COMMITTEE REF:
HSCRG/06/16
NOTICE OF MEETING
SCRUTINY HEALTH AND SOCIAL CARE REVIEW GROUP
Date : WEDNESDAY, 15 JUNE 2016
Time : 18:00
Place : COUNCIL CHAMBER TOWN HALL, LUTON
Members : AGBLEY MOLES CAMPBELL PEDERSEN T. MALIK PETTS LEWIS WAHEED
Co-Opted Mr Norris Bullock (Healthwatch Luton) Members: Nomination awaited (Healthwatch Luton)
Quorum: 3 Elected Members
Contact Officer: Bert Siong (01582 546781)
EMERGENCY EVACUATION PROCEDURE
Committee Rooms 1, 2, 4 & Council Chamber: Turn left, follow the green emergency exit signs to the main town hall entrance and proceed to the assembly point at St George's Square.
Committee Room 3: Proceed straight ahead through the double doors, follow the green emergency exit signs to the main Town Hall entrance and proceed to the assembly point at St George's Square.
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AGENDA
Agenda Subject Page Item No.
1 ELECTION OF CHAIR
2 APOLOGIES FOR ABSENCE
3 MINUTES
3.1 Minutes 29th February 2016 5 - 16
4 DISCLOSURES OF INTEREST
Members are reminded that they must disclose both the existence and nature of any disclosable pecuniary interest and any personal interest that they have in any matter to be considered at the meeting unless the interest is a sensitive interest in which event they need not disclose the nature of the interest.
A member with a disclosable pecuniary interest must not further participate in any discussion of, vote on, or take any executive steps in relation to the item of business.
A member with a personal interest, which a member of the public with knowledge of the relevant facts would reasonably regard as so significant that it is likely to prejudice the member’s judgment of the public interest, must similarly not participate in any discussion of, vote on, or take any executive steps in relation to the item of business.
Disclosable pecuniary interests and Personal Interests are defined in the Council’s Code of Conduct for Members and Co- opted members.
5 URGENT BUSINESS The Chair to report on any business which is considered to be urgent and which should be discussed at the meeting in accordance with Section 100B(4)(b) of the Local Government Act 1972 and to determine when, during the meeting, any such business should be discussed.
6 REFERENCES FROM COMMITTEES AND OTHER BODIES
7 CHAIR'S UPDATE Chair to report on issues since the last meeting.
REPORTS
Page 2 of 61 8 Non-Emergency Patient Transport Services - 17 - 19 May 2016 (Director of Commissioning & Integration, Luton CCG)
9 Health Improvement Provisions of Parks and 20 - 32 Leisure Facilities (Report by Adam Divney/ Barry Timms, LBC)
10 Health and Social Care Review Group - Revised 33 - 41 Terms of Reference 2016-17 (Report of the Service Director, Policy & Communities & Engagement)
11 Work Programme Report and Dates of Future 42 - 61 Meetings (Report of the Service Director, Policy & Communities & Engagement)
12 LOCAL GOVERNMENT ACT 1972, PART VA To consider whether to pass a resolution under Section 100A(4) of the Local Government Act 1972 to exclude the public from the meeting during consideration of any item listed above if it is likely that if members of the public were present during those items there would be disclosure to them of exempt information falling within the Paragraphs of Part 1 of Schedule 12A to the Local Government Act 1972.
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Page 4 of 61 AGENDA ITEM
2.1
MINUTES OF THE HEALTH AND SOCIAL CARE REVIEW GROUP
29TH FEBRUARY 2016 at 6.00 P.M
PRESENT: Councillor Agbley (Chair), Councillors Campbell, Pedersen, Lewis and Waheed
CO-OPTED MEMBERS:
IN ATTENDANCE:
SUPPORT OFFICERS/ ADVISORS: Nicky Poulain, Director of Commissioning & Integration - Luton CCG Dr Anita Ray-Choudhury – GP representative - Luton CCG Kimberley Radford – Commissioning Manager, Adult Social Care - LBC Pam Garraway – Director, Housing, Community Living & Adult Social care - LBC Bert Siong - Democracy and Scrutiny Officer - LBC Gerry Taylor – Director, Public Health - LBC Stephen Gunther – Consultant, Public Health - LBC Matthew Winn – Chief Executive - CCS
PUBLIC – 1 member of the public in attendance – name not known ACTION 10 APOLOGIES FOR ABSENCE (REF: 1)
Resolved: Apologies for absences were received on behalf of Councillors Moles and Petts and Mr Norris Bullock (Healthwatch, Luton)
11 MINUTES (REF: 2.1)
Resolved: That the minutes of the meeting held on 7th January 2016 be taken as read, approved as a correct record and the Chair be authorised to sign them, subject to the amendment below: That Cllr T. Khan, who was late, be shown as otherwise present at the meeting. 12 CHAIR'S UPDATE (REF: 6)
The Chair informed the Committee on progress since the last meeting, in particular a matter not otherwise on the agenda as set out below:
He informed Members that a petition of around 1000 signatures had been received in relation to the cessation of dental service provision for NHS patients at the Leagrave Dental Sedation Clinic from 1st April 2016. This
Page 5 of 61 proposal had been considered and supported by HSCRG back in May 2015, as was deemed to represent an enhancement in service for the whole of Luton.
He proposed that an extraordinary HSCRG meeting be arranged to take place in the Council Chamber at 6.00 pm on 5th April 2016, to give an opportunity to NHS England, the commissioning body, to present their case for the change and allow the petitioners to voice their views, which was agreed.
Resolved: That the Democracy & Scrutiny Officer be requested to arrange an extraordinary HSCRG meeting to take place in the Council Chamber at 6.00 pm on 5th April 2016, to consider the petition in relation to the cessation of dental service provision for NHS patients at the Leagrave Dental Sedation Clinic from 1st April 2016.
13 CARE QUALITY COMMISSION (CQC)INSPECTION BRIEFING (REF: 7)
Phil Terry, a CQC regional Inspection Manager, gave a presentation briefing Members on the changes in the way the CQC regulates, inspects and monitors care.
A full copy of the presentation, ‘Changing the way CQC regulates, inspects and monitors care’, can be found at the foot of the page from the following link: Link
Responding to comments from a Member of how certain service quality issues in care homes would be monitored, Phil Terry gave assurance how the CQC would address such circumstance. Pam Garraway also gave assurance that the Adult Social Care Quality Team would look at issues raised, in conjunction with the CQC.
On the issue on how whistle-blowers would be listened to following the Francis report, Phil Terry stated the CQC would guarantee that the anonymity of whistle-blowers would be protected as far as possible. He went on to give a few examples on how issues raised by whistle-blowers had been dealt with in the past, e.g. by focused unannounced inspections on escalation procedures and practice, without even mentioning anything about whistle- blowing.
On how Race Equality Standards were applied, he said Key Lines of Enquiries (KLOEs) asked a raft of questions on how services were meeting the diverse needs of the population. He added a quality summit meeting was held 2/3 days ahead of the publication of all final inspection reports to address any issues.
In relation to challenges, he stated that anyone could challenge factual inaccuracies of CQC reports, which would be looked at and corrected as appropriate.
Page 6 of 61 Resolved: (i) That Phil Terry’s presentation on ‘Changing the way CQC regulates, inspects and monitors care’ be noted; (ii) That the Committee’s thanks to Phil Terry for a very informative presentation be recorded.
14 CQC STRATEGY 2016 – 2021 - CONSULTATION (REF: 8)
The Democracy & Scrutiny Officer presented the report (Ref: 8) to enable HSCRG to consider and approve its responses to the Care Quality Commission (CQC) Strategy 2016 – 2021, ‘Shaping the future’ consultation questions.
He said that the full consultation report and summary of keys points had previously be sent to Members for consideration and comments, and that the Director of Housing & Community Living had also had an opportunity to contribute to the draft responses.
In the absence of any questions, the committee approved the recommended responses, without amendments, as reported.
Resolved: (i) That the responses to the CQC Strategy, ‘Shaping the future’ consultation questions as set out in the report (Ref 8) be approved without amendments; (ii) That the Democracy & Scrutiny Officer be requested to forward the Committee’s responses to the consultation questions to the CQC, as set out in the report.
15 OUTSOURCING PROJECT UPDATE - LUTON AND DUNSTABLE HOSPITAL (REF: 9)
Ian Allen, Director of Estates and Facilities, Luton & Dunstable presented the Hospital Outsourcing Project report (Ref 9) to the committee, providing details of progress achieved so far, in relation to the outsourcing of Hospital’s cleaning and catering.
The Committee had previously expressed concerns about the risks to patients’ safety and wellbeing, if standards were to be adversely affected, as a result of these cost saving measures.
He responded to questions and comments on the report, providing further information and clarifications as follows: There had been a few issues alleged about food quality, but these were addressed without any adverse comments; The new ‘plated food’ service system was due to start in the spring of 2016; The food would be the ‘cooked – chilled’ types, which had been evaluated at hospitals supplied by the same supplier and rated
Page 7 of 61 very highly. Responses from their open forum were very positive; Adding to a comment from a Member who had had positive feedback from a patient on the food, he said there were more choices for patients, which was a step in the right direction to improve patients’ experience; Wards would be equipped with new equipment to support the management of the food provision at ward level, starting with 4 wards at St Mary’s, with the whole site completed within 3-4 months; Patients’ feedback provided through the ‘Family and Friends’ tests and comments on their stay in the hospital were examined to see if any issues raised for estates management to address; The position of the Contract Manager was a permanent one, as the project was a sizeable commercial and quality one.
As provisions were reported to be on an interim basis, the Chair proposed a further update in 6 months, which was agreed.
Resolved: (i) That Ian Allen’s report (Ref: 9), providing details of progress achieved so far in relation to the outsourcing of Hospital’s cleaning and catering be noted; (ii) That Ian Allen be requested to provide a further update to the Committee in 6 months on the quality performance of the new provisions, once put on a permanent basis; (iii) That the Committee’s thanks to Ian Allen for the update on progress with the outsourcing of the Hospital’s cleaning and catering be recorded.
16 LUTON MEN’S HEALTH SELF-ASSESSMENT AND RESPONSE (REF: 10)
Stephen Gunther presented the report (Ref: 10) on Luton Men’s health self-assessment and responses, as requested by the Committee following the issue being raised by the Centre for Public Scrutiny (CfPS) and Men’s Health Forum. It sought to provide the Committee with information on the Luton situation and a summary of key actions being taken to promote men’s health and to tackle health inequalities.
He took the Committee through the 10 questions to be considered with such a review as suggested by the CfPS and the headline answers to each question.
Along with Gerry Taylor, the Director of Public Health, who was in attendance, he provided answers to Members’ questions and comments, providing further information as follows:
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In relation to sexual health and Sexually Transmitted Infections (STIs) claimed to be affecting 60% of white young men and what actions were in place to address the issue, the matter would be examined and further information provided to the Committee in due course; In relation to HIV, the organisation contracted to provide sexual health services were active working on targeted high risk groups , including black men; Sex health education was also provided in schools; It was recognised that culturally some groups did not access services and were hard to get to. For that reason, outreach workers were employed to get to and encourage them; An impact assessment would be provided to show if any improvement achieved; The chart in the report showed life expectancy gaps for men and women between the most affluent and the most deprived areas of Luton; Full details of these matters, including prostate cancer in black men and smoking prevalence with Bangladeshi men could be viewed in the Joint Strategic Needs Assessment and in the Health Inequality Strategy. The report was only meant to provide a summary of issues and actions, but more details could be given if requested; Porgrammes to tackle inequalities in men’s health would be covered in the Health Inequalities Strategy, which would also monitor outcomes; Luton was significantly below the national average in relation to the number of suicides in men. Early intervention and prevention measures were in place to address the issues.
