Report of Manchester Health and Care Commissioning
This report provides an overview of how the NHS has responded to, and is recovering from, the impact of Covid19.
The Committee considered a report of Manchester Health and Care Commissioning that provided an overview of how the NHS has responded to, and is recovering from, the impact of Covid19.
Dr Kumar referred to the main points and themes within the report which included: -
· Providing a description of both national and regional requirements;
· An update on Local Arrangements noting that in Manchester, and across Greater Manchester, Community Cells had been established. These worked with Hospital Cells and linked in with the wider response and recovery work being led by local authorities;
· Current financial arrangements;
· An update on Health service provision during the pandemic;
· Monitoring the impact of COVID-19; and
· Understanding the impact of COVID-19 on Black, Asian and Minority Ethnic (BAME) communities.
Some of the key points that arose from the Committee’s discussions were: -
· Acknowledging that COVID-19 impacted BAME communities and commenting that recognition needed to be given to the impact on specific religious communities due to their ethnic heritage;
· Consideration needed to be given to density within households and the rates of COVID-19;
· Supporting the ‘Welcome Back Manchester’ campaign and who was this being used to encourage people to access health services;
· What measures were in place to follow up patients who missed a routine hospital appointment, especially vulnerable residents.
Dr Kumar responded to the discussion by informing the Committee that COVID-19 was a new disease and the understanding of this was evolving. She described that it was now understood to be a vascular rather than a respiratory condition. She stated that work continued to develop an understanding of this disease, especially in relation to its impact and prevalence across BAME and particular religious communities and citizens, and this understanding would then inform the response and guidance. She stated that this work was continuing at pace, with the involvement of all partners and acknowledged the importance of this understanding in the context of an imminent relaxation of the lockdown rules and the potential for a second wave of infections
Dr Kumar stated that currently the NHS was operating at a Level 4 COVID -19 warning (a COVID-19 epidemic was in general circulation; transmission was high or rising exponentially), with Primary Care operating on a telephone consultations and triage model. She stated that those patients who were due regular health checks were being contacted and ‘Safe and Well’ checks were also being undertaken with vulnerable patients by telephone. She further informed the Committee that if a patient was to miss an appointment with a hospital, the GP Practice would be notified and follow up calls would be made, and if necessary the patient would be triaged again and re-prioritised as appropriate. She further gave an assurance that if a patient failed to attend a hospital appointment they would not be removed from the waiting list and every attempt would be made to contact the patient.
The Director of Corporate Affairs, MHCC informed the Members that Health and Social Care messages would be included in the ‘Welcome Back Manchester’ campaign and this would be informed by both national and local guidance and priorities.
The Executive Member for Adults, Health and Wellbeing acknowledged comments from Members regarding the wider detriments on health outcomes and the links between deprivation and health. She stated that the Committee had considered the ‘The Marmot Review – 10 Years On’ at their meeting of 3 March 2020 and the activities described during that discussion would continue.
In concluding the themed meeting the Chair, on behalf of the Committee expressed his gratitude and appreciation to all staff, across all organisations for their dedication and professionalism in responding quickly and effectively to the pandemic.
To note the report.