Agenda and draft minutes
Venue: Town Hall, Bootle
Contact: Caitlin Manion Democratic Services Officer
Election of Chair
That Councillor Cummins be elected Chair for this meeting of the Health and Wellbeing Board.
Apologies for Absence
Apologies for absence were received from Councillor Moncur, Vicky Buchanan, Richard Freeman and Dr Craig Gillespie.
That the Minutes of the meeting held on 13 March, 2019 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.
Report of the Chief Executive.
The Board considered the report of the Chief Executive which provided an update on the Ofsted and Care Quality Commission joint local area special educational needs and/or disabilities (SEND) revisit.
The report highlighted that the revisit was undertaken in Sefton between the 15 and 17 April 2019. The revisit followed up the SEND inspection that was held in 2016. The report detailed the key actions to be undertaken after the revisit, the process and the next steps.
The report stated that in November 2016, Sefton underwent a local area SEND inspection. The inspection highlighted weaknesses in the way that the local area provided the support required, following this the local area were required to submit a Written Statement of Action (WSOA) detailing how the weaknesses would be addressed over a three-year period. The report highlighted that the five areas of weakness identified were:
(1) To improve the poor progress made from starting points by pupils with a statement of special educational needs or an EHCP at Key Stages 2 and 4;
(2) To address the poor operational oversight of the Designated Clinical Officer (DCO) across health services in supporting children and young people who have special educational needs and/or disabilities and their families;
(3) To improve the lack of awareness and understanding of health professionals in terms of their responsibilities and contribution to EHCPs;
(4) To address the weakness of co-production with parents, and more generally, in communication with parents; and
(5) To address the weakness of joint commissioning in ensuring that there are adequate services to meet local demand.
The report also highlighted that in March 2019, Members of the Board considered a report which detailed the actions that had been completed in seeking to address the five areas of weaknesses. These included:
· A quality first offer in schools to ensure early identification;
· That high needs funding was provided through a panel process;
· That all SENCO staff received local authority training;
· That there was a focus on transitions;
· That a DCO had been jointly appointed with Liverpool and was utilising the ability to share best practice;
· That an agreement, to align LAC Health Assessments, had materialised;
· That the ASD pathway was incorporated into the Commissioning Plan;
· That a multi-agency quality assurance group was established;
· That best practice reviews and outcome training for all staff had transpired;
· That there was a Council agreed approach to co-production established, which was used to co-produce the neurodevelopment pathway, to establish personal budgets for transport and to explore personal health budgets; and
· That there was Director level engagement with the Parent Carer Forum and the Sefton Savvy App, an app which provides information and support for anyone under-25 with additional needs, was developed.
The report detailed that Ofsted and the Care Quality Commission (CQC) jointly inspected local areas to identify how well they were fulfilling their responsibilities for children and young people with special educational needs and/or disabilities. The inspections provided an independent external evaluation of how well a local area carried out their ... view the full minutes text for item 5.
Report of the Head of Education Excellence.
The Board considered the report of the Head of Education which provided an update and presented the progress against Priority 1 of the Children and Young People’s Plan, giving each child a positive educational experience.
The report highlighted that the Children and Young Peoples Plan 2015 – 2020 presented the Council’s vision “We want every Child and Young Person to reach their full potential. We want every Child to be healthy, happy, safe and secure and to feel loved, valued and respected and to be prepared for adulthood”. The report stated that Priority One of achieving this vision was to ensure that all children and young people had a positive educational experience.
The report detailed that the Early Years and Primary outcomes for Sefton were generally in-line with or exceeding National and Regional benchmarks. The report stated that the biggest challenge was the secondary outcomes at key stage four (KS4) which were lower than the National and Regional benchmarks.
The report identified that the figures showed a significant geographical variation and generally those schools which had a higher level of pupils from disadvantaged backgrounds had the lowest outcomes.
