REDCAR AND CLEVELAND BOROUGH COUNCIL

NOTICE IS HEREBY GIVEN

That a meeting of the and Cleveland Borough Council will be held on Thursday 21 November 2019 at 2pm in the Redcar & Cleveland Leisure and Community Heart, Ridley Street, Redcar and all and several Members of the said Council are hereby summoned to attend.

ORDER OF BUSINESS

Prayers.

Elect a person to preside if the Mayor and Deputy Mayor are not present.

1. Apologies for absence.

2. To receive Declarations of Interest.

3. To confirm the accuracy of the Minutes of the meeting held on 10 October 2019.

4. To receive any Announcements from the Mayor, the Leader of the Council or Cabinet Members.

5. To receive any Announcements from the Managing Director (Head of Paid Service).

6. To consider Questions from the Public for which Notice has been given.

7. To consider and agree any Reports from the Cabinet and the Council’s Committees.

Date Committee Minute No Report Title

A) 05.11.19 Cabinet 26 Internal Audit Arrangements

B) 05.11.19 Cabinet 27 Appointment Process for Senior Posts

1 of 43 8. To receive Reports from Portfolio Holders.

A) Report of the Cabinet Member for Health, Housing and Welfare

(HEREWITH)

(A period of 10 minutes, or such longer period at the discretion of the Mayor, will be set aside for questions which must be succinct and relate directly to matters within the report).

9. To consider Motions.

10. To appoint Members.

Where there are vacancies or changes in appointment:

• To appoint Members of Council Bodies and Representatives to serve on other bodies to which Members are appointed by the Council; and

• To approve any changes to Committee membership and to appoint Chairs and Vice Chairs where appropriate.

1. TVCA Audit and Governance Committee – Councillors Sandra Smith and Berry to replace Councillors Pallister and Ayre.

11. To reply to Questions from Members of the Council.

Questions to the Chair, Members of the Cabinet, Chairs of any Committee or Sub- Committee, Members of the Fire Authority, Police and Crime Panel or the Combined Authority Scrutiny Committee, for which notice has been given.

Question 1: From Councillor Hannaway to Councillor Lanigan, Leader of the Council:

“Given the increasingly dangerous use of language in political debate does the Leader agree that images portraying fascism, and spreading Nazi images as a “solution” for the children of Skelton are not to be tolerated and called out for the abomination it is?

“Would she further agree that this council should do all it can to condemn the use of such material and disassociate itself from such imagery and messages?”

JOHN SAMPSON Managing Director (Head of Paid Service) House Street Redcar TS10 1RT

13 November 2019 2 of 43 BOROUGH COUNCIL AGENDA ITEM 3

10 October 2019

BOROUGH COUNCIL

A meeting of the Borough Council was held on 10 October 2019 at the Redcar & Cleveland Leisure and Community Heart.

PRESENT His Worshipful The Mayor (Councillor Wells), Councillors Ayre, Baldwin, Barnes, Berry, Brook, Brown, Cawley, Clark, Cook, Mrs Cooney, Craig, Cutler, Davies, Dowson, Fisher, Fletcher, Foggo, Foley-McCormack, Gallacher, Griffiths, Hannaway, Head, C Holmes, L Holmes, Holyoake, Hunt, G Jeffery, S Jeffrey, Jones, Kay, King, Lanigan, Lax-Keeler, Lockwood, Massey, Morgan, G Nightingale, I Nightingale, Ovens, Pallister, C Quartermain, L Quartermain, Rees, Rider, Sandra Smith, Stuart Smith, Vince Smith, Teasdale, Thomson, Watts, Wells, Westbury, Williams and Wilson.

OFFICIALS K Boulton, L Donaghue, P Kavanagh, A Nixon, P Rice, S Robson and C Styles.

APOLOGIES FOR ABSENCE were submitted on behalf of Councillors Brady, Clarke, Gray, Dr C Jackson and Moody.

11. TRIBUTES AND MINUTES SILENCE

Members paid tribute to the two men that lost their lives at the former SSI site and Jade Smith who had featured in the Mighty Redcar documentary.

The Mayor asked Members to join him in a Minute’s silence as a mark of respect.

12. DECLARATIONS OF INTEREST

Councillor Berry declared a non-pecuniary interest in all matters relating to and as a Member of Guisborough Town Council and the North Yorkshire Moors National Park Authority.

Councillor Davies declared a non-pecuniary interest in all matters relating to Loftus as a Member of Loftus Town Council.

Councillor Gallacher declared a non-pecuniary interest in all matters relating to Sirius Minerals as a shareholder in Sirius Minerals.

Councillor Griffiths declared a non-pecuniary interest in all matters relating to Guisborough as a Member of Guisborough Town Council, a Member of Guisborough Town Pride and as a Member of Take Heart Support Group.

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Councillor Jones declared a non-pecuniary interest in all matters relating to children as a Foster Carer for Redcar and Cleveland Borough Council.

Councillor Kay declared a non-pecuniary interest in agenda item number 7B as his daughter and family members lived within the conservation area.

Councillor Lax-Keeler declared a non-pecuniary interest in all matters relating to children as a Foster Carer for Redcar and Cleveland Borough Council.

Councillor Rider declared a non-pecuniary interest in all matters relating to Saltburn, Marske and as a Member of Saltburn, Marske and New Marske Parish Council.

Councillor Stuart Smith declared a non-pecuniary interest in all matters relating to Saltburn as the Chairman of Saltburn, Marske and New Marske Parish Council.

Councillor Teasdale declared a non-pecuniary interest in all matters relating to Guisborough as a member of Guisborough Town Council, Guisborough Town Hall Gateway Project and Friends of Guisborough Cemetry.

Councillor Westbury declared a non-pecuniary interest in all matters relating to health as an employee of South Tees NHS Foundation Trust.

13. ANNOUNCEMENTS

13.1 Mayor’s Announcements

13.1.1 Civic Service

The Mayor thanked everyone who had attended his Civic Service on Sunday 6 October 2019.

13.1.2 Charity Fundraisers

The Mayor announced that Councillor Adam Brook had been collecting donations in aid of Redcar and Cleveland MIND. Councillor Brook and friends had completed a sponsored walk from Grangetown to Redcar in memory of a close friend and also to mark World Mental Health Day.

13.1.3 Charity Bike Ride

The Mayor announced that he would be taking part in a sponsored Charity Bike Ride where he would ride 50 miles to raise money for his chosen charities, Zoe’s Place and Eva Women’s Aid.

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13.2 Leader’s Announcements

13.2.1 Events Update

The Leader of the Council gave an update on the events that had taken place during August, September and October 2019. She thanked the Officers and Members that had been involved in the events and advised that they had been very successful.

13.2.2 Steel Stories Award

The Leader of the Council announced that an exhibition celebrating the region’s steel and industrial heritage had won a national award. Steel Stories, an interactive exhibition based at Kirkleatham Museum, had been awarded Best Small Project in the Museums Change Lives Awards. Steel Stories was the culmination of 12 months of community engagement and research, showcasing stories, artefacts and pictures from real people who worked and lived in the steel industry and community. The Leader of the Council invited the Museum Manager and the Cabinet Member for Culture to present the award to the Mayor on behalf of the Council.

13.3 Cabinet Members’ Announcements

13.3.1 Kirkleatham Hall School 60th Birthday Celebrations

The Cabinet Member for Children advised that Kirkleatham Hall School was celebrating its 60th birthday and a number of events had been organised. She thanked all the staff, parents and children at Kirkleatham Hall School.

13.3.2 Thanks

The Cabinet Member for Neighbourhoods’ thanked all the staff and Elected Members who had donated and bought raffle tickets through his fundraising events. He advised that he had raised £15,000 for SAFA.

13.3.3 Guisborough Service Centre Opening

The Cabinet Member for Adults advised Members that Guisborough Service Centre had been officially opened. She also advised what a huge asset this would be for the Borough and wished the Centre all the best for the future.

13.4 Announcements from the Chief Executive

The Corporate Director for Adults and Communities advised that the Corporate Director for Resources and the Monitoring Officer were unable

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to attend the meeting as they had a declaration of interest relating to Agenda Item 7A, the Senior Management Structure report. He also welcomed Kathryn Boulton, the new Corporate Director for Children and Families to the Council and wished her every success in her new role.

14. TO CONSIDER QUESTIONS FROM THE PUBLIC

The Mayor invited Mr F Page forward to ask his questions.

14.1 Question 1 from Mr F Page, Guisborough resident to Councillor Hunt, Cabinet Member for Neighbourhoods:

“I care for the future of my community and want to do what I can to help maintain standards and help reduce costs. I recently talked to Redcar and Cleveland Trade Waste Leaders with a complete commitment to confidentiality so could only discuss information available on the internet and the Council website. I hope they found me helpful, respectful and knowledgeable. Over the last 6 months and prior to the meeting I viewed the Council website, talked to businesses and determined that I could help the businesses improve their recycle procedures, reduce waste and save this Council and the people it serves money. The most successful people in the world have coaches. If you employ me I will be the recycle coach. My job will be to help businesses recycle responsibly and save the Council money. Does this Council care about business recycling in Guisborough?”

