Agenda and minutes

Sheena Cumiskey- Chief Executive, Cheshire and Wirral Partnership (CWP)

Suzanne Edwards- Service Director, CWP

Katherine Wright- Associate Director of Communications and Public Engagement, CWP

Jodie D’Enrico-  Communications and Engagement Manager, CWP

Dr. Sadia Ahmed, Consultant Psychiatrist, CWP

Clare Watson- Interim Chief Officer for NHS South Cheshire and Vale Royal CCG

Jamaila Tausif- Associate Director of Commissioning, NHS South Cheshire and Vale Royal CCG

Jacki Wilkes- Joint Project Lead and Associate Director of Commissioning, NHS Eastern Cheshire Clinical Commissioning Group (CCG)

Matthew Cunningham, Head of Corporate Services, NHS Eastern Cheshire CCG

Dr. Ian Hulme, GP and Mental Health Lead, NHS Eastern Cheshire CCG
Alex Mitchell, Chief Finance Officer, NHS Eastern Cheshire CCG

Linda Couchman- Interim Director of Operations, Adult Social Care, Cheshire East Council

Jill Broomhall- Director of Adult Social Care Operations, Cheshire East Council

Geoffrey Appleton- Chair, Local Safeguarding Adults Board (LSAB)

Sandra Murphy- Adult Safeguarding, Strategic Manager, Cheshire East Council

Katie Jones- Business Manager, LSAB Cheshire East Council

Councillors E Brooks, S Pochin, O Hunter.

To approve the minutes of the meeting held on 9 November 2017.

Councillor Stewart Gardiner noted that the spelling of his name was incorrect.

RESOLVED: That the minutes of the meeting held on 9 November 2017 be confirmed as a correct record and signed by the Chairman.

To provide an opportunity for Members and Officers to declare any disclosable pecuniary and non-pecuniary interests in any item on the agenda.

There were no declarations of the existence of a party whip.

To provide an opportunity for Members to declare the existence of a party whip in relation to any item on the Agenda

There were no declarations of the existence of a party whip.

A total period of 15 minutes is allocated for members of the public to make a statement(s) on any matter that falls within the remit of the Committee.

Individual members of the public may speak for up to 5 minutes, but the Chairman will decide how the period of time allocated for public speaking will be apportioned, where there are a number of speakers.

Note: in order for officers to undertake and background research, it would be helpful if members of the public notified the Scrutiny Officer listed at the foot of the Agenda at least one working day before the meeting with brief details of the matter to be covered.

There were no members of the public present who wished to speak.

To consider the options outlined by Cheshire and Wirral Partnership (CWP) and Eastern Cheshire Clinical Commissioning Group (CCG) in the Pre- Consultation Business Case for Mental Health Redesign.

Representatives from Cheshire and Wirral Partnership (CWP), South Cheshire and Vale Royal Clinical Commissioning Group (SCCCG) and Eastern Cheshire CCG attended the meeting to present the item on Mental Health redesign.

Clare Watson Chief Officer at SCCCG, gave the context to the item since the last time the Committee had considered this item in March 2017.  This included a rise in demand for care, the evidence to support the current service was unsustainable and that current patients could be supported in the community. 

The Pre-Consultation Business Case (PCBC) had been written in partnership with organisations that included Cheshire East Council and the Third Sector in addition to listening events over 12-months and input via the pre-consultation workshops held in the borough.  The Committee was thanked for its previous input and recommendations, as this had helped to shape the progression of the pre-consultation work.

Jacki Wilkes, Project Lead and Associate Director of Commissioning, ECCCCG, addressed the Committee and talked through the case for change and outlined the needs of the population.  The consistent theme that had emerged throughout the pre-consultation had been the call for more personalised care and more support in the community.  One key point for the new model of working was to support people as close to home as possible in the least restrictive environment. 

