Agenda and draft minutes

Apologies for absence were received from Councillor Marland.

There were no items of urgent business received.

There were no public questions for this meeting of the Committee to consider.

The Minutes of the meeting of the Health Scrutiny Committee held on 6^th December 2022 are attached for approval.

RESOLVED that the minutes of the meeting held on 6 December 2022 be approved as a correct record.

The Committee scrutinised a report of the Place Lead which updated the Overview and Scrutiny Committee for Health on the progress to disaggregate clinical services from the previous Pennine Acute Hospital Trust (PAHT) footprint and establish clinical pathways between the Northern Care Alliance (NCA) and Manchester University Foundation Trust (MFT).

In 2021, MFT acquired the North Manchester General Hospital (NMGH) site, and Salford Royal Foundation Trust (SRFT) acquired the remaining sites of PAHT, creating the NCA. Since then, due to the way in which digital systems and clinical rotas operate, there are some services which operate across the two providers which have not yet been ‘disaggregated’. This means that the services still need to be split between the two organisations using an agreed set of principles: including splitting of the workforce, budget and waiting lists.

The report provides an update about the work to date to split key services between the providers, and in particular to highlight those areas where this could potentially mean a change to the location where patients access services. It describes the process and criteria used to determine the best solution that ensures services previously part of PAHT continue to be safely delivered by the NCA and MFT respectively. Fundamentally, this process aims to deliver better care for patients through establishing services that are safe and sustainable, but also that use the best evidence available and operate as close to the patient as possible.

In the coming months, there are some key services that will go through this process of disaggregation including Cardiology, Gastroenterology, Urology and Rheumatology. Largely these changes will mean patients can choose to access services from an NCA site or from a MFT site. Initial assessment suggests there is minimal change for Oldham residents for these services.

The Committee was informed of the services that are affected, paragraph 4.1- Phase 2 of the report refers. At this stage it appears that there would be minimal changes in the way that the Oldham population access the services listed in Phase 2, and table I in paragraph 4.3 summarises the current understanding of the impact on Oldham patients.

The Place Lead informed the Committee that the report sets out the current position on Phase 2 with a finish target date to complete of March 2024. A further report will be presented to a future meeting of this Committee setting out detail on Phase 3. He advised that Phase 2 is evolving and further changes will take place between now and its completion.

A Member referred to the Joint Scrutiny Committee (JSC) which had previously been set up prior to the Pennine Acute Hospital Trust ceasing to exist and was dissolved which gave feedback to the Northern Care Alliance (NCA). The Member suggested that it would be beneficial to establish a new JSC comprising Member representatives from Bury, Rochdale, Oldham, Thameside and Stockport Councils to receive reports detailing progress on Phases 2 and 3 and would provide a vehicle for these authorities to give a combined  ...  view the full minutes text for item 6.

The Committee received a presentation of the Place Lead, Oldham, NHS Greater Manchester Integrated Care, which gave a locality update on the current challenges facing Mental Health Care in Oldham and the transformation programme being put in place to address these challenges known as ‘Living Well’, a new model for improving mental health in Oldham neighbourhoods, to address these challenges.

The refresh centred on –

·         Learning Disability and Autism (LDA)

·         Dementia

·         Mental Health Performance

·         LDA Performance

·         Dementia Performance

The Place Lead took the view that COVID has had a far more reaching affect on individuals than what the numbers on the waiting list portrays. Although the mental health PCT avenues are in place, individuals find it difficult to approach these. He informed the Committee that mental heath has been the victim of underinvestment and as a consequence there is a need to prioritise. With this in mind there would be a need to irradicate unnecessary duplication in the roles of staff and the way staff are working.

In response to a Member’s question, the Place Lead agreed that the use of the voluntary sector as contact pathways for individuals needing information and help was a positive way forward. He advised that utilising the voluntary sector was not free and would require resources. He referred to the effective neighbourhood community and meeting places and what is currently available to individuals.