The Chair requested the Director of Public Health to provide an update on progress in 6 months, which was agreed.
Resolved: (i) That Stephen Gunther’s report (Ref : 10), providing the Committee with information on Luton Men’s health self-assessment and answers to the 10 questions to be considered as suggested by the CfPS be noted; (ii) That the Director of Public Health be requested to provide an update to the Committee in 6 months on details on how Luton was dealing with health inequalities presented by the Luton men’s health self-assessment, including the issues identified as prevalent for black and Asian men.
Page 9 of 61 17 RESTRUCTURE AND RE-PROVISION OF DAY CARE SERVICES - AFRICAN CARIBBEAN AND MILAN DAY CENTRES (REF: 11)
Kimberley Radford presented an update report (Ref: 11) on the re- structure and re-provision of day care services currently provided at the African Caribbean and Milan Day Centres.
She informed the Committee that the report was the same as provided for the 7th January 2016 meeting, with revised information highlighted.
She stated that the consultation on the proposals was extended by 4 weeks and a number of meetings had been held. She apologised that the date for the last consultation meeting was stated as 25th February in error, when it should have been the 24th.
She added that the state of the building and costs of repairs and maintenance for the African Caribbean Day Centre were investigated and provided.
In relation to the African Caribbean Day Centre, she stated that the building was currently fit for purpose, contrary to the impression given at the previous meeting. However, she added that the additional costs of repairs and maintenance shown in the report were to keep it fit for purpose, which was unaffordable, hence the proposal to re-locate the services at St Monica’s Day Centre.
Some Members expressed real concerns that users of the African Caribbean Day Centre did not want to move, believing that they would not get the same culturally sensitive services at St Monica’s Day Centre.
In answer to questions and comments form Members, Kimberley Radford and Pam Garraway provided further information, including the following: The Council was responsible for the building repairs and maintenance costs. If the service was re-located, those costs would represent savings; Without ongoing repairs and maintenance, the building would soon fall into disrepair and become unfit for purpose, hence why it was no longer affordable; There was no cost associated with repairs and maintenance of the Milan Day Care Centre, as it was a rented room from the independently funded Dallow Learning and Community Centre Trust; The consultation was about the re-structure and re-provision of day care services currently provided at the African Caribbean Day Centre and not about what would happen to the building itself in the future. Fixed Assets would consult on that in due course; A meeting was held with 30 carers of the African Caribbean Day
Page 10 of 61 Centre, when they were assured that users’ cultural needs, including activities, food, and religious practices would continue to be met by the same carers and their cultural identity protected at St Monica’s Day Centre. Work would also be done on integration to ensure they did not become isolated; As the outcome of the consultation had not yet been reported to the Executive, the views of HSCRG would be reflected in it; The proposals were reflected in the budget, which if taken out, savings would need to be found from elsewhere.
In views of ongoing concerns, the Chair proposed that recommendations be made for consideration by the Executive on 4th April 2016, as set out in the resolutions below, which was agreed.
Resolved: (i) That the further report of the Service Director, Adult Social Care in relation to the re-structure and re-provision of day care services provided at the African Caribbean and Milan Day Centres be noted; (ii) That due to the concerns of HSCRG in relation to the potential adverse impact on the users of the African Caribbean Day Centre of the proposal to re-locate the service at the St Monica’s Day Centre, recommendations be made to the Executive on 4th April 2016 as set out below: (A) That when considering the outcome of the consultation on the proposals to restructure and relocate the African Caribbean and Milan Day Centres to St Monica’s Day Centre, Executive is recommended to decide as follows: (a) To note the concerns of HSCRG in relation to the potential adverse impact that the proposal to re-locate the African Caribbean Day Centre would have on the users of that Centre; (b) For the reason at (a) above, to postpone the final decision on the re-structure and re-provision of the day care services provided specifically at the African Caribbean Day Centre, pending the outcome of (c) and (d) below; (c) To instruct the Service Director, Adult Social Care to investigate alternative sources of funding, including fund raising by the African Caribbean community, to meet the ongoing costs of repairs and maintenance of the building, in order to be able to continue the current provisions at the African Caribbean Day Centre and report back to the HSCRG; (d) To make the final decision on the re-structure and re-provision of day care services provided at the African Caribbean Day Centre, only after the outcome of (c) above in relation to alternative sources of funding to keep the services at the current site is known; (e) That, if minded to approve the re-structure and re-provision of day care services provided at the African Caribbean Day Centre, to instruct the Service Director, Adult Social Care to ensure that the
Page 11 of 61 cultural needs of the African Caribbean community will continue to be met and their cultural identity maintained at the new site at St Monica’s Day Centre; (f) To note that, in making its recommendations at A (a) – (e) above, HSCRG did not consider any plan that may be under consideration about the future of the building in which the African Caribbean Day Centre is situated.
18 IMPROVING PRIMARY CARE ACCESS IN LUTON (REF: 12)
Nicky Poulain and Dr Anita Ray-Choudhury presented the Luton CCG’s report (Ref: 12), briefing HSCRG on the CCG’s strategy for improving primary care access in Luton.
Details of the strategy were as provided in Appendix A of the report. Key points made, included the following: The intention was to align urgent Primary Care needs with local Urgent and Emergency Care; As GP out of hours services were not used as much in Luton, there was capacity to make better use of the services on offer; People using the walk-in-centre facilities should not see any difference under the proposed new strategy; People should use the new practice or the walk-in-centre as single point of access or the 111 local service; If in need of urgent care, people would be referred to or should attend one of the two Primary Care hubs, at the walk-in-centre or the L&D Hospital; The new way of working would include clinicians having access to Luton patients’ clinical notes, which was very positive to make effective decisions on care, as not available currently.
Responding to Members’ questions/ comments, Nicky Poulain and Dr Anita Ray-Choudhury re-iterated/ provided further information , including the following: Under the new way of working, Luton patients needing urgent care should ring the 111 service, but would still be able to attend the walk-in-centre, when opened, where they would be assessed, triaged and given an urgent appointment to see a GP, if required; Out-of-hours people would be encouraged to ring the 111 service; Clinicians would have access to patients’ notes and know what medications they were on, when seeking urgent care; The 111 service would help with more integration of services; Patients not able to get a GP appointment with their own practice
Page 12 of 61 would still be able to attend the walk-in-centre through using the 111 service; The 111 local service and the 2 urgent care hubs would be able give patients more appropriate holistic care with access to patients’ notes; The walk-in-centre would not be closing; The 111 service was the front end of community services, the walk- in-centre was also used by non-Luton residents, e.g. from Harpenden; Under the new way of working, patients would be able to see a clinician – not just a computer hub; The 111 service was free to call and would help integration of local services. GP practices would have an opportunity to put information on records, e.g. care plans; If a GP practice was called out of hours, calls would be diverted to the 111 service. This would provide continuity and consistency of care. Communication would be key to promote confidence in the 111 service; About 30% of issues could be resolved by phone; Parents with children would still been seen, if required; Primary care medical practice would be available 365 days a year; People would be able to get co-ordinated appointments, instead of having to wait; As certain Eastern Europeans were not aware about the primary care system and would always go to the hospital, that was why one of the urgent care hubs was located at the hospital to pick up and triage and direct them to appropriate services, which might not always be A&E; If 111 was not used, people would be seen at one of the urgent care hubs, but it could be possible that they would have had quicker advice, e.g. from the ambulance service on the phone; The 111 service was front facing and only as good as the service behind it, which the CCG would be monitoring. The uptake of the new services would be monitored every month by the CCG and progress reports submitted to the Health & Wellbeing Board for review.
The Chair commented that people should be educated within a proper timescale, so that the change could be implemented effectively, with people being made aware and confident that they would not be getting an inferior service. He suggested that the CCG provided an update in 12 months’ time, which was agreed.
Page 13 of 61 Resolved: (i) That the Luton CCG’s report on its strategy for improving primary care access in Luton be noted; (ii) That Luton CCG be requested to provide an update on progress on its strategy for improving primary care access in Luton in 12 months’ time; (iii) That HSCRG’s thanks to Nicky Poulain and Dr Anita Ray- Choudhury for their briefing be recorded.
19 HOME CARE AND SUPPORT SERVICES (REF: 13)
Nicky Poulain and Matthew Winn provided an oral update on Home Care and Support Services, following concerns raised by Cllr Moles at the meeting on 7th January 2016.
Main points covered included the following: The Vanguard new model of Healthcare would provide multi- speciality community providers; Co-ordination of health and social care access would be through GPs; Every patient with a long-term condition would have a named co- ordinator; The work of the multi-disciplinary team would be done around GP groups to ensure knowledge of the local populations; Social Care was targeted according to needs, with caseload varying depending on the time of the year between 830 and 960 cases; Across Luton there was a mixture of around 100 district and other nurses, with the team getting bigger, aligned to urgent care; The team was working hard to provide a rapid service to ensure patients were not admitted to hospitals unnecessarily, assessing if they were a health or social issue; Nurses were also proactively identifying, through GPs, the top 40 patients most likely to need services and liaising with the named co-ordinators; Common records across health and social care had not yet quite been achieved.
Responding to Members’ questions/ comments, Nicky Poulain and Matthew Winn provided further information , including the following: Patients’ single point of contact would be their named Care Co- ordinator, being the person best known to them; Work was underway by District nurses to ensure people see the same friendly face every time. The single point of contact at Keech was there to help, focusing on those with the highest needs, with others encouraged to self-manage as far as possible; District Nurses were post-graduate senior clinicians, with a range of skills;
Page 14 of 61 Recruitment was difficult with CCS carrying 10-15 nursing vacancies, with many other posts covered by agency staff. It was particularly difficult to recruit district nurses in Luton, due to competition from just south of the border, where pay was higher; As many admin staff resided locally, CCS was embarking on a programme to recruit from that pool, for nurse training through work-based placement, leading to qualifications, on the basis that once qualified, they would be more likely to remain and work locally. This was similar to the Council’s training programme for social workers.
Resolved: (i) That Nicky Poulain and Matthew Winn’s briefing on Home Care and Support Services in Luton be noted; (ii) That HSCRG’s thanks to Nicky Poulain and Matthew Winn for their briefing be recorded.
20 LUTON ALTERNATIVE PROVIDER MEDICAL SERVICES (APMS) CONTRACTS – UPDATE ON PROGRESS TO DATE (REF: 14)
Nicky Poulain presented the Luton CCG’s report (Ref: 14), providing an update on progress to date on the Luton Alternative Provider Medical Services (APMS) contracts.
She reminded Members that, as set out in the report, the consultation on the proposals would start on 7th March 2016, helped by Lisa Levy in the Council Communications Unit.
Responding to Members’ questions/ comments, she provided clarifications as follows: In relation to one of the practices in Sundon Park, NHS England had agreed to extend the contract until the end of January 2017; Luton CCG estate strategy was working in partnership with NHS England to make Sundon Park a number one priority to have three practices, including a new purpose built Sundon Park Medical Centre, at 100% rent free; APMS contracts were time limited, hence the need for consultation The timescale for the Sundon Park provisions was not readily available, but would be sent directly to Cllrs Pedersen and Campbell.
Resolved: (i) That Nicky Poulain’s update on progress to date on the Luton Alternative Provider Medical Services (APMS) contracts be noted; (ii) That HSCRG’s thanks to Nicky Poulain for the update be recorded.
Page 15 of 61 21 REPORT OF WORK PROGRAMME (REF: 15)
Members considered the report on the work programme report (Ref: 15), which was received and approved, subject to inclusion of matters agreed as below.
