Decision status: Recommendations Approved
Is Key decision?: No
Is subject to call in?: No
Anthony Gardner, Director of Planning and Performance, Morecambe Bay Clinical Commissioning Group, David Walker, Medical Director, University of Morecambe Bay NHS Foundation Trust and Simon Rigg, Acting Head of Communications, University of Morecambe Bay NHS Foundation Trust provided Members with detailed presentations on ‘An Introduction to the Morecambe Bay Integrated Care Partnership’ (ICP) and the Morecambe Bay CCG.
Mr Gardner outlined the general National Health Service (NHS) context and displayed a flowchart which demonstrated how money flowed through the system and further slides which detailed the commissioning and provider split and the system roles and responsibilities of the Clinical Commissioning Group (CCG). He explained that there were contracts in place for providers to meet the needs of the people such as: acute trusts, physical community services, mental health trusts, local government health and wellbeing and leisure at District Council level and social care at County Council level. Mr Gardner went on to outline the members of the Morecambe Bay Clinical Commissioning Group Governing Body and explained that there had been a blurring of distinction and a joining up of the NHS at a local level with integrated care communities bringing together integrated teams which would focus on prevention and wellbeing. A further slide was displayed which outlined the geography and population of the Morecambe Bay area and the geographical difficulties of the area associated with working across Morecambe Bay in particular travel and recruitment. Mr Gardner went on to state that there were far too many people unnecessarily remaining in hospital and it was vital to enhance support at home, which would be better for the patient and better for NHS resources.
Mr Walker displayed further slides which outlined details of the Trust Board and he highlighted the stability and diversity of the team which he believed provided a strong professional core representing health, academia, research and partnership working. Further slides outlined the ‘Visions and Values’ of University Hospitals of Morecambe Bay Trust (UHMBT), ‘How are we doing at the moment?’ and ‘What is next?’
In response to a question raised by a Member, Mr Walker confirmed that a number of Non-Executive Directors were resident in Cumbria and that their terms of office were on a three year rolling programme. In response to a further question, he confirmed that data which related specifically to the mortality rate of vulnerable adults was currently unavailable.
In concluding their presentation Mr Gardner and Mr Walker outlined the complexities of working with Local Governments and with separate Counties, Districts and National Parks and highlighted the importance of working collectively and individually to offer integrated care in the community. They outlined their priorities to work on improvements in General Practice to strengthen the resilience of primary care and to continue to work with Local Authorities.
Mr Gardner and Mr Walker responded to questions and concerns raised by Members regarding population, boundaries and access to services in rural communities. They confirmed that they were working with communities, GP’s, social care teams and district nurses who were providing guidance and advice on what would work best in the areas. In addition digital opportunities were being explored, such as booking appointments and video conferencing from a GP surgery to a consultant at a local hospital. In response to further questions they confirmed that sites were not being closed and that they continued to achieve cost improvement plans and with regard to the impact on services caused by tourists, Members were advised that resources had been brought in from the surrounding area to support those areas affected by temporary residents.
Members agreed that improvements could be made in the engagement and involvement of Members and Officers with Morecambe Bay NHS Foundation Trust and Mr Gardner stated that exclusion had not been deliberate and that there was an openness and willingness to discuss.
Members thanked Mr Gardner and Mr Walker for their presentations and requested that the Morecambe Bay NHS Foundation Trust and Morecambe Bay CCG Trust be invited back to address the Committee in six months time.
RESOLVED – That the presentations be received.
Publication date: 10/06/2019
Date of decision: 26/04/2019
Decided at meeting: 26/04/2019 - Overview and Scrutiny Committee