Agenda and minutes

Health Scrutiny
Tuesday, 30th January, 2018 6.00 pm

Venue: Crompton Suite, Civic Centre, Oldham, West Street, Oldham, OL1 1NL. View directions

Contact: Fabiola Fuschi 

Items
No. Item

1.

Apologies For Absence

Minutes:

Apologies for absence were received from Councillors Toor and Williamson.

2.

Urgent Business

Urgent business, if any, introduced by the Chair

Minutes:

There were no items of urgent business received.

3.

Declarations of Interest

To Receive Declarations of Interest in any Contract or matter to be discussed at the meeting.

Minutes:

There were no declarations of interest received.

4.

Public Question Time

To receive Questions from the Public, in accordance with the Council’s Constitution.

Minutes:

There were no public questions received.

5.

Minutes of Previous Meeting pdf icon PDF 190 KB

The Minutes of the Health Scrutiny Sub-Committee meeting held on 19th December 2017 are attached for approval.

Minutes:

RESOLVED that the minutes of the Health Scrutiny Sub-Committee meeting held on 19th December 2017 be approved as a correct record.

 

6.

Greater Manchester Health and Social Care Partnership Board pdf icon PDF 61 KB

The minutes of the Greater Manchester Health and Social Care Partnership Board meeting held on 13th October 2017 are attached for noting

Minutes:

RESOLVED that the minutes of the Greater Manchester Health and Social Care Partnership Board meeting held on 13th October 2017 be noted.

7.

Greater Manchester Joint Health Scrutiny Minutes pdf icon PDF 37 KB

The minutes of the Greater Manchester Health Scrutiny meeting held on 8th November 2017 are attached for noting

Minutes:

RESOLVED that the minutes of the Greater Manchester Joint Health Scrutiny meeting held on 8th November 2017 be noted.

8.

Health and Wellbeing Board Minutes pdf icon PDF 189 KB

The minutes of the Health and Wellbeing Board meeting held on 19th September 2017 are attached for noting

Minutes:

RESOLVED that the minutes of the Health and Wellbeing Board meeting held on 19th September 2017 be noted.

9.

Action Log pdf icon PDF 92 KB

Minutes:

RESOLVED that the Action Log referring to the meeting of the Health Scrutiny Sub-Committee held on 19th December 2017 be noted.

10.

Meeting Overview pdf icon PDF 52 KB

Minutes:

RESOLVED that today’s Meeting Overview be noted.

11.

Health Check Programme pdf icon PDF 143 KB

Minutes:

Consideration was given to a report of the Joint Acting Director of Public Health on the performance of the Health Checks programme across Oldham. The author of the report was in attendance to present the information and address the enquiries of the Committee.

 

It was reported that the NHS Health Checks was a national health risk assessment programme that aimed to help prevent vascular disease, including heart disease, stroke, diabetes and kidney disease. Patients between the ages of 40 and 74, who did not have already a diagnosis linked to one of these conditions, were invited every five years to have a Health Check to assess their risk of developing one or more of the conditions above.

 

Once the risk assessment was completed, patients would be provided with advice on how to maintain a healthy lifestyle. They would be referred to their GP if further clinical tests were necessary or to the Early Help Service, provided by Positive Steps, if a lifestyle change was recommended. Those patients identified as being at high risk of cardiovascular disease were placed on disease registers and clinically managed by their GP practice.

 

The target to measure Health Checks performance was set nationally; local authorities were asked to invite annually 20% of the eligible population. Oldham had achieved this target in 2015/16 and continued to exceed it: this year already 13.3% of the eligible population had been invited.

 

Oldham had been recognised nationally for quality improvement in delivering Health Checks to the population and for developing Cardiovascular Communication Risk training package for the NHS Health Checks nationally. The training package had been presented to this year’s National Cardiovascular Prevention Conference. It was explained that at the core of Oldham’s success was the work of the Public Health Programme Manager who had visited every GP practice to explain the process, ensuring that the different needs of the population were considered in developing best practice pathways.

 

In terms of future development, the Oldham NHS Health Checks strategy was going to be refreshed in 2018 to focus on clinical outcomes and quality. The review was led by a steering group. The aim was to target those parts of the population who were likely to present the conditions.

 

Members sought and received clarification / commented on the following points:

     Health Checks and use of technology – It was explained that the steering group was trying to find new ways of reaching people, especially amongst those parts of Oldham’s population who were less likely to undertake Health Checks.

     Eligible population invited to attend Health Checks - It was explained that the figure in the last column of the table on page 40 of the report represented the percentage of people who had received a health check out the entire eligible population.

     Community events to reach more people – It was explained that Health Checks offered via the community model already targeted specific parts of the population through community events and outreach activities.

     Health Checks for Councillors  ...  view the full minutes text for item 11.

12.

Air Quality pdf icon PDF 269 KB

Minutes:

The Committee gave consideration to a report of the Senior Environmental Health Officer on the causes and effects of air pollution and the measures that were being put in place in Greater Manchester to achieve the air quality objectives set by the Government to protect the health of communities.

 

The author of the report attended the meeting to present the information and address the enquiries of the Committee.

 

It was explained that the highest levels of air pollution were found near to busy roads where the emissions were greatest. Oldham worked in partnership with Transport for Greater Manchester (TfGM) and the other nine local authorities in GM to assess air pollution levels in the area.

 

Air pollution monitoring took place in a number of locations in Oldham and the rest of GM. In addition, air pollution modelling was carried out to calculate pollution concentration across GM. This work had identified areas where the air quality objectives had not been met. As a consequence, Air Quality Management Areas had been identified to address the causes of higher levels of pollution.

