Agenda and minutes

Councillors E Brooks and S Pochin.

To approve the minutes of the meeting held on 15 June 2017

RESOLVED- That the minutes of the meeting held on the 15 June 2017 be confirmed as a correct record and signed by the Chairman subject to the following amendments:

that the words “East Cheshire NHS Trust” be added after the word ‘CCG’ in minute 6 (b) and 6 (c).

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

Councillor R Bailey declared a non-pecuniary interest in agenda item 6. Potential Branch Surgery Closure at Rhode Heath, Scholar Green as the surgery was located in her ward.

Councillor L Wardlaw declared a non-pecuniary interest as a patient at the surgery.

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.

To receive an update on the Mental Health Gateway by South Cheshire & Vale Royal Clinical Commissioning Group.

Sarah Peers, Deputy Clinical Service Manager for Access Services, Tracy Parker- Priest, Director of Transformation and Jane Critchley, Clinical Service Manager for Access Services attended the meeting to present a one year update on the South Cheshire Mental Health Gateway.

The gateway team which had 14 members of staff, aimed to provide a single point of referral, responsive triage that ensured patients accessed the right services at the right time and increased access to psychological therapies.

South Cheshire CCG tracked where patients had been referred from, the highest number were self referrals (2,082) followed by GP referrals (1,602) in total there were 4,140 referrals.  An audit conducted over a 10 week period to track the types of referrals into the gateway and the referral pathway indicated that 707 cases, 162 were urgent, 479 were routine and 66 were crisis calls.  Over half of these cases were signposted to other services, 24% had brief intervention with the gateway and 20.50% were allocated to Improving Access to Psychological Therapies.(IAPT)

There had been a significant drop in the number of referrals into the Adult Mental Health (AMH) Community Mental Health Team (CMHT) following the Gateway going live in South last September - a 50% reduction.  Also, there had  been a reduction in the number of people known to services attending the Emergency Department.

The next steps for the gateway were further progression of IAPT and gateway to create a Primary Care Mental Health Well Being Hub to be launches on the 24^th July.

RESOLVED-

(a)  That South Cheshire CCG be thanked for their presentation.

(b)  That South Cheshire CCG be invited to provide a further update on the progress of the Community Hub in 12 months time.

To consider an update on the potential branch surgery closure at Rode Heath, Scholar Green.

Tracy Parker- Priest, Director of Transformation, Chris Leese, Primary Care Operations Manager and Andrew Wilson, Chair for the NHS South Cheshire CCG were present to talk through the potential branch closure of Green Moss Medical Centre in Scholar Green.

Tracy advised the Committee that the potential closure had taken many factors into account, such as refurbishment, Care Quality Commission (CQC) standards, parking, patients, and recruitment to post.  On the 28^th July a Primary Care Committee would be making a decision about the future of the practice based on the data gathered from the consultation.

The Committee was advised that the GP branch was a partnership, but in March, one of the Doctors had retired.  Since then the branch had failed to recruit to this post and it had impacted on patient appointments.

Following a public consultation, 582 people had responded and it was noted that 1% of respondents made use of public transport to travel to appointments which equated to 1 home in every 479.

Feedback from the local ward Councillor, suggested that the publicity of the consultation had been good and the meeting had been conducted well. 

RESOLVED:

(a)  That South Cheshire CCG and Dr. be thanked for their presentation and that it be noted.

(b)  That Tracy Parker-Priest would speak to the surgery to establish how the open meeting had been conducted and be invited to feed back to the Committee by email.

To review the current Work Programme

The Chairman advised that the Committee that the Care Strategy and Delivery Plan had been added to the Work Programme via the Commissioning Manager Rob Walker.

RESOLVED- That the Work Programme be approved.

The Committee reviewed the Forward Plan.

RESOLVED- That the Forward Plan be received and noted.