Our Current Investigations
End of Year Summary 2017/18
Over the previous 12 months the Health Scrutiny Committee has continued to examine how the Council and its partners in the NHS deliver health and social care services to improve the health and wellbeing of Manchester residents.
Consideration has been given to a wide range of topics ranging from initiatives to improve patients accessing GP appointments, what is being done to improve delayed transfer of care for those patients who are well enough to leave hospital but unable to do so due to the lack of alternative care arrangements; the delivery of mental health services; suicide prevention; drugs and alcohol services and the response to the emerging issue of new psychoactive substances that had been witnessed in the city, commonly referred to as Spice. Following concerns raised by residents the Committee invited representatives from the NHS to their July meeting to discuss the proposed changes to Adult Congenital Heart Disease Services in the North West which gave Members an opportunity to discuss these proposal and raise the concerns of residents with those responsible for making these decisions.
The Committee has welcomed the opportunity to hear from and question a variety of invited guests with specialist knowledge and expertise in these subject areas. The Committee thank all those who had attended meetings over the course of the previous year for their invaluable contribution.
In particular the Committee has closely monitored the development and implementation of the Manchester Locality Plan. Manchester’s Locality Plan, ‘Our Healthier Manchester’ is fully aligned to the Our Manchester Strategy and seeks to offer a comprehensive new approach to addressing the health and care needs of the population as a whole. This plan is the result of Greater Manchester Health and Social Care Devolution. Devolution is the transfer of certain powers and responsibilities from national government to a particular geographical region. Putting power into the hands of local decision-makers means they can better meet the needs of the people who live and work in their region.
The Committee has continued to monitor the implementation and impact on residents of the three strands of the Manchester Locality Plan. The three strands that the Committee continue to scrutinise are -
The Local Care Organisation - The Local Care Organisation (LCO) will bring together community healthcare, primary care, mental health, some council services, some hospital services and the voluntary, community and independent sector to improve outcomes for people of the city. The LCO will integrate key out of hospital services, with the driver of improving efficiency across a range of fragmented providers, whilst delivering more bespoke packages of support to patients and their families, reducing demand on acute hospitals and residential and nursing home sectors.
Single Commissioning Function – Commissioning in health terms can be defined as the process by which the healthcare needs of the local population are identified and then appropriate services are purchased and evaluated based on these needs. The three Manchester Clinical Commissioning Groups and Manchester City Council have established a single commissioning service for the City of Manchester from 1 April 2017. The new partnership is called Manchester Health and Care Commissioning (MHCC). Commissioners will now act as one, enabled by a single pooled commissioning budget, to agree commissioning priorities for the city, and will contribute towards the closure of the funding gap through more efficient commissioning, and reducing costs associated with low impact activity and poor value for money.
Single Hospital Service - the Single Hospital Service is the creation of a new Hospital Trust in Manchester, merging the existing three hospitals in the city. From 1 October 2017, following approval by NHS regulators Central Manchester University Hospitals NHS Foundation Trust (CMFT) and University Hospital of South Manchester NHS Foundation Trust (UHSM) merged to create a new organisation, Manchester University NHS Foundation Trust (MFT). North Manchester General Hospital will then join the new Trust 12 to 18 months later. The aim of the new Trust is to improve the quality of care by standardising to best practice and improve efficiency by implementing single service models.
The Committee recognises the importance of this work and will continue to review the implementation of it to ensure the improved provision of services in a community setting to deliver the goal of improving the health outcomes of all Manchester residents.
The Committee had also agreed to establish a Task and Finish group to examine issues around Public Health in Manchester. This group will commence this enquiry in the new municipal year. The group will then report their findings and final recommendations to the main Committee upon conclusion of this work.
Previous news items
Over the previous months the Committee has continued to look at areas of work that are of importance to the health and wellbeing of all Manchester residents.
At our October 2017 meeting, following concerns raised by residents we had invited representatives from NHS England and Commissioners for the North West to attend our meeting to discuss congenital heart disease services for children and adults in the North West.
The Committee expressed concern over the impact the proposals to relocate specialist services to Liverpool would have on Manchester patients and their families, and sought clarification on how the proposals had been reached.
Members learnt that the changes would only affect a small number of patients who required specialised heart surgery, and that a dedicated surgical unit, staffed by highly qualified specialist surgeons and nurses is to be established at the Liverpool Alder Hey Hospital. Members were told that the decision taken had been based on clinical evidence and patients and their families would be supported financially with any transport costs.
The Committee welcomed the opportunity to question the representatives and expressed reservations about the proposals. We asked that the Executive Member for Adult Health and Wellbeing continues to monitor the implementation of these changes.
To find out more information have a look at our full work programme. This includes what topics we will be looking at, what specific issues we will be considering and who we will be hearing from. Please bear in mind that the programme is continually updated, and so dates and agenda items may change from those listed in the programme.
If there's an issue you want to contribute to, let us know. You can either send a written contribution to firstname.lastname@example.org or you can attend a meeting and ask the Chair if you can speak. You can also suggest a topic for us to look into by filling in our 'suggestions form.'
If you want to speak to somebody about contributing to the committee, please call our scrutiny support officer on 0161 234 3011 or e mail email@example.com.
The Role of the Committee
Councillor John Farrell
Chair of the Health Scrutiny Committee
"As members of the Health Scrutiny Committee, we are dedicated to looking at how the Council and its partners in the NHS deliver health and social care services to improve the health and wellbeing of Manchester residents. We take a broad view of the health and social care services that are commissioned and provided by both the NHS and the Council so that we can make recommendations about how they can improve these services for you.
Our areas of interest include social care for adults, health inequalities, health services, the protection and safeguarding of adults in receipt of health and social care services, mental health and wellbeing, experiences and outcomes for patients, public health and healthy living.
Through this page you'll be able to keep in touch with what we've been doing, find out what we'll be investigating over the next few months and how you can get involved."
Find out more
- You can read our agenda, minutes and reports here, as well as find future meeting dates.
- You can find out who's a member of the Committee here.