Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 22 May 2013.

The Minutes (copies of which had been circulated) of the meeting held on 22 May 2013 were approved as a correct record and signed by the Chair.

Councillors and officers were invited to declare any interests they had in any of the items on the agenda for the meeting.

The following interests were declared:-

Personal Interests

There were no call-in items to consider.

To consider a report of the Chief Operating Officer, Stockport Clinical Commissioning Group.

The report provides an overview of the Child and Adolescent Mental Health Services (CAMHS), including key service performance data. The report also identifies challenges facing the service. Also included is a summary of Stakeholder feedback on the service.

This report was requested by the Scrutiny Committee at its last meeting in May 2013.

The Scrutiny Committee is invited to comment and note the report.

Officer contact: Alison Caven, 0161 426 5517, alison.caven@nhs.net

The Joint Commissioning Manager, Children and Young People (Stockport Clinical Commissioning Group) submitted a report (copies of which had been circulated) providing an overview of the Child and Adolescent Mental Health Services (CAMHS), including key performance data and feedback from a recent stakeholder consultation. The report had been requested by the Scrutiny Committee at its last meeting on 22 May 2013.

The CAMHS Manager (Pennine Care NHS Foundation Trust) and a Public Health Specialist (Stockport Council) also attended the meeting to answer questions from the Scrutiny Committee.

A number of questions were asked, that covered the following areas:-

·         Whether a distinction was made between mental health and behavioural difficulties in very young children. It was stated that services tended not be delivered to children under 5, although demand was increasing.

·         Whether service users automatically transferred into adult services. In was stated that the transitional protocol could begin up to 12 months prior to the transfer.

·         Clarification whether older young people in the service were being picked up by adult services. It was stated that for the higher need, the numbers going into the service was broadly similar, although there was a perceived shortfall in service coverage for mild to moderate conditions.

·         Whether interventions undertaken by colleges would be included in the data for service users. It was stated that unless the young person was referred to CAMHS, then these would not be accounted for.

·         Whether intervention with Looked After Children (LAC) was fully meeting the need. It was stated that there were gaps for those aged 18-21 and support with their transition from LAC to independence, and that it lacked clinical input.

·         What the role of CAMHS was in relation to autism. It was stated that Tier 3 services managed the diagnosis for school aged pupils, and although there was an increasing demand for assessment, diagnosed cases remained relatively static.

The following comments were made/ issues raised:-

·         The priorities for improvement were the integration of Tier 2 and 3 services, to improve transition and provide a seemless services; creating more flexible capacity and services.

·         Concerns were expressed about the loss of local authority commissioned Tier 2 support, particularly in schools. It was suggested that schools were an important means to assist young people particularly since they had access to funds which were increasingly scarce in other parts of the public sector.

·         Improving prevention and promoting Mental Wellbeing would also be beneficial, as would empowering health visitors.

The Chair then summarised the key issues to emerge from the report and discussions that could form the basis of the Committee’s Review:-

·         Schools and Pupil Referral Units – how to embed CAMHS.

·         Provision for 16-18 year olds with mild-to-moderate need and whether they were ‘falling through the gap’.

·         Ensuring universal service and access – building in flexibility.

RESOLVED – (1) That the report be noted and that officers be thanked for their attendance.

(2) That the Democratic Service Manager, in consultation with the Chair, be requested to make arrangements to undertake a review of CAMHS, focussing on the issues identified at this meeting and those issues identified at paragraph 5.1 of the report.

(3) That the Joint Commissioning Manager (Children and Young People) Stockport Clinical Commissioning Group be requested to provide data on the prevalence of Mental Ill-health and Learning Disability for consideration as part of the review.

(4) That the Democratic Services Manager be requested to circulate to members details of the Review of CAMHS undertaken by the Pennine Care Joint Overview and Scrutiny Committee and the response of the Trust to that review.

(5) That the Democratic Services Manager be requested to make arrangements for a report/ presentation to a future meeting on the Council’s work in relation to Autism.

To consider a report of Stockport NHS Foundation Trust

Stockport Foundation Trust has reviewed the strategic climate in order to produce its plan for 2013-16. During 2012/13, changes in policy (legislative and advisory) have combined with a very testing financial environment. In response, the Trust maintains its commitment to balancing quality with resilience, so that we continue to provide local services, for local people, into the future. Whilst maintaining this balance, the Trust will be responding to strategic factors that include demographic changes, publication of the Francis report and a consequent sharp focus on evidence of service quality, a new commissioning environment and a strategic review of services in Greater Manchester. The strategic plan reflects the way in which the Trust intends to address these challenges.

