Agenda for Health and Wellbeing Board on Wednesday 12th December, 2018, 2.00 pm

Agenda and minutes

Venue: Town Hall, Bootle

Contact: Caitlin Manion  Democratic Services Officer

No. Item


Apologies for Absence


Apologies for absence were received from Councillor John Joseph Kelly, Richard Freeman and Fiona Taylor.



Minutes of Previous Meeting pdf icon PDF 69 KB




That the Minutes from the meeting held on 19 September, 2018 be confirmed as a correct record.



Declarations of Interest

Members are requested at a meeting where a disclosable pecuniary interest or personal interest arises, which is not already included in their Register of Members' Interests, todeclare any interests that relate to an item on the agenda.


Where a Member discloses a Disclosable Pecuniary Interest, he/she must withdraw from the meeting room, including from the public gallery, during the whole consideration of any item of business in which he/she has an interest, except where he/she is permitted to remain as a result of a grant of a dispensation.


Where a Member discloses a personal interest he/she must seek advice from the Monitoring Officer or staff member representing the Monitoring Officer to determine whether the Member should withdraw from the meeting room, including from the public gallery, during the whole consideration of any item of business in which he/she has an interest or whether the Member can remain in the meeting or remain in the meeting and vote on the relevant decision.



No declarations of any disclosable pecuniary interests or personal interests were received.



Sefton Local Safeguarding Children`s Board Annual Report 2017-18 pdf icon PDF 299 KB

Report of the Director of Social Care and Health

Additional documents:


The Board considered the report of the Director of Social Care and Health, which presented the Sefton Local Safeguarding Children Board (LSCB) Annual Report 2017/18 in line with the following statutory guidance:


“The Chair must publish an annual report on the effectiveness of child safeguarding and promoting the welfare of children in the local area. The annual report should be published in relation to the preceding financial year and should fit with local agencies’ planning, commissioning and budget cycles. The report should be submitted to the Chief Executive, Leader of the Council, the local Police and Crime Commissioner and the Chair of the Health and Wellbeing Board.


The report should provide a rigorous and transparent assessment of the performance and effectiveness of local services. It should identify areas of weakness, the causes of those weaknesses and the action being taken to address them as well as other proposals for action.”


The report highlighted the following key achievements:


·         Early Help – the LSCB had introduced a set of Early Help quality standards providing clear guidance for the workforce. This had supported Early Help services to provide timely and effective services as early as possible. The number of families being supported through early help continued to rise. The Health and Wellbeing Board were asked to consider the governance intelligence to inform future commissioning plans regarding early help services.


·         Neglect – A priority had been to improve the identification and response to children living in neglectful circumstances. A revised ‘levels of need guidance’ was launched with focused examples of indicators of neglect. Together with increased use of a neglect toolkit there had been improvements in identification, timely intervention and improved outcomes for children.


·         Exploitation – Significant work had been undertaken to ensure all staff and communities had increased awareness and procedures to safeguard children from exploitation.


·         Robust safeguarding practice would continue and be strengthened as the safeguarding arrangements transfer as outlined by the government. There was a commitment to retain the strong local partnerships.


·         The LSCB had realigned its statutory focus and safely redirected the operational responsibilities back to strategic owners and accountable bodies.


The report also highlighted that the safeguarding priorities for 2018/19 were to ensure that:


(1) the partnership drives outcome focused practice and improved outcomes for children which will be evidenced through single agency and a partnership performance;


(2) the voice of the child and community is actively gathered and responded to;


(3) the LCSB continually support and contribute to staff development; and


(4) safeguarding practice will be stronger when these priorities are actively driven by all accountable bodies. This includes all the work governed and commissioned by the Health and Wellbeing Board.


The report concluded by requesting the Board to consider the LSCB Annual Report to inform local commissioning arrangements for safeguarding children, young people and their families.


The Director of Social Care and Health referenced the joint commissioning strategy for SEND and work underway to co-produce this with partners and added that a report would be presented to  ...  view the full minutes text for item 24.


Children’s Social Care Improvement Plan pdf icon PDF 527 KB

Report of the Director of Social Care and Health

Additional documents:


The Board considered the report of the Director of Social Care and Health which presented the Children’s Social Care Annual Report and Review of Improvement Plan. In April 2016, an inspection of services for children in need of help and protection, children looked after and care leavers took place, the report was published in July 2016. The inspection concluded that children’s services in Sefton required improvement to be good and made 11 recommendations.


