Agenda and minutes

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Contact: Peter Thompson  4715

Items
No. Item

63.

Declarations of Interest pdf icon PDF 27 KB

Members must indicate at this stage any items on the agenda in which they must declare an interest.  Members must verbally give notice of their interest at the meeting and complete the form attached with this agenda. 

 

Members are also advised to take advice with regard to any matter where there is potential bias or predetermination in any business to be considered at the meeting and whether they should take part in decision making at the meeting.

 

Members are reminded that, in accordance with the Localism Act 2011 and the Council's adopted Code of Conduct, they must declare the nature of any discloseable pecuniary interest; personal interest and/or prejudicial interest required of them and, in the case of any discloseable pecuniary interest or prejudicial interest, withdraw from the meeting during consideration of the item, unless permitted otherwise within the Code of Conduct.

Additional documents:

Minutes:

There were no declarations of interests.

64.

Minutes pdf icon PDF 85 KB

To consider the Minutes of the meeting of the Health, Schools and Care Overview and Scrutiny Committee held 21st February 2017.

Minutes:

DECIDED – That the minutes of the meeting of the Health, School and Care Overview and Scrutiny Committee meeting, held 21st February 2017, be approved as a correct record.

65.

Health, Schools and Care Overview and Scrutiny Committee - Work Programme 2016/17 pdf icon PDF 135 KB

Additional documents:

Minutes:

The Committee considered a report of the Assistant Director (Legal, Governance and Workforce) that presented the Committee’s Work Programme 2016/17.

 

The Committee asked that consideration be giving to scheduling some of the issues below into the Committee’s Work Programme:

 

a.    Young People’s mental health – the Chair reported that she was to meet with Councillor Smith to initially scope out this matter, with a view to a Members Study Group being undertaken.

b.    Drugs and alcohol services (generally) – the Chair undertook to meet with the Director of Public Health to expedite this matter.

c.    Provision of sexual health services (since the provision of service has been taken up by a new provider) – the Chair advised that some background information on this matter had been circulated to Members of the Committee and further information in respect of ‘Whistleblowing’ policies and Key Performance indicators was still sought. 

d.    Obesity levels especially in children – the Chair advised that a working party existed within the Council that was looking into initiatives to tackle obesity levels across the Borough. Meetings of the Group were attended by the Portfolio Holder for Health and Wellbeing and there was scope, if required, for the representation of elected members to be extended. Minutes of meetings of the Working Group would be presented to future meetings of the Committee.

e.    Diabetes (levels of support available, accessibility of that support) – the Committee was advised about the levels of support for people that were either suffering from diabetes or were at risk of doing so. The Committee were advised that this matter was particularly pressing as the AGE Concern shop that was based in Rochdale town centre had now closed. The Chair undertook to pursue this matter with Councillor Robinson and suggested that a way forward was for the Committee’s Members to have an informal one-off meeting to enable Members to discuss this matter in greater detail.   

f.     Greater Manchester Spatial Framework (insofar as it impacts on skills/educational opportunities – the Chair advised that representatives of the Borough’s colleges (including Councillors who were on the college’s governing bodies) be invited to a future meeting of the Committee to discuss this further.

g.    Coroner’s Service – the Chair advised that the newly appointed Coroner would commence her duties in May 2017 after which arrangements would be made for Committee Members to visit the new Coroner on-site including discussions about how the service deals with various cultural/religious sensitivities around deaths, especially in the Islamic faith.

h.    Report on bereavement services (or maybe a one-off session) – the Chair advised that this was to be determined.

i.      Visit to Pennine Care Foundation Trust facilities

 

DECIDED – That (1) the report be noted;

(2) the Clerk to the Committee, in consultation with the Chair an Vice Chair of the Committee monitor the progress of the actions (a – i) above and update the Committee at the next meeting.

66.

Locality Plan Transformation Fund Bid - Notes of a Meeting held on 27th March 2017 pdf icon PDF 74 KB

Minutes:

The Committee considered minutes of an informal meeting of the Committee’s membership held on 27th March 2017 that had been convened to examine the Locality Plan Transformation Fund Bid which was signed off by Councillor Emsley, the Chair of the Health and Wellbeing Board, prior to the deadline of 31st March 2017.