The Scrutiny Committee is invited to ask questions and note the report.

Officer contact: Jane Ball, 0161 419 5010, Jane.Ball@stockport.nhs.uk

The Deputy Director, Planning and Business Development (Stockport NHS Foundation Trust) submitted a copy of the Trust’s Annual Plan for 2013/14 to 2015/16 (copies of which had been circulated) setting out the Trust’s priorities for the period of the Plan and how it intends to meet a range of challenges facing the NHS and the Trust in particular.

The following comments were made/ issues raised:-

·         The Plan was closely aligned with the Clinical Commissioning Group’s Plan and priorities.

·         The potential impact of changes to stroke provision.

·         The challenging targets around C-Difficile infections rates.

·         Collaborative projects such as Stockport One would give the Trust much greater control over such things as unplanned admissions.

·         Credit needed to be given to the Trust for responding early to the issues arising from the problems at the Mid-Staffordshire Trust before needing to be prompted by the Francis Report.

RESOLVED – That the Stockport Foundation Trust Annual Plan 2013/14 to 2015/16 be noted.

To consider a report of the Director of Public Health.

The report sets out the background to the Medium Term Financial Plan that had informed the recent decision on the 2013/14 budget. The report also detailed the proposed savings that fell within the remit of the Health & Wellbeing Scrutiny Committee, namely Integration of Public Health.

Heath Scrutiny members are asked to provide any further comment on the proposal which the Executive Councillor (Health and Wellbeing) will consider prior to the   Executive meeting of the 16 July 2013.

Officer contact: Donna Sager on Donna Sager, 474 3928, donna.sager@stockport.gov.uk

The Service Director (Strategy & Performance)/ Deputy Director of Public Health submitted a report (copies of which had been circulated) setting out the background to the Medium Term Financial Plan that had informed the recent decision on the 2013/14 budget, and detailing the proposed savings that fell within the remit of the Committee, namely Integration of Public Health.

RESOLVED – That the report be noted and the Scrutiny Committee reiterates its previous resolution that the proposals in respect of Integration of Public Health be supported.

To consider a report of the Executive Councillor (Health & Wellbeing)

The report sets out performance for the final quarter and year end 2012/13 against the performance measures included in the Health & Wellbeing Individual Portfolio Agreement.

The Scrutiny Committee is invited to comment on the report.

Mike Harradine, 0161 474 4680, mike.harradine@stockport.gov.uk

The Service Director (Strategy & Performance)/ Deputy Director of Public Health submitted a report (copies of which had been circulated) setting out performance relating to the Health & Wellbeing Portfolio in the final quarter of 2012/13.

The Executive Councillor (Health & Wellbeing) attended the meeting to respond to any questions the Scrutiny Committee may have had.

RESOLVED – That the report be noted.

To consider a report of the Corporate Director for People.

The Health and Wellbeing Portfolio Agreement for 2013/14 is presented in draft form for consideration by the Scrutiny Committee. It outlines the functions within the control of the Portfolio, the revenue budget, capital programme, key objectives, projects, measures and risks which will form the basis of quarterly Portfolio Reports. The draft has been informed by the new portfolio responsibilities (reported to the Council Meeting on 21 May 2013) and the draft Council Plan considered by this Committee on 22 May and the Executive on 11 June 2013.

The Scrutiny Committee is invited to consider and comment on the draft Portfolio Performance and Resource Agreement and its appendix on proposed measures.

Officer contact: Donna Sager, 474 3928, donna.sager@stockport.gov.uk / Sarah Newsam, sarah.newsam@stockport.gov.uk / Peter Owston, 474 3274, peter.owston@stockport.gov.uk

The Service Director (Strategy & Performance)/ Deputy Director of Public Health submitted a report (copies of which had been circulated) setting out the draft Health & Wellbeing Portfolio Performance and Resource Agreement for 2013/14 following the approval of the Council Plan 2013/15.

The Executive Councillor (Health & Wellbeing) attended the meeting to respond to any questions the Scrutiny Committee may have had.

RESOLVED – (1) That the report be noted.

(2) That the Scrutiny Committee would welcome the inclusion of the data range in addition to the mean for statistics contained in future Performance and Resource Reports.

(3) That the Director of Public Health be requested to submit a report to a future meeting on Air Quality and Asthma prevalence.

(4) That the Democratic Services Manager be requested to invite the Chair of the Safeguarding Boards to a meeting of the Scrutiny Committee in the autumn.

A representative of the Democratic Services Manager submitted a report (copies of which had been circulated) setting out planning agenda items for the Scrutiny Committee’s next meeting and any relevant Forward Plan items.

RESOLVED – That the report be noted.