Download SU 13.06.16 - Greater Manchester Mental Health NHS

A University Teaching Trust
Service User and Carer Forum
Board Room, Chorlton House
Monday 13 June 2016 14:30-16:30
Present:
Patrick Cahoon (PC) (Chair)
Bob Little (BL)
Roy Havery (RH)
Ros Nesbit (RN)
Michele Moran (MM)
Simon Katzenellenbogen (SK)
Versil Pemberton (VP)
No:
1.
Lillian David (LD)
Anne McCrystal (AM)
Edith Garvey (EG)
Bridget Hughes (BH)
Lisa Crowther (LC)
James Noel (JN) (Minutes)
Item:
Introduction & Apologies
Manoj Mistry, Amanda Owens, Anne Scott, Tom Harrington, Gaynor
Morgan, Catherine Lowe, Christine Smith, Janet Sinclair.
2.
Notes of the last meeting (23rd May 2016)
The minutes of the last meeting were approved as a correct record.
3.
3.1
Matters arising
PC provided an update on the NHS national patient survey (organised by
Quality Health) to those present. He informed the group that the study is
still ongoing and currently there is a response rate of 26% which is an
improvement on the 2015 response figure. PC asked that if service users
present had received a survey that they complete and return it by the
deadline given in the letter attached to it. PC also requested that service
users at the meeting remind any people they know who have received a
survey to submit it as soon as they can.
3.2
The issue of identity cards showing peoples mental health
status/diagnosis was discussed as a potential risk for increasing stigma.
PC explained that these identity cards are not mandated and that they
could support people at risk as they may be useful to individuals on
certain medications or when attending appointments.
3.3
Feedback from transaction workshop
PC and others present fed back on their reflections following the service
user and carer workshop on the 7th June. GMW (Greater Manchester
West) and Pennine Care were perceived as two very different
organisations in terms of presentations and qualities. Service users felt
that both organisations had some real strengths, but also there were
some concerns and questions left unanswered.
Action
AM (Anne McCrystal) noted that the three questions asked of both GMW
and Pennine were not answered directly by the two presenting teams,
she and those present at the workshop would like to have seen the
questions covered in a more rigid way. There was also not much
coverage on the patient journey or on specific mechanisms for patient
engagement, which gave the attendees at the workshop some concerns
over detail and the day to day practice of each Trust.
Where People Matter Most
An understanding of the diversity of the Manchester community, and a
strategy for dealing with this was not expanded on by both Trusts during
their presentations; this is an important factor which was considered by
service users and carers to be a major oversight by both Trusts.
Service users felt that some of the claims made by GMW and Pennine
sounded good, but they were not confident these claims could be carried
out due to a lack of detail during the presentations. Physical health was
also not covered in both presentations to the service user groups.
Service users felt that one of the Trusts was perceived as being more
business orientated whereas the other seemed more concentrated on the
quality of care.
It was also noted by those who attended the transaction workshop that
one of the Trusts described the CQC visit as a ‘monkey on the back’
referring to the irritation that it caused. This was not received well by the
service user panel, because they view the CQC visits as an important
measure of quality which should be embraced and followed to ensure
that standards are improved and maintained.
Both Trusts were humbled with the service user audience they presented
to, as they were clearly not prepared for some of the queries and
responses that service users provided.
MM (Michele Moran) confirmed that interview questions for both Trusts
during the transaction process will be created as a direct result of the
workshop, and MM complimented the service users for providing an extra
perspective so that more insightful questions can be asked of GMW and
Pennine in future discussions.
4.
The Future of Mental Health Services
MM confirmed Devolution funds are now in Manchester; she also
informed the group that the Greater Manchester Health and Social Care
Partnership have appointed Jon Rouse as Chief Officer.
MM has written a paper that helps describe what mental Health services
should look like, it includes:
 Reducing suicides
 Improves access to services
 Reduces variation in care and services
 Increase effectiveness of preventative measures
 Increase access to crisis care
A mental health executive meeting took place in the week commencing 6
June 2016, which involved discussions on the commissioning and
provision of mental health services. The Greater Manchester Mental
Health Strategy is now in the implementation phase. It is important to
note that the Devolution agenda needs to save £2 billion in 5 years
across health and social care.
In terms of structure there will be one commissioning board from
September 2016. Other plans include combining CMFT (Central
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Manchester Foundation Trust, UHSM (University Hospitals South
Manchester), and Pennine Care. There are many organisations in one
area and more collaborative ‘joined up working’ will be required to
improve efficacy of services and the care provided. Community Services /
one team developing across the city – no details on timeline to date. This
would involve the co-locating all staff into the same base. The logistics of
completing these plans are currently being devised. MM stated that
mental health services will not be included in centralised plans until later
this year.
MM explained the financial issues facing the Trust.