14.2 Councillor Hunt replied as follows:

“Welcome Mr Page to the Redcar and Cleveland Full Council meeting. I would just like for clarity just to say that although Mr Page is a Town Councillor for Guisborough he is not here on behalf of Guisborough Town Council, and he is not representing any businesses, he is representing his own concern which I hope to address.

We are absolutely committed to increasing the amount of waste recycled within the borough and in order to do that we provide a recycling service to businesses in order to divert waste from incineration. Material diverted for recycling could help business’ to reduce the residual waste bin, as well as the size or frequency of collections and this will also contribute to helping with the environmental agenda this Council is committed to. So the answer is yes to your first question and I am quite passionately committed to making this happen.”

14.3 Question 2 from Mr F Page, Guisborough resident to Councillor Hunt, Cabinet Member for Neighbourhoods:

“There is not a general rule requiring businesses to recycle so will this Council give Guisborough businesses the incentives to recycle responsibly?”

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14.4 Councillor Hunt replied as follows:

“We are committed to working with our customer’s current and future, to provide the service that they require. As part of this, we have commercially confidential discussions with businesses to understand what their needs are, the types of waste and volumes of waste they produce. We can then tailor the offer provided to suit their individual needs, which will include options to recycle their waste. We are trying our hardest to the best for the Borough and will continue to do so.”

14.5 Question 3 from Mr F Page, Guisborough resident to Councillor Hunt, Cabinet Member for Neighbourhoods:

“Will this Council set a time limit for the incentives to be put in place?”

14.6 Councillor Hunt replied as follows:

“The Council already offers a trade waste service to the businesses of the Borough and beyond. We already hold discussions with businesses on what they require and how we can assist them in terms of collections and recycling of their waste and we will continue to do so. I would like to give you the opportunity to come and meet with me and the Director and talk about all your concerns and we will do what we can. You have my honesty that I will try and do my best for this Borough with our waste collections, and please take up the opportunity to come and see me.”

The Mayor thanked Mr F Page for attending the meeting and asking his questions.

15. SENIOR MANAGEMENT STRUCTURE

The Council received and considered a report presented by Councillor G Nightingale, the Cabinet Member for Resources, and duly seconded by Councillor Lanigan. The report had been presented to the Resources Scrutiny and Improvement Committee on 11 September 2019, Cabinet on 17 September 2019, and the Governance Committee on 24 September 2019. Following those meetings a number of recommendations were set out within the report for the consideration of Borough Council.

RESOLVED that on the successful motion of Councillor G Nightingale and duly seconded by Councillor Lanigan that the recommendations within the Senior Management Structure report be approved.

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16. SALTBURN CONSERVATION AREA MANAGEMENT PLAN SUPPLEMENTARY PLANNING DOCUMENT

The Council received and considered a report presented by Councillor Davies, the Cabinet Member for Economic Growth, and duly seconded by Councillor Lanigan. The report had been presented to Cabinet on 17 September 2019. The report requested that the Saltburn Conservation Area Management Plan Supplementary Planning Document be adopted by Borough Council, following public consultation on the Draft Management Plan that was held between 17 December 2018 and 22 February 2019.

RESOLVED that on the successful motion of Councillor Davies and duly seconded by Councillor Lanigan that the Saltburn Conservation Area Management Plan Supplementary Planning Document be approved.

17. CHILDREN IN OUR CARE AND CHILD SEXUAL EXPLOITATION

The Council received and considered a report presented by Councillor Barnes, the Cabinet Member for Children, which gave an update on the functions of the Children in Care Team and Child Sexual Exploitation.

RESOLVED that on the successful motion of Councillor Barnes and duly seconded by Councillor Lanigan that the Looked After Children Unit and Child Sexual Exploitation report be approved and noted.

18. REPORT OF THE CABINET MEMBER FOR CHILDREN

Councillor Barnes presented a report which gave an update on her portfolio and answered Members’ questions in relation to it: - NOTED.

19. TO CONSIDER MOTIONS

19.1 MOTION 1

MOVED by Councillor C Quartermain and duly seconded by Councillor Massey that:

“This Council was appalled to see the supreme court’s humiliating judgement that our Conservative Prime Minister had acted unlawfully in proroguing Parliament and misled our Queen.

Whilst in opposition the Leader and Members of her Cabinet spoke out forcefully and voted against any Council Tax increases. Now after only four months in office, they have publicly declared they have changed their minds.

Therefore, in order that the Leader and Cabinet can avoid accusations that they have misled local residents, this Council calls on the Leader to

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make an urgent statement to the people of Redcar and Cleveland clarifying why they appear to have made this major policy U-turn so soon after being elected.”

AMENDMENT MOVED by Councillor Baldwin and seconded by Councillor King that:

“This Council calls on the Leader to make an immediate statement to the Residents of Redcar and Cleveland clarifying the partnership’s current position on Council Tax.”

The amendment was debated, put to the vote, and declared carried, whereupon it became the substantive motion and it was:

RESOLVED that on the successful motion of Councillor Baldwin, and duly seconded by Councillor King that:

“This Council calls on the Leader to make an immediate statement to the Residents of Redcar and Cleveland clarifying the partnership’s current position on Council Tax.”

19.2 MOTION 2

MOVED by Councillor C Quartermain and duly seconded by Councillor Brown that:

“At the last meeting of the Cabinet it was revealed that this Council has a funding gap of £9.5m. This could potentially mean further reductions to council services that have already been cut to the bone, services that affect everyone living and working in this Borough.

This Council believes that all Councillors should be able to consider in detail any proposals made by the Cabinet, along with our staff, trade unions, partner organisations, business rate payers and council tax payers.

To this end and in line with the motion agreed by Members at the Resources Scrutiny Committee in September, this Council recommends that the Cabinet holds an all Members meeting, by no later than the end of October, to discuss all options being considered to reduce the funding gap and to publish a programme setting out full details of its arrangements for consulting with the groups listed above.”

AMENDMENT MOVED by Councillor G Nightingale and seconded by Councillor Lanigan that:

“At the last meeting of the Cabinet it was revealed that this Council has a funding gap of £9.5m. This figure is no longer the case following strenuous efforts by the Partnership to overcome the legacy of the

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previous Labour administration, but this could still potentially mean further reductions in services that have already been cut to the bone, services that affect everyone living and working in the Borough.

The Council believes that all Councillors should be able to consider in detail any proposals made by the Cabinet, along with our staff, trade unions, partner organisations, business rate payers and council tax payers.”

The amendment was debated, put to the vote, and declared carried, whereupon it became the substantive motion and it was:

RESOLVED that on the successful motion of Councillor G Nightingale, and duly seconded by Councillor Lanigan that:

“At the last meeting of the Cabinet it was revealed that this Council has a funding gap of £9.5m. This figure is no longer the case following strenuous efforts by the Partnership to overcome the legacy of the previous Labour administration, but this could still potentially mean further reductions in services that have already been cut to the bone, services that affect everyone living and working in the Borough.

The Council believes that all Councillors should be able to consider in detail any proposals made by the Cabinet, along with our staff, trade unions, partner organisations, business rate payers and council tax payers.”

19.3 MOTION 3

MOVED by Councillor S Jeffrey and duly seconded by Councillor C Quartermain that:

“This Council is watching with growing concern the difficulties being experienced by key local businesses and employers. Sirius Minerals have announced a slow-down and review of their plans following the failure of the government to provide financial backing; the completion of the MGT has been delayed with many construction jobs lost; the South Tees Development Corporation has to date failed to secure any new investors despite promise after promise from the Tees Valley Mayor; our big industrial employers at Wilton continue to grapple with the threat of a no deal Brexit; and most recently we have seen the closure of Thomas Cook which means not only do we lose the shop and jobs in Redcar but many of our residents have seen their flights cancelled and holidays lost.

Under the previous Labour administration the SSI Task force provided leadership, support and intervention when jobs were at risk. Currently the status of the Task Force is unknown and there has been no public announcement of who will Chair this important body following the

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departure of our Chief Executive.

Given the current position, this Council calls on the Leader to take immediate action to reconvene the SSI Task force or similar partnership body to review the current jobs crisis and determine what action the Council and partners can take to support our businesses and industry and stabilise and grow the good quality local jobs we so desperately need.”

The motion was debated, put to the vote, and declared lost.

20. SUSPENSION OF COUNCIL PROCEDURE RULE NO. 9

The Mayor reminded Members that as the meeting had lasted for nearly three hours, it was necessary to suspend Council Procedure Rule No. 9 to allow the meeting to continue.

MOVED by Councillor Thomson and duly Seconded by Councillor Davies that the meeting continue until 5.15pm.

RESOLVED that the meeting adjourn at 5.15pm.

21. TO APPOINT MEMBERS

RESOLVED that on the successful motion of Councillor Lanigan and duly seconded by Councillor Davies that the following changes to committee membership be agreed:

Committees

1. Resources Scrutiny and Improvement Committee – Councillor Teasdale to replace Councillor C Holmes.

Joint Arrangements/Outside Bodies

1. Inshore Fisheries – Councillor Fletcher to replace Councillor Baldwin

2. To appoint a Member to the vacant seat on the Pensions Board (this is in addition to the Teesside Pensions Committee); and,

3. Councillor B Hunt to be appointed to the vacant seat on the Merchant Navy Welfare Board

Councillor Quartermain advised that the Labour Group could not support the change in membership to the Tees Valley Combined Authority as it was felt that the changes represented unfair proportionality. The Mayor advised that this would be debated further.

