Agenda and minutes

County Councillors Bernard Dawson, Matthew Salter and Alan Schofield  replaced County Councillors Margaret Pattison, Cosima Towneley and Charlie Edwards respectively.

Apologies were received from Councillor Barbara Ashworth, Rossendale Borough Council; Councillor Gail Hodson, West Lancashire Borough Council; Councillor Alistair Morwood, Chorley Council; and Councillor Viv Willder, Fylde 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 were disclosed.

Resolved: That the minutes from the meeting held on 6 November 2018 be confirmed as an accurate record and signed by the Chair.

The Chair welcomed Rachel Snow-Miller, Healthier Lancashire and South Cumbria; Andrew Simpson, NHS England; Mark Hindle, Mersey Care NHS Foundation Trust; and Ian Crabtree, Director of Adult Social Care; to the meeting.

The report presented provided an update on the work of the Transforming Care Partnership (TCP); a partnership between all providers and commissioners across Lancashire and South Cumbria (two County Councils, two unitary authorities and eight Clinical Commissioning Groups). The Transforming Care programme was a national programme and had three key aims:

·  To improve quality of care for people with a learning disability and/or autism.

·  To improve quality of life for people with a learning disability and/or autism.

·  To improve community teams capacity to be able to manage more challenging behaviours and so reducing admissions.

The Lancashire and South Cumbria Partnership had made considerable progress in achieving the national aims as set out in Building the Right Support (BRS) and the National Service Model. The partnership had taken a number of actions. With regard to the cohort of legacy patients, Lancashire and South Cumbria had been set a final trajectory of having no more than 58 patients in hospital beds from a base line of 107.  From this original cohort of 107 patients, the partnership had achieved a discharge for 56 patients, leaving a legacy cohort of 51 patients. Of the 56 people discharged, only four had been readmitted (7%) for any period of time. The Committee noted this was a considerable achievement for the partnership and that it remained on target with the discharge of the original cohort of patients.

It was reported that the current inpatient position was 96 against a final trajectory of 58 people and that despite a steady discharge rate, a number of people had been admitted to hospital (both secure and non-secure beds).  The Committee was informed that the partnership had undertaken a review of all delayed discharges and had identified a number of consistent themes in particular:

·  Acuity and complexity of need

·  Data sharing challenges to support effective discharge

·  Parole Board delays, Court of Protection, Deprivation of Liberty Safeguards (unique cases e.g. online lodging reservation websites)

·  Challenges with CQC engagement and registration/re-registration

·  Gap in fully developed community services to support discharges

·  Protracted procurement process via LCC Flexible Framework

·  Care providers sourced but no accommodation

A number of actions had been identified and implemented. Details of these were set out in the presentation included in the report.

It was noted that overall achievement for completion of Annual Health Checks (AHC) for Lancashire and South Cumbria in 2017/18 was 50.57% against a target of 75%. Whilst this was improvement against 16/17, the partnership acknowledged that this needed to improve further. Improvement actions included the consideration of a 'lab in a bag' – a mobile diagnostics service that would deliver laboratory standard test results outside of hospital and would allow patients to be diagnosed and treated at the point of care. This was currently being piloted in the Chorley area. Also the consideration of working  ...  view the full minutes text for item 4.

The report presented provided an overview of matters presented and considered by the Health Scrutiny Steering Group at its meeting held on 21 November 2018.

Resolved: That the report of the Steering Group be received.

The Work Programmes for both the Health Scrutiny Committee and its Steering Group were presented to the Committee.

Resolved: That the report be noted.

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.

There were no items of Urgent Business.

The next scheduled meeting of the Health Scrutiny Committee will be held on Tuesday 5 February 2019 at 10.30am at County Hall, Preston.

The next meeting of the Health Scrutiny Committee will be held on Tuesday 5 February 2019 at 10.30am in Cabinet Room C – The Duke of Lancaster Room, County Hall, Preston.