Agenda and minutes

Apologies for absence were received from Councillors S Brookfield, J Rhodes, C Chapman and M Warren.

To provide an opportunity for Members and Officers to declare any disclosable pecuniary and non-pecuniary interests in any item on the agenda.

There were no declarations of interest.

To provide an opportunity for Members to declare the existence of a party whip in relation to any item on the Agenda

There were no declarations of the existence of a party whip

A total period of 15 minutes is allocated for members of the public to make a statement(s) on any matter that falls within the remit of the Committee.

Individual members of the public may speak for up to 5 minutes, but the Chairman will decide how the period of time allocated for public speaking will be apportioned, where there are a number of speakers.

Note: in order for officers to undertake and background research, it would be helpful if members of the public notified the Scrutiny Officer listed at the foot of the Agenda at least one working day before the meeting with brief details of the matter to be covered.

There were no members of the public present who wished to speak.

The Chairman welcomed the Committee and guests to the review day and explained that the session would be a fact finding exercise for the Committee to gather information relating to each organisations involvement in Delayed Transfer of Care (DToC) of patients in Cheshire East.  Each organisation was invited in turn to make a short presentation to the Committee  

To receive reports, presentations and evidence from service providers, commissioners and other stakeholders on their experience of Delayed Transfer of Care (DToC).

NHS Eastern Cheshire Clinical Commissioning Group (CCG)

The Committee received a short presentation from Neil Evans the CCG Turnaround Director, Karen Burton the Clinical Project Manager for Urgent & Emergency Care and Jo Williams the Service Delivery Manager.

NHS South Cheshire CCG & NHS Vale Royal CCG

Jamaila Tausif, Associate Director of Commissioning and Tracy Parker-Priest, Director of Transformation attended the meeting.

East Cheshire NHS Trust

Steven Redfern, Deputy Director of Operations, Debbie Burgess- Operational Manager, Jacqui Williams- Associate Director of Service Transformation and Katrina Oliver- Assistant Team Manager attended the meeting and gave a presentation that outlined the local pressures and challenges on Macclesfield District General Hospital.

Mid Cheshire Hospitals NHS Foundation Trust (MCHFT)

The Committee received a short presentation that focussed on acute care from Julie Weir, Divisional General Manager (Division of Diagnostics and Clinical Support Services) and Sarah Vaneeathen, Integrated Discharge Team Matron- DToC Reporting.

Cheshire and Wirral Partnership (CWP)

The Committee received a short presentation from Roisin Reynolds, Interim General Manager and Kate Chapman, Modern Matron relating to DToC patient numbers across Cheshire and Wirral.

Mid Cheshire Hospitals NHS Foundation Trust (MCHFT)

The Committee engaged in a short discussion, on DToC within community services at MCHFT with Julie Weir, Divisional General Manager (Division of Diagnostics and Clinical Support Services) and Sarah Vaneeathen, Integrated Discharge Team Matron- DToC Reporting.

NHS Eastern Cheshire CCG

The Committee discussed community services in Eastern Cheshire with Neil Evans the CCG Turnaround Director, Karen Burton the Clinical Project Manager for Urgent & Emergency Care and Jo Williams the Service Delivery Manager.

Cheshire East Council Health and Adult Social Care

The Committee received a short presentation from Peter Gosling, Mark Palethorpe, Ann Riley and Lorraine Goude relating to DToC patients in a social care environment.

At this point in the proceedings the meeting was adjourned.

The meeting reconvened at 10:00 on the 22 February 2017.

The Chairman opened the meeting and established that by the end of the meeting, the Committee would have compiled a list of key recommendations that were realistic, credible, outcome based, fiscally robust, did not breach legal regulations and had clearly defined lines of responsibility.

The Committee reviewed the salient points from the meeting on 18 January.

The Chairman thanked the partners for attending the meeting, and concluded by stating that a final report would be produced, from the deliberations of the Committee based upon the following recommendations:

RESOLVED-

(a)  That the Council intermediate care packages be clearly identified and defined.

(b)  That the Council, CCG’s and GP’s collaboratively work to explore the possibility of changing the delivery model for the Cheshire East health and care economy market to become broader and to include more step-up and step-down beds.

(c)  That the Council and CCG’s explore multidisciplinary working (consisting of staff from different professional backgrounds who have different areas of expertise) and that the discharge process for patients be started at the point of admission and models of discharge planning appropriate to non-elective admission patients be explored.

(d)  That  ...  view the full minutes text for item 63.