Agenda and draft minutes
Health Scrutiny Committee - Wednesday, 24th May, 2023 2.00 pm
Venue: Council Antechamber, Level 2, Town Hall Extension. View directions
Contact: Lee Walker
To approve as a correct record the minutes of the meeting held on 8 March 2023.
To approve the minutes of the meetings held on 8 March 2023.
[2.05-3.45] Greater Manchester Mental Health NHS Foundation Trust: Improvement Plan Update PDF 706 KB
Report of the Greater Manchester Mental Health NHS Foundation Trust
The report provides an update on the GMMH Improvement Plan.
The Committee considered the report of the Greater Manchester Mental Health NHS Foundation Trust that provided an update on the Trust’s Improvement Plan.
Key points and themes in the report included:
· Providing a history and context of the Trust;
· Information on the Care Quality Commission rating;
· An update on the review of the Trust and the Executive Leadership team;
· Data relating to the 2022 Staff Survey;
· An overview of immediate improvements initiated;
· An overview of the GMMH Improvement Plan and the areas for priority focus;
· Information on the Manchester City Council/GMMH S75 Partnership Agreement and Improvement Programme;
· Key messages;
· An overview of Community Mental Health Teams in Manchester;
· Analysis of engagement activity, topics for further consideration and next steps; and
· Consideration of the factors that were identified as risks to delivery of the Improvement Plan.
The Committee then heard from a number of representatives from CHARM (Community for Holistic, Accessible, Rights Based Mental Health) who had been invited by the Chair to participate and contribute to the meeting. Representatives from CHARM provided personal testimony as to their lived experience of mental health services in Manchester. They spoke of the need to consider mental health in terms of it being a human rights issue; calling for a fundamental change in the culture at the Trust, including adopting reflective practice across all levels at the Trust; improving how they communicated with carers and families; calling for appropriate trained staffing; the need for mental health to have the parity of esteem as physical health; the coproduction of services needed to be meaningful and hear and listen to the voice of service users, their families and carers; calling for an end to restrictive and oppressive practices on wards; the delays in being able to access appropriate services and the detrimental impact this had on individuals and their health outcomes; describing the disproportionate adverse experience of African and Caribbean citizens, especially in regard to the issue of overmedication; calling for the Trust to respond to the allegations of institutional racism and to use qualitative and quantitative data to report improvements; and noting the detrimental impact individuals experienced when they were ‘stepped down’ from Community Mental Health services.
The Committee expressed their appreciation for all of the contributors from CHARM for sharing their powerful testimonies.
Some of the key points that arose from the Committee’s discussions were:
· Expressing disappointment that the current Chief Executive had not attended the meeting to address the Committee prior to his imminent departure from the Trust;
· Noting that when reviewed the BBC Panorama programme demonstrated the senior leadership that was absent from the Edenfield Unit;
· Calling for a culture change at the Trust and noting that this was not explicit in the plan;
· Discussing the issue of health inequalities;
· Calling for absolute transparency by the Trust when reporting to the Committee, adding that future updates needed to provide significantly more detail across the different work streams;
· More detailed information was requested on the work to date and planned on the five ... view the full minutes text for item 28.
[3.45-4.00] Overview Report PDF 133 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.
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 Committee notes the report and agrees the work programme.