To approve as a correct record the minutes of the meeting held on 4 December 2024.

Decision

To approve the minutes of the Health Scrutiny Committee meeting held on 4 December 2024 as a correct record.

Report of the Place Based Lead, Manchester Integrated Care Partnership

This report provides an update on Manchester’s connections with NHS GM in relation to governance, partnerships, financial arrangements and future plans within the Manchester Locality.

The Committee considered the report of the Place Based Lead, Manchester Integrated Care Partnership that provided an update on Manchester’s connections with NHS Greater Manchester (NHS GM) in relation to governance, partnerships, financial arrangements and future plans within the Manchester Locality.

Key points and themes in the report included:

·       Providing an introduction and background, including the historical context which led to the establishment of NHS GM;

·       Describing the current governance arrangements;

·       GM and locality responsibilities;

·       A high-level summary of the financial relationship between the City Council and NHS GM;

·       Information on the NHS GM Sustainability Plan; and

·       A summary of Manchester Partnership Board’s priorities to improve health and care outcomes for our residents through a refreshed version of the ‘Our Healthier Manchester’ strategy.

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

·       Noting the stark figures presented within the report regarding the projected figures for people diagnosed with a major illness and that people were living longer and spending more years in ill health;

·       Noting that GM has some of the lowest life expectancy rates in England;

·       Stating that this data should be used to articulate and evidence the case for additional funding to be allocated locally to support health and prevention services;

·       Noting that despite the above comments NHS bodies were being asked to make efficiency savings each year;

·       Welcoming the additional £22.6 billion allocated to the NHS over the next two years in the October 2024 Budget;

·       Noting that Lord Darzi’s report had identified deterioration in population health nationally as a key driver for the pressures faced by the health and care system, and therefore major, coordinated public health campaigns around a range on issues such as healthy eating, alcohol related harm and smoking should be launched at scale; and

·       Enquiring if there was any further update on the delivery of the new hospital in North Manchester.

The Executive Member for Healthy Manchester and Adult Social Care stated that he had continuing reservations regarding the approach taken by NHS Greater Manchester in regard to funding decisions for the Manchester Integrated Care System and the subsequent monitoring of those decisions. He stated that with the endorsement of the Committee he would write a joint letter with the Chair to the Chair of NHS Greater Manchester to articulate those concerns. The Committee endorsed this recommendation. The Chair commented that she would meet with the Executive Member to discuss this further outside of the meeting.

The Executive Member for Healthy Manchester and Adult Social Care stated that the Health and Wellbeing Board received reports on public health campaigns and the approach to these. He commented that a report on this activity could be provided to the Committee at the appropriate time.

The Place-based Lead, NHS GM (Manchester) stated that a further announcement on the New Hospital Programme was imminent, however at the time of reporting there was no further information available. In response to a specific question, he stated that Integrated Neighbourhood Teams, that brought together health and  ...  view the full minutes text for item 2.

Report of the Executive Director of Adult Social Services       

The report updates Health Scrutiny on the intention to move forward with the ‘Decision in Principle' to fully transfer mental health statutory social work functions and duties from Greater Manchester Mental Health Foundation Trust (GMMH) back to the Adult Social Care Directorate.

The Committee considered the report of the Executive Director of Adult Social Services that provided an update on the intention to move forward with the ‘Decision in Principle' to fully transfer mental health statutory social work functions and duties from Greater Manchester Mental Health Foundation Trust (GMMH) back to the Adult Social Care Directorate. 

Key points and themes in the report included:

·       Providing an introduction and background;

·       The “Decision in Principle” would ensure that the Adult Social Care (ASC) Directorate had clearer governance, oversight and accountability of the social work function (and associated delivery model) to ensure it could more effectively address the various statutory duties under the Care Act 2014, and Mental Health Act (1983), amended (2007);

·       Describing that this way of working would support our ambitions regarding Making Manchester Fairer;

·       Describing the Programme Vision and Workstream Objectives, noting that the programme contained 6 key workstreams and the programme was estimated to take 24 months;

·       Describing that the new pathway sought to retain and strengthen current best practice in multidisciplinary teams and partnership working with GMMH and would provide a central focus to a renewed social care pathway across Community Mental Health Teams;

·       Noting that the new mental health pathway would be robustly underpinned by the principles and approach established within the Department of Health Strategic Statement - Social Work for Better Mental Health;

·       Describing the approach to Social Work for Better Mental Health, noting that this statement and its key messages would be at the heart of the forthcoming transformation journey to raise the professional identity, agency and utility of mental health social work;

·       Describing how the proposals described would improve outcomes for staff;

·       Describing how the proposals described would improve outcomes for people;

·       Discussion of the identified risk and how this would be managed; and

·       Noting that the report signalled the start of a new journey to positively refresh and reset ways of working within a mental health social work pathway.

