BIRMINGHAM CITY COUNCIL HEALTH AND SOCIAL CARE OVERVIEW AND SCRUTINY COMMITTEE TUESDAY, 17 JULY 2018 AT 10:00 HOURS IN COMMITTEE ROOMS 3 & 4, COUNCIL HOUSE, VICTORIA SQUARE, BIRMINGHAM, B1 1BB A G E N D A 1 NOTICE OF RECORDING/WEBCAST The Chairman to advise/meeting to note that this meeting will be webcast for live or subsequent broadcast via the Council's Internet site (www.civico.net/birmingham) and that members of the press/public may record and take photographs except where there are confidential or exempt items. 2 APOLOGIES 3 DECLARATIONS OF INTERESTS Members are reminded that they must declare all relevant pecuniary and non pecuniary interests arising from any business to be discussed at this meeting. If a disclosable pecuniary interest is declared a Member must not speak or take part in that agenda item. Any declarations will be recorded in the minutes of the meeting. 4 ACTIONS NOTES/ISSUES ARISING 3 - 8 To confirm the action notes of the meeting held on 19 June 2018. 5 RESPONDING TO THE CHALLENGE OF RISING OBESITY IN 9 - 14 CHILDHOOD Dennis Wilkes, Assistant Director of Public Health. 6 YOUNGER ADULTS DAY SERVICE CONSOLIDATION - LESSONS 15 - 28 LEARNT Melanie Brooks, Interim Assistant Director, Community Services, Social Care and Health. Page 1 of 74 7 ADULT SOCIAL CARE PERFORMANCE MONITORING - MAY 2018 29 - 66 Mike Walsh, Head of Service - Intelligence, Strategy & Prioritisation, Commissioning Centre of Excellence. 8 WORK PROGRAMME - JULY 2018 67 - 74 For discussion. 9 REQUEST(S) FOR CALL IN/COUNCILLOR CALL FOR ACTION/PETITIONS RECEIVED (IF ANY) To consider any request for call in/councillor call for action/petitions (if received). 10 OTHER URGENT BUSINESS To consider any items of business by reason of special circumstances (to be specified) that in the opinion of the Chairman are matters of urgency. 11 AUTHORITY TO CHAIRMAN AND OFFICERS Chairman to move:- 'In an urgent situation between meetings, the Chairman jointly with the relevant Chief Officer has authority to act on behalf of the Committee'. Page 2 of 74 BIRMINGHAM CITY COUNCIL HEALTH AND SOCIAL CARE O&S COMMITTEE 1000 hours on 19th June 2018, Committee Rooms 3 & 4 – Actions Present: Councillor Rob Pocock (Chair) Councillors Akhlaq Ahmed, Nicky Brennan, Mick Brown, Peter Fowler, Chauhdry Rashid and Suzanne Webb Also Present: Paul Sherriff, Director of Organisational Developments & Partnerships, Birmingham & Solihull Clinical Commissioning Group Gemma Coldicott, Head of Communications & Engagement, Birmingham & Solihull Clinical Commissioning Group Andy Cave, Chief Executive, Healthwatch Birmingham Melanie Brooks, Interim Assistant Director, Community Services, Adult Social Care and Health Dennis Wilkes, Assistant Director, Public Health Mike Walsh, Head of Service – Intelligence, Strategy & Prioritisation, Commissioning Centre of Excellence ‘ahel O Coo, Dieto of Plaig ad Pefoae, Biigha ad Solihull Clinical Commissioning Group Rose Kiely, Overview & Scrutiny Manager, Scrutiny Office Gail Sadler, Scrutiny Officer, Scrutiny Office 1. INFORMAL SESSION The committee received presentations from each of the following organisations/departments and actions are set out below:- Birmingham and Solihull Clinical Commissioning Group A lik to the Kigs Fud ideo Ho does the NHS i Eglad ok? to be circulated to the committee. The Healthath Biigha ‘eie of The uet patiet ad puli involvement practice of the merging Birmingham South Central, Birmingham CossCit ad Solihull Cliial Coissioig Goups to e iulated to the committee. Is the STP aageet okig fo West Biigha? is a ite that the Committee may wish to schedule on the work programme. 1 Page 3 of 74 Healthwatch Birmingham Healthwatch Birmingham published 3 videos last year which should be circulated to the committee. These are:- o About Healthwatch Birmingham. o How to share your health and social care experiences with Healthwatch Birmingham. o Making your views count: how Healthwatch Birmingham uses patient experience. The committee were advised that the Healthwatch Birmingham Annual Report will be published next month and copies emailed to the committee. Adult Social Care & Health – Members Briefing Mees ee told aout a ue of eies/e-design of services including the Enablement Service, Day Opportunities, Shared Lives and the Ageing Well Programme which the committee may wish to include on the work programme. A op of the Adult Soial Cae ad Health Dietoate Ipoeet ad Business Plan 2017 – to e iulated to the oittee. Public Health The committee was advised that Becky Pollard had been appointed as the new Interim Director of Public Health. It was agreed that Public Health would flag-up areas of concern which the committee would need to be aware of. Adult Social Care & Health Performance Monitoring It was agreed that performance monitoring data would be presented to the committee on a quarterly basis. Councillor Suzanne Webb said she has a number of questions regarding the data that had been presented in the report and would contact Mike Walsh directly. Birmingham and Solihull Sustainability and Transformation Partnership It as ageed that a ite o The Outoe of the STP Egageet Pogae should e sheduled o the ok pogae fo Otoe. Health & Social Care O&S Work Programme 2018/19 A copy of the Care Quality Commission Local System Review Report to be circulated to the committee. A copy of the Homeless Health Scrutiny Report to be circulated to new members. A ite o the Ealeet Seie to e added to the ites fo sheduling on the work programme. 