Agenda and minutes

Health and Adult Social Care and Communities Overview and Scrutiny Committee
Thursday, 7th February, 2019 10.00 am

Venue: Committee Suite 1,2 & 3, Westfields, Middlewich Road, Sandbach CW11 1HZ. View directions

Contact: Joel Hammond-Gant  Scrutiny Officer

No. Item


Apologies for Absence


Apologies for absence were received from Councillors C Andrew, D Mahon and A Moran (substituted for by Councillor B Walmsley.)


Minutes of Previous meeting pdf icon PDF 56 KB

To approve the minutes of the meeting held on 17 January 2019





That, subject to the addition of the time the meeting concluded, the minutes of the previous meeting be approved as a correct record and signed by the Chairman.


Declarations of Interest

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


No declarations of interest were received.


Declaration of Party Whip

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


No declarations of a party whip were received.


Public Speaking Time/Open Session

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.




No members of the public expressed an interest in speaking.


Healthwatch Cheshire East - Overview and Update

To receive a presentation on the work of Healthwatch.


The committee received a presentation from Louise Barry, Chief Executive Officer of Healthwatch Cheshire, which demonstrated the role of Healthwatch, the work that it had undertaken to date in 2018/19, and the key pieces of work planned for the future.


Members asked where Healthwatch Cheshire had received its funding from, and whether additional funding would be received if Healthwatch Cheshire worked with the NHS to support the engagement of its NHS Long-Term Plan.




That the update be noted.


Delayed Transfers of Care update pdf icon PDF 167 KB

To receive an update report and presentation, following on from the Delayed Transfer of Care (DToC) ‘Deep dive’ that was conducted in June 2017.



The committee considered a report and presentation submitted jointly by officers from Cheshire East Council, NHS Eastern Cheshire Clinical Commissioning Group (CCG) and NHS South Cheshire CCG on performance relating to delayed transfers of care (DToC).


The update focused on the work undertaken by the organisations since the committee undertook a spotlight review on DToC in June 2017. 


Officers emphasised the importance of establishing and maintaining successful joint-working arrangements to ensure improvements can continue to be made in relation to transfers of care.


Members asked questions and made comments in relation to:


·         whether the reduction in DToC was attributed to a decrease in A&E attendances, or to the collective work of the health and social care partners involved, or both;

·         how the new ICT infrastructure installed at Leighton Hospital had supported the work undertaken to improve patient transfers of care, and

·         whether any particular strategies had been put in place to support the council and health partners to meet key performance targets, if the pressure from A&E attendance rates remains the same or increases.





1.    That a further performance report be presented to the committee in approximately one year.


2.    That the supplementary report specifically responding to how effectively the recommendations made by the committee in its published spotlight review report had been taken on board and had contributed to the improved performance.


3.    That officers provide the Scrutiny Officer with the verified cost of the new ICT system installed at Leighton Hospital, Crewe, to be circulated to the committee for information.


Everybody Sport and Recreation Performance Report 2017/18 pdf icon PDF 95 KB

To give consideration to the performance report for 2017/2018

Additional documents:


Pursuant to Minute No. 78 and 79 (Health and Adult Social Care and Communities Overview and Scrutiny Committee 2018/19,) the committee considered the annual performance report of Everybody Sport and Recreation (ESAR) for 2017/18, which provided details of the strategic and financial aims and performances in the last municipal year.


The Chairman declared that he and the ESAR Board Chairman both sit on the board of directors for Civicance. No action was required.


The committee put questions and comments in relation to;


·         how the advertisement and awareness of the small grants scheme could be improved;

·         how the £74k surplus in 2017/18 had been managed;

·         not all services that had been provided to date had met the needs of people in areas of greater deprivation in the borough;

·         whether any work had been undertaken to analyse where there are gaps in provision;

·         why the financial strategy of the [not-for-profit] organisation was to establish and maintain a reserve figure;

·         whether the organisation receives third party investment; and

·         if it would be possible for future annual reports to include more information on how ESAR is working to tackle and improve the prevalence of mental health issues across the borough.




That the committee consider the 2018/19 performance report of Everybody Sport and Recreation at the earliest opportunity in the municipal year 2019/20.


Performance Scorecard - Q2 pdf icon PDF 166 KB

To give consideration to the performance scorecards for Adult Social Care and Public Health.

Additional documents:


The Director of Adult Social Care and Director of Public Health updated members on 2018/19 Quarter 2 performance information relating to adult social care and public health matters, respectively, that fell within the committee’s remit. 


Members asked for explanations as to why performance in certain areas had dipped during the last quarter.




1          That the performance scorecard be noted.


2          That the 2018/19 Quarter 3 performance scorecard be submitted to the 11 April 2019 meeting.




Forward Plan pdf icon PDF 183 KB

To give consideration to the areas of the forward plan which fall within the remit of the Committee.


The committee considered the council’s Forward Plan for the four month period ending 30 April 2019.




That the Forward Plan be noted.


Work Programme pdf icon PDF 96 KB

To review the current Work Programme

Additional documents:


The committee considered its work programme and noted the items expected to be submitted to its next meeting on 7 March 2019.


The Chairman confirmed that the item on ‘Deprivations of Liberties Situation’ on 11 April 2019 would be undertaken as a more informal training session to enable the members of the committee to learn about the matter in greater detail.


A short break was taken and the committee welcomed Tom Knight, Head of Primary Care for NHS England North, to answer members’ questions and provide further detail on the planned changes to specialist oral surgery and orthodontic services provided from Macclesfield General Hospital.




1.    That the ESAR annual performance report for 2018/19 and DToC performance report be added to the work programme to be considered in November 2019 and February 2020, respectively.


2.    That the proposed changes to specialist oral surgery and orthodontic services presently provided at Macclesfield General Hospital, be treated as a Level 3 ‘Significant Development or Variation’.


3.    That East Cheshire NHS Trust be asked to attend the next meeting of the committee on 7 March 2019 to present a more detailed report on the proposed changes, the potential impacts to patients in the short-term and the longer-term plan for the delivery of these services in Cheshire East.