To approve as a correct record the minutes of the meeting held on 4 September 2018.

The minutes of the Health Scrutiny Committee meeting of 4 September 2018 were submitted for approval. Councillor Lynch requested that her attendance be recorded.

Decision

To approve the minutes of the meeting held on 4 September 2018 as a correct record subject to the above amendment.

Report of the Executive Director Strategic Commissioning and Director of Adult Social Services

This report is intended to inform members of the Health Scrutiny Committee on the progress and development of a range of adult services including the equipment and adaptations services, reablement services; physiotherapy services and housing options for older people. It includes the progress made since the discussions at the last scrutiny meeting in December 2017.

The Committee considered the report of the Executive Strategic Commissioning and Director of Adult Social Services that informed Members on the progress and development of a range of adult services to support people at home including the equipment and adaptations services, reablement services, physiotherapy services and housing options for older people. It included the progress made since the discussions at the last scrutiny meeting in December 2017.

Officers referred to the main points of the report which were:-

·                Describing the background and description of the Manchester’s Service for Independent Living (MSIL) and how this service is accessed;

·                Current performance data on the Equipment and Adaptations Services in relation to both major and minor adaptations;

·                Customer satisfaction performance was reported, currently recorded as 95%;

·                Data on the performance of contractors;

·                Information and data on the Housing Options for Older People service (HOOP);

·                Reablement activity and progress, noting that reablement being defined as an evidence based approach to maximise people’s ability to return to their optimum, stable level of independence, with the lowest appropriate level of ongoing support;

·                The current challenges to the reablemement service and the response to these;

·                A description of different types of physiotherapy services across the city and the associated referral data; and

·                The Joint Strategic Needs Assessment regarding Fuel Poverty, noting that Manchester contained the highest number and proportion of fuel poor households of any local authority within Greater Manchester.

Members discussed the issue of fuel poverty and asked what was being done to tackle this, especially as the funding streams designed to address this had ceased. Members noted that a lot of older housing stock in the city were poorly insulated and private landlords needed to take more responsibility to ensure that the properties that they were renting out were of a decent standard. Members asked what standards were applied to privately rented properties and could conditions be attached as part of the landlord licensing scheme. 

A Member commented that improving fuel poverty would realise savings to the NHS and reduce carbon emissions. The Chair commented that consideration needed to be given to how this was evidenced so as to make the case for additional funding to support schemes to address fuel poverty.

Members noted the reported levels of customer satisfaction with the adaptions service, however asked what lessons were learnt from those residents who were not satisfied.

Members asked a question about the challenges presented to One Manchester, as the Council’s delivery partner to deliver major adaptions in East and Central Manchester.

Members sought clarification regarding the recruitment of staff to deliver reablement services, noting that a recruitment exercise was underway. Members asked for an update on this exercise.

The Director of Population Health and Wellbeing acknowledged that a significant amount of funding that had previously been available to address fuel poverty had now ceased nationally. He said that the Local Care Organisation (LCO) would develop responses and interventions to tackle the wider determinants of health by using Social Prescribing.

The Programme Lead Health and  ...  view the full minutes text for item 40.

Report of the Chief Executive, Manchester Local Care Organisation

This report provides an update on the progress of the delivery of the Local Care Organisation.

The Committee considered the report of the Chief Executive, Manchester Local Care Organisation (MLCO). The report was provided as an update to the report that had been considered by the Committee at their 19 June 2018 meeting (See minute ref: HSC/18/25.) 

The Chief Executive, (MLCO) referred to the main points of the report which were:-

·                Background on the development and establishment of MLCO through the signing of the Partnering Agreement;

·                The long term vision of MLCO;

·                Update on Neighbourhood working; and,

·                Update on progress against MLCO priorities including New Care Models and MLCO work to support system resilience.

In addition to the report the Committee were shown a short video presentation that articulated the above.

Members asked how they as local elected representatives could engage with their respective Neighbourhood Team and if they would be consulted on the design on the 12 bespoke Neighbourhood Plans.

Members further enquired about the recruitment of the Neighbourhood Team Leaders and what backgrounds they would be drawn from and discussed the wider issue of recruitment and retention of staff, in particular reference to GPs and Social Workers.  

Members sought an explanation as why the referral rates for the High Impact Primary Care programme were lower than had been expected and what was being done to address this.

