Venue: Committee Room - Bootle Town Hall, Trinity Road, Bootle, L20 7AE. View directions
Contact: Debbie Campbell, Senior Democratic Services Officer
Apologies for Absence
Apologies for absence were received from Councillor Howard (Substitute Member for Councillor Spencer); Councillors Pitt, Spencer and Webster; and Councillor J.J. Kelly, Cabinet Member – Children, Schools and Safeguarding.
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.
No declarations of any disclosable pecuniary interests or personal interests were received.
Minutes of the meeting held on 19 March 2019.
That the Minutes of the meeting held on 19 March 2019, be confirmed as a correct record.
Joint presentation by NHS South Sefton Clinical Commissioning Group and NHS Sefton and Formby Clinical Commissioning Group, providing an update on actions being undertaken since the Review.
Further to Minute No. 29 of 29 January 2019, the Committee received a presentation by Fiona Taylor, the Chief Officer for NHS South Sefton Clinical Commissioning Group (CCG) and NHS Southport and Formby CCG, providing an update on actions being undertaken since the Review of Health Services for Children Looked After and Safeguarding in Sefton.
The presentation outlined the following:-
· Update since last presentation to the Committee;
· Strengthened areas;
· Progress against the 245 Actions;
· 23 sub actions remained red;
· Anticipated dates for completion;
· Areas of learning; and
· Next steps.
Members of the Committee asked questions/raised matters on the following issues: -
Some actions had been completed recently and had now turned green. The Chief Officer for the Sefton CCGs would prepare a note that would be circulated to Members of the Committee, explaining the current position.
· Was the Action Plan an updated version of an approved Action Plan?
Yes. The Action Plan showed the red areas with commentary alongside. A copy could be provided to individual Committee Members on request.
· Could there be a re-inspection of the Service?
There was always a possibility that the Service could be re-inspected at any time, although the CCGs were not aware of any plans to do so. Short notice would be provided if this event occurred.
· When were the actions not yet due, to be completed?
Between now and the end of December 2019.
· Had action been taken in relation to the quality and timely completion of review health assessments?
Training had taken place in North West Boroughs in relation to the review of health assessments. The position was complex regarding out-of-Borough placements and work was being undertaken on quality assurance for such placements. The data could be obtained to check the position.
· Which Providers were involved in the delivery of the Service?
Key Providers were as follows:-
o Southport and Ormskirk Hospital NHS Trust;
o Liverpool Women’s NHS Foundation Trust;
o Alder Hey Children’s NHS Foundation Trust;
o North West Boroughs Healthcare NHS Foundation Trust; and
o Mersey Care NHS Foundation Trust.
The Chief Executives of the Providers had been advised that the Service and required improvements were a priority.
· Were there difficulties with Providers for out-of-Borough placements?
As the children concerned were Sefton’s responsibility, the Key Providers undertook the review of health assessments, although this was not always an ideal arrangement. The designated nurse for children in care supported this arrangement and it could be reviewed.
· What action could be taken if there were extensive delays in health assessments?
Work was undertaken to ensure the delivery of health assessments with Providers. The data could be obtained to check the position.
· What audits were taken regarding data sharing?
Data sharing agreements existed across the NHS and the Chief Officer of the CCGs was not aware of any difficulties. Audits could be undertaken by appointment and Providers undertook their own ... view the full minutes text for item 7.
Report of the Head of Health and Wellbeing.
Prior to consideration of the above report, a short video on the latest Public Health Annual Report, which this year takes the form of an animation, will be shown to the Committee.
Further to Minute No. 6 of the meeting of the Overview and Scrutiny Committee (Adult Social Care and Health) of 25 June 2019, the Committee considered the report of the Head of Health and Wellbeing providing information about the preparation, content and plans for dissemination for the Public Health Annual Report (PHAR) 2018/19 on the issue of air quality in Sefton. The report indicated that the PHAR was an independent annual report of the Director of Public Health and was a statutory duty. The report set out the requirements and purpose of the PHAR; the rationale for focussing on air quality; progress made to date; goals; other key people and organisations the Council needed to work with in this area; calls for action; and publication and dissemination of the finalised PHAR.