It was suggested that the Mental Health issue could be integrated into the suggested Joint Scrutiny Committee, minute no.6 to these minutes refers.

Resolved: That

1. a further update presentations be made to this Committee on the performance of mental health in Oldham; and

2. the officers investigate ways to establish connections within  voluntary groups and organisations with a view to establishing informal network links in relation to mental care in Oldham; and

3. the Officers explore the integration of mental health into the suggested establishment of the Joint Scrutiny Committee, and

4.  Mike Barker be thanked for the very informative presentation.

The Committee received a report of Andrea Entwistle, Senior Business and Commissioning Manager, on Health Improvement and Weight Management Service (HIWMS) which updated the Health Scrutiny Committee on the progress made by the Health Improvement and Weight Management Service, Your Health Oldham, delivered by ABL Health Limited, during the last 12 months, as requested by the committee in January 2022.

Having a high functioning health improvement offer is an essential component of the range of activity required to achieve better population health and reduce demand on health and social care services.

‘Your Health Oldham’, delivered by ABL Health Limited, is Oldham’s Health Improvement and Weight Management Service and commenced delivery in January 2021 following a comprehensive tender process.

The Committee received a presentation from Raz Mohammed and XXXXX representing ABL Health to support the report.

The Committee was informed that the following was key to their work - 

·         supporting residents of Oldham to live healthier and happier lives for longer. 

·         Giving a health and wellbeing service that combines prevention, building community capacity, and reducing health inequalities.

The presentation referred to –

·         Referrals from January 2021 – 2022

·         Supporting the most deprived communities

·         Tackling health inequalities

·         Age Well

·         Trim Down Shape Up

·         Health MOTs

·         Events and Campaigns

·         Co-production with Communities

·         Challenges – Solution and Mitigation

In response to a query on the doubling of referrals since the first year, Raz Mohammed informed the Committee that they were almost at the limit on receiving more referrals.

It was suggested that help to promote and develop the service could be via District Teams, Councillors and public events.

Resolved: That

1. the Committee acknowledges the excellent progress made by the

 Health Improvement and Weight Management Service, Your Health

Oldham delivered by ABL Health Limited and note the highlights and

 challenges of the last 12 months.

2. the officers set up a meeting with ABL Ltd to consider and a

report on the outcome be submitted to the

 next Committee meeting,

3. Regular report updates for Health Improvement and Weight Management Service, Your Health Oldham be included in the Health Scrutiny Committee work programme.

The Committee considered a report of Andrea Entwistle, Senior Business and Commissioning Manager(Public Health, Oldham Council) which updated the Health Scrutiny Committee on the progress made the Integrated Sexual Health Service (ISHS), delivered by HCRG Care Group, during the first 9 months of the new contract, as requested by the committee in January 2022.

Oldham, Rochdale and Bury Councils (ORB) collaboratively commission the provision of a high quality Integrated Sexual Health Service (ISHS) to support better population health and meet our mandated responsibilities for open access sexual health services.

HCRG Care Group provide Oldham, Rochdale and Bury Integrated Sexual Health Service (ORBISH) and commenced delivery of the new contract, with revised specification, on 1 April 2022.

Stephen Giles and Emma Zurbrowski made a presentation updating Members on the progress made by the service during the first year of the current contract.

It was suggested that ways to establish connections and informal links between groups and organisations to build a network be explored.

Resolved: That

1. a further report be submitted to the next Committee to update

Members on progress on the service;

2. the proposed meeting between ABL and scrutiny members described above be extended to include HCRG Ltd as well as other major providers of public health commissioned services.  

The Committee received a report inviting consideration of the Committee’s Work Programme for 2022/23 as at the 17 January 2023.

Resolved:

That the Health Scrutiny Committee’s Work Programme 2022/23 be noted.

Key Decisions scheduled to be taken by the Council/Cabinet.

The Committee considered the latest Key Decision Document which set out the Authority’s Key Decisions scheduled to be made from 22 December 2022.

Resolved:

That the Key Decision Document be noted.