Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 13 March 2012.

The Minutes (copies of which had been circulated) of the meeting held on 13 March 2012 were approved as a correct record and signed by the Chair.

No declarations of interest were made.

There were no call-in items to consider.

To consider a report of the Chief Executive, St Anne’s Hospice

The document is the Quality Account 2011/12 for St Anne’s Hospice,

written to provide a balance to our financial reports and will focus on the quality of the care we provide to our patients and their families and carers. National Health Service (Quality Accounts) Regulations 2010 require that providers submit a copy of the Quality Account to the Council to allow the Health Scrutiny Committee to comment.

In addition to submitting the Quality Account, representatives of St Anne’s Hospice will also provide the Scrutiny Committee with an overview of the organisations activities.

Officer contact: Rachel McMillan (Director of Clinical Services, St. Ann's Hospice), 0161 498 3604

Jayne Bessant (Chief Executive) and Rachel McMillan (Clinical Director) of St Anne’s Hospice attended the meeting to present the organisation’s Annual Quality Account for 2011/12 for the Scrutiny Committee’s consideration and comment before they were submitted to Monitor.

Councillors asked a number of questions and made comments, including:-

·         The services provided by St Anne’s Hospice were very valuable, but it was unfortunate that these were not being provided through the NHS.

·         Although not commissioned in Stockport, the Hospice provided a specialist community based palliative care team and home support team which had proved very successful. The Hospice were also involved in successful educational initiatives.

·         The aspirations for the future of the Hospice included the expansion of the community offer and the Hospice at Home service, as well as ensuring greater equality of access to services which was sometimes difficult given the wider geographical area the Hospice operated in. A review of Day Services was also planned to make the services more responsive.

·         There was much to learn from the ‘softer’ care offered at the Hospice and the work done to educate and support nursing staff in other settings was welcomed.

·         Many people had very positive feedback about the Hospice despite the difficult circumstances families found themselves in when involved with the service. Members welcomed having such a valuable resource in Stockport.

·         The Hospice would be facing financial challenges in the future as part of the review of palliative care funding.

RESOLVED – That Jayne Bessant and Rachel McMillan be thanked for their attendance and that the St Anne’s Hospice Quality Account 2011/12 be welcomed.

This item has been put on the agenda at the request of the Chair and the Executive Councillor (Health & Wellbeing).

Enclosed for information is a copy of a report considered by the AGMA Executive Board in relation to the standardisation of packaging of tobacco products.

The Scrutiny Committee is invited to endorse the approach to the issue as detailed in the report.

Officer contact: Jonathan Vali, 0161 474 3201, jonathan.vali@stockport.gov.uk

A representative of the Democratic Services Manager reported that this item had been placed on the agenda at the request of the Chair.

A report considered by the AGMA Health Commission on the standardisation of the packing of tobacco products was submitted (copies of which had been circulated) and the Chair invited the Scrutiny to consider the recommendations made within the report.

Jake Mairs, Harry Lewis and Tom Stoppard from SK Youth, accompanied by Donna Sager, Service Director (Transformation & Commissioning) and Mary Brookes (Public Health Advisor), attended the meeting to report on debates held by SK Youth on the issue of tobacco advertising and packaging. Examples of packaging were provided for the Scrutiny Committee. Members commented on the wide-variety of packaging and the attractiveness of some of the examples.

The following issues were raised/ comments made:-

·         Those involved in the discussions at SK Youth had reached a consensus that standardised/ plain packaging would make tobacco products less appealing but considered a number of other factors as being of importance, including peer pressure, cost and the desire of smokers to want to stop smoking. Young women involved in the discussions had been more affected by the differences in the packaging.

·         Using anger at the damaging being caused to smokers by tobacco products had been successful in California which could be used with young people in the UK.

·         The use of graphic images on tobacco products were often effective, although these needed to be more targeted for young people. There was a danger that overexposure to these images would lead to people becoming desensitised to them.

·         It was important to ensure that anti-smoking campaigns focussed on those who were most vulnerable, who were often those from the most disadvantaged background, and the messages most often employed did not necessarily chime with these groups.

·         There was national research which suggested that plain packaging would be effective at discouraging young people from smoking.

The Chair referred to the proposed Council Motion included in the AGMA report and invited members to support the motion when put to the Council Meeting.

RESOLVED – (1) That Jake Mairs, Harry Lewis and Tom Stoppard be thanked for their attendance and input.

(2) That this Scrutiny Committee endorses the proposals from the AGMA Health Commission in relation to standardised packaging for tobacco products and recommends that the Council Meeting adopts the proposed motion in order to promote good health for Stockport residents and for young people in particular.

To consider a report of the Service Director (Adult Social Care).

The draft Joint Health and Wellbeing Strategy is now in the final process of adoption by the Council and is being submitted to the Scrutiny Committee before consideration by the Executive on 9 July 2012. The Strategy is a requirement of the Health and Social Care Act 2012.

The Strategy has been through an extensive period of consultation with the public and stakeholders, including this Scrutiny Committee.

