Agenda and minutes

Venue: Committee Room 1 - Wallasey Town Hall

Contact: Patrick Sebastian  0151 691 8424

Items
No. Item

50.

Apologies for Absence

Minutes:

Apologies for absence were received from Councillors Gerry Ellis and Tracey Pilgrim and Karen Howell, Chief Executive - NHS Community Foundation Trust.

51.

Members' Code of Conduct - Declarations of Interest / Party Whip

Members are asked to consider whether they have any disclosable pecuniary interests and/or any other relevant interest in connection with any item(s) on this agenda and, if so, to declare them and state the nature of the interest.

 

Members are reminded that they should also declare whether they are subject to a party whip in connection with any item(s) to be considered and, if so, to declare it and state the nature of the whipping arrangement.

 

Minutes:

Members were asked to consider whether they had any disclosable pecuniary interests and/or any other relevant interest in connection with any item(s) on this agenda and, if so, to declare them and state the nature of the interest.

 

Members were reminded that they should also declare whether they were subject to a party whip in connection with any item(s) to be considered and, if so, to declare it and state the nature of the whipping arrangement. The following declarations were made:

 

Councillor Phil Gilchrist

Personal – by virtue of his role as a Governor appointed to the Cheshire and Wirral NHS Partnership Trust.

 

52.

Local Delivery of the Cheshire and Merseyside Five Year Forward View - progress pdf icon PDF 2 MB

Presentation.

Minutes:

Mel Pickup, Cheshire and Merseyside Health and Care Partnership Lead introduced her presentation that provided Members with an update on the scoping for Health and Care Partnership for Cheshire & Merseyside’s Strategic Programmes, Place Based Care Systems and their Communications & Public and Partnership Engagement Plans.

 

Ms Pickup explained that her Partnership Lead (a voluntary role) encompassed a broad area of work associated with the plans for the NHS locally in addition to her pre-existing role as an NHS manager and registered nurse of 30 years standing. She informed that likewise, the majority of people involved in the strategic programme work, were also employed within the NHS and all were fully engaged and committed to the challenge of running a service that was currently struggling to meet demand. Ms Pickup added that financial pressures, combined with an ageing population and other factors meant that the current system would not be in a position to cope with expected demands without a significant increase in investment or changes to organisational structure and practice. Key factors included:

 

  • Actions in respect of NHS England's document Five Year Forward View for the NHS was launched in October 2014 by Chief Executive Simon Stevens;
  • Integration of Care – Primary and Secondary / G.P. and Community;
  • Physical and Mental Health – addressing the issue of parity; and
  • Health and Social Care.

 

Ms Pickup, Cheshire and Merseyside Health and Care Partnership Lead then explained some of the failings and lessons learned from the recent earlier Sustainability and Transformation Plan proposals for the delivery of NHS change. She informed that it was clear that there had been insufficient engagement and the plan had been fundamentally flawed in this respect, leading to a pause/reset in the late summer of 2017 for Cheshire and Merseyside. Members were given a clear assurance that the current proposals would be taking a very different approach.

 

Referring to her presentation Ms Pickup explained how 80% of Health and Social Care happened at ‘Place’ level and would form a key strategic approach to integration of services where the needs of service users could be managed locally i.e. Place Based Care Systems.

 

Members noted that each Delivery Areas for key services would have named Senior Responsible Officers (SROs) and individual Programme Boards. Ms Pickup informed that as a result of the lessons learned from the recent earlier Sustainability and Transformation Plan (STP) proposals, all three elements to the Programme Scope i.e. Place Based Care Systems, Strategic Programmes and At Scale Delivery would have overarching Communications & Public and Partner Engagement at the core, providing assurance of a very different approach to that of the earlier STP programme.

 

Members were apprised of the key issues needing to be addressed in the 4 Strategic Programme areas were as follows:

 

  • Acute Sustainability – difficulties in recruitment;
  • Mental Health and Learning Difficulties – accepted need for improvement and finance;
  • Carter at Scale – (Lord Carter’s recommendations was the analysis of metrics and benchmarks to identify significant unwarranted variation across organisations) i.e. consolidation of administrative,  ...  view the full minutes text for item 52.