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22. TO REPLY TO QUESTIONS FROM MEMBERS OF THE COUNCIL

The Mayor advised that as the meeting had run out of time, the eight questions that had been received would be answered in writing.

The Mayor thanked Members for their attendance and declared the meeting closed.

12 of 43 AGENDA ITEM 7A

CORPORATE RESOURCES DEPARTMENT DEMOCRATIC SERVICES

Cabinet Minute Number :- 26

Report Title :- Internal Audit Arrangements

The Council is asked to agree the following Cabinet recommendation in relation to the report that was considered by Resources Scrutiny and Improvement Committee on 23 October 2019, Cabinet on 5 November 2019 and Special Governance Committee on 7 November 2019.

Minute Details:-

This report sought approval to the establishment of an internal audit service for the Council in conjunction with Council and the VERITAU group. The report also sought approval to retain the provision of the Health & Safety, Risk and Insurance Management aspects of the current Tees Valley Audit and Assurance Service (‘TVASS’) in-house within the Council.

The report was also considered by the Resources Scrutiny and Improvement Committee on 23 October 2019 (minute attached at Appendix 1) and a Special meeting of the governance Committee on 7 November 2019 (minute attached at Appendix 2).

Recommendations from Cabinet :-

RESOLVED that:

1. Cabinet agrees to establish an Internal Audit service for the Council, in conjunction with Middlesbrough Borough Council through a new company, as part of the VERITAU group and to retain the provision of the Health & Safety, Risk and Insurance Management aspects of the current Tees Valley Audit and Assurance Service (‘TVASS’) in-house within the Council.

2. The Managing Director (in consultation with the Monitoring Officer) be authorised to take all necessary steps to establish the relevant company including, for the sake of clarity, finalising the details of a Shareholder Agreement;

3. Cabinet recommends to the Borough Council, subject to the views of

13 of 43 Governance Committee and the Resources Scrutiny and Improvement Committee:

(a) That the necessary amendments be made to the Council’s Constitution for the establishment of a Shareholder Committee, to consist of three members and to include at least one member of the Cabinet who will also be appointed as Chair of the Committee.

(b) That, so far as is practicable and subject to political proportionality requirements and the wishes of the relevant political groups:

i. the Cabinet Member appointed should be the Member who currently holds responsibility for the Resources Directorate; and

ii. the Chair of Resources Scrutiny and Improvement Committee and/or the Chair of the Governance Committee should also be appointed to the Shareholder Committee.

(c) That the terms of reference for the Shareholder Committee and further delegation to the Council’s Shareholder Representative (S151 Officer) shall be as set out at Appendix 1; and,

(d) That the Monitoring Officer be authorised to amend the Council’s constitution in accordance with the details as set out within this report.

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APPENDIX 1 23 October 2019

RESOURCES SCRUTINY AND IMPROVEMENT COMMITTEE

A meeting of the Resources Scrutiny and Improvement Committee was held on 23 October 2019 at Redcar & Cleveland Leisure and Community Heart.

PRESENT Councillor Massey (Chair), Councillors Baldwin, Brown, R Clark (substituting for Councillor Gray), Craig, Gallacher, Head, S Jeffrey, I Nightingale, Quartermain (substituting for Councillor Cook), Sandra Smith, Thomson and Watts.

OFFICIALS D Boville, R Davisworth, S Leng, S Newton, M Oyston, A Pearson, A Phillips and P Winstanley.

IN ATTENDANCE Councillors King, Lanigan and G Nightingale

APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of Councillors Cook, Dowson, Gray and Teasdale.

26. INTERNAL AUDIT ARRANGEMENTS

The Corporate Director for Resources presented a report seeking to establish an internal audit service for the Council in conjunction with Middlesbrough Council and the VERITAU group, which was due to be considered by Cabinet on 5 November 2019.

As part of the ensuing discussion, the following points were made:

• Members requested clarity on the pension arrangements for the transferred staff. • A Member raised concern that with a 50/50 share agreement between the Councils and VERITAU, the company could be dissolved without Council input. Members were advised that under the TECKAL exemption, certain matters were reserved to the Councils involved.

RESOLVED that report be recommended to Cabinet for approval.

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APPENDIX 2 7 November 2019

SPECIAL GOVERNANCE COMMITTEE

A special meeting of the Governance Committee was held on 7 November 2019.

PRESENT Councillor Morgan (Chair); Councillors B Clarke, Foggo, Foley-McCormack, Holyoake, Massey, I Nightingale and Sandra Smith. Parish Councillors Carrolle and Wingham and Mr Johnson and Mr Monson (Independent Members).

OFFICIALS D Boville (Democratic Services Assistant), R Davisworth (Chief Accountant), S Newton (Assistant Director – Governance), J Sampson (Managing Director (Head of Paid Service)), P Winstanley (Assistant Director – Finance).

IN ATTENDANCE Councillor G Nightingale – Cabinet Member for Resources

APOLOGIES FOR ABSENCE were submitted on behalf of Councillors Berry, R Clark and Teasdale.

26. INTERNAL AUDIT ARRANGEMENTS

The Corporate Director for Resources presented a report seeking to establish an internal audit service for the Council in conjunction with Middlesbrough Council and the VERITAU group, which had been considered by Cabinet on 5 November 2019 and would be considered by Council on 21 November 2019.

A debate took place on the issues contained in the report. Some of the matters raised and discussed included:

• There would be three Members on the Shareholder Committee and the membership would have to reflect political proportionality. Ideally the membership would consist of the Cabinet Member for Resources and the Chairs of the Governance and Resources Scrutiny Committees; however the principle of proportionality would override this. • The membership of the Shareholder Committee would be agreed through the AGM or Borough Council meeting. • There was no legal requirement for the inclusion of a co-opted Member and doing so would raise issues with voting rights.

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• Middlesbrough Borough Council would have a separate Shareholder Committee. • The agreement had been left open to accommodate other Tees Valley Local Authorities at a later date if necessary.

RESOLVED that the report be accepted.

17 of 43 AGENDA ITEM 7B

CORPORATE RESOURCES DEPARTMENT DEMOCRATIC SERVICES

Cabinet Minute Number :- 27

Report Title :- Appointment Process for Senior Posts

The Council is asked to agree the following Cabinet recommendation in relation to the report that was considered by Resources Scrutiny and Improvement Committee on 23 October 2019, Cabinet on 5 November 2019 and Special Governance Committee on 7 November 2019.

Minute Details:-

From time-to-time and as vacancies or new posts arise; it was necessary make appointments to Chief Officer roles within the Council. There are specific arrangements for such appointments which, save for some cases of internal restructuring, generally involve a recruitment process and interview by a Member Panel. This panel was established within the constitution and was referred to as the Appointments Panel.

Under current arrangements, the Panel has no standing membership and was convened as and when required, with seats being allocated in accordance with political proportionality in accordance with the wishes of the relevant political groups.

The departure of our current Director of Public Health in October 2019 had triggered a need to consider the appointment process for this role, given that the Director was employed by Middlesbrough Borough Council under shared-service arrangements. The report set out recommendations in terms of the appointment mechanism for that particular post. However, in developing these proposals, some other general considerations came to light and, therefore, the report contained additional proposals in respect of senior appointments for shared service arrangements generally and, also, amendments to the constitution in terms of the current Appointments Panel.

The report was also considered by the Resources Scrutiny and Improvement Committee on 23 October 2019 (minute attached at Appendix 1) and a Special meeting of the governance Committee on 7 November 2019 (minute attached at Appendix 2).

18 of 43 Recommendations from Cabinet :-

RESOLVED that subject to the views of the Resources Scrutiny and Improvement Committee and the Governance Committee, Cabinet recommends to the Borough Council that, for the purposes of making appointments to Chief Officer posts:

a) A Shared Service Appointments Panel be established in the form of a joint committee (‘the Panel’);

b) Membership of the Panel shall consist of 9 seats, consisting of 4 Elected Members each from Redcar and Cleveland Borough Council and Middlesbrough Borough Council, and 1 co-opted (non-voting) member who shall act as Chair of the Panel. Where political proportionality permits, at least 1 of the 4 members should be a member of the Cabinet *.

c) The Panel membership will be allocated via a meeting of the full Council (and then annually at the Council’s AGM) in accordance with the political proportionality of each authority and in accordance with the wishes of the relevant political groups;

d) The co-opted Member/Chair shall be suitably qualified and from an external organisation directly relevant to the appointment in question; and

I. for the purposes of appointing a Director of Public Health to the current vacancy, the co-opted member shall be Professor Peter Kelly, Centre Director for the North East, Public Health ;

II. for the purposes of any future appointment relating to a relevant shared service between the two Councils, the co-opted member shall be nominated in consultation between Chief Executive/Managing Director Head of Paid Service and relevant Cabinet Member(s) of each council, with their co-option being confirmed at meetings of the respective Councils or the Panel.

e) Current arrangements within the constitution for the Council’s existing Appointments Panel be amended to provide that standing membership of that Panel will be appointed annually at the Council’s AGM (and for the current civic year during an ordinary meeting of the Council); and,

f) The Monitoring Officer be authorised to make all relevant changes to the Council’s constitution.