Resolved: (i) That the work programme report (Ref: 15) be approved subject to the following additions: An extraordinary HSCRG meeting be arranged to take place in the Council Chamber at 6.00 pm on 5th April 2016, to consider the petition in relation to the cessation of dental service provision for NHS patients at the Leagrave Sedation Clinic from 1st April 2016; Luton CCG 5 year Sustainability and Transformation Plan Briefing - July 2017 meeting; (ii) ‘Luton CCG: Update on progress of the strategy for improving primary care access in Luton ‘be provided in 12 months’ time; (Entered in HSCRG’s work programme for 27th February 2017) Feedback of the Service Director, Adult Social Care on the outcome of the investigation for alternative sources of funding, , to meet the ongoing maintenance costs of the building, in order to be able to continue the current provisions at the African Caribbean Day Centre; (Date to be determined) The Director of Public Health’s update on how Luton was dealing with health inequalities presented by the Luton men’s health self- assessment, including the issues identified as prevalent for black and Asian men. (Entered in work programme for 8th September 2016) Update on progress - The outsourcing of Luton and Dunstable Hospital’s cleaning and catering Contracts (On work programme for 8th September 2016)
(Note: (i) Cllr Pedersen declared a non-pecuniary interest, in that she is a volunteer driver for Keech Hospice; (iii) The meeting ended at 8.25p.m.)
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AGENDA ITEM SCRUTINY: HEALTH AND SOCIAL CARE REVIEW GROUP 8
DATE OF MEETING: 15th June 2016
REPORT OF: Director of Commissioning & Integration, Luton CCG
REPORT AUTHOR: Contracting Team TEL : 01582-532155
SUBJECT: Non-Emergency Patient Transport Services (NEPTS)
PURPOSE
1. To update the HSCRG on the delivery of local Non-Emergency Patient Transport Services (NEPTS) provider, Medical Services Limited (MSL) covering the full year from April 2015 to the end of March 2016.
RECOMMENDATION
2. That the Health and Social Care Review Group reviews the information provided in this report and make comments as appropriate.
REPORT
Context
3. Following a competitive procurement exercise by Luton Clinical Commissioning Group (LCCG) in 2014, Medical Services Limited was awarded a contract for Luton for 4 years, commencing 1st April 2015. The procurement was carried out with neighbouring CCGs in Bedfordshire and Hertfordshire as a Consortium arrangement.
4. Medical Services Limited issued a Termination Notice on 3rd March 2016 in respect of this contract, which is effective unless a mutually acceptable agreement can be reached.
Finance and Commissioning
5. The agreed contract payment method is based on ‘actual’ volumes delivered under the new Contract, it was previously on a “block contract” basis managed by Luton and Dunstable Hospital Foundation Trust. Luton CCG along with the other Consortium CCGs, in procuring the service is aiming to commission a more efficient service which reduces costs, whilst focusing on quality (National Policy document ‘Everyone Counts: Planning for Patients 2014/1 to 2018/19.)
6. A 1.1% uplift to the annual contract value was agreed by the CCG on 6th May for the 16/17 contract year.
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Contract 2016/17
7. Medical Services began delivering the service in April 2015 and have been monitoring the operational and financial performance of the contract throughout the period.
8. At the Consortium meeting on the 12th February 2016, MSL presented analysis which showed a number of areas of concern which had led to severe financial losses being incurred on the contract. MSL advised that these losses were large enough to threaten both the viability of the contract and that of Medical Services as an organisation.
9. Following notice being served to the CCGs, MSL has held a number of meetings with CCG Consortium Directors to understand whether there is an opportunity to address the issues. These meetings are ongoing.
Performance
10. The overall performance against KPIs across all standards of service has shown an improvement from the start of the contract in April 2015.
11. As alluded to in relation to the termination notice, in spite of good performance in some areas, the KPIs are still not being met.
12. The Consortium will be reviewing all of these KPIs as part of the ongoing Contract negotiations.
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13. As part of the discussions with the provider, it has been identified that the number of journeys undertaken compared with the baseline are significantly more than anticipated (an additional month’s worth)
14. The number of journeys requested has increased since April 2015
15. There are a number of journeys that are being requested by the Acute Providers which are out of contract. In the spirit of partnership working and patient care and safety, MSL has undertaken these journeys at the expense of meeting some of their KPIs.
16. In order to help address the above issues, the CCGs have drafted a letter clarifying what is within the MSL contract and appropriate use of any PTS provision by the Acute Trusts.
17. The intention was that the vast majority of bookings would be taken online with the telephone service as a secondary means. This happened at the start of the contract but is less than half now.
Conclusion
18. As the discussions and negotiations are ongoing at the point in time when this Report was written a verbal update on the situation will be given at the meeting.
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AGENDA ITEM SCRUTINY: HEALTH AND SOCIAL CARE REVIEW GROUP 9
DATE OF MEETING: 15th June 2016
REPORT OF: Mike McMahon/ Alex Constantinides
REPORT AUTHOR: Adam Divney/ Barry Timms TEL : 01582 547850
SUBJECT: Health Improvement: Provisions of Parks and Leisure Facilities
PURPOSE
1. To provide Members with an update in respect to the current work programme to increase participation in health related activities within parks and leisure facilities.
RECOMMENDATION
2. For Members to note the report and provide feedback, as appropriate.
REPORT
Luton’s strategic framework for increasing participation in sport and physical activity
3. Recognising the significant health and participation challenges that Luton is faced with regards to high levels of inactivity and therefore relatively low levels of participation in sport and physical activity, the Council has been working closely with Sport England and a range of local partners, including sports clubs and voluntary groups, sport national governing bodies, County Sports Partnership, Active Luton and local schools to introduce a strategic framework for increasing participation in the town. This has lead to the creation of three key documents, as detailed below.
4. The ‘Strategic Vision for Sport and Physical Activity in Luton’ (2013), provides an outcome-based framework and outlines the Council’s ambitions, aims and objectives in relation to sport and physical activity. The Strategic Vision also aims to provide:
Clarity of priorities in times of austerity A means of securing resources through a clear, needs-based approach Ability to maximise use of resources through informed decision making A meaningful post 2012 legacy A framework to realise Luton’s sporting ambitions
Page 20 of 61 A platform to influence decision makers and ensure coordinated, evidence based approach to addressing physical inactivity across agencies.
5. Luton’s Playing Pitch Strategy (2014) and Indoor Sports Facilities Strategy (2015) both seek to provide a clear strategic framework for the maintenance and improvement of existing outdoor and indoor sports facilities and ancillary facilities until 2021. Specifically these strategies aim to:
To protect and enhance levels of indoor and outdoor sports facilities To address issues of quality and management with regard to facility provision To maximise access to all indoor and outdoor facilities and in particular educational facilities To maximise investment into indoor and outdoor sports facilities
6. With the recommended strategic framework in place, LBC has taken the lead on setting up four distinct delivery groups to progress the many facets of the work, including a Sporting Environment Group, Sport and Skills Development Group, Health and Wellbeing Group and a reinvigorated PE and School Sports Strategy Group.
7. Herein follows information on a selection of the key projects, programmes and initiatives that the wider delivery group are currently focusing on to increase participation and therefore increase positive health outcomes for the local population. It should be noted that the focus of these updates are largely on the target population groups, as identified in Luton’s Strategic Vision for Sport and Physical Activity, and therefore doesn’t cover all of the activity that currently takes place in parks and leisure centres.
8. Increasing participation levels in women and girls. Me Time’ is the targeted and tailored offer from Active Luton for women and girls. There are a number of activities taking place across Luton, including on evenings and weekends, providing the opportunity to participate in a variety of sports and fitness programmes.
9. As well as physical activities, the programme also provides links into coaching and mentoring to help develop local female leaders, mentors and coaches who can then in turn motivate others into participating.
10. In line with demand, the programme of activities continues to grow including, various aerobics classes (e.g. Yoga, Boxfit, Core Stability, Legs, Bums and Tums), Fit to Push (buggy fitness), Nordic walking, Circuit Classes, trampolining and also women-only gym and swimming sessions.
11. In addition to the community based sessions, all Active Luton gyms, swimming pools and classes can also be accessed. Sessions are delivered at a variety of venues, including leisure local centres and parks, but also those deemed ‘non- traditional’ and ‘community-based’, such as Maidenhall Primary School, Farley Community Centre, Denbigh Pool, St Peter’s Church and the Active Support Unit (Britannia Estates). The non-traditional venues are considered key in providing a local and familiar location for those people who may not have the confidence to take part in activity at larger facilities. All women and girls who register receive a Free Go for Less Card and a ‘10 sessions for £10’ voucher. The aim is to create sustainability by offering accessible, affordable activity at a local level. Page 21 of 61
12. Me Time is now in its final year (Yr3), with a total of 3500 women and girls aged 14+ engaged so far, 40 of which have attended training in leadership/sports and have gained an accredited qualification.
13. Increasing participation levels in disabled people. The ‘No Limits’ Project is a partnership between the Disability Resource Centre (DRC) in conjunction with the County Sports Partnership, Team Beds and Luton and Bedford Borough Council who secured funding from Sport England to create more sustainable opportunities for disabled people to take part in sport in Bedfordshire. Their key success story has been the launch of the Adapted Cycles, which are now available at Stockwood Park and provide the opportunity for disabled people to take part in regular sport, physical activity & exercise.
14. In terms of leisure centre activities, Active Luton has also now achieved Inclusive Fitness Initiative (IFI) status at Inspire, Lewsey and Lea Manor Centres. The IFI accreditation scheme recognises the achievements and commitment of leisure facilities that enable disabled people to become physically active. The accreditation provides an inclusive platform for disabled and non-disabled people to be active together.
15. Increasing participation levels of BME communities. Building on previous evidence, Sport England and LBC commissioned Sporting Equals to undertake research in Biscot, Dallow and Saints wards to further understand the participation challenges associated with BME communities. Sporting Equals are a voluntary organisation that actively promote greater involvement in sport and physical activity by all communities that are disengaged, especially the black and minority ethnic (BME) population
16. The initial phase of this research saw a desk-based exercise completed, with the product being a report and Faith Centre Audit. The second, and crucial phase, saw Sporting Equals hold focus groups and ‘one to one’ interviews with key stakeholders to further understand the perceptions, motivations, influences and where sport fits into wider lifestyle trends. These explored why current provision isn’t meeting need and helped to gain insight into how offers can be developed to reach BME markets to help increase and sustain sporting behaviour.
17. Upon completion of the research report, a diverse working of group of local providers, officers and residents have come together to create a group named the ‘Central Activity Network’, who are now meeting regularly and taking forward the recommendations from the research.
18. In terms of leisure centres activities, Luton Borough Council and Active Luton have recently invested over £35K to reconfigure the changing rooms at Inspire Sports Village in order to ensure that they are more appropriate for culturally sensitive activities. New privacy blinds have also been installed at Lewsey Pool.
19. Increasing participation levels for young people. LBC, Active Luton and Sport England worked with the university on a ‘Practice Weeks’ project aimed at investigating the barriers to sport and physical activity for 16-25year olds. Practice Weeks are now an integral part of the University programme and aim to add a practical dimension to students learning to compliment their theory studies. Over 550 University students participated in a project with students designing questionnaires, online surveys and social media, as well as carrying out visits to
Page 22 of 61 the leisure centres, with a view to further understanding what some of the underlining motivational and behavioural issues may be with regards to young people’s participation. The results have been feed back to Active Luton in order to help shape their future service delivery in respect to the leisure offer for young people.
20. Another programme aimed at young people is KITS (Community Integration Through Sport), which has engaged with 420 hard to reach young people aged between 14-25 years using football, basketball, boxing and the gym as a tool to motivate this age group. In May 2016, a football tournament was help at LTFC with over 200 young people attending from all over Luton.
