Agenda and minutes

Councillors S Pochin.

To approve the minutes of the meeting held on 14 September 2017.

RESOLVED- That the minutes of the meeting held on 14 September 2017 be confirmed as a correct record and signed by the Chairman.

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

Councillor E Brooks declared a non-pecuniary interest in minute number 36, Potential relocation of outpatient services in Handforth- consultation evaluation, as she was a patient at Handforth Health Centre.

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.

Brian Tolver from Handforth attended the meeting to speak on the potential relocation of outpatient services from Handforth.  Brian was in disagreement with the decision to relocate outpatient services based on the information circulated by East Cheshire NHS Trust.  Mr Tolver felt that the alternative travel arrangements given as part of the consultation had been understated and there were a number of difficulties for patients who lived in Handforth and Wilmslow using public transport that included 45 stops one way on the bus between Handforth and Macclesfield Hospital.

To consider the consultation evaluation on the potential relocation of Outpatient Clinics from Handforth by East Cheshire NHS Trust- Report to follow.

Steven Redfern, Deputy Director of Operations at East Cheshire NHS Trust ad Neil Evans, Director of Commissioning at Eastern Cheshire Clinical Group (CCG) attended the meeting to update the Committee about the results of the six week consultation process and the proposed next steps.

Steven advised the Committee that the consultation process had been allocated appropriate resource and had met the needs of individuals on a population basis with appropriate coverage and means of responding.

The Committee heard that a local press release had been issued and Freedom of Information requests by the Parish Council had been responded to.  Steven emphasised that the consultation exercise did not solely focus on clinic space but had taken into account diagnostic equipment and GP space.

The Committee discussed the likely impact on health services that an increased population resulting from future development of Handforth would have.  Neil Evans advised the Committee that the maintenance of Primary Care and finding the most appropriate place for services to be delivered was the key priority for the CCG.

RESOLVED:

(a)  That Steven and Neil be thanked for attending the meeting;

(b)  That Helen Davies notify East Cheshire NHS Trust and Eastern Cheshire CCG that the Committee is satisfied with the consultation process and supports the proposal to relocate outpatient services in Handforth.

To Update the Committee on the financial position following the approval of the Capped Expenditure Programme (CEP).

Tracy Parker-Priest, Director of Transformation South Cheshire and Vale Royal Clinical Commissioning Group (SCCCG) attended the meeting to advise the Committee on the Capped Expenditure Process (CEP)and the financial position for the SCCCG.

Tracy explained to the Committee that, during the last 5-6 months, health partners had focused on delivering work that would achieve financial stability.

The CEP was introduced by NHS England and NHS Improvement and responded to the financial pressures faced by the NHS.  The CEP had been written to reduce an in-year deficit of £3.5 million.  This would ensure that an appropriate level of health care could be delivered in the future that would be both financially stable and within the budget available.

Tracy explained that individual health organisations were still working to efficiency measures through improving Quality, Innovation, Productivity and Performance (QIPP), the CEP sat above that level.

The Committee was shown three slides containing project proposals where identified savings could be made.  There was a brief discussion about how these project proposals would impact patients and the Third Sector.  Tracy explained that Quality Impact Assessments were carried out for each of the proposals, and this was something she could bring back to the Committee next month with further detail.  

Tracy also agreed to provide a presentation to discuss the 5-Year Forward View for Mental Health Proposals.

RESOLVED:
(a) That Tracy Parker-Priest be thanked for her presentation;

(b) That SCCCG be invited back to the Committee to discuss the 5-Year Forward View for Mental Health Investment Proposals; and

(c) That SCCCG be invited back to the Committee in November to discuss a Review of Third Sector Grant Provision.

To Update the Committee on the financial position following the approval of the Capped Expenditure Programme (CEP).

Neil Evans, Commissioning Director at Eastern Cheshire Clinical Commissioning Group (ECCCG) attended the meeting to advise the Committee about the Capped Expenditure Process (CEP)and the financial position for ECCCG in the East.

Neil advised the Committee that Eastern Cheshire was facing £5 million of savings.  Many of the areas where savings could be made, had already been made, such as the transfer of stroke services. At the start of the current financial year, In Vitro Fertilisation (IVF) treatment had been reduced to one cycle from three.  Currently ECCCG had not yet identified any of the £13.4 savings needed in year and nothing had been agreed with regulators (NHS England).

RESOLVED:
(a) That Neil Evans be thanked for his presentation;

(b) That ECCCG be invited back to the Committee with a CEP update when more information is known.

To receive an update on potential redesign and improvement plans for Mental Health Reablement.

Nichola Glover-Edge, Director of Commissioning, attended the Committee and gave a verbal update on Mental Health and Dementia Reablement within Adult Social Care.

Nichola advised the Committee that Mental Health Reablement supported adults aged 18 and over who had a range of mental health issues and associated physical health and social care needs.  The focus was on coping strategies, self-help, the promotion of social inclusion and goal-orientated plans.  The element of this service offered planned intervention for people with mental health issues following an episode of care.

Dementia Reablement provided up to 12-weeks of personalised, post-diagnostic support for who people lived with dementia and their carers.  The service focused on prevention and early intervention when a patient had been diagnosed with dementia.

Nichola advised the Committee that as part of the Better Care Fund, there had been an agreement to review all reablement services that looked at the feasibility of redesign into an integrated service that supported both physical and mental health needs and how intermediate care fitted in with that service.

RESOLVED:
(a) That Nichola Glover-Edge be thanked for her presentation;

(b) That the Director of Commissioning be invited back to the Committee in the New Year to give an update on the Better Care Fund.

To review the current Work Programme

The Committee reviewed it’s Work Programme.

RESOLVED-

(a)  That the Work Programme be received and noted;

(b)  That Budget Setting be added to the Work Programme for January 2018;

(c)  That Accommodation with Care be added to the Work Programme for January 2018;

(d)  That Care at Home be added to the Work Programme for January 2018;

(e)  That North West Ambulance Service be added to the Work Programme for January/February 2018;

(f)   That Respite Review be added to the Work Programme for January 2018;

(g)  That DToC follow up on recommendations be added to the Work Programme for February 2018;

(h)  That a Palliative Care spotlight review be added to the Work Programme for March 2018;

(i)    That the Better Care Fund be added to the Work Programme.

To note the current forward plan, identify any new items, and to determine whether any further examination of new issues is appropriate.

The Committee noted that there had been an error with the publication of the Forward Plan. 

RESOLVED- That an updated version of the Forward Plan be circulated to Members of the Committee.