Agenda and minutes

Health and Adult Social Care Overview and Scrutiny Panel
Monday, 6th February, 2017 10.00 am

Venue: Room 10

Contact: Mrs KM Howard  01744 67(6106)

Items
No. Item

23.

Apologies for Absence

Minutes:

Apologies were received from Councillors Baines, Neal, McQuade, Mussell and Wiseman.

24.

Minutes of the meeting held on 7 November 2017 pdf icon PDF 82 KB

Minutes:

*           Resolved that the minutes of the meeting held on 7 November 2017, be approved and signed.

25.

Declarations of Interest from Members

Minutes:

No Declarations of Interest from Members were made.

26.

Medium Secure Unit - Scott Clinic Update pdf icon PDF 90 KB

·         Elaine Wilkinson, Strategic Project Manager and Frank McGuire, Clinical Lead, Mersey Care NHS Foundation Trust have been invited to attend.

Minutes:

The Strategic Programme Manager and Clinical Lead from Mersey Care NHS Foundation Trust were present at the meeting to provide an update on the proposal by Mersey Care NHS Foundation Trust (MCFT) to develop a new medium secure unit (MSU) in Maghull.

Following a wide-ranging public consultation, which took place throughout 2014/15, Mersey Care NHS Foundation Trust had been given approval by the Joint Oversight and Scrutiny Committee to proceed towards developing a new medium secure unit and to submit an application for planning permission with a view to developing on the Ashworth hospital site. This unit was intended to provide care for service users with a diagnosis of mental illness or learning disability.

Subsequent to approval, NHS England announced changes to the provision of care for people with learning disabilities and as part of this national transformation plan, Calderstones Partnership NHS Foundation Trust ceased to exist and MCFT took over the care of it’s service users, including patients with a learning disability who needed secure care in July 2016.

As a result of the acquisition, the planning of the new MSU and the design process had been delayed and redeveloped. The proposed new MSU would provide care and treatment for 123 patients diagnosed with mental illness and also for people with learning disabilities across eight specialist wards. This would create a secure campus on the Maghull site which would attract numerous improvements to patient care and outcomes, along with an improved working environment for staff.

 

The Panel raised questions with regards to counselling provision in the new MSU, anticipated impact on the change in environment for service users moving from Calderstones and the integration of patients across the proposed eight wards.

*           Resolved that:

 

(1)             the report be noted;

(2)          the Strategic Programme Manager and Clinical Lead from Mersey Care NHS Foundation Trust be thanked for their attendance; and

(3)          a visit by the Panel to the MSU in Maghull be arranged once the unit is built and operational.

27.

People's Services Projects Update

·         Pauline McGrath, Assistant Director - School and Social Care Support Services and Scrutiny Link Officer have been invited to attend the meeting.

Minutes:

The Link Support Officer, Assistant Director - School and Social Care Support Services gave the Panel an update on the People’s Services Projects.

The Panel was updated on a number of projects being undertaken as part of the overall major reorganisation and delivery of change to People’s Services. This update included;

·         Out of area placements for Adults;

·         Continuing healthcare;

·         Joint funded care packages;

·         Autism Day Services;

·         Learning disability and dementia provision; and

·         Over 65’s falls Pilot Scheme.

 

The Panel was informed that there had been a national driver to reduce the number of adult social care out of borough placements and that the aim was to have the current 28 out of borough placements reviewed by March 2017 with the view to place these individuals, where appropriate, back within the borough.

It was noted by the Panel that it was best, where possible, to ensure St Helens residents were placed within the borough for care and acknowledged that out of borough placements were sometimes necessary but, not when they were no longer needed or because of financial drivers. 

 

It was reported as part of the Continuing Healthcare review, that a piece of work was being undertaken to scrutinise high level care packages, high cost placements and supported living arrangement; particularly with regards to two to one care. It was noted that these were assessed regularly but, that more rigorous reviews were being undertaken to ensure the correct packages were applied to individuals for the right period of time.  

The Panel was informed that the Over 65 Falls Pilot ‘Falls Care’ had been successful and had resulted in a 70% deflection rate from A&E and that the Autism Day Service provision was currently out for tender.

Members raised questions with regards to the success of joint working partnerships and Mrs Smith informed the Panel of the task group work currently being undertaken by Healthwatch on Autism and Asperger’s.

 

*           Resolved that:

            (1)        the verbal update be noted; and

 

(2)        the findings of the Healthwatch Task Group on Autism and Asperger’s be shared with the Panel once complete.

 

28.

Update on Scrutiny Work Programme 2016/17 pdf icon PDF 81 KB

Minutes:

a)            Scoping Matrix - Review of St Helens Infant Feeding Strategy 2016-19

 

A Scoping Matrix was submitted to the Panel which confirmed to Members the purpose of the review, aim and objectives, methodology and approach to undertake the Scrutiny Review of Infant Feeding Strategy 2016/19.

 

*           Resolved that:

(1)        the report be noted; and

(2)        the Scoping Matrix be approved.

 

-oOo-