Participation in sports activities –
21. Park Sports - the recent participation rates for parks sporting activities for the main sports have followed the pattern that has now been established over many years namely;
football is continuing to decline in take up and in the table below sets out the number of pitches being made available for hire for the local leagues and clubs
14/15 15/16 Adult pitches 34 32 Junior pitches 36 35 Total 70 67
Cricket demand continues to grow for the same nine cricket squares with an increase in requests for booking up by 10% for the 2016 season. New facilities are required to be provided to satisfy this demand.
With the focus on bowls the demand from the clubs has remained stable but this still means that there much spare capacity.
22. In terms of indoor sports, LBC has also been awarded funding from Sport England to complete a swim project that will be targeted at engaging those residents who cannot swim or do not currently participate in swimming. The initial insight work is to be completed during July-September 2016 by an external agency, with the intention to run a new programme throughout 2017.
23. Active Luton Health programmes - Active Luton has a growing and nationally recognised health and wellbeing programme, which includes a variety of individual sessions, such as exercise referral, Move More Luton (Macmillan), Pulmonary Rehabilitation (COPD), Stroke Rehabilitation and many more. In 15/16, Active Luton engaged with a total of 1685 service users with a throughput of 161,760 activity sessions and a full update on this area can be found at Appendix A.
24. Increasing opportunities to support informal sporting activities - in line with the research and evidence base, there is an acknowledgement that more can be achieved to ensure there are an increased and greater variety of sport and physical activity opportunities to those who are on low incomes or classified as being economically deprived. Recently, the following initiatives have been completed:
Page 23 of 61 Outdoor Fitness Equipment – outdoor fitness equipment is now based in 12 locations around the town. 321 Run initiative – Luton now has ‘321 Run’ routes at Stockwood Park and Wardown Park. 321 Run is a national initiative through England Athletics and aims to get more people into walking, jogging and running by providing marked routes. Parkrun – Parkrun is another national initiative whereby organised runs are held once weekly and organised by volunteers. Luton’s initial Park Run location is at Wardown Park and attracts over 150 runners on a weekly basis. ‘Getting Back Into Parks’ was a six month project to encourage local residents to use open green space for a combination of activities (Led Walks, Nordic walking and Regiment Fitness). Recently there are a number of new health walks being offered at Wardown, Lewsey and Stockwood parks. The new walks are part of the ‘Let’s Do This’ programme in partnership with Tesco’s, British Heart Foundation and Diabetes UK. Active Luton have also this year become ‘Walking for Health’ accredited so are recognised nationally as an approved walks provider.
25. Building relationship with schools and colleges to maximise community use of educational facilities – both indoor and playing pitch strategies recognise the importance of schools sites with regards having enough spaces available for local people to take place in sport and physical activity. With this in mind and, as part of the community access to schools agenda, a conference on community access to schools was held last summer. The conference, which was aimed at Head Teachers, Bursars/ Business Managers and School Governors, included input from Sport England, exploring how schools can obtain advice, support and investment, as well as input from Suffolk County Council on how they overcame barriers to contribute to its ‘most active county’ status, as well as sharing best practice via Luton case studies.
26. The conference has enabled LBC to successfully apply for 40K funding from Sport England to work a cohort of 18 schools over a two-year project (starting May 2016) to help them increase the amount of hours they are open to the local community.
27. Community Asset Transfer (CAT) – building on the several successful examples of CAT with Cricket organisations, LBC Fixed assets now has a template for CAT enabling more groups to be able to manage their own sporting facilities. A DCLG funded project also funded a dedicated programme of advice (such as advice in the areas of legal, surveying, business, governance and fund raising) for interested organisations that would deliver robust local organisations with sound business cases to acquire assets and deliver their services to the community in the long term.
28. Rationalisation of outdoors bowls greens – building on the findings of the Playing Pitch Strategy which recommended that there was an over supply of greens and two council greens should be considered for closure. Officers arranged a series of meetings with the bowlers and interested parties which led to the preparation of an Executive report that members considered on the 18th April 2016 who accepted the following recommendations:- i) They agreed to the closure of bowling green at Lower Wardown from the 1st October 2016. Page 24 of 61 ii) That before a final decision on closing Ashcroft recreation ground that officer will carry out further consultation work with affected bowlers to examine all alternate avenues, including liaising with potential recipient clubs iii) instruct officers to examine any alternative uses for these areas/facilities to try and offset the demolition costs iv) agree to an update report in September 2016 with outcome from the above action plan
29. To conclude, as indicated at the start of this report, the information provided is just a selection of the activities taking place to stimulate increased levels of participation throughout the Borough. Recent Active People (Sport England) survey results have seen some encouraging increases in the levels of participation and LBC will be continuing to work closely with all respective stakeholders via the outlined delivery groups throughout 16/17.
Page 25 of 61 APPENDIX A
Q4 Update from Active Luton’s Health programme
1. Active Luton have engaged with 1685 new service users this year who have provided 161,760 visits to our centres resulting in £452,928 income.
2. Exercise Referral - Engaged with 995 individuals against a contractual target of 260. - Contract extended by Public Health until 2018 - Commissioning increased from £30kpa to £45k pa. - Offer expanded to now include those aged 16 – 18 and those diagnosed as pre diabetic.
3. Move More Luton (Macmillan) - Recruited a new F/T staff member to lead on the Palliative (end of life) expansion to the programme - 355 registered participants in 2015/16 all of which are active at least once a week in our facilities. - Invited to present our delivery model to Macmillan Scotland with a view of Scotland rolling out our programme. Presenting at the Elevate Conference May 2016 the first of its kind an international leisure industry event in London.
4. Pulmonary Rehabilitation (COPD) - Most successful recruitment year to date with 265 new participants. - Report submitted to Public Health and Luton Clinical Commissioning Group and as a result has received £15k funding, the first time this programme has been supported externally. - Programme participants have raised £1000 for the British Lung Foundation through our social events.
Programme Overview
5. Me Time Family – A newly commissioned three year programme where we provide physical activity for families from Pregnancy up to and including the child’s fifth birthday.
6. Currently Active Luton have recruited 324 individuals to this programme and have 26 weekly opportunities for them to be physically active.
7. Live Well Luton (LWL) – An increase in sub contractual work from LWL now sees us host both their adult and child weight management programmes in our facilities as well as providing the physical activity support to the participants and their other service users.
8. Young People – This year has seen our work extend to include young people with 3 new projects. 1) Active Young Carers (AYC) a commissioned programme which will see us providing activity programmes for those 11-18 year olds who act as an unpaid carer in some capacity. 2) PCD a genetic pulmonary condition, this will be a referral based programme with supported gym and studio based interventions in small groups. 3) Cystic Fibrosis – This is our work with Great Ormond Street Hospital, again a referral based programme where we provide one to one activity in a controlled environment from children aged 18 months +. Page 26 of 61
9. Health Station – This year has seen us purchase a lease on a health station that undertakes tests for health indicators. It is based at Inspire and has been used in showcase weeks at The Mall and community events. It currently has 2000+ users on a monthly basis.
10. Walking Football – The Sporta Walking Sport programme has expanded from one weekly session to three and now engages 50 inactive men aged 50+ in weekly activity.
11. Social Prescription – A commissioned programme that has seen us employ a full time staff member to deliver in partnership with Luton Borough Council, Better Together Board, LCCG and Live Well Luton. The programme has had its setbacks in the early stages so the start has been delayed and is 6 months behind schedule. Developments in recent months have meant improvements are in place and we are looking forward to supporting the programme.
12. Cardiac Rehabilitation – The programme has grown from one weekly session to three. We have now got 2 qualified L4 instructors and have seen a growth of 5 participants to 25 within these 12 months.
13. MS Stars – Multiple Sclerosis and neurological conditions activity sessions. The past 12 months has seen a new session develop at Lewsey Sports Park targeting those diagnosed at an earlier age and offering an increased intensity of activity. We now have 50+ participants a week across these sessions a growth from 20 the previous year.
14. Stroke Rehabilitation – A new session has been developed from Lea Manor Recreation centre so we now have three weekly sessions catering for 20+ participants again a growth over these 12 months of 10 new service users.
Participant Feedback
15. “Through being fitter and healthier I feel more confident in life .I have lost a bit of weight. I feel that my cancer is less likely to reoccur, and if it does I’ll be better placed to fight it. Another plus is I catch more buses that I run for!!”
16. “I think a lot of the things about my old gym, remembering being ill when I was there, walking out of classes half way through because I couldn’t manage. Going back there I was that girl who had cancer. It was so much nicer to go into Active Luton, their waiting for you, you’ve got someone there with you – you’re not being judged”.
17. “Since I was introduced to Active Luton by the hospital cardio physio, I have come on leaps and bounds. I really enjoy my time with you as you are getting me fit enough for a triple bypass. Thanks to your programme I expect a full and quick recovery.”
18. “It has helped as I can breathe more easily. I still have the pain and I have a lot more work to do but one of the main things is that it has helped so much with my depression. It gives me something to look forward to and helps me in lots of ways. I can’t thank everyone enough.”
Page 27 of 61 19. “I would say even if you didn’t do exercise before, this is something new, it’s not like when you join a gym and you see a PT once. Every time you go you can see them. Cancer is very lonely, but this is one of those times when you’re not alone, you can see a light at the end of the tunnel. Even though you might be ‘healed’, there’s still a long way to go. It makes you feel better about yourself – you know you’re improving your body, you’re even more health conscious when you’re ill. Go for it, try it. It’s not scary!”
Page 28 of 61 APPENDIX B Recent Active Luton news releases
1. Active Luton addresses need for female lifeguards
A drive to increase the number of female lifeguards in Luton is well underway by Active Luton.
18 year old Nazia Qamar, a former Denbigh High School student became the first to pass the new female-only lifeguard training programme gaining her National Pool Lifeguard Qualification. The Sporting Equals and ME TIME leaders programme developed to train more BME women in Luton to become sports coaches is currently training 15 more Luton women as lifeguards.
The scheme to up the number of female lifeguards comes as the demand for women- only swimming sessions is increasing. The qualification includes automated external defibrillator (AED) training, emergency first aid as well as the National Pool Lifeguarding Qualification.
Helen Barnett, chief executive of Active Luton said: “With more fully qualified fema le lifeguards, Active Luton will be able to offer even more women-only sessions which is brilliant news. I want to wish the remaining 15 trainees good luck with their assessments and I look forward to welcoming them as professional lifeguards at our centres very soon.”
Cllr Aslam Khan, portfolio holder for public health said: "I'm really pleased to hear that Active Luton has taken the much-needed initiative to train more female lifeguards. I hope this will increase the amount of women choosing swimming as a form of exercise, as well as offer a comfortable and safe environment for them to swim in.”
Nazia is studying Outdoor Education at the University of Chichester and is keen to start using her qualification both at university and at home during the holidays. Nazia started her training during the Easter holidays at Lewsey Sports Park and Pool and travelled between Luton and Chichester to attend sessions to prepare for her final assessment.
James Bennett, a Royal Life Saving Society Assessor pictured with Nazia took her through her assessment last week and congratulates her on gaining the qualification.
2. Dive right in with Active Luton
Active Luton is offering free diving taster sessions weekly for children age 6-14 years old and adults. Their team of experts will be on hand to help anybody who wants to give diving a go.
The team includes diving coach Hayley Sage, a Commonwealth Games bronze medal- winning synchronised diver and a GB competitor at the Beijing Olympics; and Sam Buck, a former member of both the GB junior and senior gymnastics teams. Sam has also coached three Junior British Champion divers including Daniel Goodfellow (a competitor at this summer’s Olympic Games alongside Tom Daley in the 10m men’s synchronised event).
