Agenda and minutes

Health Scrutiny
Tuesday, 3rd July, 2018 6.00 pm

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

Contact: Sian Walter-Browne 

Items
No. Item

1.

Election of Chair

The Health Scrutiny Sub-Committee is asked to elect a Chair for the Municipal

Year 2018/19.

Minutes:

The meeting was opened by the Constitutional Services Officer who asked the Sub-Committee to nominate a Chair for the duration of the Municipal Year 2018/19.

 

RESOLVED that Councillor McLaren be elected Chair and Councillor Ball be elected Vice Chair of the Health Scrutiny Sub-Committee for the duration of the Municipal

Year 2018/19.

2.

Apologies For Absence

Minutes:

Apologies for absence were received from Councillor Williamson, Rebekah Sutcliffe, Vicky Sugars and Katrina Stephens.

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.

Urgent Business

Urgent business, if any, introduced by the Chair

Minutes:

There were no items of urgent business received.

5.

Public Question Time

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

Minutes:

There were no public questions received.

6.

Minutes of Previous Meeting pdf icon PDF 201 KB

The Minutes of the Health Scrutiny Sub-Committee held on 20th March 2018 are attached for approval.

Minutes:

RESOLVED that the minutes of the Health Scrutiny Sub-Committee meeting held on 20th March 2018 be approved as a correct record.

7.

Minutes of the Greater Manchester Health and Social Care Partnership pdf icon PDF 71 KB

The minutes of the GM Health and Social Care Partnership meetings held on 19th January and 16th March 2018. The minutes are attached for noting.

Additional documents:

Minutes:

RESOLVED that the minutes of the Greater Manchester Health and Social Care Partnership meetings held on 19th January 2018 and on 16th March 2018 be noted.

8.

Minutes of the Greater Manchester Joint Health Scrutiny Meeting pdf icon PDF 48 KB

The minutes of the GM Joint Health Scrutiny meeting held on 10th January 2018 are attached for noting.

Minutes:

RESOLVED that the minutes of the Greater Manchester Joint Health Scrutiny meeting held on 10th January 2018 be noted.

 

9.

Minutes of the Joint Health Overview and Scrutiny for Pennine Care Foundation Trust pdf icon PDF 64 KB

The minutes of the Joint Health Overview and Scrutiny for Pennine Care

Foundation Trust meeting held on 13th March 2018 are attached for noting.

Minutes:

RESOLVED that the minutes of the Joint Health Overview and Scrutiny for Pennine Care Foundation Trust meeting held on 13th March 2018 be noted.

 

10.

Minutes of the Health and Wellbeing Board pdf icon PDF 195 KB

The Minutes of the Health and Wellbeing Board held on 23rd January 2018 are attached for approval.

Minutes:

RESOLVED that the minutes of the Health and Wellbeing Board meeting held on 23rd January 2018 noted.

 

11.

Action Log pdf icon PDF 56 KB

Minutes:

RESOLVED that the Action Log be noted.

12.

Meeting Overview pdf icon PDF 185 KB

Minutes:

RESOLVED that the Meeting Overview be noted.

13.

Mayor's Healthy Living Campaign pdf icon PDF 104 KB

Minutes:

The Mayor, Councillor Iqbal, attended for this item and consideration was given to a report of the Corporate Policy Development Officer on the Mayor’s Healthy Living Campaign.

 

Members were informed that the main area that had been chosen by the current Mayor to promote and support the health and wellbeing agenda in Oldham was to promote physical activity, with a particular focus on walking.

 

The aim would be to raise the awareness of already existing groups, or establish new local community led walking groups, aimed at getting those who did no or very little physical exercise started in an easy and local community setting.

 

The Mayor outlined events coming up and indicated he would personally be participating as much as he could.

 

RESOLVED that:-

1.    The report on the Mayor’s Healthy Living Campaign 2018/19 be noted

2.    An update report would be submitted to a future meeting

3.    The Sub-Committee extended its support to the Mayor.

14.

Urgent Care Strategy pdf icon PDF 2 MB

Minutes:

The Sub-Committee gave consideration to a report from Nadia Baig, Acting Director of Performance and Delivery, on the next steps in Urgent Primary Care in Oldham.

