Agenda and minutes

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Items
No. Item

96.

Apologies

97.

Declarations of Interest

    Members are required to declare any disclosable pecuniary, personal or personal and prejudicial interests they may have and the nature of those interests relating to items on this agenda and/or indicate if S106 of the Local Government Finance Act 1992 applies to them.   

    Minutes:

    There were no declarations of interests.

98.

Minutes pdf icon PDF 75 KB

    To consider the Minutes of the meeting of the Health, Schools and Care Overview and Scrutiny Committee, held 28th November 2018.

    Minutes:

    Resolved – that the minutes of the meeting of the Health, Schools and Care Overview and Scrutiny Committee, held 28th November 2018, be signed by the Chair and approved as a correct record.

99.

Pennine Care NHS Foundation Trust

    Presentation on services provided

    Minutes:

    The Chair welcomed Mr. P. Cheetham, Ms. J. Reynolds and Ms. C. McCann from Pennine Care NHS Foundation Trust to the meeting who were in attendance to provide a presentation and general update on the services provided by the Trust within and without the Borough. Pennine Care provides mental health and community services to people living in the boroughs of Bury, Oldham and Rochdale, also providing mental health services in Stockport, Trafford and Tameside and Glossop. In this regard the Trust served a population of 1.3 million people, operated from 250 locations and had a workforce of over 5,000.

     

    In the Heywood, Middleton and Rochdale area (HMR) the Trust’s “service offer” was broken down as follows: Adult services (Primary Care, Community and inpatient), Child and Adolescent (Community and inpatient), Older People’s (Community and inpatient), Substance Misuse, Leaning Disability and Rehabilitation and High Support.

     

    The Trust currently offers community services, which are provided by a large range of clinical and support staff including: district nurses, school nurses, health visitors, therapists, dentists and allied health professionals.

     

    In terms of specialist services, Pennine Care provided Child and Adolescent Mental Health Services, mental health support for Children, Young People and Families, dedicated Transition, Neuro-developmental, Primary Mental Health and Cared for Children mini teams integrated within the Service, including links to tier three inpatient units.

     

    The presentation looked at ways of integrating services with the local health economy and in that regard examined all the different partners and other agencies that had a role to play in the provision of services by the Trust. In the Rochdale Borough the Trust had a series of locality teams which were largely split along the boundaries of the Borough’s four Township areas. Each of the locality teams had staff that worked in the community and in schools.

     

    Members of the Committee were advised that the Trust was the subject of a ‘well led’ CQC inspection between August and October 2018, which concluded that overall the Trust still ‘required improvement’ but nonetheless had highlighted a number of areas of good practice within the Trust’s footprint such as dentistry, oral health and children’s mental health services.

     

    Members asked questions and sought clarification from Mr Cheetham and his colleagues including:

    a.     Provision of ‘out of hours’ services that are offered by the Trust

    b.     Clarification was sought relating to the provision of dentistry and oral health services

    c.     Clarification of the current financial situation appertaining to the Trust

    d.     Details of the Trust’s workforce strategy and staffing levels

    e.     Outcomes of the recent CQC ‘well led’ inspection and details of any follow-up inspections that the CQC may be planning to undertake

     

    Members of the Committee expressed an interest in visiting the Trust’s facilities and services that were on offer at Nye Bevan House, Rochdale.

     

    At the conclusion of the presentation the representatives from Pennine Care NHS Foundation Trust were thanked for their attendance and invited to attend future meetings to provide an update on the issues that were discussed.  ...  view the full minutes text for item 99.

100.

Market Oversight Report pdf icon PDF 106 KB

    Quality assurance information for services commissioned by Adult Care, in respect of Quarter 3 2018/19 (September – December)

    Additional documents:

    Minutes:

    The Committee considered a report of the Assistant Director - Adult Care (Commissioning) regarding the Market Oversight Plan which provided quality assurance information for services commissioned by the Adult Care service for the third quarter of 2018/19 (October - December).

     

    The Adult Care Service commissioned external provider services to deliver a range of care services to adults with eligible social care needs. The Adult Care commissioning team assured the quality of the services. The market oversight report presented quality assurance information for quarter three of 2018/19 for the Committee to scrutinise.

     

    In response to a query from a Member the Assistant Director - Adult Care (Commissioning) advised that the Council was working closely with other local authorities, who were hosting Rochdale residents, to secure appropriate funding, or affordable care packages, that may result in more Rochdale Borough residents being housed within the Borough. In terms of ‘out of borough’ placements the Assistant Director assured the Committee that all providers were monitored by the Care Quality Commission.

     

    Resolved – that the report be noted.

101.