The report stated that the school led improvement system in Sefton was relatively new and schools were still developing this way of working, but there were lots of positives coming out of the SIG meetings. The report highlighted that, across the borough, there were some common themes. For example, as well as progress for pupils from disadvantaged backgrounds the schools with the lowest performance, tended to have high levels of absence. The report stated that the local authority held an attendance conference, attended by over 70 schools, and would produce an attendance toolkit for schools.
The report also highlighted that school funding continued to be a challenge for a number of secondary schools and was undoubtedly a barrier to schools being able to invest in self-improvement. The report stated that from September 2019, the Ofsted Inspection Framework would change and would have more of a focus on curriculum and curriculum design. The report identified that a considerable amount of work was going on in schools to ensure that they were ready for the change but that this may affect inspection outcomes differently.
(1) the report be noted; and
(2) the report be presented to the Board annually.
Report of the Head of Children’s Social Care.
The Board considered the report of the Head of Children’s Social Care which presented a summary of the current Children and Young People’s Plan, the performance against this plan and an overview of the planned process to refresh the Children and Young Peoples Plan for 2020 onwards.
The report highlighted that the Children and Young People’s Plan was an overarching strategy that defined how services would be delivered to Children and Young People in Sefton. The current plan was a five-year plan which would be in place until April 2020. The report stated that the plan had four key priorities these included:
(1) Ensure all Children and Young People have a positive educational experience.
(2) Ensure all Children are supported to have a healthy start in life and a healthy adulthood.
(3) Improving the quality of lives of Young People with additional needs and vulnerabilities, to ensure they are safe and fulfil their individual potential.
(4) Ensure positive emotional health and wellbeing of Children and Young People is achieved.
The report stated that in March 2018, a Mid Term Review of the plan was presented to the Health and Wellbeing Board. The reviews conclusions were:
· That the “Four Key Priorities” should remain;
· That some of the objectives should be amended to provide more clarity against the outcomes and to address the gaps, changes to legislation. Children and Young Peoples Emotional Health and Wellbeing in particular;
· That there should be more vigour and focus upon performance and how this impacts upon the agreed outcomes; and
· Whilst there was some good evidence of engagement with young people, parents and carers, there should be a greater understanding of how they influence change and improvement.
The report highlighted that a full review of the plan was underway in preparation for April 2020, and that as part of the review there would be consultation with stakeholders and the review would closely align with the Health and Wellbeing Board Strategy and the emerging Early Help Strategy. The report stated that the review would also consider the outcomes achieved to date and the next steps.
The report also highlighted that the plan closely aligned with all six of the Council’s core purposes and would specifically address the following:
· Sefton’s most vulnerable are protected; and
· Sefton’s Children have the best start in life.
The report stated that the Health and Wellbeing Strategy and the Joint Strategic Needs Assessment (JSNA) would define the areas of activity. The report detailed the following key milestones for the project:
Report of the Chief Executive.
The Board considered the report of the Chief Executive which informed the Board on the impact of the Better Care Fund in 2018/19, current review activity and the further plan for 2019/20 and beyond.
The report detailed:-
· The Outcomes of the Better Care Fund in 2018/19
· The Better Care Fund in 2019/20
· Development Opportunities in 2019/20
· Governance of the Better Care Fund
The report concluded that the Better Care Fund had worked well in the Sefton area but that there was far greater potential to expand the ability to meet the outcomes of the residents of Sefton and there was an appetite to do so. The report stated that following a review of the governance, best practice and priorities, a new work plan would be produced for the Board to consider at its next scheduled meeting in September 2019.
That the report be noted.
Report of the Director of Public Health.
The Board considered the report of the Director of Public Health which briefed the Board on the plans for the consultation and engagement on the refresh of the Joint Strategic Needs Assessment (JSNA) and the Sefton Health and Wellbeing Strategy.
The report highlighted that Sefton’s first five-year Health and Wellbeing Strategy was created in 2013 and subsequently updated to reflect the update of the Joint Strategic Needs Assessment (JSNA) in 2014. The report stated that the first Health and Wellbeing Strategy was developed following an extensive consultation and engagement process that involved local people, stakeholders and partners and resulted in the final strategy being informed by the consultation responses.