 

DECIDED – That the minutes of the meeting held 27th March 2017 be noted.

67.

Pennine Acute Hospitals NHS Trust - Update

Representatives of the Trust to report

Minutes:

The Chair welcomed Mr. Steve Taylor, Chief Officer and Managing Director of Bury and Rochdale Care Organisation who addressed the Committee on who presented an update detailing Pennine Acute Hospital’s NHS Trust’s main activities and performance since the last occasion that the Trust reported to the Committee in September 2016.

 

The Committee was advised that the Trust’s Intermediate Tier Unit had been established in response to a perceived need to provide a service to care for patients who do not require to be in a hospital’s acute care service but who were not ready to be discharged. The aim was to prevent re-admission of patients to acute hospital care services. This was the first unit of its kind in England and was designed to provide a better outcome for patients.

 

The Committee were update on the Infirmary’s Oasis Unit which was regarded as a regional centre of excellence for the provision of dementia care. The Oasis unit was a ten bed unit for patients with a diagnosis of dementia who also have a physical illness that required treatment. The Unit was staffed by a team of registered nurses and registered mental health nurses. It provided holistic intensive care for dementia patients who were given a thorough medical check.  The average stay for patients is eight days as opposed to an average of 30 days on an acute hospital ward.  Patients were encouraged to eat together at a dining table to encourage a more normal routine for the patients. Mr. Taylor extended an invitation for Members of the Committee to once again visit the Infirmary’s Oasis Unit.

 

Members were also advised of options for increasing the number of surgery options for day-care patients at the Infirmary, proposals to extend care at Rochdale’s Tudor Court facility and the new integrated care teams which roughly corresponded to the Borough’s Township structure.

 

Further to minute 24 of the Committee’s meeting held 14th September 2016, Mr. Taylor updated Members on the Trust’s progress in meeting the objectives of the action plan that was put in place following the Care Quality Commission’s (CQC) inspection of the Trust earlier in 2016. The Trust was working to reduce the mortality rate at their hospitals and a new accreditation system for hospital wards was being developed which would identify in a more timely fashion those areas/patients that needed urgent interventions. There had been a big focus on staff recruitment to ensure that the correctly qualified staff were appointed to key positions and in this regard their endeavours had proved to be successful thus far. The Trust was advertising for qualified staff in such diverse places as India and Libya.

 

In response to a question from a Member the Committee was informed that the Trust were prioritising the provision of care for patients with mental health illnesses and conditions and in this regard they were developing a ‘sanctuary’ where this could be addressed. Also the Trust confirmed the provision of care for Asian patients that suffered from dementia type  ...  view the full minutes text for item 67.

68.

Outcome of NHS England Consultation on Proposed New Clinical Model for Learning Disabilities in the North West pdf icon PDF 4 MB

NHS England report attached.  Further detail available at NHS England consultation learning disability services across North West

Minutes:

DECIDED – That consideration of NHS England’s consultation on the proposed new Clinical model for Learning Disabilities in the North West be deferred to the Committee’s next scheduled meeting on 22nd June 2017.

69.

Rochdale Safeguarding Children and Adult Boards - Quality Assurance and Challenge 2016-17 pdf icon PDF 157 KB

Additional documents:

Minutes:

The Independent Chair of the Borough’s Safeguarding Boards for Children and Adults presented a report that shared with Members information about the activity of both the Children (RBSCB) and Adult (RBSAB) Safeguarding Boards in respect of quality assurance and to promote discussion about the learning arising from this activity. The report attempted pre-empt the analysis which will be published in the Boards’ Annual Reports in order to provide the Overview and Scrutiny Committee with more timely information.

 

The two Boards work to a quality assurance framework based on that developed as a pan-Greater Manchester approach.   Initially this was designed to support the work of the Children Safeguarding Boards but has been adapted for use also in respect of adults.  The report’s framework comprised several elements and was managed by a sub-group of the Boards which report quarterly to the full Board.

