Minutes of Healthwatch Sefton Steering Group meeting Held 3rd December 2014, 10:30am – 12:30pm Sing Plus Cambridge Road, Seaforth, L21 1EX

ATTENDEES:

Maureen Kelly (MK) Chair

Locality Representatives: Brian Clark (BC) North Libby Kitt (LK) Seaforth, Litherland and Netherton Fred Roberts (FR) Bootle

Organisational Representatives: David Skelton (DS) Sefton Equalities Partnership Tony Medlicott (TM) Health and Social Care Forum Marion Hepworth (MH) Sefton Partnership for Older Citizens Lynn Anderton (LA) Every Child Matters Forum Roger Hutchings (RH) Learning Disability Partnership Board Diane Middleman (DM) Sefton Carers Action Group Donna Spencer Lifeline Service User Forum Peter Lyons Lifeline

Support Team: Diane Blair (DB) Healthwatch Sefton Manager Clare Platt (CP) Signposting, Information & Administration Officer

Observer Val Bayliff Sefton O.P.E.R.A – Community Champion

APOLOGIES:

Locality Representatives: Laura Wills (LW) Formby Lionel Johnson (LJ) Central Southport Ken Lowe (KL) South Southport (Ainsdale & )

1. Welcome, introductions & apologies

MK welcomed all members. Introductions were made and apologies given.

2. Declaration of Interests

1

None declared. Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]

3. Minutes from previous meeting

Minutes agreed as an accurate record with the following amendment – update attendance record to show Lynn Anderton attended in November.

4. Matters Arising – Action Tracker

GP out of hours pharmacy – Briefing circulated (Summary by DB) – This has been on the action tracker for a while. It was delayed as they wanted to expand the engagement to include weekend users and again to look at alternative pharmacy options. The 3 options now are to leave the service as it is (this is stated as not practical due to costs), open at late hours when other options are not available (this would still leave paying for an under used service) or close the service (the preferred option as local pharmacies and GP wrap around prescribing service would be available). Borough wide engagement is now to take place and ends on 16/1/2015. A decision will be made at Clinical Commissioning Group (CCG) Governing Body meetings on 28th and 29th January.

MK added that Brendan Prescott at the CCG indicated that if the service closes they would be interested in us doing some extra work to see if people are happy with the outcome. Members discussed Healthwatch involvement. There were concerns around timescales with no time to host a Healthwatch meeting/event. Members were keen for Healthwatch involvement and felt that a role in promoting this to members and the general public would be the best option. DB will follow this up.

Sefton Carers Centre / GP Work – DB said that her meeting with John Hill on 28th was cancelled and will be re-arranged in the New Year.

Healthwatch – Hospital Discharge report – DB informed all that we are still awaiting the briefings.

Clock View Project, Communications Strategy – LK said that this has been raised with Kim Guy at the Trust but will be escalated if response not received soon.

Formal request for PALS reports – DB said that we have received these but different trusts produce different types of reports. She asked the group if they would want a working group set up to review these or prefer it to be done via email. It was agreed that member preferred to meet to discuss this and LK suggested it be merged in with the Quality Account meetings.

Invite Suzanne Lynch from the Clinical Commissioning Group to a future meeting to discuss Medicines Management – DB informed that group that this is still to be 2

actioned. Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: Sefton Council for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]

5. Representation – Update on role

DB shared a draft of the ‘Healthwatch Sefton Volunteer Liaison Representative Role’ which has previously been shared by email. She asked for final comments. It was suggested a time frame should be included to state how long you represent before it is reviewed. Discussions were had around how political some of the groups Healthwatch Sefton attend and how difficult it is to remain impartial. FR suggested it would be useful for volunteers to be able to observe before committing. DB to make alterations to the document and share with the group and shared with the Community Champion networks for comment.

6. Draft protocol for joint working between OSC (Health and Social Care) and Healthwatch Sefton

Members agreed that this document was important. LK suggested it needed a review date. DB will share comments with Debbie Campbell, officer for the committee. DB to contact Councillor Robert Brennan to see if a similar document will be received for the Children’s Overview and Scrutiny Committee (OSC).

7. Equality Delivery System (EDS) update – Update paper

DB gave a brief overview of the paper which had been written by Andrew Woods, senior governance manager at North West Commissioning Unit. A key focus is local engagement and how the clinical commissioning groups have engaged with local organisations and users of services. There was a discussion around who grades the CCGs, do they have a panel and will they be independent. Is this something that Healthwatch Sefton should be involved with? DB will request this information.