Free diving taster sessions are every Tuesday for children from 6-6.30pm and 6.30-7pm. Adult diving sessions are every Tuesday 7-8pm and Wednesday 8-9pm. Adults and children must be able to swim at least 20 metres in deep water to take part. Page 29 of 61
Sam Buck said: "Tom Daley was spotted while taking part in regular diving sessions and is now representing his country and winning gold medals. As one of only 11 specialist diving centres in the UK, I believe Inspire: Luton Sports village can lead the way in producing future champions. However, If you just want to learn some skills to show off on holiday, you can!”
Sam is currently coach at Inspire to up-coming diving star 13-year old Ben Cutmore who is British Champion for his age group and has been ear-marked as a potential Olympian in 2024.
Active Luton is encouraging both adults and children to come along and try out the diving facilities at Inspire: Luton Sports Village. To book a place for a taster, a diving course or private diving lessons, email [email protected].
3. Residents taking advantage of Active Luton’s free health stations
Luton’s residents are being encouraged to make a commitment to being more active and improving their general wellbeing after checking the state of their health with Active Luton’s free Health Station during its second week in the Mall recently.
The Trust welcomed another 300 people to the station who took the opportunity to check their health status. Visitors included Luton Town Football Club’s Ryan Hall and Magnus Okuonghae, and Sujel Miah of the Luton Council of Mosques.
The free Health Station is available for people to use at Inspire: Luton’s Sports Village all year around. More than 2,000 people use it to check their health status each month. It will also be back at The Mall for another week in July.
The Health Station gives you a picture of the state of your health in just four minutes. It measures your heart rate, blood pressure and BMI and gives you a ‘heart age’ from your results. If your ‘heart age’ is below your actual age, then you’re doing well.
If your ‘heart age’ is more than your actual age, then you may need to make some changes. In particular the results from the Health Station can highlight any potential problems which could put your health at risk and may need further i nvestigation by a doctor.
Over the course of the week Active Luton found that 19 per cent of females and 12 per cent of males that visited the health station were defined as ‘high risk’ from their blood pressure, heart rate and BMI tests and were recommended to seek medical advice. Also, 30 per cent of the blood pressure checks resulted in a follow up recommendation to see a GP.
More women (32 per cent) recorded ‘no health risks’ compared to 19 per cent of males that visited the stand. In addition, 44 per cent of males and 38 per cent of females recorded an ideal blood pressure rating.
Other key findings included: • 55 per cent of BMI tests led to weight loss programme recommendations • 54 per cent of males and 36 percent of females recorded an ‘elevated’ or ‘high’ body fat rating • 31 per cent of females recorded a ‘high’ or ‘very high’ BMI rating
Page 30 of 61 Helen Barnett, Chief Executive of Active Luton said: “As a local charity our number one goal is to improve the health of Luton’s residents. Our free Health Station is a simple and very effective way to check your health status quickly and conveniently. “Many health conditions can be prevented if signs are caught at an early stage so I would encourage as many people as possible to pop down to Inspire to try the Health Station. You can also speak to our friendly staff about the wide range of options offered by Active Luton to help everyone in Luton get fitter and healthier.”
Cllr Aslam Khan, portfolio holder for Health in Luton, said: “I encourage people to use the Health Station – you can take away some very useful information. It’s important that people are alerted to any worrying signs about their health as early as possible. Lifestyle changes can dramatically improve your health for many areas of concern.”
Active Luton offers a whole range of activities and ways in which everyone at any level, young and old, able-bodied, from all ethnic communities and people with physical or mental impairments can enjoy being more active and getting and staying fit and healthy - both in its leisure centres and in community settings.
4. Making changes for the better in 2016
If you want to make a change to your lifestyle this year then Active Luton is on hand to help you on the journey.
This New Year they have launched the #makeachange campaign to inspire and support local residents to become fit and healthy in 2016. Active Luton offers many different ways to do this and prides itself on having something for everyone.
This year’s campaign tells the motivational stories of a number of Luton residents who have already transformed their lives as the result of using Active Luton’s facilities. It is hoped that they will encourage others to make these life changing choices during 2016.
Twenty-one year old Sam is deaf. He won a bronze medal for Great Britain in last year’s Deaf European Games and is hoping for similar success in the Deaf World Cup in Italy later this year. “I joined Inspire when it opened and I also do circuit training at Lea Manor," he said. “As well as playing for the GB deaf football team I also play for Crawley Green first team. I train with my brother to supplement my football training for improved fitness and conditioning. What I really like about Active Luton is that you can choose what you prefer to do - gym, classes or swimming – and even go to different centres. I enjoy every minute!”
Matthew, 57, joined Active Luton two years ago and uses Inspire, Lea Manor and Lewsey six days a week. “Getting fitter has made me happier and improved my self confidence to take on new challenges,” he said. “I am planning to take part in the London to Paris bike ride and then after that to qualify as a fitness instructor.”
Chelsea, a 26-year-old teacher, also has a positive story to tell. “Since adopting a fitness routine I have lost four stone and discovered a motivation and determination that I never knew I had. I have been using Inspire for more than two years. I used to train alone but I now find that training in group sessions is much more enjoyable, relieves stress and has improved my social life into the bargain. I have even signed up for a half marathon this year. I am the fittest I have ever been and now have a very positive body image."
Page 31 of 61 Helen Barnett, Chief Executive of Active Luton said: “Every New Year lots of people make resolutions to be more healthy and active. We want to help them to maintain these good intentions and make real, sustainable changes for the better.
“We have a friendly team of experienced professionals who can come up with a fitness plan to suit you and your lifestyle. Come along and see for yourself and make 2016 your best year yet!”
To read the Active Luton success stories visit www.activeluton.co.uk or for more information call 01582 400272. You can also follow @activeAL on Twitter and ‘like’ Active Luton on Facebook.
Page 32 of 61
SCRUTINY: AGENDA ITEM HEALTH AND SOCIAL CARE REVIEW GROUP 10
DATE OF MEETING: 15th June 2016
REPORT OF: Service Director, Policy & Communities & Engagement
REPORT AUTHOR: Bert Siong Tel: 01582 546781
SUBJECT: Health & Social Care Review Group – Revised Terms of Reference 2016-17
PURPOSE
1. To present the Scrutiny Health & Social Care Review Group (HSCRG) revised Terms of Reference for 2016-17 for consideration and approval.
RECOMMENDATIONS
2. That the revised HSCRG Terms of Reference (attached as Appendix A), be considered and approved for sign-off by the Chair and Vice-Chairs of the Overview & Scrutiny Board (OSB);
3. That responsibility be delegated to the Democracy & Scrutiny Team Leader to make any necessary amendments to the document after consultation with the Chair and submit to the OSB Chair and Vice-Chairs for sign-off.
REPORT
4. The HSCRG’s Terms of Reference are revised annually to reflect changes and ongoing developments in the local health and social care landscape and to update the Committee’s membership, dates of meetings and responsibilities.
5. The Council has continued to delegate its health and social care overview and scrutiny powers to the OSB, the functions being discharged by HSCRG, one of its standing sub-committees.
6. Developments in working relationships with health and social care partners have continued to develop, which is reflected in the embedded Appendices 1 and 2 of the Terms of Reference.
APPENDIX
Appendix A – Health and Social Care Review Group - Terms of Reference 2016-17.
Page 33 of 61 SCRUTINY: HEALTH AND SOCIAL CARE REVIEW GROUP
TERMS OF REFERENCE 2016-17
1. INTRODUCTION
1.1 Under Part 4 of the Local Authority (Public Health, Health and Wellbeing Boards and Health Scrutiny) Regulations 2013, a local authority may review and scrutinise any matter relating to the planning, provision and operation of the health service in its area. The powers cover all commissioners and providers of publicly funded healthcare and social care.
1.2 In Luton, the Council has delegated its health and social care overview and scrutiny functions to its Overview and Scrutiny Board (OSB), which has set up a sub-committee, the Health and Social Care Review Group (HSCRG) to discharge the function.
1.3 The health and social care overview and scrutiny functions are independent and distinct from those of the Executive of the Council and those of the Health and Wellbeing Board.
2. PURPOSE AND PRINCIPLES
2.1 The purpose of HSCRG is to enable effective scrutiny in accordance with the Centre for Public Scrutiny’s core principles by: Providing critical friend challenge to how local health and social care services are commissioned, provided and developed for their community; Being led by independent-minded people - non-Executive Councillors; Enabling the voice of the public to be heard, particularly those who use services; Focusing on improving services and outcomes.
2.2 HSCRG has the power to require commissioners and providers of all local publicly funded healthcare and social care, including the Council, to listen and respond to recommendations for improvements, as appropriate.
3. RESPONSIBILITIES
3.1 HSCRG Responsibilities include: Overseeing all health and social care services in Luton and holding local decision- makers to account for planning and commissioning decisions affecting people who use those services; On-going light touch review and scrutiny of health and social care priority topics; When necessary, undertaking/ facilitating in-depth review of identified topics of concern, subject to OSB’s approval; Reviewing and responding to local consultations by NHS bodies, health and social care service providers, on changes to services affecting people who use those services; Contributing to joint health scrutiny committees, reviewing consultations by NHS bodies or health service providers on cross-border changes to services, affecting people who use those services in the relevant areas.
4. OBJECTIVE
4.1 HSCRG’s primary objective is to promote and help ensure that the development and provision of health and social care services in Luton are in the best interest of the area and people who use those services.
Updated: By: Bert Siong On: 01/06/16 Page 34 of 61 5. METHODOLOGY
5.1 HSCRG focuses on three main activity areas: a. Overview: (Facilitated through the Luton Joint Officers Network – see Appendix 1). Keeping an oversight of the provisions of health and social care services, including key developments/ variations, by calling for information and explanations from relevant services’ senior officers; Holding to account decision-makers about key decisions relative to health and social care services, affecting the area and people who use those services; Making comments/ recommendations for improvement as appropriate and requesting a response. b. Review and Scrutiny: Undertaking on-going light touch review and scrutiny of health and social care priority topics; When necessary, undertaking in-depth review of identified topics of concern, subject to OSB’s approval. HSCRG can also facilitate in-depth reviews by specially set up Task & Finish Groups; Identifying and scrutinising emerging health or social care related incidents, giving cause for public concerns; Making comments/ recommendations for improving services and outcomes, as appropriate and requesting a response. c. Consultation: Dealing with consultations/ engagement by NHS bodies and health and social care service providers, including the Council, about any proposed changes and, in particular those deemed substantial developments or variations, to health services in the area, in line with the locally developed “Guide for Members and NHS Re-design Managers” , attached as Appendix 2; Representing Luton on any regional/ sub-regional Joint Health Overview and Scrutiny Committee, dealing with cross-border consultations; Making comments/ recommendations for consideration by the consulting body and requesting a response; If not satisfied with the extent and/ or duration of the consultation and/ or the decision taken by the NHS body or health service provider, referring the matter to the Secretary of State as a last resort, if appropriate, where all attempts at local mediation and resolution have proven unsuccessful; Where Luton Borough Council is the consulting body, if the Executive decides not to accept scrutiny recommendations, its decisions would fall outside the Council’s Call-in procedure. However, the relevant Portfolio Holder would be requested to respond in writing on the rationale for not accepting the scrutiny recommendation(s) and attend a HSCRG meeting to respond to Members’ questions.
