Agenda and minutes

An apology for absence was received from Councillor Myers.

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.

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 room during the consideration of the item:

Minutes of the meeting held on 20 February 2024

RESOLVED:

That the Minutes of the meeting held on 20 February 2024, be confirmed as a correct record.

Report of the Sefton Place Director, NHS Cheshire and Merseyside

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

Members of the Committee asked questions/commented on the following issues:

• Regarding ambulance response times, the data provided suggested difficulties with compliance with Categories 2, 3 and 4. What is the 90^th Percentile for Categories 1 and 2 and the target times? In addition, ambulance response appeared to be out of line with targets for Categories 3 and 4. A detailed response would be sought from the NHS Cheshire and Merseyside Integrated Care Board (Sefton Place) and/or the North West Ambulance Service, and a representative be requested to attend the next meeting on 3 September 2024.

RESOLVED: That

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

(2)      a representative from the NHS Cheshire and Merseyside Integrated Care Board (Sefton Place) and/or the North West Ambulance Service, be requested to attend the next meeting of the Committee on 3 September 2024, in order to respond to questions/comments raised on ambulance response times.

Report of the Director of Public Health

Further to Minute No. 31 of the Health and Wellbeing Board of 6 March 2024, the Committee considered the report of the Director of Public Health which outlined the resources and processes required to deliver a fully revised three-year Sefton Pharmaceutical Needs Assessment (PNA) for 1 October 2025. The report provided information about:

• Legal context
• Uses of the PNA
• The range of information required
• Required and recommended steps and process
• Timescales
• Resource implications and collaboration

Members of the Committee asked questions/commented on the following issues:

·       Contributions by partners from outside the process and whether a similar process was undertaken with GPs.

·       Responsibility for delivery of covid vaccines.

RESOLVED: That

(1)      the large breadth and depth of information required by the yearlong PNA development process and final document, as set out in the ‘Pharmaceutical Needs Assessment Information Pack for Local Authority Health and Wellbeing Boards’ (DHSC, October 2021) be noted;

(2)      the opportunity cost in terms of public health analyst and consultant time be noted and proposals for organisations and partners with the most relevant knowledge and expertise to produce content for specified parts of the assessment, be endorsed.

Report of the Director of Public Health

Further to Minute No. 43 of 23 January 2024, the Committee considered the report of the Director of Public Health indicating that this was a six-monthly update, which focused on 18 out of the 26 indicators which made up the Public Health Performance Framework, and which were updated in the larger national Public Health Outcomes Framework (PHOF) from September 2023 to February 2024. The indicators served to describe the scale and distribution of population health problems, their underlying social, economic, and environmental causes and associated health inequalities. Where available, the overview included trends over time and relevant comparisons with the national picture, other local authorities in the North West and the Liverpool City Region, and areas with similar characteristics to Sefton (Statistical Neighbour Group). Information was also provided about Public Health led improvement actions that targeted the high-level indicators. The report highlighted ongoing impacts on public health services and population groups from the pandemic and high costs of living.

The following appendices were attached to the report:

·       Cabinet Member / OSC (ASCH) Public Health Performance Framework Update Report

·       Public Heath Performance Framework Indicators – August 2023

The Consultant in Public Health gave a presentation that outlined information on the following:

• Purpose of the report
• Indicators
• Strengths and improvements
• Points to note
• Death by cause in under 75s, Sefton 2022
• Health inequalities
• Public health programmes and services

Members of the Committee asked questions/commented on the following issues:

·       Obesity in reception/year 6 and appropriate interventions.

·       Drug rehabilitation and success indicators.

·       NHS health screening checks and how to increase take-up of screening.

·       The National Child Measurement Programme

·       Smoking and vaping trends and the sharing of good practice with Partners.

·       If statistics could be produced separately for North Sefton and South Sefton.

·       The 121 Programme and if there was a waiting list for the Programme.

·       Child poverty, particularly amongst large families.