(*NB Different constitutional arrangements apply in Middlesbrough)

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APPENDIX 1 23 October 2019

RESOURCES SCRUTINY AND IMPROVEMENT COMMITTEE

A meeting of the Resources Scrutiny and Improvement Committee was held on 23 October 2019 at Redcar & Cleveland Leisure and Community Heart.

PRESENT Councillor Massey (Chair), Councillors Baldwin, Brown, R Clark (substituting for Councillor Gray), Craig, Gallacher, Head, S Jeffrey, I Nightingale, Quartermain (substituting for Councillor Cook), Sandra Smith, Thomson and Watts.

OFFICIALS D Boville, R Davisworth, S Leng, S Newton, M Oyston, A Pearson, A Phillips and P Winstanley.

IN ATTENDANCE Councillors King, Lanigan and G Nightingale

APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of Councillors Cook, Dowson, Gray and Teasdale.

27. APPOINTMENT PROCESS FOR SENIOR POSTS

The Corporate Director for Resources presented a report establishing a new process for appointment panels, which was due to be considered by Cabinet on 5 November 2019.

As part of the ensuing discussion, the following points were made:

• The proposed number of members for joint appointments panels would make it difficult to accurately reflect political proportionality. • The confirmation arrangements for a joint panel should require a majority of both sets of Councillors, in order to avoid a scenario where once Council could be seen to force an appointment upon another. • The current proposals reflected both Councils’ desire for equality of voting rights.

RESOLVED that the Resources Scrutiny & Improvement Committee recommended to Cabinet that: 1. Confirmation should require a majority of Councillors from both Councils to be in favour. 2. Membership numbers be looked at to enable a more accurate

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representation of proportionality.

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APPENDIX 2 7 November 2019

SPECIAL GOVERNANCE COMMITTEE

A special meeting of the Governance Committee was held on 7 November 2019.

PRESENT Councillor Morgan (Chair); Councillors B Clarke, Foggo, Foley-McCormack, Holyoake, Massey, I Nightingale and Sandra Smith. Parish Councillors Carrolle and Wingham and Mr Johnson and Mr Monson (Independent Members).

OFFICIALS D Boville (Democratic Services Assistant), R Davisworth (Chief Accountant), S Newton (Assistant Director – Governance), J Sampson (Managing Director (Head of Paid Service)), P Winstanley (Assistant Director – Finance).

IN ATTENDANCE Councillor G Nightingale – Cabinet Member for Resources

APOLOGIES FOR ABSENCE were submitted on behalf of Councillors Berry, R Clark and Teasdale.

27. APPOINTMENT PROCESS FOR SENIOR POSTS

The Corporate Director for Resources presented a report establishing a new process for appointment panels, which had been considered by Cabinet on 5 November 2019 and would be considered by Council on 21 November 2019.

A debate took place on the issues contained in the report. Some of the matters raised and discussed included:

• Resources Scrutiny & Improvement Committee had requested an increase in Membership to allow proportionality to be better represented. This had been raised with Middlesbrough Borough Council and Cabinet had agreed that there would now be four Members from each Council on the shared appointments panel. • Resources Scrutiny & Improvement Committee had requested that confirmation of a shared appointment should require a majority of Members from both Councils to be in favour. This had been investigated and both guidance from the Local Government Association and case law from 1928 had stated that confirmation could only be through simple majority.

22 of 43 SPECIAL GOVERNANCE COMMITTEE

7 November 2019

• A Member cautioned against increasing the membership size of the joint panel any further as Committees with a large membership could become inefficient.

RESOLVED that the report be accepted.

23 of 43 AGENDA ITEM 8A

Member Report Health, Housing and Welfare

TO: Borough Council DATE: 21 Nov 2019

FROM: Cabinet Member for Health, Housing and Welfare

1 What is the purpose of this report?

1.1 This report provides the Borough Council with an update on progress, developments and key issues from the Health, Housing and Welfare Portfolio, in the past year, including an update on actions to address climate change.

2 Background

2.1 The Council Plan, ‘Our Flourishing Future’, sets out the vision, values and priorities for the borough. This reports outlines how the Health, Housing and Welfare portfolio has delivered against the relevant priorities within the plan.

2.2 This year has seen good progress in key areas of work – helping to support the attainment of real and significant improvements to local public health outcomes. Redcar and Cleveland’s smoking prevalence rates, have seen the second largest reduction in the region– moving from 21.8% to 13.5% in the last five years. In addition, the area benefits from excellent vaccination rates in children, increasing sexual health screening coverage, and improving oral health outcomes in 5 year olds.

2.3 Despite this, Redcar and Cleveland continues to experience some significant local challenges, particularly those linked to enduring poverty and stubborn inequalities.

2.4 Unfortunately, public health funding has steadily declined in real terms since the service transferred from the NHS in April 2013. This is detailed further in section 6.

3 Development of Public Health South Tees

3.1 In April 2018, Redcar and Cleveland Borough Council established the joint public health service with Middlesbrough Borough Council (Public Health South Tees). This innovative approach to public health delivery was the first-of its kind in the North East, and one of a few nationally. 18 months on, Public Health South Tees continues to deliver strategic and financial benefits to the respective areas, including:

. A more efficient use of resources across both councils; . Recruitment and retention of a specialist workforce; and

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24 of 43 . Long-term sustainability, resilience, capacity and capability to deliver public health and protection services. 3.2 The ability to plan, develop and implement the respective local authority public health responsibilities on a South Tees footprint, has also supported the development of stronger strategic partnerships, including:

. the establishment of a Joint South Tees Tobacco Alliance; . development of a joint work programme with South Tees Clinical Commissioning Group; . establishment of a South Tees Population Health Management Board; . establishment of a Memorandum of Understanding with the University of Teesside; . establishment of the South Tees Programme Delivery Partnership to support delivery of the Sport England Local Delivery Pilot to support the least active to become more active; . the development of a South Tees Affordable Warmth Plan, building on complementary expertise in both areas; and . on the continued success of the South Tees Maternal and Infant Child Health Partnership (MICH).

3.3 The joint service continues to benefit from shared expertise and experience in developing local services across our Empowering Communities and Health Protection teams; and developing programmes such as Dementia Friendly Communities; parenting; child literacy; suicide prevention; mental health and wellbeing; tobacco control; affordable warmth; arts and health; and period poverty, which harness collective knowledge and resources, whilst ensuring plans on the ground reflect local interests, assets and aspirations.

3.4 The progress, achievements and developments are outlined in section 5.

4 Live Well South Tees Board

4.1 In July 2018 Redcar and Cleveland Borough Council joined-up with Middlesbrough Council to form a single Health and Wellbeing Board: Live Well South Tees.

4.2 The vision for the single Health and Wellbeing board is to “empower the citizens of South Tees to live longer and healthier lives”.

The Board has a focus on the following key themes:

. Inequalities - Addressing the underlying causes of inequalities across the local communities, . Integration and Collaboration - across planning, commissioning and service delivery, . Information and Data – data sharing, community information, and information given to people.

4.3 In addition to its system oversight and influence role (which has seen the Board lobbying Government Departments in response to national funding reductions to ensure that South Tees receives a fair allocation), the Board has supported

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25 of 43 developments in the following key areas

. Integrated data and information gathering and integrated commissioning. . Sport England local delivery pilot – this successful bid developed from the Live Well Board considering physical activity as a priority area. . Arts and Health – the Board is supporting this initiative as part of the development of a broader view of “wellbeing”

5 Progress, Achievements and Developments

5.1 Context

Our corporate priorities of Longer and Healthier Lives and Strong and Confident Communities is supported by our commitment to reduce inequalities, support communities and promote wellbeing.

My priorities in the role of Cabinet Member for Health, Housing and Welfare are to:

1. Support vulnerable people with complex issues to move from surviving to thriving and to reduce their demands on resources.

2. Support people to improve their wellbeing through our approach to prevention.

3. Tackling inequalities through preventative, early help approaches and addressing wider determinants of wellbeing.

I have organised this section to align with these priorities.

5.2 Supporting Vulnerable People to Move from Surviving to Thriving

5.3 Transformation Challenge The Transformation Challenge Programme is based on an intensive key worker model and community development, to support vulnerable individuals with complex or multiple needs not well-served by standard approaches. Historically, such people could consume significant resources with no great benefit to their situation. Each Key Worker has a unique range of skills and expertise to support individuals, including health and wellbeing, domestic abuse, drugs and alcohol, mental health, crime and anti-social behaviour, housing and debt management.

5.4 The programme has successfully worked with over 700 individuals achieving improved outcomes combined with more efficient use of resources. Cost benefit analysis applied to 161 closed cases, demonstrated an estimated £3.9m savings across agencies.

5.5 To help expand this project, we have recently been successful in joining the Make Every Adult Matter (MEAM) coalition. The MEAM approach is a non-prescriptive framework to help local areas design and deliver better coordinated services. As part of the coalition we participate in shared learning hubs and networks, regionally and nationally, with support from the MEAM policy team. MEAM “accreditation” should also help with future bids for external funding as it offers funders assurance

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26 of 43 that the programme is delivering an innovative service.

