Agenda and minutes

Apologies for absence were received from Ann Bisbrown-Lee, Sefton LINk; Fin McNicol, Director of Communications, Aintree University Hospitals NHS Foundation Trust; and Paul Acres, Chairman, NHS Sefton.

Members and Officers are requested to give notice of any personal or prejudicial interest and the nature of that interest, relating to any item on the agenda in accordance with the relevant Code of Conduct.

The following declaration of interest was received:-

Minutes of the meeting held on 26^th July 2011.

RESOLVED:

That the Minutes of the meeting held on 26^th July 2011 be confirmed as a correct record.

Members of the Committee were provided with hard copies of the Southport and Ormskirk Hospital NHS Trust’s Annual Report for 2010/11. The Chair drew Members’ attention to the feature within the Annual Report on the visit by Members of the Committee to Southport and Formby District General Hospital during February 2011.

Councillor McGuire referred to a recent press release indicating that changes to parking charges would be applied by Southport and Ormskirk Hospital NHS Trust from 1^st November 2011, and raised a number of issues in respect of disabled parking.

Colin Throp, Deputy Chief Executive and Finance Director, Southport and Ormskirk Hospital NHS Trust, outlined the changes to be applied and indicated that he would provide Members with further details.

At the last meeting of this Committee on 26^th July 2011, the Committee resolved:-

“That formal consideration of the briefing paper from Mersey Care NHS Trust be deferred until such time as a representative of the Trust attends the Committee.”

Accordingly, the report of the Chief Executive, Mersey Care NHS Trust, originally submitted to the Committee on 26^th July 2011, is now attached.

Claire Needham, Assistant Director Service Development and Delivery will attend to present the report.

Further to Minute No. 27 of 26^th July 2011, the Committee considered a briefing paper from the Chief Executive of Mersey Care NHS Trust, originally submitted to this Committee at its last meeting. The briefing paper provided an update on current issues impacting on the Trust and information was provided on the following:-

A.        Performance

The Trust’s Foundation Trust application required a Monitor risk score of 1.9 or less. The current Monitor score was 0.5 which satisfied Monitor requirements.

The Trust was on target to achieve all key financial performance targets in 2011/12; it had an income and expenditure surplus of £0.842m and a Financial Risk Rating (FRR) of 4. The forecast year end surplus was £4.0m and the FRR forecast was 4.

B.        Foundation Trust Application Update

The Trust now had the opportunity to apply for full Foundation Trust status. It had signed a Tripartite Formal Agreement with the Department of Health and the Strategic Health Authority, giving a commitment to become a Foundation Trust by April 2014. Confirmation was awaited on timescales and details of the application process. In the meantime, the Trust was planning to progress with the formation of a Members’ Council, made up of elected and appointed members, and elections to this would be held shortly.

Members of the public were continued to be invited to become a member of the Trust, particularly older men resident within Sefton, as this category of members was currently under represented.

C.        Time Project

The Time Project was primarily about improving the care people received. It provided an opportunity to build new facilities and also to adopt modern ways of working that would transform the patient experience. The facilities would care for local people who needed in-patient care, close to home and their families, and the new facilities would offer privacy and dignity with single en-suite bedrooms and bathrooms, access to safe garden areas and activity spaces.

Councillor McGuire referred to the visit during October 2009 by Members of this Committee to the Boothroyd Ward at the former Southport General Infirmary site. She requested information on developments at that site in relation to single sex wards and care of people with functional and organic dementia, within the Trust’s next update report to the Committee.

D.        South Sefton Neighbourhood Project

Mersey Care’s Positive Care Partnerships Clinical Business Unit had recently commenced a project seeking to develop a Neighbourhood Centre for the population of South Sefton. The Project sought to develop a whole-system approach to the provision of community services, meaning that traditional day hospital services would no longer be delivered in the way they had been historically, and an alternative to day-service provision within the community services would be developed, with more services being delivered to the population of Sefton via satellite services. Work was progressing on developing the Waterloo Day Hospital as a Neighbourhood Centre with design plans being developed to seek capital funding. The Project commenced in March 2011 and was expected to be completed by  ...  view the full minutes text for item 36.

Dr. Janet Atherton, Director of Public Health, NHS Sefton and Sefton MBC, to make a presentation.

Hard copies of the Public Health Annual Report 2011 will be available at the meeting.

Members may wish to access the report via the Modgov library, using the following link:-

http://sb1msmgov1:9070/documents/s34178/SPCT102AnnualReportFINAL8col.pdf.pdf

The Committee received a presentation from Dr. Janet Atherton, Director of Public Health, NHS Sefton and Sefton MBC on the 2011 Public Health Annual Report.

Each year the Director of Public Health had responsibility to produce a report highlighting the health of the local population. In presenting the latest Annual Report Dr. Atherton paid tribute to Hannah Chellaswamy for her role as Acting Director of Public Health during 2010/11.

The 2011 Annual Report of Sefton’s Director of Public Health was entitled Solid Foundations: Building for the Future; Sefton’s Health 2011, and was set in the context of the:-

•         future leadership role of Councils for Public Health;

•         financial constraints; and

•         health challenges still remaining.