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

·       Fully endorsing the decision and the direction of travel described within the report;

·       Noting the history of delivery of mental health services in Manchester, governance, oversight and accountability were important to the successful delivery of these services in the future;

·       How had staff at GMMH responded to the decision; and

·       How would success of this new approach be assessed and reported.

The Executive Director of Adult Social Services stated that the decision taken had been fully supported by the Chief Executive at GMMH, adding that this approach was being adopted across all Greater Manchester authorities to ensure a consistent approach. The Head of Commissioning, Adult Social Care Mental Health added that the need to engage and support those staff affected was fully recognised and a programme of engagement events in appropriate forums was being delivered. He further commented that it was the intention of the programme to engage with people with lived experience in regard to these changes 

The Executive Member for Healthy Manchester  ...  view the full minutes text for item 3.

Report of the Executive Director of Adult Social Services

This report provides an update on the developments around Extra Care Housing.

The Committee considered the report of the Executive Director of Adult Social Services that provided an update on the latest developments around Extra Care Housing (ECH).

Key points and themes in the report included:

·       Providing an introduction and background;

·       An update on the current provision, noting that there were currently 12 ECH schemes in the city, providing 762 extra care apartments, dispersed geographically among Manchester's neighbourhoods and corresponding to higher population levels of older people;

·       Proposals for future developments, noting that a further four ECH schemes were in the commissioning ‘pipeline’;

·       An update on Neighbourhood apartment developments;

·       Providing a cost benefit analysis of this model;

·       Findings of an independent Extra Care Housing evaluation exercise undertaken by Healthwatch Manchester;

·       Resident feedback; and

·       Information on Manchester's Enabling Independence Accommodation Strategy (EIAS), noting that a full update report on the EIAS would be submitted to Health Scrutiny at the appropriate time.

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

·       Welcoming the report and requesting that when any future update report was submitted residents of ECH should be invited to the meetings to describe and share their experience of living in ECH;

·       Acknowledging the demand and need for ECH would increase across the city;

·       ECH was a much better environment for many residents to live with more independence as opposed to care homes or hospital settings;

·       Noting that the report presented a significant achievement for the city;

·       Noting that this had been achieved through positive collaboration and joint working between the Executive Member for Healthy Manchester and Adult Social Care and the Executive Member for Housing and Development;

·       What were the design features of the Dementia specialist Extra Care scheme in Blackley;

·       Noting that the prevalence of dementia among the 65+ population (4.87%) in Manchester was higher than both the Greater Manchester average (4.11%) and the English average prevalence (3.97%); and

·       What provision was there for younger people who would benefit from ECH, such as learning disabled citizens and Korsakoff's syndrome (an Alcohol related 'dementia'.).

The Head of Commissioning for Older People, Prevention and VCFSE advised that issue of dementia was fully understood. In response to the issue of the prevalence of dementia he said this was due to a number of factors such as age, ethnicity, smoking and alcohol consumption.  

The Deputy Director of Adult Social Services stated that a comprehensive report on the issue of dementia would be submitted to the Committee at the appropriate time. She said that ECH schemes for dementia were purposely designed to be ‘dementia friendly’ with individually tailored support to assist residents to engage in activities that would help maintain their independence within the supportive environment.  She commented that the need for supported housing for working age adults with different needs was understood and further information on the delivery of the wider Enabling Independence Accommodation Strategy would be included in a future update report to the Committee.

Decision

To note the report.

Report of the Governance and Scrutiny Support Unit

This is a monthly report, which includes the recommendations monitor, relevant key decisions, the Committee’s work programme and any items for information.

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.