5.6 The funding for the project will cease in March 2021. However, we are currently looking to embed the learning from the key worker approach in the development of a “vulnerable person’s model”, to build on the success of the programme’s approach as part of future integrated provision of substance misuse, domestic abuse and homelessness services.

5.7 Domestic Abuse Approximately 17,950 women within Redcar and Cleveland are estimated to experience domestic abuse; with 21% of these being subject to three or more incidents of abuse. Recent statistics highlight Redcar and Cleveland as having the highest percentage increase in domestic abuse in the Tees area.

5.8 Local leadership and coordination of the local domestic abuse agenda is provided through Redcar and Cleveland’s multi-agency Domestic Abuse Partnership. The partnership has set out a vision for residents in the Borough to live free from the fear, threat and effects of domestic abuse, and build sustained healthy relationships. Key priorities within the current strategy include:

. Raise awareness of domestic abuse and promote healthy relationships . Ensure early identification of domestic abuse so that appropriate support can be offered. . Deliver effective support to people affected by domestic abuse. . Deliver effective interventions to perpetrators to enable them to build healthy relationships.

5.9 In Summer 2019, the Empowering Communities team, hosted a “Domestic Abuse: Everyone’s Business” awareness event, attended by over 80 professionals from a wide range of organisations. The event successfully helped to raise awareness and knowledge about domestic abuse and its impact, and about local services available to address this. The event also marked the official launch of Redcar and Cleveland’s Domestic Abuse Needs Assessment, which has now been completed and will be used to support the shaping of future domestic abuse provision in the borough. This work will be developed as part of the emerging vulnerable person model, which will look at ways of improving support to more complex cases of abuse.

5.10 Addictions – Drug and Alcohol Following the successful mobilisation of the Addaction Substance Misuse and Alcohol Service, there are some early indications of service improvement, with treatment completion rates for both opiate and non-opiate users, starting to buck previous downward trends.

5.11 New developments include improved engagement with primary care and this is anticipated to be further enhanced through the launch of a pilot alcohol in-reach pathway in a Guisborough practice. If successful, the pilot will be rolled-out more widely within the borough.

5.12 Whilst access into substance services for opiate clients has improved, there remains significant challenges in managing the complexity of needs within the existing

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27 of 43 service model. A vulnerable person delivery model is currently being developed, with the intention of securing a more holistic and cost-effective service by April 2021.

5.13 Oxford House In 2011, in partnership with Coast & Country Housing the Council helped establish the first UK Oxford House in . Now, we are about to open the second Oxford House in the borough. This has been made possible by Public Health England capital funding, secured in partnership with Living Sober and Beyond Housing, plus Homes England Community Housing monies; “Cromwell House”, in South bank will soon provide an 8-bed housing facility to support the re-integration of recovering addicts, through intensive, peer-led support and a secure living environment. There is a strong evidence-base for this approach, with reciprocal and sustainable benefits to the surrounding community and those in recovery, including community integration, regeneration and opportunities for intergenerational interaction.

This unique project will be completed in February 2020, with Redcar and Cleveland Voluntary Development Agency obtaining registered provider status so that the community asset can be transferred to their ownership.

5.14 Drug-Related Deaths Nationally and locally there has been an increase in the number of drug related deaths. In Redcar and Cleveland drug-related deaths have increased in recent years, with the area ranking sixth worst in the country for deaths as the result of drug misuse. The Public Health South Tees service has a Tees-wide ‘Preventing Drug-related Deaths Co-ordinator’. And a ‘Preventing Drug-Related Deaths Taskforce’ is now in place, to support multi-agency action on addressing this important issue locally.

Naloxone is an opioid antagonist used to completely, or partially, reverse opioid overdoses; Naloxone distribution continues to play a key role in the local strategy to prevent opioid-related overdoses. Across South Tees over 2000 kits have been distributed and 200 practitioners trained. James Cook University Hospital was the second in the country to provide take-home Naloxone kits and, shortly, will be one of the first forces nationally to carry Naloxone nasal sprays as standard.

5.15 Support people to improve their wellbeing through our approach to prevention

5.16 Dementia Friendly Borough Becoming a Dementia Friendly Borough is a priority in the Redcar & Cleveland Borough Council Corporate Plan. The Council supports many people with dementia, their families and carers; providing care and support to help them live in the community for as long as possible. For people in the advanced stages of dementia, their families and carers are often unable to cope and the person needs to be cared for in a residential or nursing home.

5.17 A Dementia Friendly Borough aims to promote awareness of dementia and increase understanding about what residents can do to help people living with dementia to

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28 of 43 remain active and independent within the community for as long as possible. As part of the approach, the Council aims to:

. Ensure that people living with dementia can remain active and members of their community; . Create communities that support people with dementia to maintain their independence; . Ensure people with dementia receive support when needed; and . Increase awareness and understanding about dementia, reducing its stigma.

5.18 The Redcar and Cleveland approach benefits from shared learning with the Middlesbrough public health locality team and there has been significant progress to date against the aims set out in the Dementia Action plan, including:

. Training of over 1,600 Dementia Friends . Creation of 111 Dementia Aware businesses . Hosting a successful Dementia Action Week celebration event at Kirkleatham Museum. The event was attended by 80 people living with Dementia and their carers . The rolling out of Dementia Friends training in primary schools, commencing with Primary pupils.

5.19 Tobacco Control – South Tees Smoke-Free Alliance This year has seen the establishment of a South Tees Smokefree Alliance Board and action plan, with a vision to work in partnership to achieve a 5% smoking prevalence by 2025, thereby reducing health inequalities and making smoking history.

5.20 As members of the Smokefree Action Coalition, Redcar and Cleveland Borough Council has jointly committed to:

. Reduce smoking prevalence and health inequalities; . Develop plans with partners and local communities; . Participate in local and regional networks; . Support Government action at national level; . Protect tobacco control work from the commercial and vested interests of the tobacco industry; . Monitor the progress of tobacco control plans

5.21 Early successes of the South Tees Alliance include supporting James Cook University Hospital to become smoke-free. This game-changing policy initiative, reflects a system-wide response to tackling one of the most preventable causes of ill health and premature mortality in the borough.

5.22 Emotional Wellbeing, Mental Health and Social Isolation There has been a general rise in incidences of common mental health problems across the borough, when compared to England and regional rates. 2,023 adults in Redcar and Cleveland have been diagnosed with depression at a level significantly higher than England’s. There are 12,220 adults in Redcar and Cleveland with recorded depression on general practice registers. Anti-depressant prescribing in

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29 of 43 South Tees is about 50% higher than the England average. There is a higher rate of hospital admissions for intentional self-harm locally with 253.9 per 100,000 compared to 185.5 per 100,000 nationally.

5.23 Ways to Wellbeing Building community resilience and efficacy in supporting positive mental health and wellbeing, is key to local mental health and wellbeing strategies. “5 Ways to Wellbeing” is an asset-based community development approach currently in development across South Tees. The approach includes building the expertise and resources of the Empowering Communities Team to build community resilience, awareness and response to mental health issues. The approach encourages individual and community-led action to:

. connect people to their community and environment (connect); . increase physical activity (be active); . be more mindful and emotionally aware (take notice); . continue to learn (keep learning); and . give back through volunteering or acts of kindness (give).

This evidence-based approach is anticipated to deliver real population-wide benefits, including improvements to health outcomes and broader wellbeing measures.

5.24 Mental Health Training Hub Building capacity to improve timely and effective mental health and wellbeing support, is central to Redcar and Cleveland’s strategy for improving local mental health. The Tees Mental Health Training hub is key to this as it rolls out courses that build local capacity to provide mental health first aid, support for young people, and a range of suicide prevention and intervention skills courses.

The training hub recently secured £50,000 of additional funding to: increase mental health training provision; increase the capacity of trained instructors, deliver bespoke courses for key target groups; and test new models of training locally.

5.25 Social Loneliness and Isolation Loneliness is a difficult and complex subject to take appropriate action to alleviate. However, measures to alleviate loneliness are being weaponised in Redcar and Cleveland, because the condition’s impacts are far-reaching, including, cardiovascular disease, stroke; Alzheimer’s disease and poor economic productivity.

A national strategy ‘A connected society: A strategy for tackling loneliness’ was published in 2018 and a South Tees action plan is being rolled-out this month. The action plan will encompass the ‘5 ways to wellbeing’ approach and will amplify Public Health England’s national ‘Every Mind Matters’ campaign.

The Transformation Challenge team continues to support local action on tackling loneliness and has established the “It’s Our Community” group, based at the Westmorland Community Centre, set up to address loneliness through increased socialisation. The community group runs motivational and confidence building sessions, cooking, gardening and craft activities.

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This year £18,510 was awarded to voluntary and community groups in Redcar and Cleveland, to support projects aiming to reduce social isolation. The Empowering Communities team coordinated the funding on behalf of the Council and in total, 20 groups were successfully awarded funding. The funding will support a wide range of initiatives, including arts and craft as well as physical activity sessions.

5.26 Launch of Every Mind Matters The national Public Health England campaign ‘Every Mind Matters’ was successfully launched this October. The local campaign will embed the ‘5 ways to wellbeing’ approach, and a local action plan is being developed to provide a framework to promote and protect mental health, to the same level of priority as our physical health and wellbeing.

