Agenda and minutes

Apologies for absence were received from Councillors Brodie-Browne and his Substitute Councillor Lloyd-Johnson; Councillors Lunn-Bates, Pugh and Thomas; and Councillor Cummins, Cabinet Member – Adult Social Care.

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 6 September 2022

RESOLVED:

That the Minutes of the meeting held on 6 September 2022, be confirmed as a correct record.

Dr. Clare Morgan, Director Strategy, Liverpool University Hospital NHS Foundation Trust, to attend

The Committee received a presentation from Dr. Clare Morgan, Director of Strategy, Liverpool University Hospital NHS Foundation Trust, on  recent developments at the Trust. The presentation outlined the following:

·       The LUHFT Improvement Plan, including:

o   Themes

o   Work Programme(s)

·       System Oversight Framework 4 (SOF4) Exit Criteria

·       Improvement Plan - Overarching Governance

·       LUHFT’s Culture Change and Improvement Approach and Priorities: 2022-2023

·       Where Are We Now?

·       Integration & New Hospital Programme:

o   Context

·       Reconfiguration / Integration:

o   Summary of Moves

·       Integration and Reconfiguration Schemes 2022

·       Your Building, Our Future Together Journey

·       Building Our Future Together at Aintree

·       Stroke Assessment Unit

·       New Hybrid Theatre

·       The Journey so far

·       What is next…

·       New Hospital Bed Modelling

·       Pre-Move Checklists

·       The Cross-Site Moves

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

·       Risks and timescales.

·       Future of the Aintree Diabetes Centre.

·       Whether efficiency savings would affect clinical services.

·       How difficulties with staffing and retention had been addressed.

·       Health conditions associated with fuel poverty and the cost of treating such conditions.

·       Transport links between the hospital sites, particularly for patients with multiple conditions. Information could be provided.

·       Reassurances were sought regarding the recent changes to hyper-acute services and extended journey times.

RESOLVED: That

(1)      the update on developments at Liverpool University Hospital NHS Foundation Trust be noted and Dr. Morgan be thanked for her attendance; and

(2)      Dr. Morgan be requested to provide further information on transport links between the hospital sites to the Senior Democratic Services Officer, for circulation to Members of the Committee.

Report of the Executive Director of Adult Social Care and Health

The Committee considered the report of the Executive Director Adult Social Care and Health that sought to provide an update on current safeguarding activity across the Sefton Borough and to provide assurance on the actions being taken to mitigate risk and investigate safeguarding concerns. The report provided a particular focus on safeguarding across the care home market.

The report set out safeguarding activity during the last twelve months; timeliness and making safeguarding personal; types of abuse and location; care homes and safeguarding; the role of the quality assurance team; additional support to care providers; and the Safeguarding Adults Board.

The report also requested the Committee to consider:

• whether a further focused report on safeguarding people with care and support needs should be presented to the next Committee; and

• whether it would wish to receive a more detailed update on the work of the Sefton Safeguarding Adults Board and specifically the role of the subgroups.

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

·       Clarification on the role of inexperienced care staff and support required for them from management.

·       Inspections of care homes conducted by the Care Quality Commission, together with the provision of support and ensuring of safeguarding by the local authority. Improvement strategies could be put in place, where necessary.

·       The need to compare outcomes both regionally and nationally, in terms of provision of context.

RESOLVED: That

(1)      the contents of the report be received and noted; and

(2)      a further report on safeguarding people with care and support needs be presented to the next Committee meeting, to include a more detailed update on the work of the Sefton Safeguarding Adults Board and specifically the role of the subgroups.

Report of the Place Director, NHS Cheshire and Merseyside (Sefton)

The Committee considered the report of the Sefton Place Director, NHS Cheshire and Merseyside, that provided an update about the work of NHS Cheshire and Merseyside, Sefton. The report outlined details of the following:

·       Integrated Care Board meeting – September 2022

·       A&E Pressures/Winter Plans and National Position

·       Autumn Boosters

·       Living Well Bus – Health Checks & Vaccinations

·       The Move to the New Royal Hospital

·       New Stroke Centre for North Mersey

The report also suggested consideration of particular items at future meetings. A full report on the Cheshire and Merseyside Cancer Alliance could be submitted to the next Committee meeting.

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

·       Autumn booster vaccinations and the need for data bases to be updated. This would be raised.

·       Availability of walk-in covid 19 Autumn booster vaccinations, particularly in the Southport area. An update would be provided.

