Venue: Oak Room, County Buildings, Stafford
Contact: Nick Pountney
Declarations of Interest
There were no declarations.
RESOLVED: That the Minutes of the meeting of the Corporate Review Committee held on the 11 July 2019 be approved as a correct record and signed by the Chairman.
Councillor Alan White, Deputy Leader and Cabinet Member for Health and Wellbeing, and Councillor Mike Sutherland, Cabinet Member for Finance, John Tradewell, Director of Corporate Services and Rob Salmon, County Treasurer, attended the meeting to present the report and answer questions.
The Integrated Business Report Quarter One, showed the progress and financial performance in delivering against the Strategic Plan for the first quarter of 2019/20. During the period, there had been many challenges and successes particularly in the Adult Social Care programme and the support for practitioners.
Members of the Committee asked a number of questions concerning the Social Care performance, including:
· The Local Authority had managed to reduce delayed discharges to 43% but the net effect when the NHS performance was added was 20%. In February 2019, the Committee was informed that the North of the County was performing at 50% so where was the discrepancy? Members felt that this may be an area for the Healthy Staffordshire Select Committee to look at in more detail.
· It was felt that the discharge process was not as efficient as it should be with examples given of patients discharged with no plan in place.
· Discharge back to Nursing Homes also seemed to be problematic.
· A question was asked on the partnership with Fire and Rescue service and the work to reduce falls.
In response, the Committee was informed that performance in the South of the County was particularly difficult due to the number of out of county placements and working with up to 20 different hospital and discharge teams.
In the report it stated that only 62% of discharge assessments were being carried out and this was not acceptable. Discussions were taking place with the Midlands Partnership Foundation Trust (MPFT) to improve this. Part of the issue could be the transfer of the Staffordshire and Stoke on Trent Partnership (SSOTP) contracts by MPFT last year and the efforts made to bring inline the processes and procedures.
The Fire and Rescue Service still carried out fall prevention work and worked with District and Borough Councils to access Disabled Facilities Grants. It was suggested that the Healthy Staffordshire Select Committee should raise this at their meeting as the Committee contained representation from all the District and Boroughs and this had a wider determinant on health.
It was acknowledged that there was an issue with care homes and end of life care and an officer group had been set up to look at the way residents were cared for towards the end of their lives and what the issues were which resulted in high numbers of people drying in hospital and not their care home.
It was understood that the Better Care Funding had been allocated in full and if this was not the case the Cabinet Member would report back to the Committee.
A Member asked over what period was the £10.3m in business rates generated from sites such as Liberty Park in Lichfield, Four Ashes in South Staffordshire, Meaford near Stone and ... view the full minutes text for item 17.
The Committee considered the report of the Chairman of the Special Educational Needs and Disabilities (SEND) Working Group. The Working Group was set up in January 2019 by the Chairman Healthy Staffordshire, Safe and Strong Communities and Prosperous Scrutiny Select Committees.
The Members of the Working Group were nominated by the Chairman of the relevant Select Committee and were as follows:
· Healthy Staffordshire Select Committee: Charlotte Atkins, Ann Edgeller, Phil Hewitt,
· Prosperous Staffordshire Select Committee: Julia Jessel, Bryan Jones, Kyle Robinson
· Safe and Strong Communities Select Committee: John Francis, Paul Snape, Conor Wileman.
(Note: Committee changes have taken place since the time of Members’ appointment to these Committees, but the SEND Working Group membership had remained as above).
The Working Group had met on two occasions and had reviewed and commented on the Written Statement of Action (WSOA) line by line and asked questions of the Cabinet Member and Officers and commented on each of the priorities in the Action Plan. Members main concerns were around partnership involvement in the commissioning process (including with parents/guardians); the quality and time taken to complete Education Health and Care Plans and the shortage of Educational Psychologists, both nationally and locally; the resources required to implement the actions in the WSOA at a time of financial pressure and the challenging timescales set out in the plan.
The Committee felt that it was appropriate to continue with the current Working Group arrangements and that the group should report to this Committee to reduce duplication.
a) That the SEND Working Group continue to meet with its current membership, unless the relevant Committee agrees to change its representatives.
b) That the Working Group meet again in October 2019 to monitor the action plan.
c) That the Working Group report to the Corporate Review Select Committee.
The Scrutiny and Support Manager presented the report which gave information on the Select Committees activity over the past six months from January to June 2019. Following consideration by this Committee the report would be presented to Full Council. The report gave members an opportunity to receive a summary of the work of all the Select Committees.
Members went through the report and asked question on various items of business discussed by the Select Committees.
Following a question on the progress of setting up the Gender Issues Working Group, the Scrutiny and Support Manager informed the Committee that parental leave was due to be considered by an Executive Working Group and gender issues were still on this Committees Work Programme. It was felt that gender issues were more than just parental leave and that the Leaders of the Political groups should discuss this when they look at how they can influence the next Council to increase positive issues towards Lesbian Gay Bisexual and Transgender (LGBT).
With regard to the Prosperous Select Committee remit, parking and the co-ordination of Districts/Boroughs and the County Council, around wavering parking charges was discussed. Traffic Management and enforcement was also raised.
Following questions on Domestic Violence, it was confirmed that both Domestic Violence and Victim support were on the work programme for Safe and Strong Communities Select Committee.
A Member raised the issue of items being referred to the Healthy Staffordshire Select Committee for consideration but due to the work load, these items not being considered or to the same level as required. It was felt that this should be considered, and options be reported back to the Committee.
It was reported that the Joint Healthy Scrutiny Committee with Stoke on Trent City Council would receive the Clinical Commissioning Groups (CCGs) Business case in due course, and it would then be decided if further action was required.
a) That the report be approved for submission to County Council.
b) That the Chair of the Prosperous Select Committee be informed of the debate on traffic management and enforcement.
c) That the Scrutiny Chair and Vice Chair Forum, consider ways of addressing the number of issues referred to Healthy Staffordshire Select Committee for consideration.
d) The Committees best wishes be passed to Mike Harrison for his speedy recovery.
The Scrutiny and Support Manager explained that it had previously been agreed that Select Committee Work Programmes would be considered on a quarterly basis by this Committee to enable debate on the work areas and to stop duplication and highlight any gaps in scrutiny.
Each of the Select Committee Chairman present, briefly ran through the main items that their Committee were considering over the next few months.
The Chairman of Safe and Strong Communities Select Committee asked for guidance on whether Mental Health should remain on its Work Programme. The Scrutiny and Support Manager informed Members that there were currently two items on the Healthy Staffordshire Select Committee on Mental Health.
RESOLVED: The Work Programmes of the Select Committees be noted;
The Scrutiny and Support Manager introduced the Committees draft Work Programme. The next meeting was arranged for the 4th November. The meeting was due to consider the Integrated Performance Report Second Quarter; Vision and Strategy for Public Services; and the Annual Report on Corporate Complaints.
The Committee were informed that service delivery and quality of care provided by NEXXUS had been considered at the Healthy Staffordshire Select Committee. However, NEXXUS governance arrangements fell within the remit of this Committee.
The Committee was asked which of the following areas should be considered a priority:
· Learning and Development Commissioning Plans
· Apprentice Levy
· Scrutiny of the Local Enterprise Partnership
· Gender and equality issues
a) That the draft work programme be noted.
b) That the minutes of the Healthy Staffordshire Select Committee 15 July be sent to Committee Members for information on the NEXXUS item.
c) Scrutiny of the Local Enterprise Partnership should be the priority followed by Gender and Equality issues.