Agenda and minutes

Overview and Scrutiny Committee (Adult Social Care and Health) - Tuesday 1st September, 2020 1.30 pm

Venue: Remote Meeting

Contact: Debbie Campbell,  Senior Democratic Services Officer

Media

Items
No. Item

1.

Apologies for Absence

Minutes:

Apologies for absence were received from Councillor Jones and his Substitute Councillor Brough; and Councillor Pugh.

 

2.

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.

 

Minutes:

In accordance with Paragraph 9 of the Council’s Code of Conduct, the following declaration of personal interest was made and the Member concerned remained in the meeting during the consideration of the item:

 

Member

Minute No.

Nature of Interest

 

 

 

Councillor Roscoe

Minute No. 6 – Potential Merger of Clinical Commissioning Groups in North Merseyside

She is an Administration and Support Officer for the British Lung Foundation.

 

 

3.

Minutes of the Previous Meeting pdf icon PDF 123 KB

Minutes of the meeting held on 25 February 2020.

Minutes:

RESOLVED:

 

That the Minutes of the meeting held on 25 February 2020, be confirmed as a correct record.

 

4.

Covid Response pdf icon PDF 117 KB

Report of the Director of Public Health.

Additional documents:

Minutes:

The Committee considered the report of the Director of Public Health presenting a summary of activity in response to the Covid-19 pandemic. The report outlined the impact of Covd-19; Public Health interventions; the Sefton specific response; and planning ahead.

 

The Committee also received a presentation from Margaret Jones, Director of Public Health, that outlined the following:

 

·       What do we know about Covid;

·       National situation;

·       Sefton situation;

·       Key interventions; and

·       What next?

 

Members of the Committee asked questions/raised matters on the following issues:

 

·       The robustness of the test and trace system. Are areas placed in local lockdown restrictions provided with additional resources?

·       Numbers of deaths in care homes following discharge from hospital, during lockdown restrictions.

·       Concerns held regarding the resumption of routine health services and healthcare investigations. Any individual issues could be reported by Members to the Chief Officer for the Sefton Clinical Commissioning Groups.

·       Testing measures currently in place for staff and residents of care homes.

·       Potential impact on Sefton by the replacement of Public Health England by a new national institute for health protection.

·       Education of hard-to-reach groups and challenging of misinformation.

 

RESOLVED: That

 

(1)      the report and the presentation be noted;

 

(2)      the Director of Public Health be requested to investigate whether areas placed in local lockdown restrictions are provided with additional resources and to advise Members of the Committee accordingly; and

 

(3)      Members of the Committee be invited to report any individual issues experienced by residents associated with the resumption of routine health services and healthcare investigations, to the Chief Officer for the Sefton Clinical Commissioning Groups.

 

5.

Sefton COVID-19 Outbreak Management Plan pdf icon PDF 69 KB

Report of the Director of Public Health.

Minutes:

The Committee considered the report of the Director of Public Health presenting the Sefton Outbreak Plan.

 

The report indicated that all Local Authorities in England were asked by the Ministry of Housing, Local Government and Communities (MHCLG) to produce a COVID-19 outbreak management plan by the end of June 2020. This plan was intended to explain how the Council would manage the spread of the COVID-19, to minimise the rate of infection and reduce the impact on our communities.

 

The aims of a local outbreak management plan are to:

 

·       Identify communities, places and settings at greater risk;

·       Monitor wider system performance, e.g. testing;

·       Communicate effectively and appropriately, including public engagement and the remit of the Outbreak Management Stakeholder Board; and

·       Manage and interpret data and information associated with proactive surveillance and reactive outbreak management.

 

The report set out the background to the matter; an overview; together with information on the Sefton Covid-19 Outbreak Management Plan, which is an iterative, working document, and included links to the Plan and supporting documents.

 

A Member of the Committee raised matters on the following issue:

 

·       The possible prevention of residents from local lockdown restricted areas from moving into and working in other areas not affected by lockdown measures.

 

RESOLVED:

 

That the report be noted.

 

6.

Potential Merger of Clinical Commissioning Groups in North Merseyside pdf icon PDF 137 KB

Joint report of NHS South Sefton Clinical Commissioning Group and NHS Southport and Formby Clinical Commissioning Group.

Minutes:

The Committee considered the joint report of the NHS South Sefton Clinical Commissioning Group and NHS Southport and Formby Clinical Commissioning Group (CCG), providing an update about the potential merger with NHS Liverpool CCG and NHS Knowsley CCG. The report set out the background to the matter; the importance of “place” to the potential merger; the objectives of the proposed merger; together with the next steps involved.