Operation in Practice (Facilitated through Luton Joint Officers Network - see Appendix 1)
5.2 In practical terms, HSCRG’s method of working involves: Developing constructive working relationships with the Health and Well-Being Board (HWBB), commissioners, including the Luton Clinical Commissioning Group (CCG) and NHS bodies and health and social care service providers, including the Council;
Updated: By: Bert Siong On: 01/06/16 Page 35 of 61 Sharing its work programme with HWBB and vice versa, as a standing item on their respective agenda. This is to raise awareness of ongoing matters under review of interest to both. The HSCRG Chair also sits on the HWBB as an observer; Inviting senior representatives of HWBB, Luton CCG, NHS bodies and health and social care service providers, including the Council, and expert witnesses, as appropriate, to attend meetings to provide information/ evidence and respond to issues of concerns; Maintaining a close working relationship with the Care Quality Commission (CQC), the health and social care regulator; Maintaining a close working relationship with HealthWatch Luton, the local consumer champion for patients, service users and the public, covering health and social care; Two representatives of Healthwatch Luton sit as non-voting co-optees on the HSCRG.
Evidence Gathering, Analysis and Reporting:
5.3 Developing and maintaining a work programme to guide the work of the HSCRG, in consultation with the Chair;
5.4 For any in-depth review, preparing a draft scope, in consultation with the Chair, for sign off by the OSB Chair and Vice-Chairs and co-ordinating a project plan to facilitate evidence gathering and the reporting process;
5.5 For in-depth reviews, evidence gathering from relevant witnesses will be taken at committee meetings, personal interviews, site visits and community groups meetings, as appropriate. Evidence will also be drawn from any relevant documentary sources;
5.6 Determining the types and levels of public engagement work required, in liaison with the Consultation & Community Engagement Team. Existing relevant information may be used from consultations already undertaken by the relevant services and/ or by Healthwatch Luton, with supplementary work commissioned only to plug any gaps;
5.7 Approving press releases, in liaison with the Press & Public Relations Team, to raise awareness and appeal for evidence/ views from the public and people who use services, to inform the review.
5.8 Working closely with the Chair, collating, co-ordinating and helping to analyse evidence, formulate evidence-based conclusions/ recommendations and draft reports for consideration by the Group.
5.9 Making appropriate comments/ recommendations by consensus on matters scrutinised at any time and following in-depth reviews.
5.10 Following an in-depth review, the final report will be subject of a Scrutiny Consistency Panel review and OSB approval prior to submission to the NHS bodies/ health service provider, or Executive, unless otherwise authorised by the OSB.
5.11 The Democracy and Scrutiny Team Leader will be provided delegated responsibility for finishing final reports, after consultation with the Chair.
6. POLITICAL PROPORTIONALITY, MEMBERSHIP AND OFFICER SUPPORT
Political Proportionality
6.1 The Council has dis-applied the political proportionality rule relating to the membership of overview and scrutiny committees, including HSCRG and Task & Finish Review Groups.
Updated: By: Bert Siong On: 01/06/16 Page 36 of 61
Elected Members and Co-Optees
6.2 The following elected Members and co-optees were appointed to the HSCRG for 2015/16:
Mr Norris Bullock Cllr. David Agbley Cllr. Tahir Malik (Healthwatch Luton Co-optee) Nomination to be confirmed Cllr. Gilbert Campbell Cllr. Stephen Lewis (Healthwatch Luton Co-optee)
Cllr. Diane Moles Cllr. Anna Pedersen
Cllr. Jeff Petts Cllr. Yasmin Waheed
The two volunteer Healthwatch Luton co-optees have speaking rights only.
Chair
6.3 HSCRG will elect a Chair from any of its elected Members at its first meeting to serve for the duration of the municipal year. Councillor (To be elected) was elected as Chair for 2016-17.
Substitution
6.4 A Member, who is unable to attend a scheduled meeting, may nominate another eligible Member to attend, by notifying the Democracy and Scrutiny Team no later than the start of the meeting. The substituted Member will cease to be a HSCRG Member for the duration of the meeting, in favour of the substitute Member.
Officer Support/ Advisors
6.5 Officer Support will be provided as follows: On-going committee support for HSCRG and Project management/ co-ordination of in depth reviews by Task & Finish Review Group - Democracy and Scrutiny; Public Involvement - Consultation and Community Engagement; Public Relations - Press & Public Relations; Expert advice – Public Health, Adult Social Care, and from NHS Partners to be determined, as necessary.
Guiding Principles
6.6 Scrutiny Members will abide by the following principles: Promoting equality, inclusion, and community cohesion; Treating witnesses, members of the public, officers and partners with courtesy and respect; Being objective, leaving out partisan party politics; Engaging with and putting the needs of the community first; Making evidence-based recommendations on the basis of consensus, to achieve acceptable resolutions.
Updated: By: Bert Siong On: 01/06/16 Page 37 of 61 Dates of meetings for 2016-17 (Subject of confirmation at Annual Council on 17th May 2016)
Date Time Committee Room Luton Town Hall th 15 June 2016 6.00 pm Council Chamber th 26 July 2016 6.00 pm 3 th 8 September 2016 6.00 pm 3 th 5 October 2016 6.00 pm 3 nd 22 November 2016 6.00 pm 3 th 4 January 2017 6.00 pm 3 nd 22 March 2017 6.00 pm 3 th 27 April 2017 6.00 pm 3
7. REVIEW OF TERMS OF REFERENCE
7.1 These Terms of Reference and any subsequent amendments are subject of sign-off by the OSB Chair and Vice-Chairs as per agreed procedure.
APPENDICES Appendix 1 - Luton Joint Officers Network - Terms of Reference Appendix 2 - Engagement with Health Overview and Scrutiny
Updated: By: Bert Siong On: 01/06/16 Page 38 of 61 APPENDIX 1 Luton Joint Officers Network - Terms of Reference
INTRODUCTION The Luton Joint Officers Network (LJON) is an informal network of officers from partner agencies working in health and adult social care.
PURPOSE To provide a safe forum for officers from all relevant partner agencies, to engage with each other and with Luton Borough Council’s Scrutiny, Health & Social Care Review Group (HSCRG) to facilitate: Open dialogues and sharing of information to help develop a common understanding of key issues and problems; Discussion on approaches to address past, current and anticipated problems/ issues in health and social care, including intentions/ plans for service developments/ variations of potential interest to partners and in particular to Scrutiny, HSCRG.
OBJECTIVES AND KEY TASKS To promote on-going open dialogues between representatives of partner agencies and Scrutiny, HSCRG; To identify and share information on significant past, current and future issues of potential interest to Scrutiny, HSCRG; To advise and support respective partner agencies to promote engagement with Scrutiny, HSCRG, as integral phases of policy and service developments and commissioning decisions, in line with the attached ‘Guide for Members and NHS Re-Design Managers’ (Appendix 2); To develop joint working agreements, including a standard format for reporting to and an agreed procedure to submit references to Scrutiny, HSCRG.
MEMBERSHIP The LJON will comprise representatives from the following:
Luton Clinical Commissioning Group (Lead) East London Foundation Trust
Luton Borough Council: Adult Social Care East of England Ambulance Service
Luton Borough Council: Public Health Healthwatch Luton
Luton & Dunstable Hospital Virgin Care
Cambridgeshire Community Service Care Quality Commission (by special invitation when needed) Luton Borough Council: Scrutiny: Health & Social Care Review Group NHS England (by special invitation when needed)
CHAIRING AND FREQUENCY OF MEETINGS Luton CCG will organise and Chair LJON meetings, which will take place three times a year. Additional meetings could be called at anytime to address any emergent issues, if necessary.
Updated: By: Bert Siong On: 01/06/16 Page 39 of 61 APPENDIX 2
Engagement with Scrutiny, Health & Social Care Review Group
A Guide for Members and NHS Re-Design Managers
Introduction
Local Authority Scrutiny has an important role to play in the way local Health and social care services are planned and delivered and in helping to understand communities and tackle health inequalities.
This guide provides advice on working relationships between NHS Re-Design Managers and the Luton Borough Council’s Scrutiny: Health & Social Care Review Group (HSCRG), a committee with statutory powers, comprising elected non-executive Councillors of the Council. It also provides information on the involvement of the committee in service development and/ or variation.
Background Part 5 of the Health and Social Care Act 2012 deals with the health scrutiny functions of local authorities. The Local Authority (Public Health, Health and Wellbeing Boards and Health Scrutiny) Regulations 2013 gives effect to the functions.
Health and Social Care Scrutiny
The Council’s Health and Social Care Scrutiny function can hold NHS bodies to account for the quality of their services, through powers to obtain information, ask questions in public and make recommendations for improvements that have to be considered.
All commissioners and providers of publicly funded healthcare and social care are covered by the powers, as are health and social care policies arising from the Joint Strategic Needs Assessments and the Joint Health and Wellbeing Strategy.
Consultation/ Engagement The Scrutiny, HSCRG should be consulted on any proposals for any substantial development of the health service in the area, or a substantial variation in the provision of services. If more than one area is affected, a joint committee has to be set up.
NHS bodies have to involve the public in the planning of service provision, development and consideration of proposals for changes, and in decisions to be made affecting the operation of those services.
The Luton Clinical Commissioning Group is required to consult on its annual commissioning plans, as well as involve the public on any changes that affect patient services, not just those with a ‘significant’ impact.
Engagement with HSCRG needs to be part of established working relationship, to give Members the opportunity to advise/ make representation on behalf of the public.
The role of HSCRG in consultations Determining, in liaison with NHS bodies, if proposed change is ‘substantial’; Advising on pre-consultation public involvement; Considering and advising on fitness for purpose of consultation document/ proposals; Taking evidence on proposals/ options and responding as consultee; Determining adequacy of the consultation, how outcome was considered, and if decision(s) made are in the interests of local health services, and if not, to attempt local resolution to deal with disagreements.
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The Department of Health has issued advice on due process to be followed for local resolution of disagreements on duration or extent of consultation and/ or proposals for major changes. As a last resort, if local resolution fails, the Council has the power to make a referral to the Secretary of State for determination, if appropriate.
Factors for determining ‘substantial’ ‘Substantial’ is a matter for local determination by the HSCRG, in liaison with the relevant NHS body proposing the change/ development of services.
NHS re-design managers should address the following questions when developing a communications and engagement plan, to help HSCRG arrive at a judgment on ‘substantial’: What is the nature of the services under review and the proposed change or development? (Include if change/ development is an enhancement in services) How will this affect the location of the services and/or accessibility by people who use those services? How many patients and which groups will be affected, and to what degree? (Include how patients use services, e.g. frequently by many or infrequently by few) Has an equality impact assessment been undertaken, and if so, what are the specific issues found? If not, when will this be done? What preliminary public/ stakeholder/ clinical engagement work has already taken place and what, if any, changes to the proposals have been made as a result? What will be the likely impact on other services and the wider community? (Include financial impact, particularly where savings are sought) How politically sensitive/ controversial are the proposals?
Answers to the questions are relevant for any proposed changes, as they help HSCRG keep a strategic overview on services and decide on its involvement, if any.
Options for HSCRG If proposed changes are not ‘substantial’, HSCRG could decide on no involvement or a light touch overview; If proposed changes are ‘substantial’ and clearly an improvement in services and users’ involvement was adequate, HSCRG could decide on a light touch overview and an outcome report in due course; If proposed changes are ‘substantial’ and there are concerns, formal consultation will be required. HSCRG will advise on the length and extent of consultation and if appropriate, set up a Task & Finish Group to review the implications and recommend a response.
Updated: By: Bert Siong On: 01/06/16 Page 41 of 61
AGENDA ITEM SCRUTINY: HEALTH AND SOCIAL CARE REVIEW GROUP (HSCRG) 11
DATE OF MEETING: 15th June 2016
REPORT OF: Service Director, Policy & Communities & Engagement
REPORT AUTHOR: Bert Siong Tel: 01582 546781
SUBJECT: Work Programme Report and Dates of Future Meetings
PURPOSE
1. To enable HSCRG to plan and determine its work programme for future meetings.
RECOMMENDATIONS
2. That HSCRG approves its work programme with or without any amendments, as appropriate;
3. That HSCRG determines whether to include for scrutiny on its work programme, any of the items from the Executive Forward Plan and the Health and Wellbeing Board work programme;
4. That HSCRG delegates responsibility for making necessary changes to its work programme between meetings, to the Democracy and Scrutiny Officer, after consultation with the Chair.