 

The core elements were: an audit of agency compliance with statutory safeguarding requirements; Monitoring of multi-agency performance data; Thematic multi-agency case file audits; An audit of schools’ compliance with safeguarding responsibilities; Statutory case reviews following serious incidents; and Scrutiny of single agency inspection/audit findings.

 

The Committee was advised of the importance of Section 11 audit & self-assessments. The Working Together Guidance 2015 required Children’s Services to undertake a Section 11 Assessment. This was an annual self-assessment designed to ensure individual agencies are complying with key standards in relation to safeguarding children. A version of this safeguarding self-assessment was also adopted as good practice by partners who provide services to Adults and is based on the standards set out in Section 11 of Working Together Guidance 2015. In an attempt to rationalise the work required by partners and to promote the ‘Think Family’ approach, it was agreed to merge the children’s Section 11 audit and the adult safeguarding self-assessments to give an overview of safeguarding arrangements across the Borough of Rochdale.

 

Due regard was given to the statutory and non-statutory requirement for the completion of this audit. Assurance can be given to RBSCB that the combined audit meets all the statutory requirements identified in Working Together Guidance 2015. The format developed identified 59 individual standards within seven key themes where agencies are required to describe how they meet individual standards and to identify evidence that indicates their level of compliance. Where agencies identify gaps or areas for development and improvement they are prompted to indicate how this will be addressed.

 

Members discussed the report in some detail, seeking clarification on a number of issues. A Member referred to that section of the report that considered limited available housing provision and it was agreed that information be forwarded to the Committee’s membership detailing options for the provision of affordable housing options. Members referred to the numerous and varied examples of multi-agency work detailed in the report and it was reported that due in a large part to Rochdale’s specific experiences around children’s safeguarding Rochdale had developed a reputation for successful multi-agency work. Members sought clarification on the numbers of children that  ...  view the full minutes text for item 69.

70.

Market Oversight Report Quarter 3 pdf icon PDF 141 KB

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 Adult Care services for the second quarter of 2016/17 (July – September).

 

The Committee were advised that the Adult Care Directorate commissions external provider services to deliver a range of Care services to adults with eligible social care needs. The Adult Care Commissioning Team assures the quality of these services and the Care Quality Commission (CQC) also regulates some of the services.

 

The submitted report included details of five key questions that the CQC ask when they were undertaking an inspection as Members had requested this clarification at a previous meeting.

 

The Committee noted that the Adult Care Service was currently on-track with all of its current reviews. A Member referred to Nursing Homes detailed in the report that were described as being in special measures and were advised that the Council expected assurances within a 8 -12 week period that appropriate improvements to service were being made otherwise action would be taken.

 

DECIDED – That the report be noted.

71.

3rd Quarter Social Care Complaints pdf icon PDF 142 KB

Additional documents:

Minutes:

The Directors of Children’s Services and Adult Services presented a report that provided Members with a summary of Adult and Children’s Social Care complaints received during the third quarter 2016/2017 (October – December).

 

Social care complaints are subject to a statutory reporting framework which are scrutinised by the Care Quality Commission. The Council’s Customer Feedback Team extracts and reports on the information recorded for social care services during the study period, including the number of complaints received at each stage of the process, the numbers of complaints that are investigated and responded to within the permitted timescale and the numbers that were upheld.

 

DECIDED – That the report be noted.

72.

Joint Health Overview and Scrutiny Committee for Pennine Acute Hospitals Trust pdf icon PDF 64 KB

Minutes:

DECIDED – That the minutes of the meeting of the Joint Overview and Scrutiny Committee for Pennine Acute Hospitals NHS Trust, held 6th December 2016, be noted.

73.

Joint Health Overview and Scrutiny Committee for Pennine Care Foundation Trust pdf icon PDF 71 KB

Minutes:

DECIDED – That the minutes of the meeting of the Joint Overview and Scrutiny Committee for Pennine Care Foundation NHS Foundation Trust, held 6th October 2016, be noted.

74.

GMCA/AGMA Scrutiny Pool pdf icon PDF 143 KB

To consider the minutes of the meeting held 10th March 2017

Minutes:

DECIDED – That the minutes of the meeting of the GMCA/AGMA Scrutiny Pool, held 10th March 2017, be noted.