 

Following the preparation and submission of the report, NHS England had set out new ways of working and requirements for the NHS during phase 3 of its response to the pandemic. Within recent guidance there was a short section in respect of commissioning and specifically for CCGs as follows:

 

“Plans to streamline commissioning through a single ICS/STP approach. This will typically lead to a single CCG across the system. Formal written applications to merge CCGs on 1 April 2021 needed to give effect to this expectation should be submitted by 30 September 2020.”

 

Following the national letter, the CCGs had received correspondence from the North West Regional Director of NHS England, setting out how the Region would take the phase 3 approach forward. Within the letter there was a clear statement of direction in respect of strategic commissioning within the North West Region describing the default expectation that there will be:

 

“…one CCG per Integrated Care System, enabling strategic commissioning and the devolution of more functions to the system level…decision making and energy will be located in place based leadership alongside Local Authority colleagues to tackle longstanding inequalities…..”.

 

Following options appraisals carried out with the members in each of the four North Mersey CCGs, there had been a mandate to develop an application to merge and form a single North Mersey (NM) CCG and this had been progressing, as agreed. In light of the guidance now received, as set out above, the NMCCG proposal would not have the scale required to meet the default expectation above and would be rejected by NHS England.

 

The default proposal would be an application supporting one CCG across the Cheshire and Merseyside Healthcare partnership area and further discussions were required between all CCGs involved to understand the collective implications.

 

Regardless of national or regional requirements in respect of commissioning at scale, the Sefton CCGs had offered assurances that they remained entirely committed to ensure that the borough-based focus was priority. The Sefton CCGs had also pledged to continue to work with the local authority to implement integrated commissioning arrangements and to operate in a way that best served the needs of the local populations.

 

Fiona Taylor, Chief Officer, Sefton Clinical Commissioning Groups, and Martin McDowell, Deputy Chief Officer, Sefton Clinical Commissioning Groups, attended the meeting to discuss the matter, indicating that the North Mersey merger was no longer a viable option; that a committee in common would need to be established across Cheshire and Merseyside by March 2021; that closer partnership working arrangements with the Council could be explored; and the importance of the role of Primary  ...  view the full minutes text for item 6.

7.

Work Programme Key Decision Forward Plan pdf icon PDF 121 KB

Report of the Chief Legal and Democratic Officer.

Additional documents:

Minutes:

The Committee considered the report of the Chief Legal and Democratic Officer seeking the views of the Committee on the draft Work Programme for 2020/21; consideration of potential topics for a scrutiny review to be undertaken by a Working Group appointed by the Committee; identification of any items for pre-scrutiny by the Committee from the Key Decision Forward Plan; consideration of the process to be undertaken for draft Quality Accounts for 2020; receipt of an update on the Liverpool City Region Combined Authority Overview and Scrutiny Committee; noting the intention to hold an informal briefing session for Members of the Committee regarding NHS 111 First; and noting the annual report published by Healthwatch.

 

A Work Programme for 2019/20 was set out at Appendix A to the report, to be considered, along with any additional items to be included and agreed. The Terms of Reference for the Committee were set out at Appendix B to the report.

 

The Committee was invited to consider a potential topic for a scrutiny review to be undertaken by a Working Group appointed by the Committee. A Criteria Checklist for Selecting Topics for Review was set out at Appendix C to the report. Discussion on a potential topic for review took place.

 

There was just one Decision within the latest Key Decision Forward Plan, attached to the report at Appendix D, that fell under the Committee’s remit and the Committee was invited to consider items for pre-scrutiny.

 

The report proposed that the scrutiny of draft Quality Accounts should not take place during 2020 and indicated that the Sefton Clinical Commissioning Groups were to hold a remote Quality Accounts submission day during October 2020.

 

The report outlined recent activity undertaken by the Liverpool City Region Combined Authority Overview and Scrutiny Committee.

 

A link was attached for the most recent Healthwatch Sefton Annual Report and Mr. Brian Clark, Healthwatch, provided an update on recent activities undertaken by Healthwatch.

 

Members of the Committee asked questions/raised matters on the following issues:

 

·       A working group could be established to consider mental health services and the prevention of issues.

 

RESOLVED: That

 

(1)      the Work Programme for 2020/21, as set out in Appendix A to the report, be agreed;

 

(2)      a working group be established to consider mental health services and the prevention of issues, consisting of Councillors Howard and Roscoe, and Mr. Roger Hutchings, Healthwatch;

 

(3)      the contents of the Key Decision forward Plan for the period 1 September – 31 December 2020, be noted;

 

(4)      the scrutiny of draft Quality Accounts will not take place by Committee Members during this Municipal Year;

 

(5)      the update on the Liverpool City Region Combined Authority Overview and Scrutiny Committee be noted;

 

(6)      the intention to hold an informal briefing session for Members of the Committee regarding NHS 111 First be noted; and

 

(7)      the activities undertaken by Healthwatch Sefton during recent months be noted.