2 Page 4 of 74 2. APPOINTMENT OF COMMITTEE AND CHAIR RESOLVED: Mees oted the esolutio of the Cit Couil appoitig the Coittee, Chai and Members to serve on the Committee for the period ending with the Annual Meeting of the City Council 2019. 3. ELECTION OF DEPUTY CHAIR RESOLVED: Councillor Mick Brown was elected as Deputy Chair to substitute for the Chair if absent. 4. APOLOGIES Councillor Saddak Miah. 5. ACTION NOTES/ISSUES ARISING The action notes of the meeting held on 20th March 2018 were noted. 6. DECLARATIONS OF INTEREST Members were reminded that they must declare all relevant pecuniary interests and non-pecuniary interests relating to any items of business to be discussed at the meeting. If a pecuniary interest is declared a Member must not speak to take part in that agenda item. Any declarations will be recorded in the action notes of the meeting. RESOLVED: None. 7. TERMS OF REFERENCE To fulfil the functions of an Overview and Scrutiny Committee as they relate to any policies, services and activities concerning adult safeguarding, social care and public health; and to discharge the relevant overview and scrutiny role set out in the National Health Service Act 2006 as amended by the Health and Social Care Act 2012, including: The appointment of Joint Overview and Scrutiny Committees with neighbouring authorities; and The exercise of the power to make referrals of contested service reconfigurations to the Secretary of State as previously delegated to the Health and Social Care Overview and Scrutiny Committee by the Council. RESOLVED: Noted. 3 Page 5 of 74 8. JOINT HEALTH OVERVIEW AND SCRUTINY COMMITTEES – APPOINTMENTS Birmingham and Sandwell Joint Health Overview and Scrutiny Committee (5 Members) Labour (3); Conservative (1); Liberal Democrat (1) Labour Conservative Liberal Democrat Councillor Rob Pocock Councillor Suzanne Webb Councillor Paul Tilsley Councillor Mick Brown Councillor Chauhdry Rashid Birmingham and Solihull Joint Health Overview and Scrutiny Committee (7 Members) Labour (5); Conservative (2) Labour Conservative Councillor Rob Pocock Councillor Peter Fowler Councillor Mick Brown Councillor Suzanne Webb Councillor Akhlaq Ahmed Councillor Nicky Brennan Councillor Saddak Miah RESOLVED: The Committee agreed to the appointments to the Joint Health Overview and Scrutiny Committees including Councillor Rob Pocock as Joint Chair. 9. DATES OF MEETINGS RESOLVED: The Committee agreed that meetings should be held at 1000 hours on the following Tuesdays in the Council House:- 2018 2019 17 July 22 January 18 September 19 February 16 October 19 March 20 November 16 April 18 December 21 May The Committee also approved Tuesdays at 1000am hours as a suitable day and time each week for any additional meetings required to consider euests fo all i hih a e lodged i espet of Eeutie deisios. 4 Page 6 of 74 10. REQUEST(S) FOR CALL IN/COUNCILLOR CALL FOR ACTION/PETITIONS None 11. OTHER URGENT BUSINESS None 12. AUTHORITY TO CHAIRMAN AND OFFICERS RESOLVED:- That in an urgent situation between meetings the Chair, jointly with the relevant Chief Officer, has authority to act on behalf of the Committee. _______________________________________________________________ The meeting ended at 1235 hours. 5 Page 7 of 74 Page 8 of 74 RESPONDING TO THE CHALLENGE OF RISING OBESITY IN CHILDHOOD THE BIRMINGHAM APPROACH 2018-2021 REPORT TO: HEALTH AND SOCIAL CARE OVERVIEW & SCRUTINY COMMITTEE FROM: DENNIS WILKES Assistant Director of Public Health DATE: 17 JULY 2018 1. PURPOSE This report describes the developing strategic approach to tackle the rising levels of obesity in children in Birmingham. It was prompted by a discussion with the Overview and Scrutiny Committee in January 2018 about child poverty where the link with child obesity was recognised. The committee was particularly interested in efforts being made in the Early Years phase, 0-5 years of age. 2. INTRODUCTION Compared to other UK core-cities, Birmingham has one of the highest rates of childhood obesity. Our rates have been consistently above national average since 2006/7 (Figure 2.1). The most recent figures show that 11.5% of 5 year-olds, and 25% of 11 year-old children in Birmingham are classed as obese (National Child Measurement Programme, 2016-17). However, these rates only tell part of the story. We know the risk of obesity is even greater in our most deprived communities and, more importantly, this gap has been widening over time. Figure 2.1: Prevalence of childhood obesity in Birmingham overtime Page 9 of 74 Page 1 of 5 3.