Agenda and minutes

Overview and Scrutiny Committee (Adult Social Care and Health) - Tuesday 23rd February, 2021 6.30 pm

Venue: Remote Meeting

Contact: Debbie Campbell,  Senior Democratic Services Officer

Media

Items
No. Item

30.

Apologies for Absence

Minutes:

Apologies for absence were received from Councillor Irving and his Substitute Councillor O’Hanlon.

 

31.

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 by switching their camera and microphone off 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, by 12 Noon the day before the meeting, to determine whether the Member should withdraw from the meeting 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 interests were made, and the Members concerned remained in the meeting during the consideration of the items:

 

Member

Minute No.

Nature of Interest

 

 

 

Councillor Roscoe

Minute No. 35 - Integrated Commissioning Update

She is employed by Asthma UK and the British Lung Foundation.

 

 

 

Councillor Carr

Minute No. 36 – Reconfiguration of Spinal Surgery Services in Cheshire and Merseyside

He is the Sefton Council representative to the Liverpool University Hospitals NHS Foundation Trust University Hospital Council of Governors.

 

 

 

32.

Minutes of the Previous Meeting pdf icon PDF 93 KB

Minutes of the meeting held on 5 January 2021

Minutes:

RESOLVED:

 

That the Minutes of the meeting held on 5 January 2021, be confirmed as a correct record.

 

33.

Mersey Care NHS Foundation Trust - Low Secure Unit New Build Project, Maghull Health Park pdf icon PDF 122 KB

Report submitted by Mersey Care NHS Foundation Trust

Additional documents:

Minutes:

The Committee considered the report submitted by Mersey Care NHS Foundation Trust (MCFT) that provided an update on the proposals to develop the Maghull Health Park by building a low secure unit (LSU) within the grounds of the Park. The report informed the Committee about the reasons for the project, the timescales and the desire of the Trust to adopt an active and enabling role within the local communities of Maghull and Sefton. The report set out details of milestones; the Maghull Health Park; the proposed LSU development; Sefton Council and Mersey Care in partnership; MCFT’s commitment to the local community; and communication of the project. The report concluded that MCFT wished to continue to share information and maintain a dialogue with the Committee regarding the proposal. Plans for the ground floor and first floor were attached to the report.

 

Dr. Frank McGuire, Consultant Clinical Psychologist, and Elaine Wilkinson, Strategic Project Manager, Mersey Care NHS Foundation Trust, were in attendance to present the report and to respond to questions raised by Members of the Committee.

 

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

 

·       Staff training.

·       After-care for patients on leaving the LSU. Discussions with the Sefton Clinical Commissioning Groups and the Council’s Adult Social Care function would be required.

·       After-care within the community needed to be particularly tailored towards people with learning difficulties and health inequalities addressed.

·       The possibility of a virtual tour of facilities by Members of the Committee.

 

RESOLVED: That

 

(1)      the report be noted; and

 

(2)      Dr. Frank McGuire and Elaine Wilkinson be thanked for their attendance.

 

34.

Public Health Annual Service Plan pdf icon PDF 65 KB

To receive a briefing note and a presentation from the Director of Public Health

Additional documents:

Minutes:

The Committee considered a briefing note submitted by the Director of Public Health, on behalf of the Cabinet Member – Health and Wellbeing, on the development of the Public Health Service Plan 2021/22 and providing oversight and delivery of the Service Plan. The report set out the background to the matter.

 

Anna Nygaard, Acting Consultant in Public Health, gave a presentation on the Service Plan that set out the following:

 

·       Introduction

·       Broader Context

·       Operating Principles

·       Reflection and Achievements of 2020-21

·       2020-21 Focus and Delivery

·       Focus and Delivery – 6 Priority Areas

·       Performance Monitoring and Review

 

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

 

·       The possibility of additional funding in order to achieve targets.

·       The use of “true partnerships” within the presentation.

 

RESOLVED: That

 

(1)         the intention and objectives of the Public Health Service Plan 2020/21 be noted; and

 

(2)         the action being taken to deliver tailored support in line with early intervention and prevention, health improvement, community health care, the wider determinants of heath, health protection and pandemic recovery in 2021 and beyond, be noted.

 

35.

Integrated Commissioning Update pdf icon PDF 144 KB

Report of the Executive Director of Adult Social Care and Health

Minutes:

The Committee considered the report of the Executive Director of Adult Social Care and Health on progress of integrated commissioning and highlighting national policy changes that would impact on the future landscape of integrated systems. The report set out details of national and regional policy that would steer Sefton’s integrated commissioning arrangements; work streams; and next steps.

 

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

 

·       Members of the Committee would wish to receive updates on work associated with integrated commissioning at future meetings.

 

RESOLVED: That

 

(1)      the update report on integrated commissioning be noted;

 

(2)      governance and oversight will continue to be provided by the Committee; and

 

(3)      the fact that decision making in relation to integrated commissioning will be made by the Cabinet Members for Health and Wellbeing; Adult Social Care; and Children, Schools and Safeguarding, be noted.

 

36.

Reconfiguration of Spinal Surgery Services in Cheshire and Merseyside pdf icon PDF 7 MB

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 (CCG) and NHS Southport and Formby CCG on a proposal for a single spinal service for Cheshire and Merseyside. The proposal was presented to the Committee with a request to review the process for developing the proposal as the Health and Social Care Act required NHS bodies to consult with local Overview and Scrutiny Committees on service change proposals.