8. Healthwatch Sefton engagement statement

MK shared the above which had been drafted to help to inform work to share with the Health & Wellbeing Board and Programme Integration Group. This could also be used by other key stakeholders once agreed. This has been drafted to help the steering group look at how Healthwatch Sefton could be engaged by stakeholders at different levels and that how to engage with Healthwatch is clear. MK requested all members send any comments on this document to DB. DB will send a deadline date to all. RH suggested we should know their engagement process. DB will find out their consultation and engagement processes.

3 Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: Sefton Council for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]

9. Work Plan Update (including action tracker from November 2014)

GP Access - LK said that the team are ready to pilot the survey in Hightown and once complete the project will start in the Seaforth, Litherland and Netherton locality.

Podiatry – DB stated that the CCGs and LCH response to our report is due back by 12th December 2014.

Public Transport – DB informed the group the posters for this are ready and will be shared via the Community Champion network. DS suggested it may be useful to escalate this to HW England as it may be an issue that is happening across the country. DB to action.

Early onset Dementia – DB informed the group that the Dementia Strategy is currently in draft and will be agreed in January 2015.

Patient Pathway for Offenders – An update from Mersey Care NHS Trust was shared with members. DB requested DS feed this information into Sefton Equalities Partnership where the issue had originated and provide feedback.

HMP Kennet – DB informed the group that this work will start this month as long as the partnership agreement is signed.

North West Ambulance Service – DB will chase Sarah Morley for this information.

Breast Care Services (Southport) – DB said we have received a partial response from Fiona Clark but not yet from Jonathan Parry or John Pugh. John Pugh is holding a public meeting in Southport and Healthwatch will be sending a member of the staff team along.

Flu Clinics – RH stated that he had attended Health Protection Forum this week and it was shown that uptake was higher in the North than the South.

HW Sefton Event – DB summarised the discussions we have had previously around this and the need for it to be themed to draw people in. It was agreed that the working group should meet again to discuss further. DB to arrange dates.

4 Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: Sefton Council for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]

10. Update / Issues from consideration from Southport and Formby Community Champion Network / Update from LJ

LJ gave apologies for this meeting. DB updated the group on the Southport & Formby Community Champion Network. They have decided they would prefer to meet quarterly with more in depth agendas rather than meet monthly. Between meetings they are happy be contacted and/or raise issues via email and other forms of communication. They have also requested occasional joint meetings with South Sefton Community Champion Network to share good practice.

11. Update from South & Central Sefton Community Champion Network

Libby raised various issues from the network.

 The network asked if we would have a role in monitoring the new care bill when it comes in.  The network requested a profile of who the representative for HW Sefton is on various boards and what their skills are.  GP contracts – Is the patients voice monitored within contracting time.  The expressed concerns about Litherland Town Hall waiting areas being cramped. The Steering Group will look at putting this on the Work Plan for the Enter and View team.  They asked about services for children with autism. RH says there are issues around public engagement in relation to this issue. TM says the new service that was launched has started already, prior to the launch date. RH stated he thought that services in this area have been sporadic since 2001.DB will find out more about this.  Could choose and book be added to the work plan. This was agreed by the group and DB will put in a request for somebody to come and talk to us about how the system should work.

12. Update from organisational representatives

NONE

13. Members Reports / Representation Reports

Papers supplied prior to meeting – comments below.

MK stated the timescales for the support letter for the Better Care Fund were short and did not give enough time for it to be brought to this group. She said

timescales from the Health and Well Being Board, who have requested an update

to her previous presentation, are also short. This is the main reason why the 5 Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: Sefton Council for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]

engagement statement will be important. FR asked why they won’t accept a deputy. DB will find out how other areas work.

LK stated she had passed papers to CP from the OSC that may be of use to the Signposting and Information Service.

14. Any Other Business a. Dates, times and venues for 2015 meetings DB asked if people would be happy to meet for the next Steering Group on 28th January in the afternoon so that we can invite a representative of Healthwatch England along. Although this clashes with SPOC forum and PPI Southport it was decided if it was the only date HW England can make it was important to have this attendance.

DB also asked if everyone was still happy with the current day of Wednesday morning and with alternating meetings between North and South Sefton. Everyone agreed they were.

b. Invitation to attend the Clatterbridge Cancer Centre Quality Account meeting DB informed the group that the date for this was 15th December from 2pm to 4pm. DB agreed to send this to all members for consideration.

