Agenda and minutes

Overview and Scrutiny Committee (Adult Social Care and Health) - Tuesday 13th October, 2020 6.30 pm

Venue: Remote Meeting

Contact: Debbie Campbell,  Senior Democratic Services Officer

Media

Items
No. Item

8.

Apologies for Absence

Minutes:

No apologies for absence were received.

 

9.

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 declarations of personal interest were made, and the Members concerned remained in the meeting during the consideration of the items:

 

Member

Minute No.

Nature of Interest

 

 

 

Councillor

Doyle

Minute No. 12 – Winter Plan

Her daughter is the population health consultant working for Graphnet on the CIPHA project;

 

 

 

Councillor Roscoe

Minute No. 11– Integrated Care Teams

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

 

 

10.

Minutes of the Previous Meeting pdf icon PDF 100 KB

Minutes of the meeting held on 1 September 2020.

Minutes:

RESOLVED:

 

That the Minutes of the meeting held on 1 September 2020, be confirmed as a correct record.

 

11.

Integrated Care Teams pdf icon PDF 953 KB

To receive a presentation from the Deputy Director of Integration, Mersey Care NHS Foundation Trust; and the Interim Head of Service, Sefton Adult Social Care.

Minutes:

The Committee received a presentation from Pat McGuiness, Deputy Director of Integration, Mersey Care NHS Foundation Trust; and Alisa Nile, Interim Head of Service, Sefton Adult Social Care, on Integrated Care Teams that consolidated existing resources. The presentation outlined the following:

 

·       What are Integrated Care Teams?

·       Developing Team 100 for each Network.

·       Where we left off…

·       Timeline of Covid Drivers and Response.

·       Integrated Care Teams (ICTs).

·       Integrated Care Teams – Learning.

·       Case Studies.

·       Care Homes Update – Supporting Enhanced Care in Care Homes (EHCH).

·       EHCH Model Summary.

·       Care Home Plan on a Page Covid-19 and Beyond – Liverpool and Sefton Model.

·       Context – Meeting NHS England Requirements.

·       Personalised Care Planning.

·       Weekly Check-ins - Progress and Learning.

·       Dashboard Development.

·       CHAMP/EHCH Next Steps.

·       Our Aspiration by Working Together.

·       Integrated Mersey Palliative Care Team (IMPaCT) Update.

·       IMPaCT Summary Model.

·       IMPaCT Implementation Timeline – Next Steps.

·       Hubs and Referrals.

 

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

 

·       How to identify different gaps in different areas and how to plug them. Further information could be provided to the Member concerned.

 

RESOLVED: That

 

(1)      the presentation be noted;

 

(2)      Pat McGuiness and Alisa Nile be thanked for their informative presentation;

 

(3)      the Chief Officer of the Sefton Clinical Commissioning Groups be requested to provide information on addressing gaps to the Member concerned.

 

12.

Winter Plan pdf icon PDF 289 KB

The Executive Director of Adult Social Care and Health to present the attached documents.

Additional documents:

Minutes:

The Committee considered two documents submitted by the Executive Director of Adult Social Care and Health on the Southport and Ormskirk System Winter Plan 2020/21 and the North Mersey System Winter Plan 2020-2021. The Winter Plans had been developed collaboratively between a number of different health partner organisations, with contributions from Adult Social Care providers. The Plans were a response to unplanned care over the winter period and were dynamic in nature. Contents included the evidence base used; the additional challenges presented by the Covid-19 pandemic; together with risks, including the risks and impact of Covid-19. Monitoring of the performance and impact of the Plans would take place through the relevant A&E Delivery Boards. Additional beds and capacity had been built into the Winter Plans and it was anticipated that local pressures were likely.

 

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

 

·       The current position regarding initiatives/schemes intended to provide community-based services.

·       Support in place for staff and staffing levels for front-line services.

·       Clarification of the Paediatric Virtual Emergency Department (ED). Further information could be provided.

·       Quality assurance concerns regarding training of call handlers on the NHS 111 First initiative.

·       Concerns that older people would not be able to access digital support services.

·       Waiting times for diagnostic and elective care.

·       Capacity and access to mental health services, together with the need to consider innovative solutions.

·       The range of mental health support available, including services provided by the voluntary sector.