This year’s annual report had been produced as a short animation, the aim of which was to present complex information in an accessible, engaging and transparent format which was easy to disseminate and could reach a broad audience. The finalised PHAR would be shared with other Committees, organisations and the full Council.
Prior to consideration of the report, the animation was shown to the Committee.
Helen Armitage, Consultant in Public Health, attended the meeting to present the PHAR and respond to questions put by Members of the Committee.
Members of the Committee asked questions/raised matters on the following issues:-
· Waterloo Primary School was on a main traffic route within the Borough and had a play-ground at the front of the School. Did any monitoring take place during school hours?
The “drop-off” from traffic emissions was very quick and even moving away from the kerb could assist in avoiding most pollutants. Air quality monitoring could take place inside classrooms and work with schools could be strengthened. Mobile monitoring devices were expensive and not always accurate.
· Could the planting of more trees help to improve air quality?
Evidence supported the use of trees as specific types could trap small particles.
· Were there plans to use smaller snippets of the PHAR to catch viewers’ interest?
The PHAR had been constructed in chapters with that purpose in mind.
· Could car manufacturers be incentivised to encourage promotion of electric vehicles and charging points?
The Council did not have powers to apply pressure to car manufacturers. However, the Council had a role to play in advocating certain behaviours and could look to invest in certain schemes to encourage the use of electric vehicles, particularly amongst taxi drivers and other individuals and companies who drove extensively.
· What was the future of the air quality agenda?
Public Health England was undertaking a large review of this subject and the Department for Environment, Food and Rural Affairs (DEFRA) was working with sources of air pollutants, with a view to reduce pollution at source. The immediate concern was to protect people who were vulnerable to air pollution and there were plans to hold conversations with GPs.
· Were there plans to improve public transport and alternative forms of transport?
Liverpool ... view the full minutes text for item 8.
Report of the Chief Legal and Democratic Officer.
Prior to consideration of the above report, a presentation by the Specialist Transport Manager will be provided at the meeting.
Further to Minute No. 6 of the meeting of the Overview and Scrutiny Committee (Regeneration and Skills) of 2 July 2019, the Committee considered the report of the Chief Legal and Democratic Officer that presented formally the final report of the Special Educational Needs and Disability Provision (SEND) Working Group.
The report indicated that the Overview and Scrutiny Committee (Regeneration and Skills) together with this Committee had agreed to establish a Joint Working Group to consider the provision for young people with SEND; that the terms of reference and objectives for the Working Group were “to review post-16 provision for Special Educational Needs and Disability in terms of home to school transport arrangements, as provided by the Council’s Specialist Transport Unit (STU)”; and that the Working Group had appointed Councillor Spencer as the Lead Member for the review and that subsequently, it was agreed that Councillor Dowd would be the Interim Lead Member.
A copy of the Final Report was attached as an Appendix to the report.
Prior to consideration of the report the Committee received a presentation from Councillor Liz Dowd, Interim Lead Member of the Working Group, and Graham Lymbery, Travel Support Manager, on the Final Report.
The presentation outlined the following:-
· Why the Working Group looked at the topic of post-16 home to school transport arrangements, as provided by the Council’s STU, including how the Council supported young people with SEND into work and the key barrier to independent travel.
· The key corporate drivers that included the Sefton 2030 Vision, feedback from families and young people and PSR4 – review and restructure of Specialist Transport.
· The Working Group’s actions in relation to looking at the current arrangements for all home to school travel support for children with SEND, interviewing key staff members, speaking to neighbouring authorities and gaining insight from users of the service.
· The Working Group’s findings, including that the service was done to people rather than with people, lacked customer focus and that the policy was adequate in itself, although it failed to support the Sefton 2030 Vision.
· The changes identified by the Working Group which included working with Children, Parents, Carers, Parent/Carer Forum, creating a culture of shared responsibility, and a clarity of strategic direction with a link to aspirations around the Sefton 2030 Vision.
· What was being done currently to consolidate all elements of Travel Support into one team and the location of the new Travel Support Team next to SEN to facilitate better co-ordination and communication.