As the priorities identified in the refresh of the JSNA in 2014 had changed very little, and as there had been a number of large scale consultations undertaken in that year, it was considered appropriate to use the views already collected to refresh the existing Strategy. The existing Strategy was due to end in 2020. The report also stated that a refreshed JSNA was published in November 2018 and this had already been presented to the Health and Wellbeing Board which had agreed to publish a refreshed, five-year Joint Health and Wellbeing Strategy in January 2020.
The report also highlighted that a sub-group of the Health and Wellbeing Board had been convened to oversee the development of the refreshed Health and Wellbeing Strategy. The group was chaired by the Director of Public Health and the core membership was comprised of officers from Public Health, Social Care and Strategic Support and representatives from Sefton CCGs, Healthwatch Sefton and Sefton CVS. The report stated that the group had developed plans for the consultation and engagement process to support the refresh of the Strategy and this had been presented to and approved by the Public Engagement and Consultation Panel in March 2019.
The report concluded that the consultation proposals had been approved by the Public Engagement and Consultation Panel at its meeting held on 17 May 2019. The report stated that Members of the Board were recommended to note the plans that had been put in place to refresh the Sefton Health and Wellbeing Strategy and for the consultation and engagement process.
That the plans that have been put in place for the consultation and engagement process on the revised JSNA and the Health and Wellbeing Strategy be noted.
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 following:
· Sefton Council’s new Integrated Social Care and Health Manager, Eleanor Moulton, was introduced at the Adult Forum. She would be involved with the new Health and Wellbeing Strategy, the Joint Strategic Needs Assessment and the Market Position Statement.
· There was a discussion with Senior Managers at Commissioning Group, regarding the alignment of the priorities of the commissioning team as a corporate resource with a focus on the resource priorities.
· The commissioning team would be working with New Directions to link priorities and to develop a wider partner agreement within the identified priorities.
· There was a Transitions Moving on Event on 22 May 2019.
· Dementia Action Week started on 20 May 2019. A film called ‘Starting Conversations’ was to be produced.
· The Health and Social Care Forum met in May 2019. Pre-engagement about the Health and Wellbeing Strategy was to be highlighted.
· The Health and Social Care Forum had a speaker from Public Health England who talked about the Liverpool City Region (LCR) wider health economy.
· There was a Welfare Reform and Anti-Poverty (WRAP) event held in February with a focus on key themes that would be actioned.
· Merseyside Safeguarding Adults Board (MSAB) had worked with John Moores University and colleagues from across the partnership to produce a self-neglect toolkit.
· Sefton were involved in a termed project from MSAB which was looking at the “Voice of the Service User”. This was working with individuals who had experienced safeguarding or had loved ones who had experience of the process. Individuals were actively engaged in sharing their experiences, providing useful feedback in designing processes and training and development opportunities.
· Adult Social Care had started a Professional Practice Forum for practitioners across all disciplines to meet and discuss both local and national operational developments and barriers in care.
· The Safeguarding and Care Governance Board was now well established with membership from across Adult Social Care.
· Sefton New Directions had developed a five-year strategy. They would be working closely with Sefton Council’s commissioning team to redesign services to meet needs and be more involved in local communities.
· Sefton Carers Centre and Sefton Advocacy would be working with the CCG’s around personal health budgets.
· It was the first anniversary of the UK Age Friendly Network. Sefton now held the World Health Organisation (WHO) Age Friendly Status.
· The North West Older People’s Champion Network attended a meeting held by the Southport Forum. At the meeting, they shared examples of good practice and showed films discussing accessible information.
· Sefton Carers Centre were developing a training programme for professionals to increase their understanding of carers’ issues, alongside Living Well Sefton.
· SCIE and Sefton had put together training to look at assess based assessments and care planning.
That Councillor Cummins be thanked for his verbal update.