Agenda and minutes

Agenda and minutes

Health Scrutiny Committee - Wednesday, 23rd June, 2021 10.00 am

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

Contact: Lee Walker 

Media

Items
No. Item

23.

Minutes pdf icon PDF 281 KB

To approve as a correct record the minutes of the meeting held on 26 May 2021.

Minutes:

Decision

 

To approve the minutes of the meeting held on 26 May 2021 as a correct record.

 

24.

COVID-19 Update pdf icon PDF 110 KB

Report of the Director of Public Health, Manchester City Council and the Medical Director, Manchester Health and Care Commissioning

 

The Manchester Public Health Team will deliver a presentation on the latest available data relating to Manchester with a focus on the Enhanced Support Package Area Plan.  This designation was announced by the Government on 8 June and preceded the announcement on the Stage 4 Road Map delay on 14 June.  A key element of the Plan will be the ongoing and accelerated roll out of the Manchester Vaccination Programme.  The Committee will also receive an update on this roll out.

 

Additional documents:

Minutes:

The Committee considered the joint presentation of the Director of Public Health and the Executive Clinical Director Manchester Health and Care Commissioning that provided an update on COVID-19 activity that included the latest available information on data and intelligence.

 

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

 

·         Noting the importance of vaccination, especially for older residents to prevent them from becoming seriously ill if they contracted COVID-19;

·         An assurance was sought that the supply of vaccines was sufficient to meet the increased numbers of people coming forward for vaccination;

·         What were the reasons as to why the infection rates in Manchester were high;

·         Noting that residents were being encouraged to obtain their second jab within eight weeks of having the first, what was being done to manage those who had a second appointment booked in twelve weeks and maybe reluctant to cancel that second prebooked appointment;

·         An assurance was sought that Learning Disabled citizens were being supported and encouraged to have their vaccination, including those who may reside in a setting provided outside of Manchester;

·         Further information was requested on the Community Champions Fund and how this had been allocated;

·         Noting that the issue of trust was vital to ensure all communities access their vaccination;

·         Noting that COVID deniers and vaccination hoaxers still existed and what was being done to address this; and

·         Was planning underway to be able to deliver a seasonal vaccination booster.

 

In response, the Executive Clinical Director Manchester Health and Care Commissioning informed the Members that evidence showed that for those people contracting COVID following their second vaccination displayed much milder symptoms that could be safely managed at home.  She advised that Manchester had enough vaccine to meet current demand and she encouraged all to obtain their second jab when offered.  She described that people are being contacted directly to offer them their second jab with advice and information as to where and when this could be obtained, including the promotion of pop services in addition to the national system and that a helpline had been established to guide residents through this process if required.  She advised that people should not delay in getting their second jab and then they can always cancel any prebooked second jab via the national NHS booking system.

 

In regard to Learning Disabled citizens, the Executive Clinical Director Manchester Health and Care Commissioning advised that all avenues of contact and support were being utilised to maximise and support the uptake of the vaccine.  She said that General Practitioners records were being used and all relevant and appropriate teams experience knowledge was used to support this activity.  She added that bespoke services such as taxis and specifically managed vaccination sessions in appropriate settings had been provided.  The Consultant in Public Health Medicine stated that the Disabled Peoples Engagement Board had also helped coordinate and deliver appropriate key messages surrounding COVID-19.

 

The Consultant in Public Health stated that the high rates of infection rates in Manchester could be  ...  view the full minutes text for item 24.

25.

Strategic scene-setting pdf icon PDF 257 KB

Report of the Director of Public Health, the Executive Director Adult Social Services and the Deputy Director Adult Social Services

 

This report and presentations provides an overview of Health inequalities and outcomes in Manchester; an overview of the system wide response with a focus on Manchester’s Local Care Organisation and an update on Better Outcomes, Better Lives, the Manchester Local Care Organisation’s transformation programme for Adult Social Care.

 

Additional documents:

Minutes:

The Committee considered the report and accompanying presentations of the Director of Public Health, the Executive Director Adult Social Services and the Deputy Director Adult Social Services that provided an overview of health inequalities and outcomes in Manchester; an overview of the system wide response with a focus on Manchester’s Local Care Organisation and an update on Better Outcomes, Better Lives, the Manchester Local Care Organisation’s transformation programme for Adult Social Care.

 

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

 

·         Whilst welcoming the ambitions of Better Outcomes, Better Lives it was important to ensure that residents in need of care received the most appropriate levels of care;

·         A Member provided a personal experience of a family member who received care and stressed the importance of appropriate care and support to enable people to live independently;

·         Future update reports should include the voice of the patient experience;

·         The role of Carers was very important;

·         The COVID-19 vaccination programme had demonstrated the successful delivery of a service through collaborative working and this positive experience and learning should be built upon in other areas of service delivery;

 

The Executive Director of Adult Social Services stated that the ambition of Better Outcomes, Better Lives was to promote and enable independent living and support residents to continue living in their homes and communities. She stated this would be achieved through a strength based approach to the assessment and commissioning of services, with these were designed and delivered ‘with’ people as opposed to ‘for’ people. She stated that despite the budget Manchester had invested in this programme of improvement. She further recognised the comment made regarding the important role of carers and suggested that an update report on the Our Manchester Carers Strategy be submitted to the Committee for consideration at an appropriate time.  

 

The Deputy Director of Adult Social Services noted the comments from the Member regarding the information provided in the slide pack regarding the Initial Impact Assessment and provided clarification on the examples and data provided. In response to a question regarding how the Better Outcomes, Better Lives programme connected to the Our Manchester strategy she stated that this information had been included in the report that had been considered by the Committee at the March 2021 meeting. She further stated that information relating to IMPOWER would be circulated outside of the meeting following comments by a Member.

 

The Chief Operating Officer, Manchester Local Care Organisation stated that the Local Care Organisation was predicated on Public Health ambitions and targets and Key Performance Indicators were agreed and monitored. He stated that the neighbourhood delivery approach of the Manchester Local Care Organisation built on partnerships and community based strengths and knowledge. He stated that Manchester was leading on this model of delivery when compared to other Local Authorities. He stated that he would share the details of the Neighbourhood Leads with the Committee following the meeting.

 

The Chair stated that the Committee would welcome the opportunity to further  ...  view the full minutes text for item 25.

26.

Overview Report pdf icon PDF 268 KB

Report of the Governance and Scrutiny Support Unit

 

This report includes a summary of key decisions that are within the Committee’s remit as well as an update on actions resulting from the Committee’s recommendations. The report also includes the Committee’s work programme, which the Committee is asked to amend or agree as appropriate. 

 

The report also contains additional information including details of those organisations that have been inspected by the Care Quality Commission (CQC) within Manchester since the Health Scrutiny Committee last met.

 

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.

 

The Chair recommended that the provision of NHS Dentistry, Primary Care access and NHS recovery that were currently listed as to be scheduled should be considered at the September meeting, and the update report on the work of Covid Health Equity Manchester would be considered at the October meeting.

 

The Chair stated that the July meeting would have a focus on mental health.

 

Decision

 

The Committee notes the report and agree the work programme subject to the above amendments.