 

RESOLVED: That

 

(1)      the documents on the Winter Plan, together with the information provided, be noted; and

 

(2)      the Chief Officer for the Sefton Clinical Commissioning Groups be requested to explore the possibility of providing a briefing session on the Paediatric Virtual Emergency Department (ED) to Members of the Committee.

 

13.

Adult Social Care Vision pdf icon PDF 74 KB

Report of the Executive Director of Adult Social Care and Health TO FOLLOW.

Additional documents:

Minutes:

The Committee considered the report of the Executive Director of Adult Social Care and Health presenting the draft Adult Social Care Vision document for review and comment, as part of the consultation process. The document would be a key document underpinning the delivery of Social Care for Adults in Sefton over the following five-year period and the report indicated that it should be read alongside the draft Market Position Statement for Adult Social Care. The final version of the document would be submitted to both the Health and Wellbeing Board and the Cabinet for approval.

 

The report indicated that the Adult Social Care Vision document would assist the Council in continuing to meet the demand for care and support in the most effective and efficient way; together with meeting the needs and achieving the outcomes of the most vulnerable residents. The report set out details of the development of the draft Adult Social Care Vision document. Both the Draft Adult Social Care Vision and the Draft Adult Social Care Market Position Statement were attached to the report.

 

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

 

·       Respite care available for carers during the current Covid-19 pandemic.

 

RESOLVED: That

 

(1)      the draft Adult Social Care Vision document be noted; and

 

(2)      the final approval process for the document be approved

 

14.

Centre for Public Scrutiny - 10 Questions to ask if you are Scrutinising Climate Change pdf icon PDF 75 KB

Report of the Chief Legal and Democratic Officer.

Additional documents:

Minutes:

The Committee considered the report of the Chief Legal and Democratic Officer providing information contained within a document produced by the Centre for Public Scrutiny (CfPS) entitled “10 questions to ask if you are scrutinising climate change”. The report set out the contents of the document, together with the 10 questions posed, indicating that the Overview and Scrutiny Management Board had requested the CfPS document to be circulated to all Overview and Scrutiny Committee Members for information.

 

RESOLVED:

 

That the Centre for Public Scrutiny document entitled “10 questions to ask if you are scrutinising climate change”, be noted.

 

15.

Climate Emergency Progress Report pdf icon PDF 657 KB

Minutes:

Further to Minute No. 54 of 25 February 2020, the Committee received a presentation from Stephanie Jukes, the Section Manager Energy and Environmental Management, Corporate Resources; and Julia Thorpe, Project Officer – Climate and Environment, reporting on Climate Emergency progress by the Council. The presentation outlined the following:

 

·       Purpose of the presentation.

·       Background – Climate Emergency.

·       Carbon footprint for Sefton.

·       Strategy and Implementation Plan.

·       Implementation Plan - Phase 1.

·       How will progress be monitored?

·       Communications Plan.

·       Climate Assembly UK.

·       Impact of the Covid-19 pandemic and lockdown restrictions.

·       Summary and next steps.

·       Contact details.

 

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

 

·       Engagement with citizens and work with the Liverpool City Region Combined Authority.

·       the possibility of extending the anti-engine-idling campaign to level crossings within the Borough. Merseytravel could be approached regarding this matter.

 

RESOLVED: That

 

(1)      the presentation be noted;

 

(2)      Stephanie Jukes and Julia Thorpe be thanked for their informative presentation; and

 

(3)      the Section Manager Energy and Environmental Management, Corporate Resources, be requested to approach Merseytravel regarding the possibility of extending the anti-engine-idling campaign to level crossings within the Borough.

 

16.

Sefton Clinical Commissioning Groups - Update Report pdf icon PDF 162 KB

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

Minutes:

The Committee considered the joint update report of the NHS South Sefton Clinical Commissioning Group and the NHS Southport and Formby Clinical Commissioning Group (CCG), providing an update about the work of the Clinical Commissioning Groups (CCGs). The report outlined details of the following:

 

·       Covid-19 and the phase 3 response.

·       Winter preparedness.

·       Annual flu vaccination campaign.

·       Community services in Southport and Formby.

·       Talking therapies in Sefton.

·       GP out of hours service.

·       Primary care networks.

·       Successful funding bid for Mental Health Support Teams in Sefton

·       Governing Body meetings.