Need for Extra Reception Class Places 2018 - 2021 pdf icon PDF 1 MB

    To scrutinise proposals for additional Reception Class Places

    Minutes:

    The Committee scrutinised a report of the Director of Children’s Services, which advised that the borough of Rochdale continued to see large numbers of children applying for in-year primary school places. In the 2017/18 academic year a total of 970 new school places were applied for in-year (primary and secondary combined). For the four months from September to December the current academic year’s total of additional school in-year applications was 30.7% higher than the previous year.

     

    Birth rates from the latest Office of National statistics data available regarding Rochdale, for the 2016/17 academic year, showed that there were 3,051 births in the borough. This nearly equals the previous record birth rate of 3,069 which occurred in 2011/12. The 2011/12 children were presently in year 2 and made up the largest school cohort with a total of 3075 year 2 pupils across the borough.

     

    Recent house completion data that was reported in the local media (28/11/2018), showed that the creation of new housing had doubled in the 2017/18 financial year to 799 completions. The average rate of new house builds 2010 – 2016 was 381 per year. The 5 year Strategic Housing Land Availability Assessment (April 2018) gave an average house build rate of over 850 per annum for the next 10 years and while this could be affected by economic conditions and forecasts, the additional forecasted children must be considered.

     

    As a consequence of the three elements detailed above, extra capacity was needed at the Primary school estate in all areas of the borough.

     

    In considering the report the Committee sought clarification on the placement of children in the borough’s primary schools, the likely impact of the greater Manchester Spatial Framework, the funding streams for Free Schools and Academies and issues around capacity at some of the borough’s primary schools especially in the Pennines Township area.

     

    The Committee, in considering the report also noted that it was due to be presented to the Cabinet on 26th February 2019.

     

    Resolved:

    1.     The report be noted.

    2.     This Committee confirms that it has considered the information presented in the submitted report and supports the proposed expansion of the Primary school estate with the understanding that further details will be brought before the relevant Township Committees, in due course, for consideration.

    3.     The Committee confirms that it has considered the possibility of new Primary schools being needed, which would be required to be created using the Free School/Academy programme - housing developer education contributions through the S106 procedure were being sought from all suitable housing developments.

102.

Need for Extra Year 7 places 2019-2028 pdf icon PDF 123 KB

    To scrutinise proposals for additional Year 7 school places

    Minutes:

    The Committee scrutinised a report of the Director of Children’s Services which informed Members that Secondary school intakes for September 2019 and 2020 were going to be higher than usual but current estimates suggested that with additional capacity being sought, places were expected to be available for all pupils living in the borough. The Council had a statutory duty to provide education and school places to all school aged children living in the borough and consequently has a duty to plan adequately for predicted pupil numbers.

     

    The Borough of Rochdale had seen consistent growth in its school cohorts. In October 2005 there were 2138 pupils in the year 7 cohort and in 2018/19 this number was up to 2916 pupils; which represented a 36% increase.

     

    Since 2012 Secondary schools in Rochdale have been expanded and/or taken more children creating another 330 places per year group, or a total of 1650 additional school places. Building extensions are currently underway at Matthew Moss High School and Siddal Moor Sports College. This means there are currently 2880 year 7 places available in Rochdale schools with no further opportunities available for expansion.

     

    The report also updated the Committee on the progress for the two new schools needed in the borough that were planned to be built in the Pennines and Middleton Townships respectively. Discussions with both schools and the Department for Education were ongoing.

     

    In considering the report, Members noted that it was due to be presented to the Council’s Cabinet on 26th February 2019.

     

    Resolved:

    The Committee notes the report and the measures still in development to limit the possibility of a shortage of year 7 places.

103.

IVF Funding Policy Consultation pdf icon PDF 602 KB

    An update on proposals considered by the Integrated Commissioning Board on 29th January 2019

    Minutes:

    The Committee scrutinised a report of the Director of Public Health that provided Members with an update on feedback received from the IVF consultation that ran from the 3rd December 2018 to 16th January 2019; a response to the key thematic points raised by stakeholders and members of the public; and a set of recommendations and supporting evidence to consider in regard to future IVF funding Policy.

     

    Feedback that had been received via the public consultation was considered in detail and, as a result of some of the points raised; the Heywood, Middleton and Rochdale NHS Clinical Commissioning Group (CCG) had reviewed the evidence base behind its preferred policy option. The CCG was satisfied that the decision to recommend a change in policy to one funded cycle was supported by evidence, as well as the need to respond to the significant financial pressure currently facing the NHS as a whole.

     

    A number of points were raised via the consultation that individuals/couples with pre-existing medical conditions would be disproportionately disadvantaged by a proposed change in policy. The CCG had reviewed this, and individuals/couples who have a clinically exceptional need would be able to have their case evaluated via the Individual Funding Request (IFR) route at the CCG’s offices.