During the transaction process the priorities for the NHSI (NHS
Improvement) are service user outcomes and staff satisfaction.
Regarding the transaction MM reported that she was pleased that both
Pennine and GMW have bid for the Trust services with positive
enthusiasm. Pennine and GMW have both been interviewed on the week
commencing 13 June 2016 by a panel including MM. July 2016 is the
intended deadline for the final decision on the transaction, although a
decision is not likely to be announced until August realistically.
The due diligence process has a timescale of 6-9 months, MM also
confirmed that during this time the Trusts can withdraw at any moment if
there are concerns.
Regardless of the decision on which Trust succeeds in the bidding
process, MM would like to see GMW, Pennine and the incorporated
MMHSCT working together.
MM noted that the execution of the transaction process isn’t due to the
Trust failing, and she believes other Mental Health Trusts should be
seeking a similar solution with organisations near to them to maintain
sustainability. MM described MMHSCT as ‘ahead of the curve’ in this
regard.
MM stated that MMHSCT is out performing GMW and Pennine in key
areas.
ACTION: Share link to Health and Social Care Partnership website.
5.
JS
buzz and Creative Wellbeing Service
Bridget Hughes (BH) delivered a presentation detailing the buzz Health &
Wellbeing Service, including Creative Wellbeing.
The service has a number of elements including the provision of one to
one support from advisors to improve physical health and mental health
by promoting independence and resilience. This includes a holistic
assessment that addresses the wider determinants of health to work
toward the goals of the service users.
A collaborative approach has been adopted by the buzz service; the plan
is to work with community assets for example: community centres,
churches, libraries etc. This will support an increase in the number of
people using community resources.
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There are to be 12 hubs citywide as part of LLLB (Living Longer Living
Better) and the buzz service has identified where in the neighbourhoods
they are based and which teams to link up with as there are 12 one to
one wellbeing advisors and 8 neighbourhood workers.
In terms of partnerships and training there is a knowledge service to
support staff so that they are equipped for developing care challenges.
There is access to books, journals, medical models and up to date
evidence based information
There will be direct one to one support available from buzz, which will
help people with:
 Nutritional advice
 Alcohol consumption
 Smoking cessation
 Social Isolation
 Oral health
There are also referrals for:
 Debt Management
 Sexual Health
 Long Term Conditions
 Fire Safety Checks
The physical activity referral team will be able to provide bespoke
exercise lead by exercise tutors. People will be individually assessed and
classes will be delivered. Referral criteria is explicit and the service will
target adults and older people with long term conditions or Injuries that
require a structured programme as part of the rehab.
Oral health improvement will support and promote dental care in young
people and adults.
The oral health team will challenge habits such as long term bottle use,
night time bottle use and sugary drinks given to children. Alternative
habits will be encouraged to ensure better knowledge and oral health is
improved.
The public consultation in relation to service retractions resulted in a
reinvestment of £200,000 to develop a streamlined creative wellbeing
service with the following principles:
 A wide range of activities to deliver individual outcomes
 A time limited intervention identifying progression routes, peer led
sustainable groups and community service engagement
 Identify develop and build local partnerships while challenging
stigma
 Utilise volunteers effectively
The Creative Wellbeing Service is a Citywide Service supporting:
 Adults over 18 with a severe and enduring mental health problem
and/or social care needs
 Individuals under CPA and/or who meet the Care Act 2014
national eligibility criteria and have a Trust care co-ordinator
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
Any service user referred will have an initial interview and if
accepted will be able to engage in a 6 week introductory course,
as a minimum
The Consultation took place on 29 May 2016; staff feedback took place
on 9 June 2016. Interviews will take place in late June 2016 with a
planned August 2016 start for the new CWS (Creative Wellbeing Service)
as part of the buzz service.
BH acknowledged the level of reductions in service provision and felt that
a pragmatic approach was required, so the new services have reinforced
a collaborative approach due to resources but importantly an innovative,
solution focused approach to ensure the quality of care and services
continues.
ACTION: buzz information to be sent to service user distribution list.
6.
JS
Any other business
Care and Repair is an organisation AM suggested that the members of
the service user forum have a look at:
Care & Repair England is a small, national charitable organisation set up
in 1986 to improve the homes and living conditions of older people. It
believes that all older people should be able to live in a decent home of
their own choosing.
It strives to:
 Ensure that more older people can live independently and with
dignity in their own homes for as long as they wish
 Connect housing, health and social care in ways that improve
older people’s whole quality of life
 Work with older people to influence decisions about housing and
the related services which affect their lives
ACTION: Care and Repair service information to be sent to service users
7.
JS
Date & Time of next meeting
The next meeting will take place on Monday 25th July 2016, 2.00 –
4.00pm in the Training Room, 11th Floor, Hexagon Tower, Crumpsall,
Manchester.
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