Agenda and minutes

Agenda and minutes

Health Scrutiny Committee - Wednesday, 19th July, 2023 2.00 pm

Venue: Council Antechamber, Level 2, Town Hall Extension. View directions

Contact: Lee Walker 

Media

Items
No. Item

35.

[2.00-2.05] Minutes pdf icon PDF 99 KB

To approve as a correct record the minutes of the meeting held on 21 June 2023.

Minutes:

Decision

 

To approve the minutes of the meeting held on 21 June 2023.

 

36.

[2.05-2.55] Implementing Ockenden: Update report pdf icon PDF 172 KB

Report of Saint Mary’s Managed Clinical Service (MCS), Manchester University NHS Foundation Trust

 

Dame Donna Ockenden was appointed to conduct an independent review of maternity services at Shrewsbury and Telford NHS Trust. A report highlighting the initial findings was published in December 2020 , with the second and final report being published in March 2022 . A report detailing Saint Mary’s MCS progress against delivering the immediate and essential actions to both reports was presented at the Health Scrutiny Committee on 22 June 22. This report provides a further update on our progress against the remaining actions.

 

In addition, as requested by the Health Scrutiny Committee in June 2022, Saint Mary’s MCS have provided actions being taken to address inequalities for our most vulnerable women from Black and Minority Ethnic (BAME) backgrounds.

 

This report also provides a summary of actions taken by the Saint Mary’s MCS in response to a 29A warning notice issued by the CQC, and outlines improvements made in key metrics.

Additional documents:

Minutes:

The Committee considered the report of the Saint Mary’s Managed Clinical Service, Manchester University NHS Foundation Trust that described that Dame Donna Ockenden had been appointed to conduct an independent review of maternity services at Shrewsbury and Telford NHS Trust. A report highlighting the initial findings was published in December 2020, with the second and final report being published in March 2022.

 

A report detailing Saint Mary’s Managed Clinical Service progress against delivering the immediate and essential actions to both reports was presented at the Health Scrutiny Committee on 22 June 2022. This report provides a further update on our progress against the remaining actions.

 

Key points and themes in the report included:

 

·         Providing an introduction and background;

·         Discussion of the Manchester Foundation Trust response to emerging findings from the first Ockenden report;

·         Discussion of the Manchester Foundation Trust response to findings from the final Ockenden report;

·         Information on the support for the maternal health of women and families from Black African, Asian and other ethnic minority groups;

·         Information on the response to the Care Quality Commission s29A warning letter, noting that a s29A warning notice stated the reasons why the CQC considered that a trust needed to make significant improvements; and

·         Progress on success measures.

 

Some of the key points that arose from the Committee’s discussions were:

 

·         Welcoming the use of appropriate language and terminology throughout the report;

·         What research, if any had been undertaken to understand the psychological impact the findings of the Ockenden Report and the increased awareness of the issues identified had on women and families from Black African, Asian and other ethnic minority groups;

·         Noting that written information booklets were provided in 11 languages, what provision was made for speakers of other languages;

·         What provision was made to provide maternity services for refugee women and disabled women;

·         Noting comments regarding staff recruitment and retention;

·         What were the barriers to implementing the recommendation that ‘The transitional care model offered at the Wythenshawe site should be replicated across the three sites without delay’; and

·         Noting the reported work analysing a large data set of birth outcomes that found differences in the rates of fetal growth restriction in certain geographical areas with high ethnic diversity and enquiring what were the geographical areas.  

 

The Head of Midwifery, North Manchester, Manchester University NHS Foundation Trust made reference to the Maternity Voice Partnership that had been established across all three hospital sites. She advised this forum captured and articulated the voice of service users. She stated this feedback from women and their families, including those from different ethnicities was important to inform services and responses. She stated that she was not aware of any specific research into the psychological impact the findings of the Ockenden and increased awareness of the issues identified had on women and families from Black African, Asian and other ethnic minority groups. In response to a specific question the Committee was advised that further information on the 12 Black and Asian maternity equity standards that was referred  ...  view the full minutes text for item 36.

37.

[2.55-3.40] Manchester ACEs and Trauma Informed Practice Update pdf icon PDF 153 KB

Report of the Deputy Director of Public Health

 

This report is an update to a report considered at the meeting of the committee on 7 September 2022 on Adverse Childhood Experiences (ACEs) and Trauma Informed Practice.