5.27 Redcar and Cleveland Borough Council Staff Mental Health Audit It is estimated that nationally 14.3 million days are lost every year through stress, depression and anxiety. This year Public Health South Tees rolled-out a self-audit tool to enable Redcar and Cleveland Borough Council to assess how it measured- up, in meeting the mental health and wellbeing needs of its staff. The audit has now been completed. An action plan is being developed, based on key findings to address areas for improvement and celebrate key successes in improving the health and wellbeing of our workforce.

5.28 Suicide Prevention Between 2015 and 2017 there were 34 suicides in Redcar & Cleveland (9.9 per 100,000), increasing slightly to 36 between 2016 and 2018 (10.8 per 100,000), which is above the England average but below the North East. Multi-agency work continues to be coordinated across Teesside to further reduce the number of suicides and to reduce the stigma and low levels of awareness of emotional issues across the borough. The Director of Public health, chairs the Tees Suicide prevention taskforce, supported by a Suicide Prevention Coordinator working across the four Tees local authorities. Some early successes of the arrangement, include:

. a shift in negative coverage of suicides in the press, through the development of a suicide prevention press protocol; . obtaining £80,000 of NHS England funding, which will be distributed to local voluntary and community sector groups to develop and implement community- based activities that will have a positive effect on the mental health and emotional wellbeing, especially of male residents aged between 25-65, using the ’5 Ways to Wellbeing’ approach; . the roll-out of a joint initiative with Cleveland Police to identify local suicide hot spots, and the provision of targeted signage and contact information, to reduce suicides in public areas within the Borough and across Teesside.

5.29 Increasing Physical Activity: South Tees Local Delivery Pilot The South Tees Local Delivery Pilot (South Tees LDP) is a four-year programme to address health inequalities in South Tees by supporting the least active to become more active. Redcar and Cleveland is the lead partner in this innovative joint initiative, which has attracted significant Sport England funding and aims to support the up-scaling of physical activity as a key lever in supporting the area’s social,

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31 of 43 economic and environmental ambitions and in addressing stubborn inequalities in local communities to improve the quality of life.

5.30 The programme seeks to achieve wide-scale change within four specific populations of interest, including: people suitable for pre-habilitation prior to surgery, people with type II diabetes, people accessing community-based commercial weight loss organisations, and health professionals. The programme also aims to support increased physical activity in four priority communities across South Tees: Grangetown; South Bank; North Ormesby and Brambles Farm; and Thorntree.

5.31 Progress to date includes:

. The development of the ‘You’ve Got This’ brand and the ‘Our Personal Bests’ campaign; . Adapting the approach to ‘Exercise on Referral’ by motivational interview training and improved behaviour change methods, effectively to move people through the programme into sustained independent exercise; . Development of investment principles to guide decision making and practice within the ‘Community Investment Programme’; . Improved partnership working with clinicians, specifically around core areas of working, including type II diabetes, prehab and health professional development; . Investment in innovative research methodologies to improve understanding of the local context and to inform a truly community-led approach

5.32 Best Start in Life Giving children and young people the best start in life is critical in supporting improved health outcomes and reducing health inequalities across Redcar and Cleveland. Significant strides have been made in 2019 to improve the local picture for children, young people and their families. But, stubborn local issues remain, including the high proportion of low income families, rising rates of childhood obesity, low breastfeeding rates and unplanned hospital admissions.

5.33 Progress in Redcar and Cleveland has benefited from Public Health South Tees arrangements, working through locality teams, to deliver evidence-based programmes of support that match the needs and aspirations of children and young people in the borough. These continue to be supported strategically in the early years, by the South Tees Maternal and Infant Health Partnership. This arrangement is to be extended to older children and teenagers.

5.34 Key areas of progress include:

. Development of the Maternal, Infant and Child Health 2019/22 action plan, . 8% reduction in the prevalence of smoking in pregnancy . Implementation of alcohol screening in pregnancy . Improved maternal access to talking therapies . Implementation of the multi-agency programme, ‘Pregnancy, Birth and Beyond’ . Breastfeeding Friendly accreditation achieved across all midwifery, health visiting and children centre services . Completion of the Redcar and Cleveland Children and Young People, Joint Strategic Needs Assessment

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32 of 43 . Development of the ‘Asthma Friendly Schools’ programme . Roll-out of the ‘Curriculum for Life’ aiming to develop a new curriculum and scheme of work to improve the health and well-being of young people and help ensure our schools are ready for the introduction of statutory Personal, Social, Health and Economic education from September 2020 . Establishment of an Early Years Partnership in conjunction with Middlesbrough Council and the National Literacy Hub, to build parental confidence in supporting their children to read. With poor literacy skills being associated with worklessness, poor housing and unhealthy diets, the scheme will bring broad benefits to disadvantaged children, young people and their families. . Establishment of the Teenage Pregnancy Partnership, which supports the early development of a vulnerable adolescent sexual health pathway and capacity building to improve access and engagement of young people in contraceptive and wider sexual health support.

5.35 In addition to the above, South Tees has successfully bid to be part of a national capacity building programme which will be led by The Children’s Society. The programme is for professionals aimed at improving the outcomes for children of alcohol dependent parents by increasing professional awareness and understanding; and ensuring better identification and support for those at risk. The Children of Alcohol Dependent Parents (CADeP) project is a Department of Health and Social Care funded project to upskill the Health and Social Care Workforce working with the children of alcohol dependent parents.

5.36 Focus on Undernutrition As part of the Public Health South Tees arrangements, 15 Redcar and Cleveland elderly care homes will now benefit from Better Care-Funded nutrition and hydration training and support. ‘Focus on Undernutrition’ works in partnership with the Dietetic and Nutrition Service and Medicines Management in supporting timely detection and treatment of undernutrition in vulnerable adults, the consequences of which can include: death, increased risk of hospital admission, poor wound healing and depression, amongst other complications.

5.37 The aim of the service is to:

. Provide accredited training and support to obtain timely detection and the treatment of undernutrition in vulnerable adults. . Ensure adult patients in Redcar and Cleveland are screened using the ‘MUST’ (Malnutrition Universal Screening Tool). . Ensure staff in all care settings recognise the importance of maintaining adequate hydration, normal fluid requirements and how to monitor intake. . Promote the appropriate prescribing and monitoring of oral nutritional supplements to reduce prescribing costs.

5.38 Additional capacity to support the implementation and roll-out of the Redcar and Cleveland programme is now in place, with 15 additional care homes targeted to receive support in the 2019/20 and 2020/21 period.

5.39 Tackling inequalities through preventative, early help approaches and addressing wider determinants

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5.40 Fuel Poverty The South Tees Affordable Warmth Partnership coordinates a multi-agency approach to tackle fuel poverty; bringing together representatives from across South Tees. A South Tees Affordable Warmth Action Plan is in place to support local action to address fuel poverty across the area. The action plan aims to improve joint action on tackling fuel poverty, including improved sharing of data to support the identification and timely intervention of those requiring support, and attracting more external investment in addressing fuel poverty.

5.41 In addition, the Health Protection Team in Redcar and Cleveland are currently waiting for the result of their latest Warm Homes funding bid. If successful this will support the alleviation of local fuel poverty, by improving the energy efficiency of the most inefficient “off gas” domestic dwellings across the Borough.

5.42 Tackling Period Poverty The term period poverty relates to women and girls being unable to, or struggling to pay for basic sanitary products. This impacts on the health, hygiene and wellbeing of women and girls across the UK. Awareness of period poverty has risen over the last 12 months, with press and media articles and national campaigns such as #Freeperiods raising more awareness of this issue. The introduction of Universal Credit is also having a negative impact on availability of funds for sanitary products.

5.43 The Council passed a motion at its meeting in April 2018 to support a campaign that wants to make period poverty history. The motion was that:

. No female in our area should be forced into poverty due to her period . No female should miss school, college or work because of her period

5.44 National research figures suggest that one in ten young women (aged between 14 and 21) are unable to afford sanitary products, affecting education and employment. In order to understand the scale of the problem across the borough, work has been carried out with schools and other services. From the information collected, it is still difficult to estimate the number of women and girls affected given the stigma and disclosure issues.

5.45 A South Tees Period Poverty Action Plan is in development. To date Redcar and Cleveland Council has committed a grant of £3,000 to front-load the Red Box projects (for purchase of further red boxes for donations and an initial supply of sanitary products and underwear). Council buildings across the Borough house donation and recipient boxes where appropriate. Storage has been obtained in Redcar library that local Red Box volunteers can access. In addition, the Council’s Empowering Communities team assists in distributing products to organisations across the Borough.

5.46 Nationally, the “red box” programme is disbanding as it focused only on schools, and the Government are now providing sanitary products in both primary and secondary schools. However, across South Tees our red box volunteers provide products to all interested organisations working with females in non-school environments, like youth centres, domestic violence organisations and drug and

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34 of 43 alcohol services.

5.47 Arts in Health The most recent Arts Council England research has shown that people who take part in the arts are 38% more likely to report good health. Arts and culture have been shown to contribute to both mental and physical health.