 

A National Air Quality Plan had been produced with additional measures to be put in place to improve air quality to meet health based standards by 2020. The plan required that feasibility studies were undertaken to identify solutions to local exceedances. All local authorities in GM would participate in the study. This work was coordinated by TfGM.

A GM Air Quality Action Plan had already been in place since 2016. Therefore, the findings of the national feasibility studies would be incorporated into it.    

 

In Oldham, an Air Quality sub-group had been established as part of the Health and Wellbeing Board, chaired by the Cabinet Member for Health and Wellbeing. The Air Quality sub-group aimed to address aspects of GM air quality plan and ensure that the agreed actions were implemented locally.  Furthermore, the sub-group was consistently focusing on finding new ways for the Council to reduce the carbon footprint in the Borough.  In particular, Waste Management services had replaced older vehicles, used for waste collection and gritting, with new, eco-friendly ones. Licensing Services were exploring the possibility to offer incentives to those taxi drivers who switched to electric vehicles.

 

Members sought and received clarification / commented on the following points:

     Reducing traffic - It was explained that a number of measures could be put in place such as electric vehicles. However, they key solution would be relying on people not to use their private vehicle and encourage drivers to use alternative methods of transport such as public transport or active travelling (i.e.: walking or cycling).

     Air quality monitoring results at sites in Oldham  against national air quality objectives – It was explained that although Oldham did not exceed the national air quality objectives, the Borough still had to comply with the GM and the national air quality action plan to reduce air pollution.  

     Were the site locations/diffusion tubes to measure air pollution fixed? – It was explained that  ...  view the full minutes text for item 12.

13.

Pennine Care Foundation Trust - Care Quality Commission Report and Action Plan Progress Update pdf icon PDF 423 KB

Report to follow

Additional documents:

Minutes:

Consideration was given to a briefing paper concerning the improvement action plan for the Pennine Care NHS Foundation Trust (PCFT) that had been produced following the Care Quality Commission (CQC) inspection in the summer of 2016. Overall the trust had been rated as “Requiring improvement”.

 

The Managing Director Mental Health PCFT attended the meeting to present the information and address the enquiries of the Committee.

 

It was reported that, following the inspection, a programme of refurbishment had been completed on both Northside and Southside Wards. Section 136 assessment suite had also been refurbished. Additional Government funding had been received to upgrade a number of buildings to improve patients’ experience.

 

An independent review had been undertaken which had showed that the wards were not sufficiently resourced to ensure a therapeutic environment. At Greater Manchester level, it had been recognised that it was necessary to bridge the gap between mental health providers in the region. Therefore, significant funding had been invested which would be used to recruit members of staff.

 

Training and development was also an area of focus: members of staff had been provided with mandatory as well as specific training such as Dementia awareness.

 

Monthly meetings with CQC, with a new senior leadership team in post, ensured that the Trust was on track with all work streams listed in the improvement plan. However, a forward plan was going to be developed to guarantee consistent quality improvement.

 

Members sought and received clarification /commented on the following points:

     End of Life – it was explained that there was no action from the inspection with regards to the End of Life service.

     No female only lounge available – It was explained that a female only lounge was planned and it would soon be provided.

     Impact of CQC rating on members of staff’s morale – It was explained that Senior Management had taken the opportunity to start doing things differently. The workforce had been supported through the change towards a therapeutic model of care. Prior to the inspection, Mental Health services had been underfunded and not enough resources had been made available. However, the workforce had always been recognised as a caring workforce. The CQC report had helped to provide evidence that more resources were necessary to provide a safe environment for patients.

     Old inspection regime, change in the rating criteria and date for a new inspection – It was explained that PCFT was the last mental health provider to be assessed by CQC under the old inspection regime. The new inspection regime was based on a self-assessment model. Currently, three CQC Compliance Managers had meetings with the Trust’s Senior Management on a monthly basis. They also took part in an engagement session with members of staff. CQC planned their inspections according to a risk rating scale. Therefore, the Trust had to wait for a new inspection.

     Continuing improving services and managing the budget deficit of the Trust– It was explained that investments were required to provide good quality  ...  view the full minutes text for item 13.

14.

Council Motions pdf icon PDF 72 KB

Minutes:

The Committee gave consideration to a motion that had been approved by Council on 13th December 2017 concerning the performance of the Accident & Emergency Department at the Royal Oldham Hospital.

 

The Chief Executive was asked to write to the Chancellor and the Secretary of State for Health, asking them to ensure that there would be an urgent review of pay for NHS Staff so that NHS organisations could recruit and retain staff with the right levels of skill to ensure that patients receive a safe, high quality and efficient service.

 

RESOLVED that the content of the motion and the Council’s resolution be noted.

15.

Health Scrutiny Forward Plan pdf icon PDF 68 KB

Additional documents:

Minutes:

Consideration was given to the Health Scrutiny Forward Plan:

     With regards to the Bridgewater NHS Trust, having reviewed the CQC report and following a conversation with the commissioners, it was suggested that a two year service update and a brief presentation of the action plan would be requested for the meeting of the Health Scrutiny Sub-Group on 20th March 2018.

     With regards to the Mayor’s Healthy Living Campaign, a review of the actions taken during the current municipal year would be provided at the next meeting.

 

RESOLVED that the updates on the Forward Plan be noted.

 

16.

Date of Next Meeting

The next meeting of the Health Scrutiny Sub-Committee will take place on Tuesday 20th March 2018 at 6pm

Minutes:

RESOLVED that the next meeting of the Health Scrutiny Sub-Committee be held on 20th March 2018 at 6pm as per the 2017/18 Municipal Calendar.