 

The Committee was asked to consider a recommendation that due to the minimal impact of the proposal on Sefton patients, it did not represent a substantial variation in the way the service was delivered and that the proposal development process, including the approach to patient engagement, was commensurate with the scale of the proposed change.

 

The report set out the background to the matter; the proposed model of care; spinal surgery activity; patient engagement; together with the next steps for the proposal. An equality analysis report, including travel maps, was attached to the joint report.

 

Dr. Rob Caudwell, Chair of NHS Southport and Formby CCG, and Terry Hill, QIPP Programme Manager, Sefton CCGs, were in attendance to present the report to the Committee and to respond to questions put by Members of the Committee.

 

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

 

·       Any impact to emergency surgery by the proposal.

·       Any potential risks associated with increasing poverty due to the possible increase in transport costs. Details of required action would be provided in due course.

·       Potential barriers for people with protected characteristics as a result of the proposal, particularly travel for people with disabilities in terms of parking, together with liaison with Merseytravel. This would form part of the risk assessment and details would be provided in due course.

 

RESOLVED: That

 

(1)      it be agreed that the proposal for a single spinal service for Cheshire and Merseyside does not represent a substantial variation and that the approach taken to engage with patients to inform the proposal is commensurate with the scale of the proposed change;

 

(2)      Dr. Rob Caudwell and Terry Hill be thanked for their attendance; and

 

(3)      the Chief Officer, NHS South Sefton Clinical Commissioning Group and NHS Southport and Formby Sefton Clinical Commissioning Group, be requested to provide information in due course on the following to the Senior Democratic Services Officer for circulation to Members of the Committee:

 

(a)      details of action taken in relation to potential risks associated with increasing poverty due to the possible increase in transport costs; and

 

(b)      details of action taken in relation to potential barriers for people with protected characteristics as a result of the proposal, particularly travel for people with disabilities in terms of parking, together with the outcome of liaison with Merseytravel.

 

37.

Sefton Clinical Commissioning Groups - Update Report pdf icon PDF 170 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 (CCG) and the NHS Southport and Formby CCG, providing an update about the work of the CCGs. The report outlined details of the following:

 

·       Covid-19 vaccination programme

·       Sefton’s GP led service

·       Sefton vaccination volunteering programme

·       National vaccination booking service

·       Key messages for residents

·       NHS reforms to better integrated care

·       Shaping Care Together Programme

·       Honour for head pharmacist

·       Think NHS 111 First

·       Governing Body meetings

 

Fiona Taylor, Chief Officer for the Sefton CCGs, was in attendance to present the update report and to respond to questions raised by Members of the Committee.

 

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

 

·       Further to Minute No. 25 (2) (a) of 5 January 2021, a query was raised as to whether the meeting of interest parties to discuss Hightown Village GP Surgery had taken place and it was reported that a meeting was scheduled for 10 March 2021.

 

RESOLVED:

 

That the update report submitted by the Sefton Clinical Commissioning Groups be received.

 

38.

Sefton Clinical Commissioning Groups - Health Provider Performance Dashboard pdf icon PDF 586 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 Liverpool University Hospital NHS Foundation Trust. Information on the monitoring of the7-day GP extended access scheme for both CCGs was included within the data.

 

Fiona Taylor, Chief Officer, NHS South Sefton CCG and NHS Southport and Formby CCG,was in attendance to present the report to the Committee and to respond to questions put by Members of the Committee.

 

Further to Minute No. 26 (2) of 5 January 2021, it was reported that the data requested had been incorporated into the performance report.

 

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

 

·       The November 2020 data for the 7-day GP extended access scheme for

NHS Southport and Formby CCG. Further information could be obtained.

·       A mental health practitioner had been available for appointments for NHS Southport and Formby CCG during December 2020 and would this be extended to NHS South Sefton CCG? Further information could be obtained.

 

RESOLVED: That

 

(1)      the information on Health Provider Performance be noted; and

 

(2)      the Chief Officer of the Sefton Clinical Commissioning Groups be requested to provide the following information to the Senior Democratic Services Officer for circulation to Members of the Committee:

 

(a)      the November 2020 data for the 7-day GP extended access scheme for NHS Southport and Formby CCG; and

 

(b)      if the availability of a mental health practitioner would be extended to NHS South Sefton CCG.

 

39.

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 present their reports and to respond to any questions or issues raised by Members of the Committee.

 

RESOLVED:

 

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

 

40.

Work Programme Key Decision Forward Plan pdf icon PDF 116 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 Mental Health Issues Working Group;reporting on progress of the Housing Support Services to Vulnerable People Working Group; 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; and noting the update from Healthwatch Sefton.

 

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.

 

The report set out progress to date made by the both the Mental Health Issues Working Group and the Housing Support Services to Vulnerable People Working Group.

 

There were two Decisions 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; and set out an update on recent activities undertaken by Healthwatch Sefton, as attached to the report at Appendix C.

 

RESOLVED: That

 

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

 

(2)      the progress made by the Mental Health Issues Working Group be noted;

 

(3)      the progress made by the Housing Support Services to Vulnerable People Working Group; be noted;

 

(4)      the contents of the Key Decision Forward Plan for the period 1 March – 30 June 2021, be noted;

 

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

 

(6)      the recent activities undertaken by Healthwatch Sefton, as outlined in Appendix C to the report, be noted.