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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 Page 2 of 5 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. Page 3 of 5 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 Page 4 of 5 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. Page 5 of 5