REPORT
5. The draft work programme with proposed items for future meetings is attached at Appendix A.
6. The latest Executive Forward Plan is attached at Appendix B for information and consideration.
7. The Health and Wellbeing work programme is attached as Appendix C for information and consideration.
8. Members are requested to review the documents and determine the items they wish to include on the programme and suggest any other emerging matters not currently listed.
Page 42 of 61 APPENDIX - A Scrutiny: Health and Social Care Review Group Work Programme - 2016/ 2017
(This work programme is updated regularly following each meeting of the committee and as required, in consultation with the Chair. Unallocated potential future items are listed at the end of this document)
Meeting Date: 26th July 2016 Time: 6.00 pm Committee Room: 3 Dates: Reminder: 29.6.16 Titles: 6. 7.16 Report: 13. 7.16 Democracy & Scrutiny Officer: Bert Siong/ Eunice Lewis-Okeowo
Agenda item Report Author and format
Chair’s Update (Standing item) Cllr. Oral Report Repeat Medicines Management Systems – Progress David Foord – Luton CCG and Report Michael Mullunder-Francis (Note: To include outcome of survey on the impact of the (Healthwatch Luton) change on affected patients) Written Report
Community Transport Service - Update Mike McMahon Written Report Luton CCG 5 year Sustainability and Transformation Carol Hill/, Luton CCG Plan (tbc) Written Report (Waiting for confirmation from Carol Hill) Work programme and Future meetings (Including Democracy and Scrutiny Officer Executive Forward Plan and Health & Wellbeing Oral Report Board Work Programme) (Standing item)
Dates of future meetings Town Hall Committee Room 8th September 2016 3 5th October 2016 3 22nd November 2016 3 4th January 2017 3 22nd March 2017 3 27th April 2017 3
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Meeting Date: 8th September 2016 Time: 6.00 pm Committee Room: 3 Dates: Reminder: 12.8.16 Titles: 19.8.16 Report: 26. 8.16 Democracy & Scrutiny Officer: Bert Siong/ Eunice Lewis-Okeowo
Agenda item Report Author and format
Chair’s Update (Standing item) Cllr.
Oral Report Inequalities in Luton Men’s Health – Progress Report Gerry Taylor/ Kelly O’Neill and (tbc) Stephen Gunther, Public Health
Written Report Update on progress - The outsourcing of Luton and Ian Allen, Luton and Dunstable Dunstable Hospital’s cleaning and catering Contracts Hospital
Written Report Luton Better Together Programme – Progress Report Maud O’Leary
Written Report Work programme and Future meetings (Including Democracy and Scrutiny Officer Executive Forward Plan and Health & Wellbeing Written Report Board Work Programme) (Standing item)
Meeting Date: 5th October 2016 Time: 6.00 pm Committee Room: 3 Dates: Reminder: 8.9.16 Titles: 15.9.16 Report: 22.9.16 Democracy & Scrutiny Officer: Bert Siong/ Eunice Lewis-Okeowo
Agenda item Report Author and format
Chair’s Update (Standing item) Cllr.
Oral Report East Of England Ambulance Service Trust - Update Simon King/ Robert Morton, on Performance (tbc) EEAST Written Report Brian Walsh, Chair of LCAB & Update on Safeguarding Adults in Luton 2015-16 Patricia Jennings (tbc) ([email protected]) (date in October 2016? tbc) Work programme and Future meetings (Including Democracy and Scrutiny Officer Executive Forward Plan and Health & Wellbeing Written Report Board Work Programme) (Standing item)
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Meeting Date: 22nd November 2016 Time: 6.00 pm Committee Room: 3 Dates: Reminder: 26.10.16 Titles: 2.11.16 Report: 9.11.16 Democracy & Scrutiny Officer: Bert Siong/ Eunice Lewis-Okeowo
Agenda item Report Author and format
Chair’s Update (Standing item) Cllr. Oral Report Items to come
Work programme and Future meetings (Including Democracy and Scrutiny Officer Executive Forward Plan and Health & Wellbeing Written Report Board Work Programme) (Standing item)
Meeting Date: 4th January 2017 Time: 6.00 pm Committee Room: 3 Dates: Reminder: 5.12.16 Titles: 12.12.16 Report: 19.12.16 Democracy & Scrutiny Officer: Bert Siong/ Eunice Lewis-Okeowo
Agenda item Report Author and format
Chair’s Update (Standing item) Cllr. Oral Report Items to come Work programme and Future meetings Democracy and Scrutiny Officer (Including Executive Forward Plan and Written Report Health & Wellbeing Board Work Programme) (Standing item)
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Meeting Date: 22nd March 2017 Time: 6.00 pm Committee Room: 3 Dates: Reminder: 23.2.17 Titles: 2.3.17 Report: 9.3.17 Democracy & Scrutiny Officer: Bert Siong/ Eunice Lewis-Okeowo
Agenda item Report Author and format
Chair’s Update (Standing item) Cllr. Oral Report Luton CCG’s Strategy for Improving Primary Nicky Poulain, Luton CCG Care Access in Luton – Update on Progress Written Report Further items to come. Work programme and Future meetings Democracy and Scrutiny Officer (Including Executive Forward Plan and Written Report Health & Wellbeing Board Work Programme) (Standing item)
Meeting Date: 27th April 2017 Time: 6.00 pm Committee Room: 3 Dates: Reminder: 29.3.17 Titles: 5. 4.17 Report: 12. 4.17 Despatch: 13-19. 4.17 Democracy & Scrutiny Officer: Bert Siong/ Eunice Lewis-Okeowo
Agenda item Report Author and format
Chair’s Update (Standing item) Cllr.
Oral Report Drugs and Alcohol Service - Performance Update Ian Houghton, Public Health, LBC (tbc) Written Report Further items to come. Work programme and Future meetings (Including Democracy and Scrutiny Officer Executive Forward Plan and Health & Wellbeing Written Report Board Work Programme) (Standing item)
List of Potential Future items for the work programme – Dates to be confirmed Alternative Provider Medical Services (APMS) – Re-provision of GP Contract by NHS England (To be confirmed) Older People’s Day Services: Update (date tbc) - Kim Radford Mental Health Crisis Concordat Action Plan - Progress Report – Director, People, LBC - date to be arranged with Democratic Services. (Resolved at HSCRG on 21/9/15) Involvement of the Voluntary Sector in Local Mental Health Support – Author to be determined
Page 46 of 61 LUTON BOROUGH COUNCIL Appendix B FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
LUTON BOROUGH COUNCIL
FORWARD PLAN OF KEY DECISIONS FROM 27th June 2016
EXECUTIVE MEMBERSHIP: Councillors N. Ayub, Burnett, Castleman, Hopkins, Hussain, A. Khan, Malcolm, Shaw, Simmons and Timoney.
Commencing from Monday 6th June 2016 the Council plans to make key decisions on the issues set out below. Key decisions relate to those which are likely: ◊ to result in the local authority incurring expenditure which is, or the making of savings which are, significant having regard to the Council's budget for the service or function to which the decision relates; or ◊ to be significant in terms of its effects on communities living or working in an area comprising two or more wards or electoral divisions in the area of the Borough.
The Forward Plan lists the business undertaken by or on behalf of the Executive and will be published 28 days prior to each Executive meeting. Those items identified for decision more than 28 days in advance may change in forthcoming Plans. There may also be occasions where a key decision is deferred to a later meeting. Each new Plan supersedes the previous Plan. Any questions regarding individual issues should be addressed to the contact specified in the Plan. The agendas and Forward Plans for meetings of the Executive will be published as follows:
The following dates are draft until ratified at Annual Council on 17th May 2016: Forward Plan Publication of Executive Meeting Forward Plan Publication of Executive Meeting Published Agenda Date Published Agenda Date 6th May 2016 25th May 2016 6th June 2016 11th November 1st December 12th December 2016 2016 2016 27th May 2016 16th June 2016 27th June 2016 9th December w/c 19th December 9th January 2017 2016 2016 24th June 2016 14th July 2016 25th July 2016 6th January 2017 26th January 2017 6th February 2017 22nd July 2016 11th August 2016 22nd August 2016 3rd February 2017 23rd February 2017 6th March 2017 19th August 2016 8th September 19th September 3rd March 2017 23rd March 2017 3th April 2017
Page 47 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
2016 2016 16th September 6th October 2016 17th October 2016 24th March 2017 11th March 2017 24th April 2017 2016 14th October 2016 3rd November 14th November 2016 2016
Link to published Executive Agendas, Reports and Decisions: http://democracy.luton.gov.uk/cmis5public/Documents/PublicDocuments.aspx
Note:
From time to time there will be a necessity to consider issues which will result in key decisions being taken which are not included in the Forward Plan, e.g. items of an extreme urgency, consultation papers issued by Government. Executive meetings are open to the public except to the extent that the public are excluded under paragraph 4(2) of The Local Authorities (Executive Arrangements) (Meetings and Access to Information) (England) Regulations 2012. (4(2)(a) Confidential information. 4(2)(b) Exempt Information. 4(2)(c) lawful power to exclude person to maintain orderly conduct of the meeting.))
This is a Formal Notice under the Local Authorities (Executive Arrangements)(Meetings and Access to Information)(England) Regulations 2012 that part of the Executive meeting listed in this Forward Plan will be held in private because the agenda and reports for the meeting will contain exempt information under Part 1 of Schedule 12A to the Local Government Act 1972 (as amended) and that the public interest in withholding the information outweighs the public interest in disclosing it.
The last page of this document sets out the definitions of Exempt Information under Paragraphs of Part 1 of Schedule 12A of the Local Government Act 1972. Any correspondence to be addressed to: The Service Director, Policy and Performance, Luton Borough Council, Town Hall, Luton, LU1 2BQ unless otherwise stated.
Page 48 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
Title Key decisions Decision Date of Documents Exclusion of Contacts/ and key issues maker decision submitted for public required Lead Executive consideration Member(s) Treasury To borrow and invest, and to Head of Ongoing with Record of N/A Dev Gopal Management restructure borrowings where Corporate dates decisions (01582) 546087 decisions on appropriate, in order to Finance dependent on borrowing and optimise the Council’s financial market Councillor Malcolm investments to financial position while conditions optimise the minimising risk and ensuring Council’s financial that all actions are in accord position with the Council’s treasury management policy and strategy.
NEW – Former For Executive to agree the Executive 27th June 2016 Report Yes - Roger Kirk (01582 Putteridge formal transfer of the former Paragraph 3 of 548268) Recreation Centre Putteridge Recreation Centre Part 1 of from Recreation to Education schedule 12A (Putteridge High School) to the Local Government Councillor Timoney Act 1972. NEW – Strategic For the Executive to agree the Executive 27th June 2016 Report No Nicola Monk (01582 Plans concept of a new Council 546073) Plan to sit alongside and updated Investment Councillor Simmons Framework.
Page 49 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
Title Key decisions Decision Date of Documents Exclusion of Contacts/ and key issues maker decision submitted for public required Lead Executive consideration Member(s) NEW – Corporate To report to the Executive the Executive 27th June 2016 Report No Nicola Monk (01582 Performance corporate performance 546073) Indicators 2016-17 indicators to be monitored in 2016-17 Councillor Malcolm NEW – Revenue To report the final revenue Executive 27th June 2016 Report No Dev Gopal/Tim Lee and Capital and capital spend for each (01582) Outturn 2015/16 department for 2015/16 and 546087/546094 to seek approval for any special capital estimates arising from the final position Councillor Malcolm Civica Contract To seek Executive agreement Executive 27th June 2016 Report Yes - Jayne Robinson to the proposed new Civica (6th June 2016) Paragraph 3 of (01582) 547952 Contract and the contract Part 1 of term. schedule 12A Councillor Malcolm to the Local Government Act 1972.
