Agenda, decisions and minutes

RESOLVED: That the minutes of the meeting held on 11 December 2013 be signed as an accurate record of the meeting.

1.1       RESOLVED: That the minutes of the meeting held on 11 December 2013 be signed as an accurate record of the meeting.

Councillor Muldoon declared a non-prejudicial interest as he was an elected Governor of the Council of Governors of the South London and Maudsley NHS Foundation Trust.

Councillor Jacq Paschoud declared a non-prejudicial interest in relation to item 6 as her daughter had learning disabilities and received services in Lewisham.

2.1       Councillor Muldoon declared a non-prejudicial interest as he was an elected Governor of the Council of Governors of the South London and Maudsley NHS Foundation Trust. Councillor Jacq Paschoud declared a non-prejudicial interest in relation to item 6 as her daughter had learning disabilities and received services in Lewisham.

RESOLVED: That the report be noted.

3.1       Helen Hammond introduced the report and the following key points were made:

·      Whilst the same level of Community Learning funding (for community courses) would be maintained until 2015, further cuts to Adult Skills funding (for qualifications) had been announced – a 10% cut was expected although the final settlement would not be confirmed until March.

·      The introduction of learning loans for learners over the age of 24 years wishing to study for a level 3 qualification had resulted in a drop in enrolments. (For example, the introduction of learning loans for level 3 courses in childcare had caused a drop of enrolment from 46 in 12/13 to 22 in 2013/14).

·      Studio courses (courses in subject areas outside of Skills Funding Agency funding such as pottery and upholstery) were proving popular, allowing long term learners to continue learning whilst making space for new learners.

·      CEL was currently consulting on relocating from its Grove Park site to 333 Baring Road to allow Coopers Lane School to expand. This would allow a greater number of courses to be provided, although the fitness classes would need to be provided from a different venue as there was not a suitable space at Baring Road.

·      Significant physical improvements to the Brockley Rise site had been made, including two new classrooms.

3.2      In response to questions from Members of the Committee, the following points were made:

·      The estimated £150k relocation costs for the Grove Park to Baring Road move would be met from the Schools Capital Programme.

·      Figures for learners moving from adult education into employment were hard to provide as it was difficult to track learners once they had stopped studying. A national proposal to track people using their national insurance number had not been progressed.

·      The cost of a level 3 course in Childcare was around £2k.

·      Although the service no longer received funding to go into sheltered housing, a number of sheltered accommodation residents came to course venues by bus.

·      Studio courses, although welcomed, cost around £6 an hour so were not accessible to everyone.

3.3      RESOLVED: That the report be noted and information on adult education sites in the north of the borough be circulated to the Committee.

RESOLVED: That the annual safeguarding report 2012/13 be noted.

1.1         Joan Hutton introduced the report and responded to questions from the Committee and the following key points were made:

·      The Adult Safeguarding Board was not yet statutory but would be so shortly.

·      The Board had met four times and had established a number of sub groups.

·      Governance arrangements had been significantly strengthened.

·      Pressure ulcers were increasingly being seen as a key safeguarding issue and a multi-agency action plan to tackle this issue had been established.

·      Goals for 2013/14 included: (a) establishing a clearer referral pathway; (b) providing targeted training; (c) establishing more specialist posts; and (d) adopting a case conference approach.

·      All housing providers were offered training on safeguarding, with specific support being offered in relation to self-neglect and hoarders.

1.2         The internal audit of the management of long term and complex case work within adult social care carried out in November 2013 was discussed. As a result of the audit, a range of actions had been implemented to improve the management oversight of social work practice in this area as well as safeguarding casework in general, including:

·      An improved supervision policy and clearer procedures for case allocation, case audit and action and exit plans.

·      Six weekly management reviews of cases.

·      The promotion of ‘self audits’ on a two weekly basis.

·      A move away from process oriented practice to one focussed on improving outcomes for people.

1.3      The Committee welcomed the changes in practice resulting from the audit.

1.4       RESOLVED: That the annual safeguarding report 2012/13 be noted.

RESOLVED: That the report be noted.