· What was proposed to be done which included a change in the relationship the Council had with parents – moving towards co-production and shared responsibility, an increase in capacity to support young people with Travel Training, the introduction of more efficient and effective processes and a recognition of the wider Council objectives and seek to support these.
· The Working Group’s recommendations that were set out in the Final Report.
Councillor Dowd also thanked her fellow Working Group Members, Councillors Brenda O’Brien, Mike O’Brien and Spencer, together ... view the full minutes text for item 9.
Report of the Chief Legal and Democratic Officer.
The Committee considered the report of the Chief Legal and Democratic Officer in relation to the most recent report of the Cabinet Member – Children, Schools and Safeguarding for the period April – June 2019. The report outlined information on the following:-
· Special Educational Needs and Disability (SEND) Re-visit Letter;
· Office of the Schools Adjudicator Annual Return; and
· Ofsted Inspection Outcome.
Councillor J.J. Kelly, Cabinet Member – Children, Schools and Safeguarding, had submitted his apologies for the meeting.
That the Cabinet Member update report be noted.
Report of the Chief Legal and Democratic Officer.
The Committee considered the report of the Chief Legal and Democratic Officer, seeking the views of the Committee on the draft Work Programme for 2019/20; noting the progress to date by the Post-16 Special Educational Needs and Disability (SEND) Provision Working Group; identifying potential topics for a scrutiny review to be undertaken by a Working Group appointed by the Committee; and identifying any items for pre-scrutiny scrutiny by the Committee from the Key Decision Forward Plan.
A Work Programme for 2019/20 was set out at Appendix A to the report, to be considered, along with any additional items to be included and agreed. The Terms of Reference for the Committee were set out at Appendix B to the report.
Further to Minute No. 34 of 29 January 2019, the Chief Officer for NHS South Sefton Clinical Commissioning Group (CCG) and NHS Southport and Formby CCG indicated that an update report on Children and Adolescent Mental Health Services (CAMHS) across Sefton could be submitted to the meeting of the Committee to be held on 12 November 2019.
The Chair reported that a request had been made to defer consideration of the item on “Activity to Promote Breastfeeding” to the meeting of the Committee to be held on 12 November 2019.
The report set out progress to date made by the Joint Working Group for Post-16 Special Educational Needs and Disability (SEND) Provision, comprised of a Member and former Member of this Committee and a Member and former Member of the Overview and Scrutiny Committee (Regeneration and Skills).
The Committee was invited to consider a potential topic for a scrutiny review to be undertaken by a Working Group appointed by the Committee. A Criteria Checklist for Selecting Topics for Review was set out at Appendix C to the report.
Further to Minute No. 48 of 19 March 2019, Members had commented previously that persistent pupil absence could be considered as a potential topic for a working group review.
There was just one Decision within the latest Key Decision Forward Plan, attached to the report at Appendix D, that fell under this Committee’s remit, and the Committee was invited to consider items for pre-scrutiny.
(1) the Work Programme for 2019/20, as set out in Appendix A to the report, be agreed;
(2) the following additional item(s) be added to the Committee’s Work Programme for 2019/20:-
The Chief Officer for NHS South Sefton Clinical Commissioning Group (CCG) and NHS Southport and Formby CCG be requested to submit an update report on Children and Adolescent Mental Health Services (CAMHS) across Sefton to the meeting of the Committee to be held on 12 November 2019;
(3) the request made to defer consideration of the item on “Activity to Promote Breastfeeding” from the meeting of the Committee to be held on 24 September 2019 to the meeting to be held on12 November 2019, be noted;
(4) progress to date by the Post-16 Special Educational Needs and Disability (SEND) Provision Working Group be ... view the full minutes text for item 11.
Parent Governor Representative
The Chair reported that Victoria Ellis-Jones, Parent Governor Representative, would be relinquishing her role as a co-opted member on the Committee and that a replacement Parent Governor Representative would be sought.
That the thanks of the Committee Members be extended to Ms. Ellis-Jones for her role on the Committee as a Parent Governor Representative.