 

Further to Minute No. 6 (2) of 1 September 2020, the Chief Officer, Sefton Clinical Commissioning Groups, reported on progress regarding the merger of CCGs across the Cheshire and Merseyside Healthcare partnership area. She indicated that that a joint committee would be established by 1 April 2021 where there would be delegated decision making; that there would one CCG across the partnership area by April 2022; and that a roadmap setting out the strategy to achieve the merger was currently being developed and should be available by the end of October 2020.

 

RESOLVED:

 

That the update report submitted by the Clinical Commissioning Groups, together with the information provided at the meeting, be received.

 

17.

Sefton Clinical Commissioning Groups - Health Provider Performance Dashboard pdf icon PDF 570 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 NHS South Sefton Clinical Commissioning Group and NHS Southport and Formby Clinical Commissioning Group (CCG), that provided data on key performance areas, together with responses for the Friends and Family Test for both Southport and Ormskirk Hospital NHS Trust and Aintree University Hospital NHS Foundation Trust. Information on the monitoring of the new 7-day GP extended access scheme for both CCGs was included within the data.

 

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

 

·       Clarity regarding the information provided on the 7-day GP Extended Access scheme. Updated information would be requested.

 

RESOLVED: That

 

(1)      the information on Health Provider Performance be noted.

 

(2)      the Chief Officer of the Sefton Clinical Commissioning Groups be requested to obtain updated data regarding the information provided on the 7-day GP Extended Access scheme.

 

18.

Draft Executive/Scrutiny Protocol pdf icon PDF 74 KB

Report of the Chief Legal and Democratic Officer.

Additional documents:

Minutes:

Further to Minute No. 27 (3) of the meeting of the Cabinet held on 30 July 2020, the Committee considered the report of the Chief Legal and Democratic Officer presenting a draft Executive/Scrutiny Protocol to the Committee for consideration and comment. The development of an Executive/Scrutiny Protocol aimed to improve the quality of relationships between Cabinet and Scrutiny Members; clarify respective roles; and contribute towards more effective scrutiny in Sefton. The draft Protocol was attached to the report.

 

RESOLVED:

 

That the draft Executive/Scrutiny Protocol, as attached to the report, be endorsed and submitted to the Cabinet for approval, in due course.

 

19.

Cabinet Member Reports pdf icon PDF 72 KB

Report of the Chief Legal and Democratic Officer.

Additional documents:

Minutes:

The Committee considered the report of the Chief Legal and Democratic Officer submitting the most recent update reports from the Cabinet Member – Adult Social Care, and the Cabinet Member – Health and Wellbeing, whose portfolios fell within the remit of the Committee. Councillors Cummins and Moncur were present at the meeting to respond to any questions or issues.

 

RESOLVED:

 

That the update reports from the Cabinet Member – Adult Social Care and the Cabinet Member – Health and Wellbeing be noted.

 

20.

Work Programme Key Decision Forward Plan pdf icon PDF 112 KB

Report of the Chief Legal and Democratic Officer.

Additional documents:

Minutes:

The Committee considered the report of the Chief Legal and Democratic Officer reviewing the Committee’s Work Programme for the remainder of the Municipal Year 2020/21; reporting on progress of the scrutiny review identified by the Committee; identifying any items for pre-scrutiny by the Committee from the latest Key Decision Forward Plan; receiving an update on the Liverpool City Region Combined Authority Overview and Scrutiny Committee; noting the outcome of the informal briefing session for Members of the Committee regarding NHS 111 First.; and noting the intention to hold a virtual visit organised by Mersey Care.

 

The Work Programme for 2020/21 was set out at Appendix A to the report, to be considered, along with any additional items to be included and agreed.

 

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

 

The report outlined recent activity undertaken by the Liverpool City Region Combined Authority Overview and Scrutiny Committee; indicated that an informal briefing session for Members of the Committee regarding NHS 111 First had taken place; and indicated that a virtual tour of a Mersey Care NHS Foundation Trust facility for Members of the Committee was likely to be organised.

 

RESOLVED: That

 

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

 

(2)      the progress made on the scrutiny review agreed by the Committee be noted;

 

(3)      the contents of the Key Decision Forward Plan for the period 1 November 2020 – 29 February 2021, be noted.

 

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

 

(5)      the outcome of the informal briefing session for Members of the Committee regarding NHS 111 First, be noted; and

 

(6)      the intention to hold a virtual visit organised by Mersey Care, be noted.