The report highlighted that, in response to the inspection, an improvement plan was developed and submitted to the Department of Education and Ofsted in October 2017. The improvement plan was reviewed and refreshed in September 2017. The plan identified three key objectives:


(1) Ensure frontline practice is consistently good, effective and focussed on timely, measurable outcomes for children.


(2) To improve management oversight at all levels to ensure services for children and young people receive good quality supervision.


(3) Ensure that frontline services are sufficiently resourced and the workforce appropriately skilled to enable high quality work to be undertaken with children and young people.


The report concluded that raising practice standards and improving the consistency of core practice remained a priority focus. Standards of recording had improved which did demonstrate through audit that there was a tangible outcome on children’s lives. The report stated that Sefton should ensure that there was momentum and that change gathered pace moving forward. The report also stated that management oversight and supervision must strengthen further to have an impact on quality of practice. Finally, the report concluded that recommendations from audits, serious case reviews, the Local Government Association Peer Review Care Practice Diagnostic and independent review of children subject to repeat child protection plans would be incorporated into a reviewed and refreshed improvement plan for the service to ensure Sefton continued to drive improvements in practice and improve the lived experiences of their most vulnerable children.


The Director of Social Care and Health discussed the recent Focused Inspection undertaken by OFSTED and highlighted the key strengths and areas for improvement and added that these would be included within the latest improvement plan.




(1)  the objectives identified in the plan be noted; and


(2)  it be noted that updates would be brought to the Health and Wellbeing Board in the future.



Clinical Commissioning Group Update

Update from Fiona Taylor


The Board received a verbal update from Tracy Jeffes, Director of Corporate Services, on behalf of NHS South Sefton Clinical Commissioning Group, on the CCGs. During the presentation the following issues were highlighted:-


·         The CCG would be starting a review of Urgent Care in South Sefton with Healthwatch, General Practices, 111 Service, Walk-in Centres and Ambulance Services.

·         The new Medication Self Care Policy.

·         CCG Membership.

·         The General Practice Strategy.

·         Sefton transformation and pathways out of hospital.

·         There would be survey sent out to stakeholders on their views of the CCGs.




That the verbal update be noted.



Better Care Fund - Quarter 2 Return pdf icon PDF 215 KB

Report of the Director of Social Care and Health

Additional documents:


The Board considered the report of the Director of Social Care and Health which presented the Board with an update on the NHS Better Care Fund and the improved Better Care Fund Quarter 2 return.


The report detailed:-


·         The Better Care Fund NHS England Quarterly Return Process

·         National Conditions and S75 Agreement

·         National Metrics

·         High Impact Change Model


The report concluded by requesting the Board to note that the submissions were completed and submitted within the respective timescales and that the reports had been brought to the Health and Wellbeing Board at the earliest opportunity albeit that the notification was retrospective due to the schedule of meetings.




(1) the Better Care Fund (BCF) NHS England Quarterly return process be noted; and


(2) the Board be advised on the BCF Quarter 2 submission and retrospectively seek that the submission be approved.



Adult Forum

Verbal update from the Cabinet Member - Adult Social Care


The Board received a verbal update from Councillor Cummins, Cabinet Member – Adult Social Care, on the Adult Forum. Councillor Cummins  highlighted:-


·         The Adult Forum would receive the Refreshed Carers Strategy in January 2019.

·         A new Managing Director had been appointed at New Directions.

·         The Consultation in regard to the Sefton Homelessness Strategy which Cabinet would receive in January 2019.

·         The Rough Sleepers Audit.

·         The update from the Dementia Strategy Group regarding diagnosis in Sefton.

·         There were ongoing discussions regarding Kemp Lodge Care Home in Waterloo.




That Councillor Cummins be thanked for his verbal update.



Dates for Future Meetings of the Board

The Cabinet at its meeting to be held on 6 December, 2018 will be recommended to agree the following meeting dates of the HWBB for the Municipal Year 2019 to 2020:-


12 June, 2019

11 September, 2019

4 December, 2019

11 March, 2020


In accordance with the current programme of meetings, the next meeting of this Board will be held on Wednesday, 13 March, 2019 at the Town Hall, Bootle, commencing at 14:00



Further to the Minute No. 69 of the meeting of the Cabinet held 6 December 2018, the meetings of the Board for the Municipal Year 2019/20 are as follow:-


12 June, 2019

11 September, 2019

4 December, 2019

11 March, 2020


All meetings are to be held in The Town Hall, Bootle commencing at 14:00.