The Committee was informed that ECCCG and CWP had listened to patients and looked at local options that considered:

·         Clinical outcomes, continuity and quality of care;

·         Travel implications for patients and carers;

·         Estates options and potential for reconfiguration; and

·         Working within financial control totals.

This had culminated in 8 options, which were assessed against a number of criteria and formed the final 3 options: 1, 4a and 4b. 

Following the presentation, the Chairman invited questions from the Committee, it was agreed that in instances where Councillors had a number of specific questions, these could be submitted to the panel after the meeting. 

The Committee asked for some explanation as to why the amount of crisis beds had dropped from 10 to six.  It was explained this was in response to a needs analysis.

There was some discussion about the role of the sustainability of the Third Sector in the business proposal.  Jacki advised that the early conversations with the sector has been positive, however it was too early in the process to discuss funding.

Clare advised that the current method of delivering care was unsustainable, a redesign of Mental Health services provided the opportunity to identify how all the health bodies across Cheshire worked and pooled resources and funding to bring opportunities to commission collectively for a better Mental Health offer to patients.  Councillor Janet Clowes, Portfolio Holder for Adult Social Care and Integration suggested that it would be helpful to view the proposed redesign plans for mental health in the context of the NHS 5-Year Forward View.

The Committee requested that as part of the consultation, there needed to be a succinct precis to show exactly the type of care that  ...  view the full minutes text for item 61.

Geoffrey Appleton, Independent Chair of Cheshire East Safeguarding Adults Board to present the Safeguarding Adults Board annual review.

Geoffrey Appleton, Interim Independent Chair of the Local Safeguarding Adults Board (LSAB) attended the meeting to present a Peer Review, Annual Report and Improvement Plan.

The Committee asked for clarification on transitional arrangements from children into adulthood.  Geoffrey acknowledged that the processes in place for children were very different to those for adults and that people who didn’t meet criteria were more likely to struggle with chaotic life cycles.  Geoffrey had done some work in this area with Cheshire West and Chester Council and expected those lessons to be transferable into East Cheshire.  Cheshire East Council were committed to identifying life transitions and smoothing barriers.

The Committee asked for clarification on the Deprivation of Liberty in domestic settings.  Geoffrey explained this referred to the arrangements that were in place for vulnerable people who lacked the mental capacity to represent themselves in areas that involved their care or treatment arrangements.  The LSAB worked closely with Legal Colleagues to ensure people were protected and received the least restrictive care at home.  Sandra Murphy, Adult Safeguarding Strategic Manager advised the Committee that four Member Training sessions had been scheduled.

RESOLVED:

(a)  That the Geoffrey be thanked for his presentation;

(b)  That the Local Safeguarding Adults Board (LSAB) Peer Review and Improvement Plan be received and noted;

(c)  That the content of the LSAB Improvement Plan be supported; and

(d)  That the speakers be invited to this Committee in June 2018 for a mid-point update and again in December 2018 for the LSAB annual review.

To review the current Work Programme

The Committee reviewed its Work Programme. 

RESOLVED- That:

(a)  the 5-Year Forward View Mental Health Proposals for South Cheshire Clinical Commissioning Group (CCG) be scheduled for 8 February 2018 and the same item for Eastern Cheshire CCG be presented at the same time;

(b)  the Palliative Care Spotlight Review be reviewed as an update on the current position to assess the next steps as appropriate;

(c)  the item for Care4CE be scheduled for June 2018;

(d)  the Outcomes of the Better Care Fund be removed from the Work Programme;

(e)  the Integrated Carers Hub item be scheduled for 5 April 2018;

(f)   the Voluntary, Community and Faith Framework be scheduled for 5 April 2018;

(g)  Communities and Adult Social Care redesign be added to the Work Programme and scheduled for 8 March 2018; and

(h)  any questions relating to the budget setting item be submitted in advance of the meeting.

To note the current forward plan, identify any new items, and to determine whether any further examination of new issues is appropriate.

The Committee reviewed the Forward Plan.

RESOLVED: That the Forward Plan be received and noted.