Apprenticeship To seek Executive approval Executive 27th June 2016 Report No Tom Molloy / Craig Strategy 2016-19 for the Apprenticeship (6th June 2016) Smith (01582) 490033 Strategy 2016-19 and Action Plan. Councillor Hussain
Food and Feed To seek Executive approval Executive 27th June 2016 Report No Liz Bailey (01582) Law Service Plan for the 2016/17 Food and 546511 2016-17 Feed Law Service Plan Councillor Burnett
Page 50 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
Title Key decisions Decision Date of Documents Exclusion of Contacts/ and key issues maker decision submitted for public required Lead Executive consideration Member(s) Community Centre To report back the outcome Executive 27th June 2016 Report No Mark Davie/ Mike Consultation - of the detailed consultation McMahon (01582) Update 548327
Councillor Burnett Briefing on To gain Executive approval Executive 27th June 2016 Report No Pam Garraway/Gerry Sustainable to support the direction of Taylor (01582 547500) Transformation travel set out in the Plans (STP) Sustainable Transformation Leader Plan Gypsy and To seek approval to a public Executive 27th June 2016 Report No Kevin Owen Traveller Local consultation process on (18th April (01582) 547087 Plan Part 2 – Gypsy and Traveller 2016) 2011-2031 provision of temporary Councillor Castleman stopping places.
Equality To approve the Equality Executive 27th June 2016 Report No Sandra Legate Objectives and Objectives and LBC Equality (18th April (01582) 546805 LBC Equality Charter 2016) Charter Councillor Burnett
Page 51 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
Title Key decisions Decision Date of Documents Exclusion of Contacts/ and key issues maker decision submitted for public required Lead Executive consideration Member(s) Performance – To report to the Executive the Executive 27th June 2016 Report No Nicola Monk / Israr Quarter 4 quarterly report on critical Siddique performance indicators. (01582) 546073 / 547848
Councillor Malcolm
New – Intelligent To seek endorsement of the Executive 25th July 2016 Report Yes Steven Lain/Ali Traffic Systems authorities’ party to the ITT (Paragraph 3) Ataie/Alex Term Service contract and confirm the Constantinides (01582 Contract preferred supplier of the 546992/546047/54728 intelligent traffic systems 2) contract Councillor Castleman Outcome of Further to Executive Decision Executive 25th July 2016 Report No Michael McMahon Community made at the March 2016 (01582) 546201 Centre meeting a report back on the Consultation consultation results and recommendations for future action with regard to Councillor Burnett Community Centres.
Page 52 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
Title Key decisions Decision Date of Documents Exclusion of Contacts/ and key issues maker decision submitted for public required Lead Executive consideration Member(s) Outcome of Dell Further to Executive Decision Executive 25th July 2016 Report No Michael McMahon Farm Consultation made at the March 2016 (01582) 546201 meeting a report back on the consultation results and recommendations for future Councillor Burnett action with regard to Dell Farm.
Enforcement Policy Further to Executive Decision: Executive 25th July 2016 Report No Paul Adams / Stephen EX/133/15 to report back to Dibble (01582) 546173 the Executive on enforcement / 547110 action taken and the outcomes of court action. Councillor Burnett
New – Proposed To seek Executive approval to Executive 22nd August Report No Jo Fisher (01582 re-organisation of progress the re-organisation 2016 548006) the Youth of the Youth Offending Offending Service Service Councillor Hussain Dunstable Road To report the outcome of the Executive 22nd August Report No Christine Davy (O1582 Bury Park consultation on the proposed 2016 546962) Highway safety improvements in Amendments Dunstable Road and seek Executive approval to take the Councillor Castleman proposals through to design and construction
Page 53 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
Title Key decisions Decision Date of Documents Exclusion of Contacts/ and key issues maker decision submitted for public required Lead Executive consideration Member(s) Community Led To seek Executive approval to Executive 22nd August Report No Paul Adams / Lesley Local the submission of the 2016 Nicholls Development Community Led Local (01582) 546173 Funding Update Development (CLLD) Bid with Luton Borough Council as the Councillor Timoney Accountable Body and to approve the allocation of resources as match funding for CLLD.
Early Help Social To seek Executive approval to Executive 19th September Report No Sue Nelson / Fiona Investment Bond the introduction of an Early 2016 McGlone (01582) Help Social Investment Bond (27th June 2016) 547094
Councillor Malcolm
New – Rogue For the Executive to support Executive 19th September Report No Dave Stevenson Landlord Project the mainstreaming of the 2016 (01582 546186) project Councillor Shaw Luton Skills and To seek Executive approval Executive 19th September Report No Paul Adams / Lesley Employability for the Luton Skills and 2016 Nicholls (01582) Strategy 2015 - Employability Strategy 2015 (27th June 2016) 546173 / 546271 2018 – 2018. Councillor Timoney
Page 54 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
Title Key decisions Decision Date of Documents Exclusion of Contacts/ and key issues maker decision submitted for public required Lead Executive consideration Member(s) Youth Justice To seek Executive to Executive 17th October Report No Jo Fisher Strategic Plan recommend to Council the 2016 (01582) 548006 2016/17 approval of the Youth Justice Plan for Luton 2016-17 as part of the Council’s Policy Councillor Hussain Framework.
Highways Term To seek Executive approval of Executive 14th November Report Yes Ali Ataie (01582 Maintenance a new Highways Term 2016 (paragraph 3) 546047) Contract Award Maintenance Contract to (17th October commence on 2nd January 2016) 2017 Councillor Castleman
Page 55 of 61 LUTON BOROUGH COUNCIL FORWARD PLAN OF KEY DECISIONS AND KEY ISSUES
EXEMPT INFORMATION SUMMARY OF THOSE MATTERS WHICH BY VIRTUE OF PART 1 OF SCHEDULE 12A OF THE LOCAL GOVERNMENT ACT 1972 MAY BE DISCUSSED IN PRIVATE
Paragraph No.
1. Information relating to any individual.
2. Information which is likely to reveal the identity of an individual.
3. Information relating to the financial or business affairs of any particular person (including the authority holding that information).
4. Information relating to any consultations or negotiations, or contemplated consultations or negotiations, in connection with any labour related matter arising between the authority or a Minister of the Crown and employees of, or office holders under, the authority.
5. Information in respect of which a claim to legal professional privilege could be maintained in legal proceedings.
6. Information which reveals that the authority proposes:
(a) to give under any enactment a notice under or by virtue of which requirements are imposed on a person; or (b) to make an order or direction under any enactment.
7. Information relating to any action taken or to be taken in connection with the prevention, investigation or prosecution of crime.
Page 56 of 61 APPENDIX - C HEALTH AND WELLBEING BOARD WORK PROGRAMME - 2016/17
Date of Meeting: 7th June 2016 Time: 6.00 pm Committee Room: 2
Dates for: Reminder: 11/5/16 Report: 25/5/16 Despatch: 27/5/16 Administrator: DSO: Bert Siong
Agenda item Board Member Report Author
Better Together/ Better Care Fund / Section 75 Chief Officer, Luton CCG/ Director of People Graham Wrycroft (LBC)
Healthwatch Update Chief Operating Officer, Healthwatch Luton Lucy Nicholson
System Resilience Group Chief Officer, Luton CCG Nicky Poulain
Sustainability and Transformation Plan Chief Officer, Luton CCG Colin Thompson
Learning Disabilities Joint Transformation Plan Director of People (LBC) Maud O’Leary for Bedfordshire , Luton and Milton Keynes
Strategy for improving Primary Access in Luton Carol Hill/ Dr Nina Pearson, Luton CCG Carol Hill/ Dr Nina Pearson
Provider: East London Foundation Trust - - John Wilkins, Deputy CEO, Presentation ELFT
Information Items
Work programmes: Health and Wellbeing Leader of the Council - Chair Democracy and Scrutiny Board / Health Scrutiny Review Group Officer
Page 57 of 61
Date of Meeting: 15th September 2016 Time: 6.00 pm Committee Room: 3
Dates for: Reminder: 19/8/16 Report: 26/8/16 Despatch: 5/9/15 Administrator: DSO:
Agenda item Board Member Report Author
Better Together/ Better Care Fund / Chief Officer, Luton CCG/ Director of People Graham Wrycroft (LBC)
Healthwatch Update Chief Operating Officer, Healthwatch Luton Lucy Nicholson
System Resilience Group Chief Officer, Luton CCG Nicky Poulain
CCG Commissioning Intentions Chief Officer, Luton CCG Colin Thompson
Health and Wellbeing Strategy Director of Public Health, Commissioning and Stephen Gunther Procurement, LBC
Provider: Luton and Dunstable Hospital – - Pauline Philip CEO, L&D Presentation
Information Items
Work programmes: Health and Wellbeing Leader of the Council - Chair Democracy and Scrutiny Officer Board / Health Scrutiny Review Group
Page 58 of 61
Date of Meeting: 7th November 2016 Time: 6.00 pm Committee Room: 3
Dates for: Reminder: Report: Despatch: Administrator: DSO:
Agenda item Board Member Report Author
Better Together/ Better Care Fund Chief Officer, Luton CCG/ Director of People Graham Wrycroft (LBC)
Healthwatch Update Chief Operating Officer, Healthwatch Luton Lucy Nicholson
System Resilience Group Chief Officer, Luton CCG Nicky Poulain
Luton Safeguarding Adults Annual report 2015- Portfolio Holder –Adult Social Services Brian Walsh, Chair 16 LSAB/ Patricia Jennings
Luton Safeguarding Children Annual report Portfolio Holder – Children Services Fran Pearson, Chair LSCB/ 2015-16 Vijay Patel
Family Poverty Strategy Director of People (LBC) Maud O’Leary?
Provider: Bedfordshire Police - Presentation C/Supt David Boyle C/Supt David Boyle
Information Items
Work programmes: Health and Wellbeing Leader of the Council - Chair Democracy and Scrutiny Officer Board / Health Scrutiny Review Group
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Date of Meeting: 12th January 2017 Time: 6.00 pm Committee Room: 3
Dates for: Reminder: Report: Despatch: Administrator: DSO:
Agenda item Board Member Report Author
Better Together/ Better Care Fund Chief Officer, Luton CCG/ Director of People Graham Wrycroft (LBC)
Healthwatch Update Chief Operating Officer, Healthwatch Luton Lucy Nicholson
System Resilience Group Chief Officer, Luton CCG Nicky Poulain
Provider: tbc
Information Items
Work programmes: Health and Wellbeing Leader of the Council - Chair Democracy and Scrutiny Officer Board / Health Scrutiny Review Group
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Date of Meeting: 20th March 2017 Time: 6.00 pm Committee Room: 2
Dates for: Reminder: Report: Despatch: Administrator: DSO:
Agenda item Board Member Report Author
Better Together/ Better Care Fund Chief Officer, Luton CCG/ Director of People Graham Wrycroft (LBC)
Healthwatch Update Chief Operating Officer, Healthwatch Luton Lucy Nicholson
System Resilience Group Chief Officer, Luton CCG Nicky Poulain
Health and Wellbeing Board Governance Leader of the Council - Chair Democracy and Scrutiny Officer Review
Provider: tbc
Information Items
Work programmes: Health and Wellbeing Leader of the Council - Chair Democracy and Scrutiny Officer Board / Health Scrutiny Review Group
To be scheduled: Delivery Boards Director of Public Health’s annual report Health and Wellbeing Strategy – Performance Report
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