Agenda and minutes

Councillor Hoptroff attended as substitute member for Councillor Price and Councillor Wilkinson substituted for Councillor Malyon.

DECIDED – That the minutes of the meeting of the Health Overview and Scrutiny Panel held on 3 March 2021 be APPROVED as a correct record and signed by the Chair.

There were no urgent items.

·       Disclosable Pecuniary Interests

·       Other Interests

DECIDED – That the minutes of the meeting of the Health and Care Overview and Scrutiny Committee on 16 March 2021 be NOTED.

(At least two clear days notice required, in writing, to the Proper Officer in accordance with Procedure Rule 15).

None had been received.

Peter Axon – CEO, Jonathan O’Brien – Director of Operations, Buki Adeyemo – Medical Director andJosey Povey – Associate Director (operational responsibility for Moorlands area services).

The Panel received a Mental Health Services Annual Update presentation which covered the following subject areas:-

-       Trust Overview

-       Covid-19 Response

-       Service Development in North Staffordshire

-       Locality Working

-       Children and Young People’s Mental Health Support

-       Recovery Focussed Approach

In response to a query in relation to improved transitional mental health services for young adults, it was confirmed that a new team, focussed on seamless transition for 16-25 year olds, had been created in the area which had received referrals from the beginning of the year. 

Discussion took place around the Kniveden site and it’s potential to provide services to a larger number of people, given the nature of its location and access to open spaces. The Executive Teams of the main provider organisations had worked together with the aim to deliver collaborative integrated care for patients. Additional input from multi-disciplinary team staff, Occupational Therapy, the Ashcombe Centre and community offers across the Moorlands was required to develop the scope of the facility. The Panel was assured that dependant on a number of risk factors proposals for Kniveden would proceed. Peter Axon – Chief Executive Officer, offered to attend a future meeting of the Panel to set out the Place Agenda.

Members were pleased with the organisation’s focus on community and locality services. A suggestion was made for training to be available for voluntary sector staff and good quality local engagement was highlighted.

As part of the Community Mental Health Transformation Programme, a significant amount of funding was due to be received by Staffordshire and Stoke-on-Trent. Health equality assessments had been carried out for each primary care network and looked at social determinants, employment and demographics. These data would be used to decide how funding was invested locally and tailored to address specific needs. Up to 25% of the funding had been ring-fenced to commission services from the voluntary sector.  

The Chair thanked the representatives from the Trust for their attendance.

DECIDED: That the presentation be noted.

Neil Carr – CEO,  Adam McKeown - Head of Operations and Katie Dale – Head of Communications, Midlands Partnership NHS Foundation Trust.

Marcus Warnes – Accountable Officer and Tracey Shewan - Director of Communications and Corporate Services, Clinical Commissioning Group.

Neil Carr - Chief Executive Officer, MPFT advised, that following his commitment to re-open the Leek Minor Injuries Unit,  it had re-opened on 21^st June 2021. There were two issues that had to be taken into account. Firstly, the local Covid-19 outbreak in Leek and enough capacity at A&E and Haywood Walk-in Centre to enable the MIU to re-open.

The opening hours of the MIU were 9am-5pm with a commitment to extend the hours to 8am-8pm, as soon as it was safe to do so and the pressure had reduced across the wider NHS system. Officers emphasised the key priorities were the safety of both patients and staff and the delivery of good quality care.

Three additional nurses had been recruited to work at Leek Moorlands Hospital and the diagnostic facilities were also fully operational.

Given the difficulties due to the pandemic and the local out-break of Covid-19, a member congratulated the Trust for its achievements.

Tracy Bullock – CEO, Royal Stoke Hospital, gave an update on the pressures on A&E. The situation was highly unusual, as the number of patients which had presented at the A&E Department was higher than during the winter months. This level of demand had also been seen at GP surgeries and impacted other urgent care centres.  Due to partnership working, patients hadn’t waited in corridors, ambulance queues were rare and the numbers of patients waiting to be discharged was at an acceptable level.

DECIDED: That the update be received.

Neil Carr – CEO,  Adam McKeown - Head of Operations and Katie Dale – Head of Communications, Midlands Partnership NHS Foundation Trust.

Marcus Warnes – Accountable Officer and Tracey Shewan - Director of Communications and Corporate Services, Clinical Commissioning Group.        

Adam McKeown – Project Director, Integrated Care Delivery, gave a presentation to the Panel on hub locations, revitalisation of the Leek site, infrastructure to enable integrated care, the overarching programme and  work streams.

Members queried if climate change mitigation has been factored into the building, the types of services that would be available at the site, engagement with the local community and if there were any plans for Cheadle Hospital

The Trust was committed to work with the local community and key partners to ensure the Hub met the needs of the local population. Members were given assurance that the building would be as environmentally friendly as possible and be financed by the public sector. The provision of services would be evidence based, predominantly adult services, with a level of family provision and out-reach clinics. There was the potential for whole life span care to be provided at the site.

Members were advised that there were currently no plans for the delivery of services from Cheadle Hospital.

The Chair thanked the Officers for the informative presentation.

DECIDED:

1)    That the presentation be noted;

2)    For Neil Carr – CEO, MPFT to be invited to a meeting of the Panel towards the end of the year to provide an update on the Leek Integrated Care Hub.

Any additional items to be added to the Work Programme:-

i)          Chairman’s items;

ii)         Members items;

DECIDED:- That the Panel’s Work Programmebe agreed, subject to the addition of the following items:-

·       Dentistry

·       Regular updates on the Leek Integrated Care Hub