Agenda and minutes

Apologies for absence were received from Councillor Brodie-Browne; Councillor Myers and his substitute Councillor Brennan; Mr. B. Clark, Healthwatch; and Councillor Moncur, Cabinet Member – Health and Wellbeing.

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.

Minutes of the meeting held on 22 February 2022.

RESOLVED:

That the Minutes of the meeting held on 22 February 2022 be confirmed as a correct record.

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

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

·       Update on system changes to health and care;

·       Sefton Partnership;

·       A personal message from Fiona;

·       CCGs good performance recognised in annual assessment;

·       Views sought on proposals for Liverpool University Hospitals services;

·       Update on COVID-19 vaccination programme;

·       Thousands respond to GP COVID-19 access survey;

·       New interim provider for Hightown Village Surgery;

·       Single PCN for South Sefton;

·       Update on Shaping Care Together;

·       Sefton resident thanks GP and reminds others “they are still here for you”;

·       New eating disorders service for Sefton;

·       Website provides reliable health apps to Sefton;

·       New school nurse text messaging service launched for 11–19-year-olds in Sefton;

·       Babies cry, you can cope – ICON Campaign; and

·       Final CCG Governing Body meetings.

Fiona Taylor, Chief Officer for the Sefton CCGs, attended the meeting to present the update report and to respond to questions raised by Members of the Committee. She indicated that the CCGs could offer an informal briefing session on GP practices to Members of the Committee. She also reported that the Medicines Management Team had been shortlisted for an award.

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

• As it was Fiona Taylor’s final meeting of the Committee before retirement, Members paid tribute to her and thanked her for her service to the Committee.
• Difficulties for refugees from Ukraine in accessing GPs and a suggestion for information to be provided at the Netherton Feel Good Factory.
• Final figures for take-up of the covid vaccine across the Borough. Up-to-date figures could be provided to Members.
• The impact of health inequalities in vaccine take-up.
• The impact of the introduction of the Integrated Care System in Cheshire and Merseyside and how this would affect reporting to the Overview and Scrutiny Committee.
• The role of Primary Care Networks (PCNs) and addressing issues of health inequalities. PCN representatives could be invited to an informal briefing of Committee Members.
• Challenges due to the length of time required to train GPs.
• Promotion of the ICON campaign.

RESOLVED: That

(1)      the update report submitted by the Sefton Clinical Commissioning Groups, be received;

(2)      the offer by the Chief Officer for the Sefton Clinical Commissioning Groups to provide an informal briefing session on GP practices to Members of the Committee, be considered under Minute No. 8 below; and

(3)      the Chief Officer for the Sefton Clinical Commissioning Groups be requested to provide up-to-date figures for the take-up of the covid vaccine across the Borough to the Senior Democratic Services Officer, for circulation to Members of the Committee.

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

The Committee considered the joint report of NHS South Sefton Clinical Commissioning Group (CCG) and NHS Southport and Formby 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.

Further to Minute No. 50 (2) of 22 February 2022, ambulance response times were also included within the data.

Fiona Taylor, Chief Officer for the Sefton CCGs, attended the meeting to present the data and to respond to questions raised by Members of the Committee.

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

• Statistical trends at A&E at Southport Hospital, patient admittance and concerns regarding the size of the waiting area.
• The impact of drug and alcohol misuses at A&E.
• The provision of satellite services at Aintree Hospital for certain conditions and the impact to Southport and Formby patients.
• Waiting times for Mental Health: IAPT. Up-to-date figures could be provided.
• Community services and the 7-day GP extended access scheme.
• As it was Fiona Taylor’s final meeting of the Committee before retirement, Members paid tribute to her and thanked her for her service to the Committee.

RESOLVED: That

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

(2)      the Chief Officer for the Sefton Clinical Commissioning Groups be requested to provide up-to-date figures to the Senior Democratic Services Officer on the waiting times for Mental Health: IAPT, for circulation to Members of the Committee; and

(3)      thanks be extended to Fiona Taylor for her service to the Committee.

Report of the Director of Public Health

The Committee considered the report of the Director of Public Health that provided an update on the Public Health Outcomes Framework.

A briefing previously received by the Cabinet Member - Health and Wellbeing was attached to the report.

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

·       Performance targets and Indicators for Public Health services.

·       The demographics of Sefton as a Borough.