The presentation outlined information on the following:-

Life expectancy;

•         men and women living longer;

•         less than the national average in Sefton;

•         gap in life expectancy between deprived and affluent areas persisted.

The main causes of death:

·        Circulatory disease;

·        Cancer;

·        Respiratory disease;

·        Digestive disease.

The main causes of disability:

·        Mental disorders;

·        Cardiovascular disease;

·        Cancer;

·        Respiratory disease.

Lifestyle factors such as smoking, obesity and alcohol also impacted on all the above.

The policy objectives outlined within the Public Health Annual Report reflected those which had been raised previously by Professor Marmot in his “Fair Society, Healthy Lives” publication, namely:-

• Policy Objective A: give every child the best start in life which included theMerseyside-wide “Breast Milk – It’s Amazing” campaign;
• Policy Objective B: Enable people to maximise their capabilities and have control over their life included the Local Stop Smoking Service;
• Policy Objective C was to create fair employment and good work for all;
• Policy Objective D was to ensure a healthy standard of living for all;
• Policy Objective E was to create and develop healthy and sustainable places and communities; and
• Policy Objective F was to strengthen the role and impact of ill health prevention.

In the final part of the Annual Report, Looking to the Future, changes anticipated within the NHS and Public Health were outlined, such as:-

•         new organisations and systems;

•         tight finances for foreseeable future;

•         organisations working together to improve people’s health.

Copies of the Public Health Annual Report were circulated at the meeting.

Dr. Atherton responded to Members’ questions and comments on the matter, particularly in respect of obesity and breast feeding.

Councillor Porter, Cabinet Member – Older People and Health, drew attention to the feature on the Brighter Living Partnership – Fruit and Vegetable Co-operative, within the Annual Report and indicated that the organisation was currently seeking more outlets for its co-operatives. In addition, she could provide Members with a cook book/recipe book, issued by the Brighter Living Partnership, via the relevant Overview and Scrutiny Officer.

RESOLVED:   That

(1)       Dr. Atherton be thanked for her informative presentation;

(2)       this Committee looks forward to receiving any progress reports throughout the year on the implementation of the objectives featured within the Public Health Annual Report; and

(3)       the Director of Public Health be  ...  view the full minutes text for item 37.

Bernie Cuthell, Chief Executive, Liverpool Community Health NHS Trust, was in attendance and addressed the Committee on the phlebotomy service provided by the Trust, including its history, current operating mode and problems within the service. She also indicated that she would be willing to assist with the working group established by this Committee to review the service.

The Chair considered that it would be timely for this working group to commence its review in the near future.

Councillor McGuire indicated her willingness to participate on the working group.

RESOLVED: That

(1)       Bernie Cuthell be thanked for apprising the Committee on the matter; and

(2)       the timing and membership of the Phlebotomy Working Group be considered under Minute No. 42 below.

Report of the Managing Director, NHS Sefton.

The Committee considered the report of the Managing Director, NHS Sefton, on current issues impacting on healthcare provision within Sefton. Information was provided on the following:-

A.        NHS Sefton’s Annual General Meeting

The event on 1^st September 2011 had provided an opportunity for people to find out how NHS Sefton had performed in 2010-2011, its achievements and its plans for the future as part of the Merseyside PCT Cluster. NHS Sefton’s Annual Report was also launched at the event, along with the Director of Public Health‘s Annual Report for 2011.

B.        Southport to get New Macmillan Cancer Info Centre

A new information centre for people affected by or concerned about cancer would be opening in Southport during autumn 2011 through a partnership between the charity Macmillan Cancer Support, local doctors and NHS Sefton. Macmillan was to provide funding for the new information centre on Scarisbrick Avenue for five years. The info centre was intended to fill any gaps in information following hospital discharge and also to offer information to anyone affected by cancer and give advice about reducing the risks of developing it.

C.        New Hospice at Home Service for South Sefton

NHS Sefton’s Hospice at Home service would be rolled out across the Borough from January 2012, on an interim basis, until August 2012 when a full procurement process would take place, open to eligible providers. Woodlands Hospice had been commissioned to set up a service in south Sefton, similar to the one already commissioned from Queenscourt Hospice in the north. It would ensure patients benefited from equal end of life care, no matter which part of the Borough they lived in.

D.        Sefton Residents Choose the Healthy Life

Following over 4,000 responses, the results from the latest 2010 Lifestyle Survey indicated that many Sefton residents were taking better care of themselves and improving their health. Promising results had been received on prevalence in smoking and regular moderate to vigorous physical activity. The lifestyle survey highlighted that mental wellbeing was strongly linked to where people lived and whether or not they had a long term illness or disability. The survey also showed that more than half the respondents were found to be overweight or obese and that approximately 1 in 4 men and over 1 in 7 women were drinking alcohol at increasing or higher risk levels. The rates of binge drinking had risen considerably since the 2007 lifestyle survey.

The Chair requested information regarding a comparison of the number of responses on this survey with previous surveys of a similar nature and this would be provided to Members of this Committee.

