Agenda and minutes

Health and Adult Social Care Overview and Scrutiny Panel
Monday, 15th January, 2018 10.00 am

Venue: Room 10 - Town Hall

Contact: Mrs KM Howard  01744 67(6106)

Items
No. Item

8.

Apologies for Absence

Minutes:

Apologies for absence were received from Councillors Baines, McQuade and Mussell.

9.

Minutes of the meeting held on 20 November 2018 pdf icon PDF 72 KB

Minutes:

*           Resolved that the minutes of the meeting held on 20 November 2018, be approved and signed, subject to the inclusion of Mrs Brenda Smith’s apologies.

10.

Declarations of Interest from Members

Minutes:

No Declarations of Interest from Members were made.

During consideration of the following item Councillors Bell and Wiseman declared a Personal non pecuniary interest.

11.

Support for Adult Carers pdf icon PDF 104 KB

·         Councillor Quinn, Cabinet Member for Adult Social Care and Health, Pauline McGrath, Assistant Director, School and Social Care Support Services and Gillian Whittle Service Manager, Vulnerable Adults Commissioning have been invited to attend.

Minutes:

Councillor Quinn, Cabinet Member for Adult Social Care and Health presented a report on the Carer’s Service St Helens.

 

The report gave the panel an overview of the commissioned Carer’s Service in St Helens providing information on:

 

·         The National Context;

·         The service in place and related data;

·         Statutory duties undertaken by the service;

·         Service performance;

·         Key themes from monitoring information; and

·         Local Change

 

It was reported that by the end of March 2017, there were 11,429 active carers receiving a service which accounted for 50.6% of all the Borough carers. The cared for groups spanned a wide range, with the top three being: physical disability over 60, dementia and physical disability. Other areas were learning disability and learning disability with dementia.

At the end of quarter four 2016/17, the service had continued to grow its offer and reach within St Helens with opinion from both the Commissioner and Contract relationship Manager that it was a good service that performed well. The service was continually successful in identifying hidden carers and had been particularly successful in building strong links into schools.


The Panel was informed that a piece of work was being undertaken by the Commissioner ahead of re-procurement which was due in 2018. The work sought to establish the effectiveness of the current service specification and whether changes would be required at re-tender.

It was reported that the current (or any future provider) would be required to work within the St Helens Cares context. The Chief Executive of the current provider was a member of the work stream for the ‘Front Door’ of St Helens Cares and was therefore making a contribution in shaping this in relation to carers.

Members raised questions which were answered at the meeting in relation to: support for mid-life carers including access to advice, information and support following discharge from hospital, care packages and assessment of the mental health impact to complement the physical support and the integration of commissioned service with non-commissioned services.

 

*           Resolved that:

 

(1)          the report be noted;

(2)          a six month update report be brought to a future meeting of this Panel; and

(3)          the Cabinet Member for Adult Social Care and Health be thanked for their attendance.

 

Councillor Quinn left the meeting during discussion of the following item.

 

12.

Adult Safeguarding Board pdf icon PDF 210 KB

·         Tom Wolstencroft, the Independent Chair of the Adult Safeguarding Board has been invited to attend.

Additional documents:

Minutes:

Tom Wolstencroft, Independent Chair of the Safeguarding Adults Board (SAB) appeared before the Panel to present the St Helens Safeguarding Adults Annual Report 2016-17.

 

The presentation detailed the following:

 

·         My Background;

·         Six Key Principals;

·         SAB three Core Duties;

·         What the SAB needs to do;

·         Annual Report;

·         Enquires in St Helens;

·         St Helens SAB;

·         Comments from Individuals and Families; and

·         SAB Assurance – Going forward

 

The St Helens Safeguarding Adults 10th Annual Report 2016-17 was attached to the report at Appendix 1.

Members raised questions which were answered at the meeting regarding: clarification on the demographic represented in the reported abuse figures within the annual report and if there was information available that broke down abuse by Ward, the impact of referral rates in light of high profile sexual abuse cases reported in the media and residential/ nursing home environment and reported incidents.

 

*           Resolved that:

 

(1)          the presentation and report be noted; and

 

(2)          the Independent Chair of the Safeguarding Adults Board, Tom Wolstencroft be thanked for his attendance at the meeting.

 

13.

Living Well Taking Control Scheme pdf icon PDF 109 KB

·         Sue Forster, Director of Public Health and Matt Davies, Head of Public Health Commissioning have been invited to attend the meeting

Minutes:

At a meeting of this Panel held in November 2016, the Panel received a report on the National Diabetes Prevention Programme and pilot and requested that a 12 month update be brought back to the Panel.

The
Head of Public Health Commissioning, Matt Davies was present at the meeting to provide the Panel with an update.

Since October 2016, St Helens CCG & St Helens Council’s Public Health team in partnership with Living Well Taking Control (LWTC) had been successfully rolling out the National Diabetes Prevention Programme (NDPP) in St Helens.

The report updated the panel on the background of the programme, achievement, next steps, the referral profile and outcome indicators and measures.

The Panel was informed that there had been a number of key achievements including: successful engagement with 28 out of 35 GP Practices, referral uptake of 50%, 642 referrals received against an expected profile to date of 592, 351 initial assessments completed against an expected profile to date of 235 and the supporting of other sites through the sharing of learning, best practice and workshops.

The seven month Mobilisation Plan (Jan 2018 to July 2018) was attached to the report at Appendix A.

Members raised questions which were answered at the meeting regarding assessment of the quality of the providers programme and GP engagement and Health check referrals.

*           Resolved that:

 

(1)          the update report be noted; and

 

(2)          theHead of Public Health Commissioning be thanked for their attendance.

 

Councillor Wiseman here left the meeting.

 

14.

Healthwatch Update

·         Jayne Parkinson, Healthwatch St Helens Manager

Minutes:

A verbal report was given to Members by Healthwatch Manager, Jayne Parkinson-Loftus, to update them on the work of Healthwatch.

Members were informed of two upcoming events: L
istening Event on 20 January 2018 on out of hospital nursing and Talkfest on 25 January 2018 which was focusing on winter pressures on the NHS including the misuse of antibiotics, emergency and urgent care, pharmacy and caring for yourself.


The Panel was also informed that Healthwatch continued to develop their review on access to mental health services, which would tie in with the current work of this Panel and that the findings on ‘where would you choose?’ a questionnaire investigating people’s decision making when it came to illness and injury had been drafted.

Members raised questions which were answered at the meeting regarding Healthwatch feedback regarding pharmacy advice and access. It was proposed that the Panel consider pharmacy service and disposal of unused medication as a potential future topic for the Panel to investigate.

*           Resolved that the verbal report be noted.

 

15.

Update on Scrutiny Work Programme 2017/18 pdf icon PDF 89 KB

i)              Scoping Matrix Mental Health Service

Minutes:

A verbal report was made to the Panel by the Scrutiny Manager which updated Members on the Scrutiny Work Programme 2017/18.

 

i)             Scoping Matrix Mental Health Service

The Scoping Matrix for the Scrutiny Review of Adult Mental Health Service was presented to the Panel.

This set out the purpose of the review including; aims and objectives, methodology and approach, witness’s experts to be involved, impact, implications and risks of the review and proposed a timetable for the review.

 

*           Resolved that:

 

(1)             the report be noted; and

(2)          the scoping matrix for Scrutiny Review of Adult Mental Health service be approved.

 

-oOo-