     

    The policy was being recommended for immediate implementation but would not affect any patients who have already been referred to an IVF service (including those who are waiting but have not yet been seen) and patients on any other part of the IVF pathway, including tests for subfertility. The Committee was advised that the recommendations in the report were considered and approved by the Council/CCG’s joint Integrated Commissioning Board meeting that was held on 29th January 2019. The Director of Public Health updated the Committee on the outcome of the Integrated Commissioning Board’s deliberations in this regard. 

     

    Resolved:

    The Health, Schools and Care Overview and Scrutiny Committee notes the decisions made by the Integrated Commissioning Board, at its meeting on 29th January 2019, with regard to a revised IVF funding policy:

    a.               HMR CCG adopts a policy of funding one IVF cycle. However, all individuals/couples who have a clinically exceptional need will be able to have their case evaluated via the Individual Funding Request (IFR), route at HMR CCG.

    b.               HMR CCG adopts this policy effective from 1st February 2019.

104.

Adult, Children and Public Health Directorate Plans 2018/19 Quarter 3 Performance Update pdf icon PDF 167 KB

105.

Social Care Complaints pdf icon PDF 96 KB

106.

Joint Health Overview and Scrutiny Committee for Pennine Acute Hospitals NHS Trust pdf icon PDF 67 KB

    Minutes of a meeting of the Joint Health Overview and Scrutiny Committee for Pennine Acute Hospitals NHS Trust, held 15th October 2018

    Minutes:

    Resolved;

    That the Minutes of the meeting of the Joint Health Overview and Scrutiny Committee for Pennine Acute Hospitals NHS Trust, held 15th October 2018, be noted.

107.

Greater Manchester Joint Health Scrutiny Committee pdf icon PDF 74 KB

108.

Work Programme 2018/19 pdf icon PDF 87 KB

109.

Exclusion of Press and Public

    To consider that the press and public be excluded from the remaining part of the meeting pursuant to Section 100(A)4 of the Local Government Act 1972 on the grounds that discussions may involve the likely disclosure of exempt information as defined in the provisions of Part 1 of Schedule 12A to the Local Government Act 1972 and public interest would not be served in publishing the information.

    Minutes:

    Decision:

     

    That the Press and Public be excluded from the meeting during consideration of the following two items of business, in accordance with the provisions of Section 100A (4) of the Local Government Act 1972, as amended.

     

    Reason for Decision:

     

    Should the press and public remain during the following item of business as there may be a disclosure of information that is deemed to be exempt under Part 3 of Schedule 12A of the Local Government Act 1972.

110.

Update on Commissioning Contracts

    Assistant Director of Adult Care (Commissioning) to verbally update the Committee.

    Minutes:

    The Assistant Director - Adult Care (Commissioning) advised the Committee on actions approved by the Chair to authorise the submission of a report, relating to Commissioning in the Adult Care Service, on to the Cabinet’s private agenda. The Assistant Director undertook to submit a report, to a future meeting of the Committee, appertaining to outlining the Commissioning issues.

     

    Resolved:

    The report be noted.

111.

2019/20 - 2020/21 Savings Programme for the Integrated Health & Social Care Pooled Fund

    The Committee is asked to scrutinise details of the Savings Programme for the Integrated Health & Social Care Pooled Fund

    Minutes:

    The Committee scrutinised a report of the Director of Public Health that provided Members with: an update on the Savings Programme and an overview of the proposed phasing and categorisation of round 1 and 2 savings schemes; the round 2 savings proposals to contribute to closing the budget gap for the Integrated Health & Social Care Pooled Fund for 2019/20 & 2020/21; an overview of the Programme Framework which was developed to provide assurance around the delivery of the Savings Programme; and an overview of the Decision Making Framework which was developed to aid decision making following a discussion at the Integrated Commissioning Board (ICB) development session in December 2018.

     

    The Committee was advised that on 17th December 2018, a meeting was held with the main acute provider Pennine Acute Hospital Trust (PAHT), to discuss all savings proposals which would affect them and in particular those affecting urgent care. At this meeting an agreement was made between provider and commissioner to work together to deliver the required savings. Whilst it was recognised that savings needed to be delivered in 2019/20, it was agreed that there is a need to take a more strategic approach so as not to destabilise the urgent care system. The outcome was an agreement for a full Planned Care and Urgent Care review to take place before some of the savings schemes can be implemented.

     

    Resolved:

    The Health, Schools and Care Overview and Scrutiny Committee notes the decisions of the Integrated Commissioning Board, in relation to this matter, at its meeting on 29th January 2019, as follows:

     

    a.               To approve the revised categorisation and phasing of schemes and the implementation of a full Urgent and Planned Care Review;

    b.               To approve the round 2 savings proposals contained within the appendices and comment as appropriate

    c.               To consider the Savings Programme Framework and Decision Making Framework and comment as appropriate.