·       Health inequalities and the possibility of extending good practice.

·       The issues of alcohol and drug use on medium and long-term health chances for the population.

RESOLVED:

That the report be received.

Report of the Chief Legal and Democratic Officer.

Appendix B to the report - Cabinet Member – Health and Wellbeing – update report – To Follow

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, whose portfolio fell within the remit of the Committee.

The Cabinet Member update report – Adult Social Care, attached to the report at Appendix A, outlined information on the following:

·       Preparation for Implementation of the National Assurance Framework;

·       Integration and National Policy Update;

·       Life Course Commissioning:

o   Fee Increases for 2022/23;

o   Domiciliary Care – capacity issues within the domiciliary care market remain;

o   Care Homes - there are significant market issues resulting from the pandemic;

o   Day Services –consultation and engagement with local residents is ongoing;

·       Adult Social Care Budget:

o   External grants - grants from the Department of Health and Social Care;

·       Cost of Care;

·       Adult Social Care Complaints Overview

·       System Pressures - Hospital and Access into Social Care

·       Performance and Key Areas of Focus:

o   Admission into care & reablement;

o   Self-directed support and direct payments;

o   Employment;

o   Housing;

o   Safeguarding;

·       Carers Services; and

·       Liberty Protection Safeguards (LPS).

Councillor Cummins, Cabinet Member – Adult Social Care, attended the meeting to present his report and to respond to any questions.

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

• Compliments and complaints.

RESOLVED:

That the update report from the Cabinet Member – Adult Social Care be noted.

Report of the Chief Legal and Democratic Officer.

The Committee considered the report of the Chief Legal and Democratic Officerseeking the views of the Committee on the draft Work Programme for the Municipal Year 2022/23;reporting on progress of the Mental Health Issues Working Group;inviting Committee Members to participate in informal briefing sessions during 2022/23, rather than establish a traditional working group;noting that there were no items for pre-scrutiny within the current Key Decision Forward Plan that fall under the remit of the Committee, on this occasion;receiving an update on the Liverpool City Region Combined Authority Overview and Scrutiny Committee; reporting on progress made by the Joint Health Scrutiny Committee in considering proposals for the reconfiguration of the hyper-acute stroke services across North Merseyside and West Lancashire; reporting on progress made by the Joint Health Scrutiny Committee in considering proposals in relation to clinical service integration for a number of services delivered by Liverpool University Hospitals NHS Foundation Trust (LUFT); and noting the update by Healthwatch Sefton.

A draft Work Programme for 2022/23 was set out at Appendix A to the report, to be considered, along with any additional items to be included and agreed. The Term of Reference for the Committee were set out at Appendix B to the report. Appendix C to the report set out developments on the Mental Health Services Review. An update on recent activities undertaken by Healthwatch Sefton, was attached to the report at Appendix D.

There were no Decisions within the latest Key Decision Forward Plan, that fell under this Committee’s remit, on this occasion.

Suggestions for informal briefing sessions included the following:

·       GP practices, to be delivered by the Sefton Clinical Commissioning Groups;

·       Health inequalities, to be delivered by Public Health;

·       Inviting representatives from the following organisations:

o   Liverpool University Hospitals NHS Foundation Trust;

o   North West Ambulance Service – particularly regarding developments with the acute stroke service.

o   Primary Care Networks; and

o   Mersey Care NHS Foundation Trust.

RESOLVED:

(1)      the Work Programme for 2022/23, as set out in Appendix A to the report, be agreed, along with any additional items to be included and thereon be agreed;

(2)      progress made to date on the recommendations made by the Mental Health Issues Working Group, as outlined in Appendix C, be noted;

(3)      rather than establish a traditional working group during 2022/23, all Members of the Committee be invited to participate in informal briefing sessions, and consideration be given to the suggestions raised above;

(4)      the fact that there are no items for pre-scrutiny within the current Key Decision Forward Plan that fall under the remit of the Committee, on this occasion, be noted;

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

(6)      the progress made on the Joint Health Scrutiny Committee (Hyper-Acute Services), be noted;

(7)      the progress made on the Joint Health Scrutiny Committee – Liverpool University Hospitals University Foundation Trust (LUFT), be noted; and

(8)      the recent activities undertaken by Healthwatch Sefton, as outlined in  ...  view the full minutes text for item 8.