Issue - meetings

At the request of Board, this is a standing item on the agenda.

Members and officers present are invited to update the Board on developments with the Stockport Together Programme.

Mark Fitton, Director for Adult Social Care, gave a presentation to the Board on developments on Stockport Together and Stockport Neighbourhood Care (SNC) in particular.

The presentation covered the following issues:-

-       the aims of SNC, include reducing avoidable admissions, visits to the Emergency Department and reducing the length of stay in hospital;

-       the SNC Delivery Group Structure and Leadership Teams;

-       priorities for the Neighbourhood Teams, including those arising from the CQC Review;

-       key data on attendances, admissions and Enhanced Case Management by neighbourhood;

-       performance data for the period April to June 2018/19 and comparison for the previous year for SNC as a whole;

-       progress on key activity for Viaduct Care;

-       progress with Intermediate Tier service improvements;

-       progress with the development of Integrated Care Records.

RESOLVED - (1) That Mark Fitton be thanked for his presentation.

(2) That the Board would welcome similar presentations at future meetings as part of the regular Stockport Together update.

(3) That the Democratic Services Manager be requested to circulate a copy of the presentation.

At the request of Board, this is a standing item on the agenda.

Members and officers present are invited to update the Board on developments with the Stockport Together Programme.

The Chair invited partners present to update the Board on Stockport Together.

The following updates were provided:-

·         Partners had strengthened the Stockport Together Provider Board to include the chief officers of the four provider organisations, and to ensure that there was now more thorough oversight of the programme to improve the pace of change.

·         Possible industrial action had been averted. Partners were engaging in positive dialogue with the workforce.

·         The launch in the following week of the new GP home visiting service was hoped to speed up interventions, including admissions if needed, with the aim of speeding up treatment and improving outcomes.

·         There was a planned launch of a new Prescribing Services to address the of spend on repeat prescriptions and problems that arise from oversubscribing or inappropriate usage. In response it was queried whether the service would include anti-biotic prescriptions. In response it was stated that such prescriptions were driven largely by infection rates that was in turn being driven by patterns of care in nursing and care homes which in turn was often due to a lack of understanding and training.

The following additional comments were made/ issues raised:-

·         There was a need for the Neighbourhood Teams to accelerate the GP led model of care to ensure there was appropriate clinical governance of their work and directing resources. There was a particular need for this acceleration to ensure the economy was ready for the upcoming winter period.

·         Given the challenge of improving healthy life expectancy, was there a danger the neighbourhood model would lead to variations in service that undermined this outcome? In response it was stated that the underpinning of the Stockport Together Programme was to ensure the standardisation of services and access, but to give localities additional flexibilities to address specific needs of its populations. It was further commented that because there was a correlation health inequality and mortality rates, by reducing inequality there was a projected reduction in health & social care spend by 12%. By focussing on outcomes, this should ensure that everyone received the services they needed regardless of where they lived.

RESOLVED - That the report be noted.

At the request of Board, this is a standing item on the agenda.

Members and officers present are invited to update the Board on developments with the Stockport Together Programme.

The Chair invited partners present to update the Board on Stockport Together.

It was confirmed that partners had now approved the Stockport Together Business Cases and that the programme had now entered the implementation phase.

RESOLVED – That the update be noted.