Agenda and minutes

County Councillors David Stansfield and Richard Newman-Thompson attended in place of County Councillors Andrea Kay and Niki Penney respectively.

Apologies for absence were presented on behalf of Councillors Kerry Molineux, Hyndburn Borough Council, Julie Robinson, Wyre Borough Council and Julia Berry, Chorley Borough Council.

Members are asked to consider any Pecuniary and Non-Pecuniary Interests they may have to disclose to the meeting in relation to matters under consideration on the Agenda.

None disclosed

The Minutes of the Health Scrutiny Committee meeting held on the 22 July 2014 were presented and agreed.

Resolved: That the Minutes of the Health Scrutiny Committee held on the 22 July 2014 be confirmed and signed by the Chair.

The Chair welcomed Richard Cooke, Children's Trust Manager from the Directorate for Children and Young People.

He explained that the Children and Young People's Plan (CYPP) 2014-17 was the key multi agency strategy for children and young people in Lancashire, which had been endorsed by the Health and Wellbeing Board and adopted as the Starting Well strand of the Health and Wellbeing Strategy. The CYPP was a three-year strategy that set out how the county council wanted to work alongside children, young people and families and in doing so, the outcomes the council wanted to achieve. It was a statement of collective ambition for how services, teams and individuals involved in improving the wellbeing of children and young people would work together in a way that provided the best support.

There was an emphasis on early intervention and working with the whole family.

The CYPP has been developed through analysis of data and information, through consultation with partners and most importantly, through talking to Lancashire's children and young people.  Over 2,000 children and young people told the council what Lancashire is like now, what they would like it to be in the future, and what would help them to get there.

A short video, available via the link below, was played which explained the Plan's vision

http://www.lancashirechildrenstrust.org.uk/CYPPlan/?clickthr=home

Following the video, the Chair suggested that any questions relating to this item be held over until after the presentations for the following, related item on school nursing and health visiting.

Resolved: That the report now presented be received.

As part of the ongoing scrutiny of the 'Starting Well' element of the Health & Wellbeing Strategy the Committee had agreed to look at the services relating to school nursing and health visiting.

To enable an effective understanding of the whole approach to these services officers representing both commissioners and service providers had been invited to attend Committee to provide members with information relating to the different roles and responsibilities they each carry out.

A number of appendices were included with the report to provide members with additional background:

• Appendix A – Maximising the school nursing team contribution to the public health of school-aged children (guidance to support commissioning)
• Appendix B – A two-page briefing aimed at Lead Members of Children's Services on School Health Service (produced by the Department of Health and Local Government Association)
• Appendix C – The National Health Visitor Plan: progress to date and implementation 2013 onwards

The Chair welcomed the following officers:

From NHS England, Lancashire Area Team (service commissioners 0 – 5 years):

·  Jane Cass – Head of Public Health.

·  Tricia Spedding – Public Health Commissioning Manager.

From the County Council (service commissioners 5 -19 years):

·  Sheridan Townsend, Public Health Specialist (Children, Young People & Families), Adult Services, Health and Wellbeing Directorate.

From Lancashire Care Foundation Trust (service providers):

·  Michelle Cox – Service Line Manager, Universal Services.

·  Glenda Fox - Service Integration Manager, Universal Services.

From Blackpool Teaching Hospitals Trust (service providers)

·  Nicola Parry – Head of Universal Children's Services.

·  Maureen Huddleston - Team Leader for School Nursing and Health Visiting North locality.

A PowerPoint presentation was delivered on behalf of each of the organisations represented. A copy of all four presentations is appended to these minutes.

NHS England - the presentation explained which commissioning responsibilities were to transfer to local authorities from October 2015 and which were to stay with NHS England. It set out key milestones and progress to date, and also listed a number of 'unknowns' including contracting arrangements and how/when funding would be transferred.

LCC – the presentation briefly summarised the council's responsibilities for child health and relevant commissioned services. It set out what had been done so far in relation to school nursing services and complexities still to be addressed. It included details of health inequalities in Lancashire and relevant statistics.

The presentations from Lancashire Care NHS Foundation Trust and Blackpool Teaching Hospitals NHS Foundation Trust each explained what services were delivered by them as provider organisations, and in which parts of Lancashire, and included an explanation of the four levels of support;

·  universal;

·  universal plus;

·  universal partnership plus; and

·  safeguarding

Following the presentations the Chair commented that the video about the CYPP had communicated very effectively how closely connected health and wellbeing were and how important it was therefore for the county council to always consider the impact on health and wellbeing in connection with all it does.

Members then raised a number of comments and questions and the main points arising from the discussion are summarised below:

·  In response  ...  view the full minutes text for item 5.

It was reported that on 4 July the Steering Group had met with:

• Tony Pounder, Head of Care Act Implementation -  Adult Services, Health and Well Being Directorate
• Khadija Saeed, Senior Business Partner - County Treasurer's Directorate
• County Councillor Tony Martin, Cabinet Member for Adult and Community Services

The Steering Group had received an update on the implications of the Care Act, Home Care Procurement and Telecare.

The Steering Group had also met with a number of officers from Lancashire Teaching Hospitals Trust (LTHT):

• Carole Spencer, Strategy & Development Director
• Steve O'Brien, Assistant Director - Quality
• Paul Howard, Trust Secretary

They attended Steering Group to discuss a presentation to be provided to the Care Quality Commission at the start of the inspection process and receive feedback on a draft bulletin for scrutiny members. A summary of the meeting was at Appendix A to the report now presented.

On 25 July the Steering Group had met with Mark Youlton, Director of Finance - East Lancashire Clinical Commissioning Group and David Rogers, Communications & Engagement – Commissioning Support Unit, to discuss Clinical Commissioning Group's commissioning of services from Calderstones NHS Trust. A summary of the meeting was at Appendix B to the report now presented.

Resolved: That the report be received.

Appendix A to the report now presented set out a draft work plan for both the Health Scrutiny Committee and its Steering Group, including current Task Group reviews.

Resolved: That the work plan be noted.

The Committee's attention was drawn to forthcoming decisions and decisions recently made by the Cabinet and individual Cabinet Members in areas relevant to the remit of the committee, in order that this could inform possible future areas of work.

Recent and forthcoming decisions taken by Cabinet Members or the Cabinet can be accessed here:

http://council.lancashire.gov.uk/mgDelegatedDecisions.aspx?bcr=1

Resolved: That the report be received.

An item of urgent business may only be considered under this heading where, by reason of special circumstances to be recorded in the Minutes, the Chair of the meeting is of the opinion that the item should be considered at the meeting as a matter of urgency.  Wherever possible, the Chief Executive should be given advance warning of any Member’s intention to raise a matter under this heading.

No urgent business was reported.

The next meeting of the Health Scrutiny Committee will be held on Tuesday 7 October 2014 at 10.30am at County Hall, Preston.

It was noted that the next meeting of the Committee would be held on Tuesday 7 October 2014 at 10.30am at County Hall, Preston.