the public consultation in the decision to designate four rather than five hospital sites, particularly given the public preference for five. In response it was stated that the consultation asked a number of questions about hospital services and these responses overall had shown a recognition of the need for, and preference for, a smaller number of hospitals (than currently provide) providing specialist care even if this required travelling further.

·         It was commented that feedback from surgical professionals had a significant impact on the decision as this indicated that a key determinant of outcome of surgery was the delay between the onset of symptoms and surgery taking place – this was not primarily a function of travelling time but related to concentration of skills in a particular hospital.

·         The decision on four sites also reflected the deliverability of change, particularly in relation to recruitment of staffing. It was queried whether or not this information was made explicit in the public consultation and whether it was appropriate to ever seek views on five sites if this was undeliverable. In response it was stated that the aim of the consultation was to seek views on the range of issues and this was part of a broader picture.

·         Part of the rationale for the creation of the ‘Single Service’ model was to overcome competition between NHS Trusts that was contributing to difficulties in recruiting specialist staff and to encourage greater collaboration between Trusts and hospitals. Concentrating expertise in a smaller number of centres would make Greater Manchester hospitals more attractive to potential staff and would help develop new techniques.

·         It was stressed that of decision on hospital sites related to a limited number of surgical and acute services. The aim was to ensure that 50-60 patients with particular need were able to see a consultant surgeon sooner for emergency/ acute treatment at a specialist centre, thereby improving their outcomes. Longer term care would be provided at the patient’s local hospital.

RESOLVED – (1) That the Healthier Together update be noted and that  ...  view the full minutes text for item 4.

To consider a report of Healthwatch Stockport.

The report sets out the findings of a Healthwatch Stockport consultation exercise on what local people want from their local health and social care services. The findings of the report would inform the development of the Joint Strategic Needs Assessment, which will in turn inform service delivery and commissioning.

The Scrutiny Committee is invited to comment on the report.

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

RESOLVED – That consideration of this item be deferred to allow representatives of Healthwatch Stockport to attend to present their report.

This item has been placed on the agenda at the request of the Chair.

Public Health England published in early June the 2015 Health Profile for Stockport.

Also included on the agenda is a summary of more localised data for each of electoral wards of Stockport. Specific ward reports can be downloaded via the website at:

http://www.localhealth.org.uk/#v=map4;l=en;z=374765,402557,31849,24505

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

A representative of the Democratic Services Manager submitted the 2015 Public Health England Health Profile for Stockport (copies of which had been circulated) for consideration by the Scrutiny Committee.

Members discussed the following issues:-

·         The profile did not capture the discrepancy between life expectancy and healthy life expectancy.

·         Welcomed improvements in overall smoking prevalence.

·         The persistence high prevalence of hospital stays for self harm and the factors influencing these figures. It was queried whether the figures related to stays in Stepping Hill Hospital or to stays anywhere by Stockport residents.

·         The reasons for greater prevalence of hospitalisation for alcohol related harm, and how under 18s were more likely to be hospitalised for injury resulting from drunkenness rather than because of chronic conditions caused by alcohol.

RESOLVED – (1) That the 2015 Health Profile for Stockport be noted.

(2) That the Director of Public Health be requested to confirm whether the data for hospital admissions due to self-harm related to admissions to Stepping Hill Hospital or of Stockport residents.

To consider a report of the Corporate Director for People.

The report presents the draft Independence and Wellbeing Portfolio Agreement for consideration and comment by the Scrutiny Committee prior to agreement by the Executive. The Portfolio Agreements will form the basis for regular in-year reporting. Portfolio and Corporate Performance and Resource Reports (PPRRs and CPRRs) will assess progress against key objectives, priorities, outcomes and budgets, enabling Scrutiny Committees to hold the Executive to account and for the Executive to identify current and future risks to delivery.

Scrutiny Committee is asked to review and comment on the proposed changes to the performance framework outlined in the report in relation to areas of responsibility set out in the draft Portfolio Agreement.

Officer contact: Karen Kime, Simon Finch, 0161 474 3574/4019, Karen.kime@stockport.gov.uk, simon.finch@stockport.gov.uk

The Executive Councillor (Independence & Wellbeing) submitted a report (copies of which had been circulated) inviting the Scrutiny Committee to consider the draft Independence and Wellbeing Portfolio Agreement prior to consideration by the Executive. The Portfolio Agreements would form the basis for regular in-year reporting, assessing progress against key objectives, priorities, outcomes and budgets, and enabling Scrutiny Committees to hold the Executive to account and for the Executive to identify current and future risks to delivery.

The following comments were made/ issues raised:-

·         Further consideration could be given to the arrangements for reporting on progress with Stockport Together, including consideration of the format of the report to better reflect the four strands of the programme.

·         Further consideration may need to be given to the financial implications of the upcoming Budget from the Chancellor of the Exchequer, particularly in relation to public health.

·         It was queried how performance or issues would be reported if these were within the scope of one scrutiny committee, such as children’s health.

RESOVED – That the draft Independence & Wellbeing Portfolio Agreement for 2015/16 be noted.

To note the Minutes of the meeting of the Greater Manchester Joint Health Scrutiny Committee held on 11 March 2015.

RESOLVED – That the Minutes of the Greater Manchester Joint Health Scrutiny Committee meeting held on 11 March 2015 be noted.

To note the Minutes of the meeting of the Joint Health Overview and Scrutiny Committee for Pennine Care NHS Foundation Trust held on 14 April 2015.

RESOLVED – That the Minutes of the Joint Health Overview and Scrutiny Committee for Pennine Care NHS Foundation Trust meeting held on 14 April 2015 be noted.

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 relevant Forward Plan items.

RESOLVED – That the report be noted.