Agenda and minutes

Apologies for absence were received from Councillors E Brooks and I Faseyi (substituted for by Councillor D Flude.)

To approve the minutes of the meetings held on 13 September and 27 September 2018.

RESOLVED

That the Minutes of the meetings of the Health and Adult Social Care and Communities Overview and Scrutiny Committee held on 13 September and 27 September 2018, be approved 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 interest.

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.

To consider a report from NHS Eastern Cheshire Clinical Commissioning Group on the remit and progress of the new Cheshire East Place Partnership Board.

Consideration was given to a report submitted by the Interim Chief Accountable Officer for NHS Eastern Cheshire Clinical Commissioning Group (CCG) on the role of the Cheshire East Partnership Board, and progress it had made since its inception in April 2018.

Comments were made in support of the continued integration of local models of care, however, members put questions and comments in respect of the financial implications of the board during the present, challenging financial climate.

Reassurances were given that the board would not incur additional costs to the CCG, and that overall savings would still be made through the integration of the four CCGs in Cheshire. 

RESOLVED

That the committee continues to monitor the work and progress of the Place Partnership Board, within the context of the wider integration of care and commissioning models across Cheshire.

To consider the health and adult social care performance scorecard for quarter one of the 2018/19 municipal year.

Consideration was given to the health and adult social care performance scorecard for the first quarter of 2018/19.  A red/amber/green (RAG) rating system was used to compare current performance to national and regional averages, as well as 2017/18 year-end figures and 2018/19 targets.

Members discussed delayed discharge rates and the importance of effective communication and integrated service delivery in meeting discharge targets, and expressed concern as to whether the expected delegation of increased powers to care homes to appoint independent advocates would improve or worsen the safeguarding of residents.

The committee requested that further statistical analysis be provided on the number of safeguarding investigations conducted within the community, outside of care homes.

The Portfolio Holder for Adult Social Care and Integration commented that the quarter one performance, in comparison to national figures, demonstrated positive work resulted from hardworking services, but emphasised that this would act as a baseline to monitor and measure future progress against.

RESOLVED

1          That the Director of Adult Social Care be asked to provide the committee with the requested information and data on reported safeguarding issues within the community.

2          That the committee continues to monitor performance across health and adult social care services, with the performance scorecard report for quarter two of 2018/19 to be reported to the meeting of the Health and Adult Social Care and Communities Overview and Scrutiny Committee on 17 January 2019.

To consider the report of the Health and Adult Social Care and Communities Overview and Scrutiny Committee following its spotlight review on mental health service provision in Cheshire East.

Consideration was given to the committee’s report on its findings from the spotlight review undertaken in April 2018 on the provision of mental health services in eastern Cheshire.

Thanks were given to the various officers, witnesses and stakeholders that supported the review and assisted the committee in producing its findings and the final report.

Following members’ questions, representatives from NHS Eastern Cheshire CCG advised that they would provide the committee with further clarity on the financial spending reported.

RESOLVED

That, subject to clarification from the NHS Eastern Cheshire CCG with regard to the financial information reported, the committee approve the report and share it with relevant partners and stakeholders and publish it to the Council’s website.

To review the work programme.

Consideration was given to the committee’s current work programme.  Pursuant to comments raised by members during Minute No. 48, it was agreed that the committee would add to the work programme;

·         a report on adult safeguarding and deprivations of liberties; and

·         a joint report from Cheshire East Council, Eastern Cheshire CCG and South Cheshire CCG on the overall performance with regards to delayed transfers of care, including a review of the implementation and effectiveness of recommendations made by the committee in its spotlight review report.

RESOLVED

That the listed items be added to the work programme and be reported to the committee on 17 January and 7 February 2019, respectively.

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

The committee reflected on the Council’s forward plan of decisions to be made and asked that the consideration be given to the role that scrutiny could have to the following items;

·         CE 18/19 – 10 ‘Everybody Sport and Recreation Annual Performance Report 2017/18’;

·         CE 18/19 – 20 ‘My Life, My Choice: A Strategy for People with Learning Disabilities’;

·         CE 18/19 – 22 ‘Extra Care Housing: Housing Provision’; and

·         CE 18/19 – 23 ‘Community Centres’.

RESOLVED

That the Scrutiny Officer liaise with the Chairman and the appropriate internal and external officers to determine if, and when, reports on the listed matters would be presented to the committee.