RESOLVED:That

(1)      the update report submitted by the Sefton Place Director, NHS Cheshire and Merseyside (Sefton) be received;

(2)      consideration be given to the inclusion of the following items at future meetings of the Committee:

·       Southport and Ormskirk Hospital NHS Trust for general update;

·       NHS Cheshire and Merseyside Place Plan; and

·       Update on primary care estate strategy;

(3)      the Sefton Place Director be requested to:

(a)        submit a full report on the Cheshire and Merseyside Cancer Alliance to the next Committee meeting;

(b)      raise the need for Autumn booster vaccinations data bases to be updated; and

(c)      provide information on the availability of walk-in covid 19 Autumn booster vaccinations, particularly in the Southport area, to the Senior Democratic Services Officer, for circulation to Committee Members.

Report of the Place Director, NHS Cheshire and Merseyside (Sefton)

The Committee considered the report of the Sefton Place Director, NHS Cheshire and Merseyside, that provided data on key performance areas for North and South Sefton, together with responses for the Friends and Family Test for both Southport and Ormskirk Hospital NHS Trust and Liverpool University Hospital NHS Foundation Trust (LUHFT). Information on the monitoring of the7-day GP extended access scheme, and ambulance response times were also included within the data.

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

·       The assurances around the IAPT trends were welcomed.

·       Differences in ambulance response times in the North and South of the Borough. The context for Cheshire & Merseyside and also the North West region could be included within future data provision.

·       Pressures at A&E and the triage system.

·       The introduction of a Sefton Emergency Response Vehicle to support category 3 and 4 calls was welcomed, although a consistent approach to such calls was required across the Borough.

RESOLVED: That

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

(2)      the Sefton Place Director, NHS Cheshire and Merseyside, be requested to include the context for Cheshire and Merseyside and also the North West region for ambulance response times, within future performance data provision to the Committee.

Report of the Chief Legal and Democratic Officer

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.

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

• Update on the National Assurance Framework for Adult Social Care
• Integration & National Policy Update
• Life Course Commissioning
• Principal Social Worker Update
• Performance and Key Areas of Focus:

o   Admission into Care & Reablement

o   Self-Directed Support & Direct Payments

o   Employment

o   Housing

o   Safeguarding

The Cabinet Member update report – Health and Wellbeing, attached to the report at Appendix B, outlined information on the following:

Public Health:

• Workforce Mental Health Support Update
• Age Well Obesity Update
• Leisure Update

RESOLVED: That

(1)      the update reports from the Cabinet Member – Adult Social Care and the Cabinet Member – Health and Wellbeing be noted; and

(2)      any questions to the Cabinet Members be raised via email to the Senior Democratic Services Officer.

Report of the Chief Legal and Democratic Officer

The Committee considered the report of the Chief Legal and Democratic Officer that sought to review the Committee’s Work Programme for the remainder of the Municipal Year 2022/23;report on progress of the Mental Health Issues Working Group;report on progress of informal briefing sessions for Committee Members to be held during 2022/23;identify any items for pre-scrutiny by the Committee from the Key Decision Forward Plan;update on the Liverpool City Region Combined Authority Overview and Scrutiny Committee;report 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;report 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); report on progress of the Joint Cheshire and Merseyside Scrutiny Committee, established to scrutinise the work of the Cheshire and Merseyside Integrated Care Board; and provide an update from Healthwatch Sefton.

Further to Minute No. 24 (2) and (3) above, consideration was given to the inclusion of the following items at future meetings of the Committee:

• Southport and Ormskirk Hospital NHS Trust for general update;
• NHS Cheshire and Merseyside Place Plan;
• Update on primary care estate strategy; and
• a full report on the Cheshire and Merseyside Cancer Alliance to the next Committee meeting.

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

• A future meeting with a representative of the North West Ambulance Service.
• Concerns raised by Healthwatch regarding GP access and on-line access in particular.

RESOLVED: That

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

(2)      the following items be added to the Committee’s Work Programme for 2022/23:

• Southport and Ormskirk Hospital NHS Trust, for general update;
• NHS Cheshire and Merseyside Place Plan;
• update on primary care estate strategy;
• a full report on the Cheshire and Merseyside Cancer Alliance be submitted to the next Committee meeting;
• a future meeting with a representative of the North West Ambulance Service.
• an informal briefing with representatives of the local primary care networks regarding GP access and on-line access;

(3)      progress made to date on the recommendations made by the Mental Health Issues Working Group, be noted;

(4)      progress of informal briefing sessions for Committee Members to be held during 2022/23 be noted;

(5)      the contents of the Key Decision Forward Plan for the period 1 November 2022 to 28 February 2023 be noted;

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

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

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

(9)      the progress of the Joint Cheshire and Merseyside Scrutiny Committee, established to scrutinise the work of  ...  view the full minutes text for item 27.