5.48 In November 2018, an ‘Arts in Health’ day was hosted in South Tees commissioned by the Live Well South Tees Board, Redcar & Cleveland Borough Council and Middlesbrough Council. It explored the following:

. Examples of best practice in the UK and globally. . Evaluation frameworks and relevant resources. . Development of funding partnerships such as Arts Council England, Nesta, and Esme Fairbairn. . Our local assets and how we might use them.

5.49 This approach and the relationships developed in subsequent meetings led to the successful bid led by the Middlesbrough Institute of Modern Art (MIMA), supported by both councils, to the Arts Council’s “Creative People and Places” programme. The bid secured £2M across South Tees, to support those least engaged in cultural activities in increasing their cultural participation. This will build on the existing South Tees arts and health work and the development of a broader concept of wellbeing.

5.50 Clean Air Strategy Improving air quality is of significant benefit to the health and wellbeing of the resident population. Exposure to high concentration of human-made pollutants in the air, is responsible for around 32,000 deaths per annum in the UK, with direct links between poor air quality and respiratory and cardiovascular diseases.

5.51 In June 2019, the Environment Protection Team successfully completed the annual DEFRA report, which demonstrated an improvement in air quality, meaning we were not required to declare an Air Quality Management Area (AQMA). Redcar and Cleveland remain committed to continuing this good news story, having jointly hosted a Clean Air Workshop with Public Protection colleagues in Middlesbrough, to support and shape the development of a South Tees Clean Air Strategy.

5.52 Over the Summer, the Environment Protection Team organised a Clean Air Day event at Redcar library, and a Festival of Thrift workshop. Both events highlighted the detrimental impacts of poor air quality and promoted simple strategies for supporting clean air action. The necessity of individual, community and nationwide action to address local air quality is, unsurprisingly the main plank of the South Tees Clean Air Strategy.

5.53 Targeted work with the private rented sector: In November 2018, a twelve-month programme of targeted work was commenced, aiming to improve the condition of private rented accommodation, reducing anti- social behaviour and working with vulnerable tenants in Carlin How. The area has five hundred properties and it is estimated that approximately one hundred properties are privately rented.

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5.54 A dedicated Environmental Health Officer from the Housing Standards Team aimed to inspect all privately rented accommodation, ideally with the co-operation of both landlords and tenants. This targeted work has developed into partnership working between Social Care, the ASB team, neighbourhood workers, Transformation Challenge, Cleveland Police and Cleveland Fire Brigade. This has been in the form of referrals and joint visits to ensure that residents receive support where needed.

5.55 Several incidents of by-passed utility meters were found. Unfortunately, on numerous occasions, tenants continued to tamper with meters despite them being replaced and made safe by the utility providers. This led to joint work with energy providers and Cleveland Fire Brigade to raise tenants’ awareness of the risks of by- passing meters; a training session was also arranged for colleagues to improve awareness around the risks and what officers should be looking for with regards to the utility meter tampering.

5.56 Full Housing Health and Safety Rating System inspections have been completed at 36 properties with the resulting removal of hazards.

5.57 Referrals have been made by the Housing Service to other partner agencies, including:

. 11 for replacement bins; . 10 to Transformation Challenge . 5 to Cleveland Police for criminal . 1 to Early Help, activity; . 1 to Addaction for support with . 1 to the RSPCA substance misuse, and; . 6 safeguarding referrals to Adult . 1 to Warm and Well for Services assistance with energy advice

Cleveland Fire Brigade have leafleted 245 properties and completed 16 home fire safety checks.

5.58 Following the success of the project in supporting vulnerable tenants the project has recently been extended until March 2020. This work will support the future consideration of a potential application for Selective Licensing; accepting that Selective Licensing can only be applied as a last resort, where there is no “practical and beneficial alternative”.

5.59 Implementation of the Homelessness Reduction Act The Homelessness Reduction Act 2017, came into force on 03 April 2018 and placed new legal duties on English councils to ensure that everyone who is homeless or at risk of homelessness has access to meaningful help, irrespective of their priority need status. Duties are owed to anyone over the age of 16 years, whether they are single, a couple or a family.

5.60 The Act requires local authorities in the first instance to work with clients to prevent them from becoming homeless in the first instance.

5.61 Key provisions contained within the Act are:

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36 of 43 . The Prevention Duty. A new duty for the local authority to try to prevent homelessness for those who are at risk of homelessness within the next 56 days; . The Relief Duty. A new duty to help someone who is already homeless, is eligible for assistance and has a local connection; . The Duty to Refer. A new duty on other public services to refer people to the local housing authority if they are working with people who are homeless or at risk of homelessness. . Personalised Housing Plan. A new requirement that after assessment a client is provided with their own personal plan detailing what the local authority will do to assist and what the client themselves will do to help resolve their homelessness. These plans should be made in agreement, be realistic and tailored to the individual.

5.62 In April 2018, we introduced a triage system for clients. If someone presents and is, or will be, homeless that day, they are seen immediately. If they present and are threatened with homelessness, they are offered an appointment with a homeless prevention officer. This ensures adequate time is given for officers to prepare for a full assessment and to develop a Personalised Housing Plan (PHP) at the assessment appointment.

5.63 Analysis of service data suggests that approaches to the service have not increased. However, we are seeing more clients, with multiple unmet needs, which in turn is leading to more complex and lengthy casework.

5.64 Empty Homes to Happy Homes The Housing Team, Beyond Housing and Voluntary and Community Sector (VCS) partners have worked together to review our approach to supporting vulnerable people such as care leavers, those suffering from substance misuse, those with mental health issues, those suffering domestic abuse and the homeless/at risk of becoming homeless.

5.65 The partnership has developed the new Empty Homes to Happy Homes model (agreed by Cabinet in March) that aims to bring empty properties back to into use and to develop affordable and sustainable homes for vulnerable people excluded from social housing or struggling to access private renting. The scheme also creates opportunities for young people to obtain training and qualifications.

5.66 The Housing Team is currently developing an agreement for the refurbishment and maintenance of properties in the scheme. This agreement will require providers to create opportunities for learning, training & qualifications for young unemployed people and to support the sustainability of the sector. The scheme will go live once this framework agreement is complete.

5.67 Trading Standards Trading Standards enforce a wide range of consumer protection legislation (for the benefit of both consumers and legitimate businesses), linked to intelligence reports of issues at an individual, local, regional and national level. The role of Trading Standards contributes to the enabling of good health and wellbeing of residents, to business growth by providing free impartial advice to businesses,

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37 of 43 which provides for more confident and active consumers in the borough.

The Service have been engaged in several key areas, including:

. No Cold Caller Homes project continues to be valued by users, and now has over 460 residents signed up to the scheme . Defective goods or services: the service received around 918 referrals & notifications in the financial year (2018/19); leading to a variety of outcomes to investigations using the full range of powers we have available, including: trader advice, referrals to a Home Authority/Primary Authority, and in a few instances reporting for prosecution. . Protecting vulnerable people: the service is working with Cleveland Police to develop a Banking Protocol, including putting a delay on nominated bank accounts over the withdrawal of larger sums of money in cash, thereby protecting the vulnerable from the pressure traders sometimes put consumers under to pay immediately in cash. . Doorstep Crime: the service continues to engage with Cleveland Police in exchanging data on doorstep crime issues.

5.68 Commercial Team The team delivers a range of services including food safety and standards enforcement, feed enforcement, investigation of health and safety incidents and accidents, agricultural animal health and welfare, monitoring of private water supplies, investigate incidents of food borne disease and communicable disease and also work with local food businesses and community groups to encourage the provision of healthy foods, which contributes towards the wider obesity agenda.

The team has continued to complete all its Food Hygiene and Standards Inspections in accordance with the Food Law Code of Practice, and within appropriate timescales. The team continues to focus on allergen controls during inspections to ensure all businesses are aware of the serious risk that they could pose to an allergy sufferer. The team has one successful prosecution after guilty pleas were made by both food business operators that led to a custodial sentence.

In the last year, the team have performed a survey on levels of lead in water supplies in our high-risk premises (nurseries and pre-school providers), and are currently running a project to identify risks of violence in the workplace. The team monitors and sample a number of Private Water Supplies. The team are currently investigating two large supplies that continue to fail for bacteriological quality, to see if further improvements can be made.

The team promotes Food4Health and healthy eating options for school meals and other businesses, they are currently working on a healthy lunchbox campaign for those students transitioning from primary to secondary school.

5.69 Other Areas

5.70 Blue Flag Beach Status Blue Flag beach status is one of the most iconic eco-labels awarded to beaches. In May 2019, Saltburn joined only 155 beaches in the UK to achieve this status in the

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5.71 The achievement is the result of strong partnership working in investigating localised pollution and delivering ambitious infrastructure works to improve bathing water quality. In addition, the strong focus of the Blue Flag programme in connecting local communities with their environments, compliments other local environmental initiatives, such as community litter-picks.

5.72 Libraries Under Shaping Our Future Three (SOF3) the Libraries and Customer Service Review implemented operational changes to Libraries and Customer Services. The offer to customers has consequently improved; with face to face benefits advice now available at eight library locations, in comparison to three prior to SOF3.