 

The purpose of the Urgent Care Strategy was to set out, in a single document, the future plans for commissioning and developing urgent care across Oldham to ensure it is effective, affordable and sustainable. Whatever the urgent need was, and in whatever location, the aim was to ensure that the population had access to the best care from the right person in the best place and at the right time.

 

The strategy document set out and defined the vision and strategic aims for urgent care in Oldham. It included a detailed description of current services including activity, quality and performance. The strategy finished by describing commissioning principles, priorities for system change, defining ‘what good looked like’ to drive outcomes-based commissioning and suggested metrics for monitoring system change and development.

 

The strategic aims were:-

 

Strategic Aims:

1. To provide better support for self-care.

2. To help people with urgent care needs get the right advice in the right place, first time.

3. To provide highly responsive urgent care services outside of hospital, so people no longer choose to queue in A&E.

4. To ensure that those people with serious or life-threatening emergency care needs receive treatment in centres with the right facilities and expertise in order to maximise chances of survival and a good recovery.

5. To connect all urgent and emergency care services together around place (population of 30-50k) so the overall system becomes more than just the sum of its parts. (Integration and transformation)

 

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 


The primary drivers were to:

·         Achieve 91% towards the 95% 4 hour wait standard by March 2019

·         Reduce A&E attendances by 24% by 2021

·         Reduce non-elective admissions by 14% by 2021

The strategy set out the following priorities for change over the next three years:-

 

“Our priorities for change across the urgent care system over the next three years are:

Ø  Move to a more proactive management of long term conditions and those at risk of hospitalisation by taking a population approach

Ø  More actively promote self-care and make it much easier for patients to access high quality, reliable information and services

Ø  Ensure primary care – in hours and out of hours services – is the service of choice for patients to meet their urgent care needs

Ø  Incorporate111 direct booking into the 7 Day Service

Ø  Develop options locally for patients to access an “urgent care hub” in each GP Cluster with enhanced skills to manage long term conditions and cases which currently present to hospital.

Ø  Continue to reduce ambulance conveyance rates

Ø  Develop community pharmacies into urgent care providers

Ø  Reduce ED attendance rates and 999 calls for urgent conditions

Ø  For urgent mental health care, achieve parity with physical health care

Ø  Develop a paediatric urgent care pathway, at cluster level

Ø  Develop a frail elderly urgent care pathway dovetailed with a  ...  view the full minutes text for item 14.

15.

Air Quality pdf icon PDF 547 KB

Minutes:

Consideration was given to a report from the Service Development & Support Manager (Waste Management) that provided an update on a report received by the Sub-Committee at its meeting in January 2018.

 

That report clarified that the government had mandated 29 local authorities,

including 7 districts within Greater Manchester, to undertake comprehensive feasibility studies, assessing a wide range of options, to identify solutions to specific local issues as soon as possible. Oldham was not required to undertake this study, but it had been agreed that all 10 districts in Greater Manchester would be included.

 

This work had been progressed, led by Transport for Greater Manchester

(TfGM), and in April 2018 Oldham had been identified in a subsequent wave of local authorities at risk of not meeting the nitrogen dioxide pollution levels on specific road links by 2021. A ruling was made that each authority must produce a plan to achieve compliance as soon as possible.

 

In order to meet the timescales, Oldham’s feasibility study was be restricted to the stretch of road identified in the directive. A shortlist of measures had been drawn up and were being modelled to establish which, if any, would make that stretch of road compliant.

 

The deadline for submission was the end of July and the Sub-Committee would be updated on progress at its next meeting. An update would also be provided at that meeting on the wider TfGM regional work, for which the deadline was December 2018.

 

The Sub-Committee received clarification that the Council could bid for funding to implement the proposed measures. How funding would be allocated was not yet clear and an update on this would be provided in future.

 

The Sub-Committee received clarification on a recent report that indicated planting trees of certain types could reduce pollution. This was a measure that would be considered, as the right trees in the right places could make a significant difference. The dispersal area was approximately four metres, and people walking or living very close to a road were the most affected.

 

RESOLVED that the Sub-Committee noted the progress made and would receive a further update at its meeting in September.

 

 

16.

Pennine Acute CQC Inspection pdf icon PDF 391 KB

Minutes:

Consideration was given to a report of the Director of Nursing/Acting Chief Officer, Oldham Care Organisation, that provided the Sub-Committee with an update following the recent publication of the Pennine Acute NHS Trust CQC report in March 2018.

