Agenda and draft minutes

Agenda and draft minutes

Health Scrutiny Committee - Wednesday, 7th September, 2022 10.00 am

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

Contact: Lee Walker 

Media

Items
No. Item

89.

[10.00-10.05] Minutes pdf icon PDF 127 KB

To approve as a correct record the minutes of the meeting held on 20 July 2022.

Minutes:

Decision

 

To approve the minutes of the meeting held on 20 July 2022 as a correct record.

90.

[10.05-10.50] Greater Manchester Mental Health - Manchester Services Summary Report pdf icon PDF 942 KB

Report of the Associate Director of Operations, Greater Manchester Mental Health, NHS Foundation Trust

 

This report provides a summary of the services provided by Greater Manchester Mental Health and provides an overview of the activity across the footprint in Manchester.  

 

Minutes:

The Committee considered the report of the Associate Director of Operations, Greater Manchester Mental Health, NHS Foundation Trustthat provided a summary of the services provided by Greater Manchester Mental Health and provided an overview of the activity across the footprint in Manchester.  

 

Key points and themes in the report included:

 

·         An overview of Mental Health Crisis Services;

·         An overview of Community Services, including the actions taken from a recent CQC inspection and regulation 29a notice within two Community Mental Health Teams.

·         Inpatient Service provision; and

·         An update on the Healthier Patient Pathways Programme.

 

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

 

·         What work was being done with Greater Manchester Police (GMP) to support people who were experiencing a mental health crisis;

·         Was the 24/7 Helpline monitored and what was done to ensure any missed calls were responded to;

·         Was the Helpline available for family and carers to access;

·         What support was offered to families and carers of residents experiencing mental health issues;

·         Noting that the building was to commence at South Manchester, Wythenshawe Hospital Site to support replication of the North Manchester General Hospital (NMGH) site Mental Health urgent care area with completion expected December 2022;

·         Would there be a bespoke ‘Green Room’ at the Wythenshawe site, similar to that at North Manchester General Hospital;

·         Calling for an appropriate urgent care “Green Room” to be initiated at the Manchester Royal Infirmary site as a priority;

·         Where would Wythenshawe residents experiencing a mental health episode currently receive treatment, adding that transferring patients to North Manchester General Hospital was not appropriate for patients and their families;

·         What quality assurance measures were undertaken of those Voluntary Community and Social Enterprise (VCSE) groups working in community settings; 

·         What was being done in regard to staff recruitment and retention;

·         What was being done to address barriers arising across services in relation to data sharing; and

·         Who were responsible for arranging who accessed the crisis beds for Manchester residents.

 

In response the Associate Director of Operations, Greater Manchester Mental Health NHS Foundation Trust advised that the Trust remained committed to working with GMP to offer the most appropriate response to an individual in crisis. He stated that a pilot scheme with staff seconded to support GMP was currently underway over the winter period and this pilot would be evaluated in March 2023. He advised that this approach was a demonstrable commitment to delivering the Long Term NHS Plan. He stated that in addition to this pilot regular meetings were convened with GMP and there were mechanisms established for escalating issues.

 

The Associate Director of Operations, Greater Manchester Mental Health NHS Foundation Trust stated that, contrary to national figures, Manchester had witnessed a reduction in the numbers of people attending A&E when experiencing a mental health crisis. He advised that Wythenshawe patients would be treated at Wythenshawe Hospital as they had an inpatient facility, however on the occasions beds were full they would be transferred to NMGH. He  ...  view the full minutes text for item 90.

91.

[10.50-11.25] Adverse Childhood Experiences and Trauma Informed Practice pdf icon PDF 288 KB

Report of the Director of Public Health

 

This report is an update to a report considered at the meeting of the committee 21 July 2021 on Adverse Childhood Experiences (ACEs) and Trauma Informed Practice. The report covers the wide range of activities to deliver the stated ambition of Manchester being an ACE aware, trauma informed and trauma responsive City.

 

Additional documents:

Minutes:

The Committee considered the report of the Director of Public Healththat updated the Members to the report considered at the meeting of the Committee on 21 July 2021 on Adverse Childhood Experiences (ACEs) and Trauma Informed Practice. The report covered the wide range of activities to deliver the stated ambition of Manchester being an ACE aware, trauma informed and trauma responsive City.

 

Key points and themes in the report included:

 

·         Providing an introduction and background;

·         An update on progress and initiatives across a range of settings;

·         Case studies;

·         Responses to the strategy consultation; and

·         Next steps.