5.73 Over 411,000 visits were made to libraries between April 2018 to March 2019. Our vibrant libraries host multiple events throughout the year and have numerous community groups. Our libraries all gained Dementia Friendly status this year, and Guisborough Library introduced Autism Friendly sessions, ensuring we offer a welcoming service, accessible to all. Staff have attended Autism Awareness training to support this initiative.

5.74 All libraries in our Borough now either promote or deliver Health Checks. Blood Pressure checks are also available. Those not eligible for health checks (available to those between 40 and 74 without a long-term condition) are also proving popular and referrals to GPs are made when patients present with high blood pressure.

5.75 Guisborough Library worked with the Culture Team to support the volunteer-run Project to bring the Gisburne Bible, an historic, illustrated medieval bible home to Guisborough after hundreds of years. The bible was given to the Priory in the 14th Century in the decades following a devastating fire which destroyed many of the Priory’s books before being removed in the Reformation. The bible was loaned by St John’s College, Cambridge as part of the 900th anniversary celebrations of Gisborough Priory and was displayed earlier this Autumn.

5.76 The bible was unveiled at Guisborough Library by internationally renowned author and historian Philippa Gregory.

5.77 SHINE Funding Workshop The Empowering Communities Team established “SHINE” - a funding workshop placing Redcar & Cleveland community organisations in the spotlight, telling their stories and obtaining networking opportunities.

5.78 Funders attending included: the National Lottery Community Fund and the National Lottery Heritage Fund, the Arts Council, Youth Music, and the Sirius Minerals Foundation. Feedback from all funders was that the event was valuable and all asked to be invited to the next event.

5.79 SHINE is a rewarding legacy for the Empowering Communities Team; it has already started new conversations with organisations across the borough and strengthened relationships helping the Community Development Officers to be more effective.

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5.80 Port Health & Brexit Preparations The Port Health Service is managed by the Environmental Health (Commercial) team. The service covers monitoring and inspection of ships entering the Tees, including renewal of Ship Sanitation Certificates. They monitor all imported food and feed that enters the port and carry out official controls as necessary and in accordance with regulatory requirements.

5.81 The Principal Environmental Health Officer attends the Cleveland Local Resilience Forum meetings on behalf of the Port Health Service and sits on the Brexit Task and Finish Group. All Brexit preparations are up to date in accordance with government requirements and we consider ourselves “no deal” ready.

5.82 East Cleveland’s Industrial Heartland This project began in January 2019, following a successful bid to the National Lottery Heritage Fund and aims to map and raise awareness of our industrial heritage - specifically ironstone mining sites and communities across East Cleveland, such as Kilton, , , , Mines and .

5.83 Underground 3D models of mine workings have also been produced allowing the public to visualise their relation to the modern-day surface.

5.84 In collaboration with the Cleveland Ironstone Mining Museum two successful events were organised for children from Skelton Primary School, in March 2019, and Lockwood Primary School, in April 2019. In June and July, The Mining Museum “Pop-up Museum” visited the North York Moors National Parks “Escape to the Moors” event, the Middlesbrough Football Club Foundation Youth Culture Conference and Kirkleatham Museum.

5.85 Talks to local community groups have so far engaged with over 400 people and this year the project officer has spoken on the 3D modelling of mine workings to two national organisations, the National Association of Mining History Organisations and Hidden Earth. The Facebook site continues to grow with 560 members.

6 Funding

6.1 The funding available to tackle local issues that adversely impact on the potential for Redcar and Cleveland residents to live healthier and longer lives, is provided through the Public Health England ring-fenced grant. Whilst the Spending Round 2019 publication, signalled a real-terms increase in public health funding, this is promised in the context of additional NHS pay award costs (impacting on all contracted and in-house services which employ staff on NHS terms); rising costs of substance misuse drug costs (i.e. Buprenorphine); and, potential pressures attached to the transfer of statutory oral health promotion services from NHS England.

6.2 As noted at the beginning of this report (2.4), public health funding has, unfortunately, steadily declined since the function transferred from the NHS in April 2013 (apart from an uplift in funding to finance the transfer of Health Visiting

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40 of 43 Services from NHS England to Local Authorities in 2015/16 and 2016/17).

6.3 There is continued uncertainty on the future funding arrangements for public health beyond 2020/21 with proposals for the local allocations to be derived from business rate retention. The early proposals for a formula to allocate public health for each local area, if implemented, would result in a £3.3m reduction for Redcar and Cleveland Borough Council. The revised funding formula applies less weight to inequality and more to older people, hence the potential reductions to funding in Redcar and Cleveland. Further work to lobby the Government is being carried locally, across the Tees valley and regionally to protect the investment in public health.

6.4 2020/21 will also see the expiration of external and local non-recurrent funding to support the successful Transformation Challenge programme, which was built on £1M Ministry of Housing, Communities and Local Government funding.

7 Climate Change Update

7.1 In March 2019, the Council agreed a motion which declared a climate emergency and made commitments to: • Make the borough carbon neutral by 2030 taking account of production and consumption emissions • Seek powers and resources from Government to make 2030 target possible • Work with other local and regional Governments (both within the UK and internationally) • Report back to borough council in six months on its own actions to address the climate emergency.

7.2 Reducing our carbon emissions feeds into our Corporate Plan priorities of a Clean and Safe Environment and Improving the Way We Work. Reduced energy use also has a direct impact on our financial resources. Energy is an increasingly expensive commodity and reducing energy use helps to minimise our costs now and mitigates price increases in the future.

7.3 The Climate Change Act places legally binding targets for greenhouse gas emission reductions through action in the UK and abroad of at least 80% by 2050, and reductions in carbon emissions of at least 26% by 2020, against a 1990 baseline.

7.4 The Council is required to encourage energy efficiency and carbon reduction to contribute to meeting the UK carbon reduction targets as set out in the Climate Change Act 2008. The Council’s performance and progress in this regard are reported annually through its Annual Energy and Carbon Report, the most recent of which was considered by Cabinet at its last meeting on 5 November and demonstrated that:

• Our carbon emissions have reduced by a further 16.7% measured against 2017-2018, and a total of 42% since 2014-15. • The Council has already surpassed the initial target of a 25% reduction in carbon emissions set out in 2014-2015. • We have continued to reduce the energy the council consumes and as a

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41 of 43 result, increasingly becoming more energy efficient. • Our electricity supply is now being sourced from Teesside • We have signed up to the UK100, committing to become a borough that is carbon-free by shifting to 100% clean energy by 2030. • We have signed up to the Governments’ Emissions Reduction Pledge 2020. • Although we cannot sign up to the RE100 due to being a local authority, we are fulfilling its requirement of sourcing our electricity from 100% renewables from our current supplier.

7.5 Our reduction in energy usage has been achieved through an accumulation of actions, some of which are highlighted below:

• Street lighting electricity usage has decreased by 804,362 kWh • Reducing electricity consumption in our three main admin buildings (Redcar & Cleveland House, Belmont House & Seafield House) by 138,057 kWh. • Upgrading the lighting systems to LED at Saltburn Children’s Centre and Marske Library. • Installing loft insulation to Lockwood Primary School. • Upgrading the BMS (Building Management System) at TunedIn and Saltburn Childrens Centre. • Upgrading our data centre equipment and cooling provision.

7.6 The sector which contributes the largest carbon emissions across the borough is electrical consumption from Industry and Commercial businesses. This sector has seen the largest reduction in carbon emissions, primarily due to the closure of SSI, although carbon emissions across all three reporting sectors are continuing to decrease.

7.7 Delivering against the ambitious target the Council has set itself of the borough becoming carbon neutral by 2030 requires a multi-faceted approach from a variety of teams across the Council.

7.8 The Council’s recently established Climate Change Task and Finish Group is working to explore a number of opportunities which will make an impact in achieving this target. It is envisaged that a new Environmental Strategy will be key to guiding and developing targets in either reducing carbon emissions at source or by implementing offsetting measures and will articulate our commitments more clearly by bringing together the numerous strands of work under a single umbrella strategy. Whilst the task and finish group will work closely with the team in developing the strategy, it is keen to put measures in place now to begin making steps towards the borough being carbon neutral by 2030. Considerations currently being discussed include:

• Developing a strategy for planting trees across the borough based on an objective of offsetting our carbon emissions which includes setting aside any land which is currently not appropriate for re-development for wholescale tree planting, and promoting tree planting on private and residential land and gardens; • Making improvements to public transport networks across the borough by

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42 of 43 introducing electrically powered buses and development of rail networks to electricity away from diesel powered, and working with partners to influence wider regional transport strategies; • Promoting cycling and walking to reduce the number of vehicles on the roads, and; • Working with planning rules and regulations to determine if new businesses who wish to trade within the borough work to green strategies or operate a carbon neutral model; • Developing a supplementary planning document to reflect our climate change commitments to support the Local Plan; and • Seeking the views of local interest groups, residents and the wider community and support them, wherever possible, in their local activity.

7.9 In addition to the above, in April 2019, the Council began purchasing electricity from EDF Energy for all areas of the business. As part of this move to EDF Energy the Council took the opportunity to source all electricity supplies from the Teesside Wind Farm. This will create a further reduction in carbon emissions, which will be captured in next year’s Green House Gases report demonstrating the Council’s commitment to tackling climate change.

8 Recommendations

8.1 I recommend that the Borough Council notes the content of this report.

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