MK proposed the merging of agenda items 10, 11 and 12 into one item called emerging issues. This would mean the reports would be copied to all members and only highlighted issues that require further discussion be raised here. Members agreed. FR suggested that with all documents it should be assumed they have been read and summary by staff or the chair is not required. Agreed by members.

Updated copy of calendar of events shared along with a letter from NHS England giving an update on the merge of the Merseyside and Cheshire local area teams.

Date and time of next meeting:

Wednesday 28th January 2015 12.30 Arrival (Sandwiches will be provided), 1.00–3.00pm Sing Plus Resource Centre (Main Hall). Sing Plus Resource Centre 53 Cambridge

Road, Seaforth, , L21 1EX.

6 Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: Sefton Council for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]

Attendance Tracker

Jul Aug Sep Oct Nov Dec Name / Representing 2014 2014 2014 2014 2014 2014 Maureen Kelly       Chair Brian Clark       North Southport Lionel Johnson   x x  x Central Southport Ken Lowe      x South Southport Laura Wills   x  x x Formby Julie Bennett  x x  x x Crosby Libby Kitt  x     Seaforth & Litherland Fred Roberts(in volunteer role Oct 14) x x x    Bootle Karen Jones (in volunteer role Oct 14) ------x x x Maghull Tony Medlicott x x  x   Health and Social Care Forum Lynn Anderton x  x  x  Every Child Matters Forum Jane Stephens  x x x x x Sefton Faith Network David Skelton       Sefton Equalities Network Roger Hutchings    x x  Learning Disability Partnership Board Marion Hepworth ------  Sefton Partnership for Older Citizens Diane Middleman     x  Sefton Carers Action Group part part Part Jenny Southern x x x x x x Voices and Young Advisors ????????? (in volunteer role Sept 14) x x    

Lifeline Sefton Service User Forum

7 Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: Sefton Council for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]

Action Tracker – actions not included within work plan update are listed below.

DATE ACTION BY PROGRESS

18/09/14 GP Out of Hours pharmacy at DB Update will be provided at the Litherland Town Hall engagement. December meeting of EPEG. Further engagement to take place with the public. DB to find out more information about proposed HW Sefton involvement. 18/09/14 Contact John Hill regarding the DB Meeting to be rearranged for the new Carers Centre project looking at GPs year. from a carer’s perspective. 18/09/14 Awaiting Hospital Discharge Report DB 3 briefings are being produced, one for from Healthwatch England each of the target groups. This decision has involved going back through the original evidence to capture evidence and stories in the most powerful way. This has led to a delay in releasing the findings, but the release dates will be;  Mental health briefing: w/c 15 December  Homelessness and older people briefings: w/c 19 January

18/09/14 Annual Event DB DB to arrange new meeting for the working group. 01/10/14 Communication Strategy has been LK LK to chase and escalate if required. requested from Clock View Project Group. 01/10/14 Formal request for copies of PALS DB Meetings to be arranged to evaluate reports from all our local hospitals. these reports.

12/11/14 ‘Representative Role’ document. ALL DB to make agreed alterations and share with the group for comments.

Add to CC agenda 12/11/14 Invite Suzanne Lynch to the DB Action to be completed January 2015. Community Champions meeting to discuss medications. 12/11/14 Hearing loop system purchase. DB Request to the board to be made at

meeting scheduled 15/12/14 8

Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: Sefton Council for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]

DATE ACTION BY PROGRESS

03/12/14 Draft protocol for joint working DB Diane to make agreed alterations to and to speak to Councillor Brennan to see if a similar document is required for the Children’s OSC 03/12/14 CCG grading. DB DB to find out who grades the CCG and if it is something HW Sefton should be involved with. 03/12/14 Engagement statement DB Forward to all members and with a deadline for comments.

DB to find out Sefton’s consultations and engagement process. 03/12/14 Public Transport DB Add to work plan the need to escalate to HW England. 03/12/14 Patient Pathway for prisoners DS DS to feed information on this into Equalities Board. 03/12/14 New Autism Service DB Find out more information about this. 03/12/14 Deputies on Health & Well Being DB DB to find out if other areas accept Board deputies on this board. 03/12/14 Clatterbridge Quality Account event DB Send to members for consideration.

9 Page Healthwatch Sefton. Company Ltd. by Guarantee Reg. No: 8453782 Healthwatch Sefton Registered Office: Sefton Council for Voluntary Service (CVS) 3rd Floor, Suite 3B, North Wing, Burlington House, Crosby Road North, Waterloo, L22 0LG Tel: (0151) 920 0726 ext 240 www.healthwatchsefton.co.uk [email protected]