Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 17 May 2017.

The Minutes (copies of which had been circulated) of the meeting held on 17 May 2017 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.

No declarations of interest were made.

There were no call-ins to consider.

To consider a report of the Corporate Director for People.

Stockport Together partners have been working together and with the public and patients to test and trial new ways of working that improve people’s experience of treatment and care and their outcomes. The results of this initial work were encouraging.

These Outline Business Cases describe how partners can by working together more closely deliver these new models of care and associated benefits to many more people on a permanent basis. It is important that before proposing making these changes permanent that partners hear from a wider group of patients and the public to ensure that their thinking is right and is shaped by public/patient experiences and expectations.

The final approval of these Outline Business Cases is subject to the learning from a period of wider patient and public involvement.  In the meantime funding from the Greater Manchester Health & Social Care Partnership will enable the continuation to of the development and testing of the proposals. Changes won't happen overnight and there will be continual adjustment of ideas as the plans are implemented. This is just one of many stages at which there is a need for patients and the public to be involved if the people of Stockport are to have the best health and care services available so they can live healthier and happier lives.

The Scrutiny Committee is invited to consider the draft Outline Business Cases included in this agenda and make comments as part of the consultation on these proposals.

Officer contact: Andrew Webb, 0161 474 3808

The Corporate Director for People and Senior Responsible Owner for the Stockport Together Programme (Andrew Webb) submitted six outline business cases (copies of which had been circulated) setting out proposed changes to models of care for health and social care services.

Dr Viren Metha (Viaduct Health), Mark Fitton (Director of Operations, Adult Social Care, Stockport Council), Dr Donna Sager (Deputy Director of Public Health) and Keith Spencer (Director, Stockport Together Providers) attended the meeting to answer questions.

The Cabinet Members for Adult Social Care (Councillor Wendy Wild) and Health (Councillor Tom McGee) also attended the meeting to respond to questions.

The Cabinet Member for Health made introductory remarks, including:-

·         Local health and social care partners would be facing a significant shortfall in their finances in coming years of approximately £156m. All partners involved believed that it was therefore imperative that new models of care be implemented as soon as possible to ensure that savings could be achieved.

·         £19m of Transition Fund resources had been secured, but this was conditional on continued progress with development of the Stockport Together Programme.

·         At this stage the Outline Business Cases were in draft form, and comments were being sought prior to the publication of Final Business Case before the end of the year. Although the proposals may change in the intervening period going backwards or not doing anything was not an option.

·         There were a series of listening meetings taking place across the borough.

·         The concern at the moment was not about the organisational vehicle, but about getting right the delivery of better models of care. Governance arrangements would be revisited in due course and subject to a full public consultation.

Each business case was introduced and comments and questions invited.

Summary Economic Case

The following introduction was provided:

·         It was projected that by March 2021 partners providing health and social care services would have a collective cumulative deficit of £150m.

·         Irrespective of financial considerations, there remained an imperative to change and improve services from both patients and practitioners.

·         The aim of the programme was to develop joined up services that provided better care to our population.

·         It was acknowledged that progress on the development of the Business Cases had been less than anticipated but this was due to the level of detail and the need to develop models that were flexible enough respond to changing circumstances.

·         Prevention was the primary objective of the Programme, from preventing ill-health to preventing escalation to avoidable interventions.

·         The £19m investment from the Greater Manchester Transformation Fund was needed to facilitate the recycling of resources to support the neighbourhood model of care.

·         One of the key factors shaping the programme was the NHS internal market and tariff system, which was at variance with other partners cost models, and so models processes designed to allow us to move forward with those uncertainties still, so will double run. But can’t keep this going forever.

·         The modelling underlying the business cases assumed only half the savings required, in part because of non-recurrent funding, and likely reviews of Local Government and NHS funding arrangements. The assumptions were based on those areas where there was confidence that savings could be made.

The following comments were made/ issues raised:-

·         The document referenced activity paid for by the Clinical Commissioning Group to providers other than the local NHS Foundation Trust. How would the differing models being developed by neighbouring economies be accounted for? In response it was stated that analysis of the specialities involved had determined which would form part of the programme. Furthermore, the starting point for this programme had been general practice where referrals were generated.

·         There was emphasis placed on developing a skilled and integrated workforce but little detail. What was proposed? In response the importance of the issue was highlighted, and its centrality to the programme emphasised. It was also stated that the focus of partners was to identify those posts/roles  ...  view the full minutes text for item 4.

To consider a joint report of the Interim Chief Executive and Corporate Director for Services to People.

The purpose of this report is to:

·         Provide background information regarding the requirement to procure a single supplier case management and finance solution for Adult Social Care and Children’s Services

·         Provide an overview of the work to date including the approach to developing a functional specification and engagement with suppliers

·         Highlight the resource required to support the purchase and implementation of a single supplier solution

·         Set out the recommended level of investment required to procure a new case management system and the proposed funding arrangements.

·         Highlight the benefits that will be realised through the purchase and implementation of a replacement system, and outline how these benefits will be maximised as a result of the level of investment recommended.

This report was considered and approved by the Cabinet at its meeting on 13 June 2017 and forwarded to the Adult Social Care & Health Scrutiny and Children & Families scrutiny committees for their consideration due to potential impact on operational delivery.

The Scrutiny Committee is invited to consider the report.

Officer contact: Jenny Rollinson, 0161 218 1064, jenny.rollinson@stockport.gov.uk

The Corporate Director for People submitted a report (copies of which had been circulated) informing the Scrutiny Committee that of the requirement for new case management systems for Adult Social Care and Children’s Services and proposals to procure a single system.

This report had been considered and approved by the Cabinet at its meeting on 13 June 2017 and forwarded to the Adult Social Care & Health Scrutiny and Children & Families scrutiny committees for their consideration due to potential impact on operational delivery.

Clarification was sought on the whether the proposal was to procure an ‘off the shelf’ or bespoke system. In response it was stated that soft market testing indicated that there were sufficient options available in the market that would be suitable without the need for more expense bespoke development.

Assurances were also sought on how data would be transferred from the existing system to a new one. In response it was stated that it was likely that there would be a dual running of both systems initially and that non-front line staff would be engaged to oversee the transfer of data.

RESOLVED – That the report be noted.

To consider a report of the Democratic Services Manager.

The report outlines the agreed process for the selection of Scrutiny Review topics for 2017/2018.

The Scrutiny Committee is invited to consider the selection of Scrutiny Review topics to be carried out during the 2017/2018 municipal year.

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) inviting the Scrutiny Committee to suggest topics for in-depth review to be carried out during the 2017/18 municipal year.

RESOLVED – That the Democratic Services Manager, in consultation with appropriate officers and partners, be requested to give consideration to the feasibility of a review topic relating to diabetes and obesity.

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.