A Member commented that whilst he fully supported the ambitions of the MLCO he asked the Chief Executive, (MLCO) how confident was he that the ambitions would be realised.

The Chief Executive, (MLCO) said that the role of Councillors, with their local knowledge and experience will be invaluable to the success of Neighbourhood Teams and he acknowledged the comment made regarding arranging engagement events with local teams for Members.

The Executive Member for Adults, Health and Wellbeing said that the Neighbourhood Team Leaders would be the main contact for Members in their wards and that the draft Neighbourhood Plans would be shared with Members so they could contribute and comment so Members were fully engaged with the shaping of these plans.

The Chief Executive, (MLCO) said that the recruitment of the Neighbourhood Team Leaders should be completed by the end of December and they would be drawn from a range of backgrounds with the correct skills set and that a briefing note would be provided to Members regarding the recruitment process to date. He also said that he recognised the comments made regarding the recruitment and retention of GPs and Social Workers and said that the (MLCO) represented a new and exciting new model of working and delivering services that would become more attractive to staff.   

The Director of Strategy and Deputy Chief Executive, (MLCO) informed the Committee that the High Impact Primary Care programme needed to increase the number of referrals and work was currently ongoing to review this programme, identify barriers and implement solutions with commissioners. She explained that one reason could be that it was a new scheme and work to address the culture amongst GPs needed to be addressed.

The Chief Executive, (MLCO)  ...  view the full minutes text for item 41.

Report of the Executive for Strategic Commissioning and Director of Adult Social Services and the Independent Chair of Manchester Safeguarding Adults Board

To receive the Annual Report of Manchester Safeguarding Adults Board April 2017 – March 2018.

The Committee considered the report of the Executive Strategic Commissioning and Director of Adult Social Services and the Independent Chair of Manchester

Safeguarding Adults Board. This document reported on the work of the partnership and presented the Committee with the annual report.

The Independent Chair of Manchester Safeguarding Adults Board introduced the report.

Members asked what was being done to address the issue of modern day slavery, noting that Council had passed a motion at their July meeting supporting the Charter against modern slavery.

Members sought an assurance that the Serious Incident Review subgroups were fit for purpose.

Members commented that in a time of austerity and cuts to public service funding it was important that safeguarding was maintained.

The Independent Chair of Manchester Safeguarding Adults Board said that Modern Day Slavery was recognised by the Board as a serious safeguarding issue both for adults and children. She said awareness of this was raised amongst front line staff, community groups and the Voluntary and Community Sector and each partner had been tasked with embedding this in their culture and reporting.

In regard to the Learning from Reviews Subgroup the Independent Chair of Manchester Safeguarding Adults Board said that a new Chair had been appointed, clarity as to action plans sought and received and improvements are being made and the group is working much better.

In response to the impact of new safeguarding arrangements for children the Independent Chair of Manchester Safeguarding Adults Board advised that a future, interim report could be submitted to the Committee in the new financial year, however an assurance had been obtained from partners that safeguarding would be maintained and the Board would continue to monitor this.

In response to specific questions regarding the Multi Agency Safeguarding Hub (MASH) and safeguarding referrals to Adult Care the Independent Chair of Manchester Safeguarding Adults Board suggested that the Committee may wish to request a specific report on their activities for consideration from the Director of Adult Care.

Decisions

The Committee:

1.    Notes the publication of the Manchester Safeguarding Adults Board (MSAB) annual report 2017/2018; and

2.    Supports the promotion of the importance of adult safeguarding across all the partners and in the services they commission ensuring that safeguarding is at the heart of services going forward.

Report of the Governance and Scrutiny Support Unit

This report provides the Committee with details of key decisions that fall within the Committee’s remit and an update on actions resulting from the Committee’s recommendations. The report also includes the Committee’s work programme, which the Committee is asked to amend as appropriate and agree.

A report of the Governance and Scrutiny Support Unit which contained key decisions within the Committee’s remit and responses to previous recommendations was submitted for comment. Members were also invited to agree the Committee’s future work programme. 

A Member commented that the entry on the list of Care Quality Commission inspection report for Enterprise Care Group Ltd published 15 September 2018 was an overall rating of Requires Improvement and not Inadequate. 

Decision

To note the report and approve the work programme.