Additional documents:

Minutes:

The Committee considered the report of the Deputy Director of Public Health that provided an update to a report considered at the meeting of the committee on 7 September 2022 on Adverse Childhood Experiences (ACEs) and Trauma Informed Practice.

 

Key points and themes in the report included:

 

·         Providing an update on the work done to strengthen the ACEs programme objectives, through extensive engagement and consultation with stakeholders to ensure that the programme was fit for purpose following the impact of COVID-19 and within the context of Making Manchester Fairer;

·         Providing an update on the ACEs and Trauma programme of work across the city including a good practice example of culture change from Manchester Housing Services and a collaboration between Z-Arts and the Burnage Academy for Boys; and

·         Next steps.

 

The Committee then heard from Celine Doyle, Mental Health Lead, Burnage Academy for Boys. She described the art project that had been delivered at the school that engaged with 13 boys who had experienced displacement from their country of birth. She spoke of the positive outcomes that the boys experienced via the project and the legacy this had provided for the school. The Committee welcomed this testimony and the positive contribution this had made to the young people. The Programme Lead described this was one of the four schools and four creative providers using a trauma informed lens.

 

The Committee further welcomed the case study that related to the work of Housing Services. The Head of Neighbourhood Services stated that Housing Services were a key partner in North Manchester and Trauma Informed Practice was embedded in their approach, adding that this was the only approach that worked. The Chair acknowledged this powerful statement.

 

The Committee then received a written statement from Councillor Doswell, Lead Member for Trauma Informed that had been submitted. In her statement Councillor Doswell spoke of her own experience of Adverse Childhood Experiences, praising the staff involved with this work and endorsing the report to the Committee. The Chair thanked Councillor Doswell for her continued commitment to this area of work.

 

Some of the key points that arose from the Committee’s discussions were:

 

·         Was the work described shared and implemented by other housing providers and other key partners, such as the police;

·         Welcoming the positive contribution this work had delivered for the city, recognising that this approach and understanding would continue to be rolled out across different sectors and partners; and

·         The need to ensure this work was embedded across services for all generations, not just young people.

 

The Head of Neighbourhood Services advised that there was a desire from different housing providers to deliver and adopt this work, recognising that some were at different stages in this work. She said that there was a Housing Group who met regularly, and this area of work was discussed and provided a forum to share good practice. Celine Doyle, Mental Health Lead, Burnage Academy for Boys commented that there were a lot of schools adopting the Trauma Informed model  ...  view the full minutes text for item 37.

38.

[3.40-3.50] Draft Terms of Reference and Work Programme for the Greater Manchester Mental Health NHS Foundation Trust: Improvement Plan Task and Finish Group pdf icon PDF 67 KB

Report of the Governance and Scrutiny Support Unit

 

This report sets out the proposed terms of reference and work programme for the Greater Manchester Mental Health NHS Foundation Trust: Improvement Plan Task and Finish Group.

 

Additional documents:

Minutes:

The Committee considered the report of the Governance and Scrutiny Support Unit that presented the draft terms of reference and work programme for the proposed Greater Manchester Mental Health NHS Foundation Trust: Improvement Plan Task and Finish Group.

 

The Committee were invited to agree the membership of the Task and Finish Group, the terms of reference and work programme.

 

The Executive Member for Healthy Manchester and Adult Social Care stated that he would attend each meeting of the Group to provide any verbal updates that were relevant to the Group.

 

Decision

 

The Committee;

 

1. Appoint Councillors Bayunu, Curley, Green and Wilson as members of the Greater Manchester Mental Health NHS Foundation Trust: Improvement Plan Task and Finish Group.

 

2. Approve the terms of reference of the Task and Finish Group.

 

3. Approve the work programme of the Task and Finish Group, noting the comments above.

 

39.

[3.50-4.00] Overview Report pdf icon PDF 120 KB

Report of the Governance and Scrutiny Support Unit

 

The monthly report includes the recommendations monitor, relevant key decisions, the Committee’s work programme and items for information. The report also contains additional information including details of those organisations that have been inspected by the Care Quality Commission.

 

Minutes:

The report of the Governance and Scrutiny Support Unit which contained key decisions within the Committee’s remit and responses to previous recommendations was submitted for comment. Members were also invited to agree the Committee’s future work programme.

 

Decision

 

The Committee notes the report and agrees the work programme.