Officer contact: Sarah Newsam, 07891 949204, sarah.newsam@stockport.gov.uk

A representative of the Service Director (Adult Social Care) submitted the final draft of the Health and Wellbeing Strategy (copies of which had been circulated) inviting the Scrutiny Committee’s comments before submission to the Council’s Executive. The Strategy had been amended to reflect the comments made by the Scrutiny Committee at its meeting on 13 March 2012.

The following comments were made/ issues raised:-

·         It was important to have meaningful outcome measures to underpin the Strategy. For those aspirations where measures could not be developed there was a role for Scrutiny to hold commissioners to account for making improvements in these areas, such as integration and partnership working.

·         Having greater emphasis on mental health would be beneficial. It may be appropriate for the Scrutiny Committee to focus on mental health for the upcoming year.

·         The delivery of the Strategy depended on the activity of commissioners and for its aims to be operationalised across a number of partners and service areas.

·         Consideration should be given to developing a ‘Wellbeing/ Health Impact Assessment’ for important decisions of the Council, in the same vein as Equality Impact Assessments.

RESOLVED – (1) That the Joint Health & Wellbeing Strategy be endorsed, subject to the comments made, and the Executive be recommended to approve the Strategy.

(2) That the Chief Executive be requested to give consideration to the feasibility of implementing a Health and Wellbeing Impact Assessment as part of the Council’s decision making process as a means of measuring and implementing the Joint Health & Wellbeing Strategy.

The Executive Councillor (Health & Wellbeing), representatives of the Council, NHS Stockport and other stakeholders are invited to provide a verbal update to the Scrutiny Committee on NHS Reform to ‘set the scene’ for the Scrutiny Committee for the forthcoming year and identifying any areas the Scrutiny Committee might wish to consider in more depth at future meetings.

The Executive Councillor (Health & Wellbeing), the acting Chief Operating Officer of the CCG and the Service Director (Transformation & Commissioning) attended the meeting and provided the Scrutiny Committee with an update ongoing NHS Reform and identifying milestones and significant upcoming developments.

The following key issues were highlighted:-

·         The Clinical Commissioning Group was seeking authorisation as an NHS Body during October/ November 2012. Most appointments had now been made to the CCG Board. The architecture of the new NHS system was beginning to become clearer.

·         The Social Care White Paper was due to be published soon.

·         Public Health was due to be transferred to the Council in April 2013. The provisional budget that would be transferred was in the region of £9-10m. Work was ongoing with the CCG to ensure a smooth transition.

RESOLVED – (1) That the update be noted.

(2) That the Interim Chief Operating Officer of the CCG be requested to provide an update to a future meeting on the emerging NHS architecture including the relationship between local commissioners and the National NHS Commissioning Board.

This item has been placed on the agenda at the request of the Chair.

Enclosed is a policy briefing from the Local Government Information Unit regarding draft guidance from the National Institute for Clinical Excellence (NICE) on the public health response to obesity.

Officer contact: Jonathan Vali, 0161 474 3201, jonathan.vali@stockport.gov.uk

A representative of the Democratic Services Manager reported that this item had been placed on the agenda at the request of the Chair.

The Chair reported that the National Institute for Clinical Excellence (NICE) had recently published draft guidance on the public health response to obesity. The Local Government Information Unit had produced a policy briefing on the guidance (a copy of which had been circulated). The Chair invited the Scrutiny Committee to consider where the Council and partners could do more to tackle obesity.

RESOLVED – That the Service Director (Transformation & Commissioning) be requested to provide a report back to the Scrutiny Committee before the end of 2012 identifying gaps in activity in Stockport in respect of obesity/ healthy weight in comparison to the NICE Guidance on Obesity.

To consider a report of the Democratic Services Manager.

The Scrutiny Committee is recommended to note the resume of the meeting of the Shadow Health and Wellbeing Board held on 7 March 2012.

Officer contact: Jonathan Vali, 0161 474 3201, jonathan.vali@stockport.gov.uk

RESOLVED – That the resume of the Shadow Health & Wellbeing Board held on 18 January 2012 be noted.

To consider a report of the Democratic Services Manager.                                                          

The report sets out planned agenda items for the Scrutiny Committee’s next meeting and Forward Plan items that fall within the remit of the Scrutiny Committee.

The Scrutiny Committee is invited to consider the information in the report and put forward any agenda items for future meetings of the Committee.

Officer contact: Jonathan Vali,   0161 474 3201 , jonathan.vali@stockport.gov.uk

A representative of the Democratic Services Manager submitted a report (copies of which had been circulated) setting out planned agenda items for the Scrutiny Committee’s next two meetings and any Forward Plan items that fell within its remit.

RESOLVED – (1) That the report be noted.

(2) That the Democratic Services Manager be requested to invite representatives of the Pennine Care NHS Foundation Trust to a future meeting of the Scrutiny Committee to discuss the work of the Trust in providing mental health services in Stockport.

(3) That the Democratic Services Manager be include an item on a future meeting of the Scrutiny Committee in respect of dental services in Stockport, particularly with reference to young people’s oral health and access to NHS services and to invite representatives of the local dentistry groups.

(4) That the Democratic Services Manager be requested to make arrangements for the following items to be included on future agendas:-

·         Feedback from the Pennine Care Joint Health Overview and Scrutiny Committee

·         Progress with implementing the Dementia Strategy

·         Update on NHS/ CCG architecture.