 

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

 

·         Welcoming the progress reported, noting the importance and value of Trauma Informed Practice;

·         Noting that the report was very accessible and well presented;

·         What more could the Council do to support this programme;

·         Those Members who had undertaken the training spoke positively of their experience and the benefits realised as a result;

·         How could Members support the establishment of Community Hubs in their respective wards;

·         The need to represent the diversity of all Manchester residents in the strategy refresh consultation; especially BAME communities;

·         The Children and Young People Scrutiny Commmittee should consider an item on Adverse Childhood Experiences & Trauma Informed Practice and Education;

·         All Councillors should undertake the ACE Training;

·         How would progress and outcomes of the programme be measured and reported;

·         Training should be delivered as widely as possible; and

·         A break down by ward and ethnicity of the training delivered to date was requested.

 

The Programme Lead responded by saying that Members could support the programme by keeping this subject on their agenda, keep talking about the programme and continue the conversations on the subject. He advised that they were keen to increase the number of Community Hubs and would pick up the offer of support from the Member outside of the meeting, adding that the intention was to have one in each neighbourhood. In terms of groups to be included in the consultation exercise again he would speak with the Member outside of the meeting.

 

The Programme Lead advised that they did engage with the Healthy Schools Programme and this activity was regularly reported to the Children and Young People Scrutiny Committee. He commented that the programme had been well received in Primary Schools settings; however, he acknowledged the challenges and pressures experienced in Secondary School settings.

 

In terms of measuring the impact of the work, both quantitative and qualitative, the Programme Lead advised that resource has been acquired from the City Council research team to support this and an outcomes framework was being developed. He added that Liverpool John Moores University were also assisting with the agreeing of the metrics for this purpose. The Director of Public Health added that outcomes would also be captured in the Build Back Fairer reports that were considered by the Committee.

 

The Committee then heard from Dr Lucie Donlan, GP partner, West Gorton Medical Centre and Juanita Margerison,  ...  view the full minutes text for item 91.

92.

[11.25-11.50] Better Outcomes, Better Lives pdf icon PDF 181 KB

Report of the Executive Director of Adult Social Services

 

Better Outcomes, Better Lives is the adult social care transformation programme. It is a long-term programme of practice-led change, which aims to enable the people of Manchester to achieve better outcomes with the result of less dependence on formal care.

 

The report provides an update on progress and the impact of the programme since November 2021, when the committee last had an update. 

 

Additional documents:

Minutes:

The Committee considered the report of the Executive Director of Adult Social Servicesthat provided an update on progress and the impact of the programme since November 2021, when the Committee last had an update. 

 

Key points and themes in the report included:

 

·         Providing an introduction and background to the programme;

·         Examples of the impact of this programme, including feedback from people it was working with and staff;

·         Noting that the impact of the work delivered had been shortlisted for an LCG award in recognition of the innovation in health and social care;

·         How the independence of our people through improving the social work practice was being achieved, including case studies;

·         Information on Community Practice, the weekly meetings that provided space for front line teams to come together, learn and reflect on their experiences of working in a strengths-based way;

·         Describing the My VIEWS engagement tool to support front line staff;

·         Information in relation to Strengths Based, Focused Reviews, designed to support review conversations to focus on independence and choice;

·         The approach to improving our short-term offer;

·         Better use of Technology Enabled Care;

·         Improvements to reablement;

·         An update on the testing of small scale pilots;

·         Improving how and what was commissioned, including how the Commissioning Plan would set out how the approach to commissioning would support integration between health and social care services in the coming year;

·         The approach to improving the use of data, noting this was a priority in Better Outcomes, Better Lives and this supports the understanding of the impact both in terms of the programme and as a service;

·         Early help;

·         Information on the Equality Impact Assessment of the programme; and

·         Conclusions.

 

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

 

·         An update on the Adaptations service was requested;

·         Would there be specific commissioned services for autistic women;

·         Any future update report should include the voice of the Citizen Commissioning Committee, with representatives invited to contribute to the meeting;

·         Welcoming the approach to commissioning;

·         Welcoming the front line workers who had attended the meeting to provide examples of this work in practice; and

·         What work was being done to support front line workers in the context of the Cost of Living Crisis.

 

The Committee then heard from front line staff who had been invited to speak of their experience of delivering services and the methods of working using this improved delivery model. They spoke of the benefits and improved outcomes for residents and the satisfaction from a professional perspective. The Committee welcomed the voice of the practitioner at the meeting.

 

The Executive Director of Adult Social Services opened her response by placing on record her continued appreciation to all her staff delivering services on behalf of Manchester residents. She stated that despite the challenges presented by COVID, the adult social care transformation programme had been launched successfully and that had resulted in improved outcomes for residents and better working practices for staff, making further reference to the shortlisting for an LCG award  ...  view the full minutes text for item 92.

93.

[11.50-12.00] Overview Report pdf icon PDF 128 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.