·       The Henry Programme (Health, Exercise and Nutrition for the Really Young) and its application in supporting families with young children to develop healthy lifestyles. Further information could be provided.

·       Further information could be held on childhood obesity, the commissioning of GP health checks[MJ1] , the messaging associated with smoking and vaping.

RESOLVED: That

(1)      the information contained in the report, as previously presented in full at the briefing of the Cabinet Member - Health and Wellbeing held on 13 May 2024, be noted;

(2)      the Director of Public Health be requested to provide additional information on the following:

(a)      If statistics could be produced separately for North Sefton and South Sefton;

(b)      the Henry Programme (Health, Exercise and Nutrition for the Really Young); and

(3)      consideration of possible informal sessions on matters arising from the item be given under Minute No. 8 below.

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:

·       The Care Quality Commission (CQC) Assurance Update for Adult Social Care

·       Strategic Commissioning

·       Hospital Seasonal Pressures

·       Occupational Therapy and Sensory Team

·       Adult Social Care Budget

·       Adult Social Care Complaints, Compliments and MP Enquiries

·       Quality and Practice

·       Performance and Key Areas of Focus

·       Workforce

·       Learning and Development

·       Learning Disability and Autism (LD&A) Team

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

·       Food and Drink Advertising Policy

·       Supplemental Substance Misuse Treatment & Recovery Grant 24/25

·       Public Health Risk Register

·       HIV Fast track Cities Proposal

·       Public Health Performance Framework

·       Public Health Annual Workplan

·       Public Health Quarterly Dashboard

·       Dissertation Depravation/Height Inequality

·       Leisure Update

·       Leisure Pricing 24/25

·       Active Workforce – Menopause Support

Councillor Doyle, Cabinet Member – Public Health and Wellbeing was in attendance to respond to any questions/comments by Members of the Committee.

RESOLVED:

That the Cabinet Member update reports be noted.

Report of the Chief Legal and Democratic Officer

The Committee considered the report of the Chief Legal and Democratic Officer that sought to:

·       Invite the views of the Committee on the draft Work Programme for the Municipal Year 2024/25;

·       identify any items for pre-scrutiny by the Committee from the Key Decision Forward Plan;

·       invite Committee Members to participate in informal briefing sessions during 2024/25

·       invite the views of the Committee on the draft Programme of informal briefings/workshop sessions for 2024/25,

·       consider if there were any site visits that Committee Members would wish to undertake during 2024/25;

·       receive an update on the Liverpool City Region Combined Authority Overview and Scrutiny Committee;

·       receive an update on the Cheshire and Merseyside Integrated Care System Joint Health Scrutiny Committee; and

·       note the update by Healthwatch Sefton.

Members of the Committee raised the following potential items:

·       Primary Care Services and the state of the primary care estate

·       Visit to Southport Hospital

·       Discussion with social workers within the Adult Social Care Teams

·       Visit to A&E at the Royal Liverpool University Hospital or Aintree Hospital site.

RESOLVED  That

(1)      the draft Work Programme for 2024/25, as set out in Appendix A to the report, be agreed, along with any additional items to be included and thereon be agreed;

(2)      the fact that there are no items for pre-scrutiny by the Committee from the latest Key Decision Forward Plan be noted;

(3)      all Members of the Committee be invited to participate in informal briefing sessions;

(4)      the draft Programme of informal briefings/workshop sessions for 2024/25, as set out at Appendix B to the report, be agreed, along with the following additional informal items to be included:

·       Primary Care Services and the state of the primary care estate

·       Discussion with social workers within the Adult Social Care Teams

(5)      the following site visits for Committee Members be arranged to take place during 2024/25:

·       Visit to Southport Hospital

·       Visit to A&E at the Royal Liverpool University Hospital or Aintree Hospital site;

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

(7)      the update on the Cheshire and Merseyside Integrated Care System Joint Health Scrutiny Committee be noted; and

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