5.1       Dr Arun Gupta introduced the report and the following key points were noted:

·           The operational plan would be submitted to NHS England within the next week and the final report produced by April.

·           At month 9 of the 2013/14 QIPP programme, the CCG had delivered 99.4% of its savings and was on track to deliver all the savings by month 12.

·           Public engagement on the document had been very successful, in particular, a Readers Panel to ‘test’ the suitability of the full document had been established and the Panel’s suggestion to break down the document into a ‘suite’ of smaller documents, to allow the public to pick up on the areas they were interested in, was being pursued.

·           Commissioning priorities were: health promotion, maternity and children’s care in hospital, frail older people, long term conditions, mental health, primary care development, urgent care and adult integrated care.

5.2      Lorna Hughes provided detailed information on the engagement strategy and reported that the summary document was a lot shorter – four pages describing the process and one page for each of the priorities. A wide range of local groups had been consulted and the wider population was being targeted via the libraries and a survey which could be completed online, face-to-face or in writing. The LCCG had also secured a four page spread in the next edition of Lewisham Life and would have a presence in every issue of the publication throughout 2014. In response to a suggestion from the Chair, Lorna agreed to consider developing a Pledge Card to promote the commissioning priorities. It was also suggested that local assemblies were another means for the CCG to engage with the community and Lorna agreed to follow up this suggestion.

5.3      In response to comments from the Committee and members of the public on the report, the following points were noted:

·           Katrina McCormick would link the LCCG to the Well London project in Bellingham.

·           The LCCG was not aware of any Lewisham and Greenwich NHS Trust services being transferred from one site to another which would have an impact on Lewisham patients.

·           Winter pressures on hospital services were being managed (and an additional flu vaccination programme had been jointly funded by the LCCG and Public Health) and learning was being transferred between hospital sites.

·           Via a pilot to support winter pressures at Lewisham and Greenwich NHS Trust, local GPs had been able to provide additional urgent care appointments.

·           Clinicians were encouraged to take part in engagement activities and the Forest Hill foodbank had been visited.

·           A joint clinical reference group with Lewisham and Greenwich NHS Trust and co-commissioners had commenced reviewing the reasons for children’s A&E admissions and what action could be taken to reduce the number of admissions and ensure the right care was provided in the right care setting.

5.4       RESOLVED: That the report be noted.

RESOLVED: That the updates be noted.

6.1       Diana Braithwaite introduced the report. Heather Hughes reported that providing comprehensive evidence that services for residents with learning disabilities were working well was difficult, as collecting the relevant data was not a requirement, but efforts were being made to secure better data.

6.2       Alison Keens outlined the health check service for people with learning disabilities and it was noted that, whilst the criteria set by NHS England for these checks was fairly minimal, local GP surgeries had agreed to explore more in each health check than the bare minimum. Alison agreed to carry out an audit to establish practice in this area.

6.3       It was further noted that the transition from children’s to adult services needed to be managed well, as moving from a single paediatrician to potentially five consultants could be both disruptive and traumatic.

6.4       RESOLVED: That the report be noted.

RESOLVED: That the report be noted.

7.1       Katrina McCormick introduced the report and the following key points were noted:

·      Lewisham had 282 fast food outlets, the 13^th highest concentration in London, and Lewisham was the 11^th heaviest borough.

·      A planning proposal to restrict new fast food outlets near schools was currently being consulted on.

·      The scheme was very important as fast food outlets were delivering a lot of meals to residents and helping to reduce the salt and fat content of the meals had a big impact.

7.2      Officers would confirm whether fast food outlets not offering fried chicken or fish could and would be included in the Healthier Catering Commitment Scheme going forward.

7.3       RESOLVED: That the report be noted.

RESOLVED: That the update read out by the Chair be noted.

8.1       The Chair read out an update provided to the Committee by Joy Ellery.

8.2       RESOLVED: That the update read out by the Chair be noted.

RESOLVED: That the work programme be noted.

9.1       Charlotte Dale introduced the work programme.

9.2       RESOLVED: That the work programme be noted.

None

10.1    None.