Agenda and minutes

Agenda and minutes

Health Scrutiny Committee - Wednesday, 26th June, 2024 2.00 pm

Venue: Council Antechamber, Level 2, Town Hall Extension

Contact: Lee Walker 

Media

Items
No. Item

22.

[2.00-2.05] Minutes pdf icon PDF 94 KB

To approve as a correct record the minutes of the meeting held on 22 May 2024.

Minutes:

Decision

 

To approve the minutes of the meeting held on 22 May 2024.

 

23.

[2.05-2.50] NHS England Independent Review of Greater Manchester Mental Health NHS Foundation Trust pdf icon PDF 373 KB

Report of the Chief Executive, Greater Manchester Mental Health NHS Foundation Trust

 

This report provides details of the learning from the NHS England commissioned Independent Review of Greater Manchester Mental Health NHS Foundation Trust (GMMH) and outlines the GMMH response to the Review findings.

Additional documents:

Minutes:

The Committee considered the report of the Greater Manchester Mental Health NHS Foundation Trust that provided details of the learning from the NHS England commissioned Independent Review of Greater Manchester Mental Health NHS Foundation Trust (GMMH) and outlined the GMMH response to the Review findings. The Review had identified eleven recommendations for improvement, nine of which related to GMMH. 

 

Key points and themes in the report included:

 

·         Providing an introduction and background;

·         Providing a summary of the independent review that had been chaired by Professor Oliver Shanley; and

·         Noting that the Review findings had been presented to the GMMH Board in February 2024, following which the Board had held a dedicated development session to consider the Review findings, the learning from the Review and the recommendations for improvement. ??

 

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

 

·         Expressing the shock that still resonated from the revelations that were reported in the BBC Panorama programme;

·         The Trust’s Senior Leadership Team and Board were ultimately culpable for those reported events;

·         Reiterating that patients and patient care needed to be central to all considerations and decisions taken by the Trust;

·         Noting that the Committee had established a Task and Finish Group to consider the Trust’s Improvement Plan in detail;

·         Reiterating the importance of organisational culture and how this impacted on all aspects of patient care;

·         The need for connectivity and communication between patients and senior management and the Board to improve the quality of care and culture across the organisation;

·         What were the initial impressions of the Chief Executive on the Trust’s Improvement Plan;

·         Managers should have clinical experience;

·         Recognising the importance of service user and carer engagement, and how was the voice of hard-to-reach people captured;

·         The importance of diversity across the leadership team;

·         Had the Trust engaged with the patient representative group CHARM;

·         Noting the importance of staff recruitment and retention;

·         The appointment of Non-Executive Board members was an opportunity to attract individuals with a wide range of experience, knowledge and skills; and

·         Future reports should include information on Community Mental Health Teams.

 

The Committee welcomed Dan Stears, who spoke of his lived experience during his engagement with the Trust. He commented that he genuinely felt that patients and carers were listened to, their opinions valued and appropriately responded to. He commented that the Trust had changed for the positive and provided many examples of this, including but not restricted to and increased number of PLACE (Patient Led Assessment of the Care Environment) visits to units where staff were accompanied by people with lived experience; the ability for patients to speak openly about their care and to receive feedback; the increased use of peer support workers that helped foster a culture of trust and openness. He commented that this approach also facilitated the ability to reach and engage with hard to reach cohorts of people. He said that whilst there was still more to do, he commented that there were many examples of good practice and improvements across  ...  view the full minutes text for item 23.

24.

[2.50-3.20] Manchester Safeguarding Partnership Annual Report 2022-2023 pdf icon PDF 131 KB

Report of the Executive Director of Adult Social Services

 

This report provides the Committee with a summary update on the Manchester Safeguarding Partnership (MSP) Annual report 22/23.

 

Additional documents:

Minutes:

The Committee considered the report of the Executive Director of Adult Social Services that provided a summary update on the Manchester Safeguarding Partnership (MSP) Annual report 22/23.

 

Key points and themes in the report and accompanying presentation included:

 

·         Providing an introduction and background, noting that the Manchester Safeguarding Partnership’s (MSP) aim had been to strengthen safeguarding leadership across children and adult services and improve multi-agency safeguarding practice in the Manchester;

·         Noting that the annual report aimed to illustrate how the MSP continued to develop an integrated approach to safeguarding across the life course with equal accountability between the three statutory partners (Greater Manchester Police, Manchester City Council and Greater Manchester Integrated Care Board) together with wider agencies and in cooperation with children and adults;   

·         Information relating to the Partnership arrangements;

·         Information relating to:

·         Communication and engagement.

·         Safeguarding Effectiveness and Scrutiny.

·         Safeguarding practice reviews.

·         Learning and improvement.

·         Neglect.

 

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

 

·         Safeguarding was everyone’s responsibility;

·         Noting the seriousness and harm associated with dependent drinking, noting that the Committee may wish to return may wish to return to this specific area of concern;

·         Discussing the complex socioeconomic reasons for knife crime and the devasting impact this had on individuals, their families and communities;

·         The issue of vulnerable individuals who live in communities but may not be known to services who were susceptible to cuckooing (Cuckooing is a practice where people take over a person's home and use the property to facilitate exploitation);

·         The message that it was okay for neighbours to be inquisitive about people’s welfare and wellbeing, noting that during the pandemic this was witness across communities;

·         What was the approach to out of area / cross border Safeguarding Adults Reviews (SAR).

 

The Executive Director of Adult Social Services acknowledged the comment made stating that safeguarding was every professional’s responsibility and prevention work and intervention was vital, adding that this was why a partnership approach had been adopted in recognition of this. She said a culture of professional curiosity was fostered and encouraged on the issue of safeguarding with appropriate training provided. She added that safeguarding training would also be provided to Councillors.

 

The Assistant Director Adult Social Care addressed the issue of dependent drinking and commented that this was a complex issue that required the appropriate support systems and wrap around care to support those individuals affected. He informed the Committee that the Council had a designated drug and alcohol team that was supported by health partners.

 

The Assistant Director Adult Social Care informed the Committee that they did work collaboratively, using all available resources across the Greater Manchester borders when dealing with Out of Area SARs.

 

David Moores, Greater Manchester Police noted the concerns raised by Members in relation to the issue of knife crime. He said that this was a national issue and not unique to Manchester. He said that communities needed to be confident to speak up about this issue and report concerns,  ...  view the full minutes text for item 24.

25.

[3.20-3.30] Overview Report pdf icon PDF 129 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.

 

A recommendation was made to include a report on the implementation plan of Right Care Right Person at the appropriate time. This was agreed by the Committee.

 

Decision

 

The Committee notes the report and agrees the work programme, noting the above comments.