 

This included:-

  • The development of an overarching action plan submitted to CQC by 11th April 2018
  • The development of local action plans in each of the NE sector Care Organisations
  • Assurance and monitoring within Care Organisations and Sub-Sub-Committees in Common
  • Greater Manchester monitoring of the Trust-wide Improvement Plan

 

The Sub-Committee were informed there had been continuous improvement and that, following an “inadequate” rating in 2017, the Trust rating had improved to “requires improvement”. It was noted that maternity services at The Royal Oldham Hospital had improved from “inadequate” to “good”. The Sub-Committee was referred to the tables within the report that illustrated the level of achievement.

 

Clarification was provided as to the date of the next inspection, which was expected within twelve months. It was explained that the inspectors could come in at any time and could choose whether to inspect specific areas or undertake a full inspection. Further detail was provided on staffing issues, where funds had been earmarked to address the identified shortfall. Areas such as procurement were also being looked at to identify how to make them more efficient. The number of agency staff used had been reduced and agencies that provided staff at NHS rates were being used where possible.

 

RESOLVED that the Sub-Committee noted the progress made and the current approaches being taken.

 

 

17.

Council Motions pdf icon PDF 95 KB

Minutes:

The Sub-Committee gave consideration to two motions that had been considered by Council on 28th March 2018.

 

Youth Council Motion

 

This concerned vaping and the use of e-cigarettes. The Youth Council had concerns that vaping was becoming an attractive activity for young people. They believed this was in large part due to the advertising and promotion of e-cigarettes and vaping that they believed targeted young people.

 

The Youth Council felt more needed to be done to prevent vaping from being seen as fun, acceptable and a ‘cool’ thing to do and wished to see the same controls on vaping as there were on tobacco products. They would like to see advertising banned, plain packaging controls in place and point of sale restrictions. They believed these restrictions on the promotion of vaping would further reduce the likelihood of people taking up vaping and in turn smoking.

 

The Chief Executive was requested to write to the minister of Health and to ask for these restrictions to be put in place for vaping products.

 

Motion of Opposition Business

 

A motion was moved in relation to the issue of childhood obesity and the contributory factor of the easy availability to children of unhealthy takeaway food.

 

Some local authorities had adopted Supplementary Planning Document and Local Plans that include a prohibition on new fast food takeaways within 400 meters of local schools (a buffer zone) and the Council was asked to request

the Planning Sub-Committee to:-

 

investigate the desirability and practicality of:

·          Introducing a prohibition on new takeaways within a 400 metre buffer

zone as part of the Local Plan; Council shall also contact all schools

within the Borough to seek reassurances they:

·          Enforce a ‘stay-on-site’ policy at lunchtimes;

·                     Ban the delivery of takeaways to the school gates for collection by

pupils; And ask them to do so; if they do not.”

 

The Council had referred the motion to the Overview and Scrutiny Board and the Sub-Committee gave consideration to the draft response. The Sub-Committee noted that information was being gathered from a wide range of sources and discussions were underway to consider a workshop on tackling overweight and obesity issues as part of the Health Scrutiny work programme. Consideration of the desirability and practicality of restricting new takeaways could form part of the agenda for such a workshop.

 

The Sub-Committee were informed that most Oldham schools had a “stay on site policy” during breaks/ lunch times for safeguarding reasons, and many offered a varied healthy option menu for snack and meal choices. The Education Catering Service provided high quality, high nutritional healthy options to 78 primary schools, which had been recognised nationally (Gold Food for Life Catering Mark and the prestigious Best OF Organic Market – BOOM award), and served circa 13000 meals per day.

 

Most schools did not allow the delivery of takeaways to the school gates, and this would be confirmed at the next primary and secondary head teacher meetings. All schools would be asked to implement a ban if  ...  view the full minutes text for item 17.

18.

Forward Plan pdf icon PDF 80 KB

Minutes:

The Sub-Committee gave consideration to the Oldham Health Scrutiny Sub-Committee Forward Plan for the 2018/19 Municipal Year.

 

RESOLVED that: The Health Scrutiny Sub-Committee Forward Plan for the 2018/19 Municipal Year be noted.