E.        Peer Mentors Graduation

In addition to the 38 existing BreastStart Peer Mentors working across the Borough, 10 more local women had recently qualified as La Leche League Peer Counsellors and would be working alongside Breastfeeding Support Workers and health professionals, to promote and support breastfeeding from the children’s centres in Formby, Maghull and Southport.

F.         Free course to help you think and cope differently  ...  view the full minutes text for item 39.

Report of the Director of Corporate Commissioning, which was considered by the Cabinet at its meeting on 18^th August 2011, is attached for information.

The Cabinet approved the recommendations and responses contained in paragraphs 2.2 of the report with the exception of recommendation 11, due to its financial implications.

Members may wish to access the full report via the Modgov library, using the following link:-

http://sb1msmgov1/documents/s30929/CAMHS%20Final%20Report%202011.pdf

Further to Minute no. 36 of the meeting of the Cabinet of 18^th August 2011, the Committee considered the report of the Director of Corporate Commissioning on the recommendations of the Children and Adolescent Mental Health Service (CAMHS) Working Group.

The report indicated that the CAMHS Working Group, established by the Overview and Scrutiny Committee (Children’s Services), had undertaken a review on issues surrounding service provision for children with mental health issues; that 14 recommendations had been formulated as part of the review; and the recommendations, together with a management response from the Strategic Director - People were detailed in the report.

An executive summary of the CAMHS Working Group final report was attached at Appendix A.

The Cabinet had approved the recommendations and responses contained in paragraphs 2.2 of the report, with the exception of recommendation 11, due to its financial implications.

As the local Primary Care Trust, together with various local hospital trusts, had been identified within the recommendations and the management responses, the former Chair of the Overview and Scrutiny Committee (Children’s Services), had requested the matter be brought to the attention of this Committee.

RESOLVED: That

(1)       the recommendations of the Children and Adolescent Mental Health Service (CAMHS) Working Group be received; and

(2)       any relevant issues arising from the implementation of the recommendations be reported back to this Committee.

Report of the Director of Corporate Commissioning.

The Committee considered the report of the Director of Corporate Commissioning submitting the most recent report by the Cabinet Member - Older People and Health for the period July to August 2011. Councillor Porter, Cabinet Member - Older People and Health outlined the latest developments within the Older People and Health Portfolio.

In addition, the report also outlined future arrangements for Cabinet Member reports. At its meeting on 30^th August 2011, the Overview and Scrutiny Management Board had proposed that, in future, Cabinet Member reports would be published on the Modern Gov library and an e-mail alert would be forwarded to Scrutiny Chairs. In the event that Chairs identified any issues they would wish to raise for discussion at their next Overview and Scrutiny Committee, they would alert the appropriate officer and this would enable appropriate officer attendance at that meeting.

RESOLVED: That

(1)       the Cabinet Member report be received; and

(2)       the future arrangements for Cabinet Member reports be supported.

Report of the Director of Corporate Commissioning.

The Committee considered the report of the Director of Corporate Commissioning in relation to the Committee’s programme of work.

There were no items within the current Key Decision Forward Plan which fell under the remit of the Committee, on this occasion.

Further to Minute No. 31 of 26^th July 2011, and to Minute No. 38 (2) above, the Committee discussed the prioritisation of its work topics for 2011/12, particularly in light of the resources available to it. In addition to the work topics identified by this Committee, the Overview and Scrutiny Management Board, at its meeting on 30^th August 2011, had proposed the establishment of a cross-cutting working group on the Port Master Plan. This Committee was requested to support the establishment of such a working group and to nominate a Member to sit on this.

A site visit had now been arranged in order for Members of the Committee to visit the Walton Centre for Neurology and Neurosurgery NHS Foundation Trust. The visit would take place on Wednesday, 30^th November 2011, and Members were urged to support the visit.

Further to Minute No. 39 H above, it was anticipated that a site visit for Members of this Committee to the Children’s Hub, based at the Southport Centre for Health and Wellbeing, would be arranged in due course. In addition, a site visit to Aintree University Hospitals NHS Foundation Trust was also in course of preparation.

Councillor Welsh reported that she and Councillor L. Cluskey had attended an event at the Walton Centre for Neurology and Neurosurgery NHS Foundation Trust on its Patient Experience Strategy on 26^th August 2011, which, she considered had been of a very high standard.

RESOLVED: That

(1)       the fact that there are no items for pre-scrutiny within the Key Decision Forward Plan for the period 1^st September to 31^st December 2011, which fall under the remit of this Committee, be noted;

(2)       work on the Phlebotomy Working Group be commenced as soon as practicable;

(3)       Councillor McGuire be appointed as a Member of the Phlebotomy Working Group;

(4)       work on the Carers Working Group be deferred until the commencement of 2012;

(5)       the establishment of a cross-cutting working group on the Port Master Plan be supported and Councillors L. Cluskey and Roberts be appointed to it, in order to represent this Committee;

(6)       the date of the site visit for Members to the Walton Centre for Neurology and Neurosurgery NHS be noted and the visit be supported; and

(7)       the intention for site visits for Members of this Committee to both the Southport Children’s Hub and Aintree University Hospitals NHS Foundation Trust be supported.