Health and Wellbeing Overview and Scrutiny Committee (Wirral Council) 5th November 2012 Agenda and reports

Health and Wellbeing Overview and Scrutiny Committee 5th November 2012 (Wirral Council) agenda and reports

As Wirral Council are having trouble publishing the agenda and reports for Monday’s Health and Wellbeing Overview and Scrutiny Committee (5/11/2012) on their website they are available from this website until Wirral Council sorts out their issues.

Edit: Update 31/10/2012 The agenda and reports including the missing What Really Matters Consultation result (Cabinet report) are now on Wirral Council’s website.

Maybe their IT department is as overworked as ours is. 😉

Health and Well Being Overview and Scrutiny Committee
Date: Monday, 5 November 2012
Time: 6.00 pm
Venue: Council Chamber, Wallasey Town Hall

Contact Officer: Lyndzay Roberts
Tel: 0151 691 8262
e-mail: lyndzayroberts@wirral.gov.uk
Website: http://www.wirral.gov.uk

AGENDA

1. MEMBERS’ CODE OF CONDUCT – DECLARATIONS OF INTEREST/ PARTY WHIP
Members of the Committee are asked to declare any disclosable pecuniary and non pecuniary interests, in connection with any application on the agenda and state the nature of the interest.

Members are reminded that they should also declare, pursuant to paragraph 18 of the Overview and Scrutiny Procedure Rules, whether they are subject to a party whip in connection with any item(s) to be considered and, if so, to declare it and state the nature of the whipping arrangement.

2. MINUTES (Pages 1 – 12)
To receive the minutes of the Health and Well Being Overview and Scrutiny Committee held on 10 September 2012.

3. CONSIDERATION OF FINDINGS – WHAT REALLY MATTERS CONSULTATION
Report to follow

4. DELIVERING THE CORPORATE PLAN: 2012/13 SECOND QUARTER PERFORMANCE AND FINANCIAL REVIEW (Pages 13 – 24)

5. WELFARE REFORM (Pages 25 – 40)

6. TRANSFORMATION OF DAY SERVICES – OSC SUB GROUP REPORT
To receive a Verbal Update Report

7. PROGRESS REPORT OF ACTIONS TAKEN TO IMPLEMENT OUTSTANDING RECOMMENDATIONS IN RELATION TO DASS: PERSONAL BUDGETS (Pages 41 – 50)

8. TACKLING THE LIFE EXPECTANCY GAP (Pages 51 – 64)

9. FORWARD PLAN

The Forward Plan for the period September to December 2012 has now been published on the Council’s intranet/website and Members are invited to review the Plan prior to the meeting in order for the Committee to consider, having regard to the Committee’s work programme, whether scrutiny should take place of any items contained within the Plan and, if so, how it could be done within relevant timescales and resources.

10. WORK PROGRAMME
The Committee was requested to consider what issues should form the basis of its work programme for the ensuing municipal year.

11. ANY OTHER URGENT BUSINESS APPROVED BY THE CHAIR

Bromborough and Eastham Area Forum 2nd October 2012

Present

Cllr Steve Niblock (Chair)
Cllr Joe Walsh
Cllr Phil Gilchrist
Cllr Tom Harney
Cllr Dave Mitchell

Brian Christian (Older Peoples Parliament)
Steve Preston (Community Safety)
Louise Harland-Davies (Community Engagement co-ordinator)
Phil Miner (Streetscene Manager)
Mark Craig (Community Representative)
Paul Murphy (Merseyside Fire and Rescue Service)
Merseyside Police: Police Sergeant and Police Community Support Officer
Lead Officer Kevin McCallum (Press and Public Relations)
Plus ~seven members of the public.

Cllr Steve Niblock opened the meeting by welcoming everybody to the Bromborough and Eastham Area Forum. He gave apologies for Cllr Irene Williams and Marjorie Hall and thanked Mark Craig and Marjorie who would continue to be community representatives.

Louise Harland-Davies said the minutes of the last meeting were on the seats, under matters arising, she said she understood that antisocial behaviour at the local skateboard park had been set as a local policing priority, so it had received extra attention from police and youth services, with a number of incidents dealt with through Community Patrol.

Steve Preston said there had been five reports since the last Area Forum, three were about noise, two were about youths with one of the reports of noise being at 11 pm and one of the others at around 4 pm. He said they had made some improvements which he believed were beneficial to children and residents as the last report was in August, he hoped the problems had decreased because of the soundproofing.

The police said they had only had two reports in September of noise.

Louise Hartland-Davies gave an update on 20 mph zones and said there had been a spending freeze on non-critical areas. She referred to Laura Quigley who had been from the GP Commissioning Consortium and a response that Cllr Gilchrist had received direct from Laura. Louise Hartland-Davies said there was a minor injuries service at Parkfield and referred to a visit by Cllr Walsh to Bromborough Recreation Bowling Club, who had put a bid in for Area Forum funding.

Cllr Niblock said he was aware Tony had got to go early.

Tony said that on behalf of Wirral Festival of Music, Speech and Drama and Bromborough Recreation Bowling Club that he wanted to say thank you for money previously received. He mentioned the visit of Cllr Walsh, when the sun shone and there was no rain, however he described the problems in the rain of no shelter which is why they had approached the Area Forum and thanked Community Engagement Officer Louise Hartland-Davies for her assistance with their applications. To his chagrin Louise Hartland-Davies in 48 hours had cut through red tape and they had an approach by phone compared to four years of him trying and he thanked Louise.

Louise Hartland-Davies said there had been changes to parking, which had resulted in more spaces, however there had been questions about the number of disabled bays, traffic management had developed an alternative draft layout and the funding could happen but for the spending freeze.

Cllr Niblock said that unless there were other matters arising it was agreed. He said he would deviate from the agenda and ask Kevin McCallum to talk about the spending freeze.

Kevin McCallum said Wirral Council was now in a spending freeze on all non-essential expenditure based on a report by the Interim Director of Finance in September, he said the funding supposed to be distributed by the Area Forum was caught up in the spending freeze and was frozen until further notice, he had been told that it looked like November before they would know what might happen, but the decision was out of our [officer’s?] hands. He was happy to take questions.

Mark Craig said they knew Neighbourhood Funding might be reduced but why were monies unspent last year not carried over?
Kevin McCallum said it was more or less the same in every Area Forum, what had happened was there was a spending freeze and they were working through the implications. He said councillors on the Area Forum had raised that point.

Cllr Gilchrist said he had emailed Mr. Timmins, who had £42,000, but Mr. Timmins was trying to be prudent and careful by trying to keep the money aside, the difficulty was a recorded fact which had passed into the great machinery.

Kevin McCallum responded to Cllr Gilchrist’s point.

Louise Hartland-Davies said there was a consultation on the budget called “What Really Matters”, which comprised of a questionnaire. She said that it was not just Wirral Council that was affected, they were trying to engage many of the residents who live on Wirral to gather their feelings and opinions, their team had been out and about in the community. She said that there were four themes & nine questions, which asked for people’s thoughts about reducing or stopping services, along with boxes to write thoughts and comments. She asked for contact details if anybody wanted them to visit community groups and that every day there was a schedule of events, with a few groupies following them around, so if they were not where they were supposed to be people were aware.

A member of the public asked how long the consultation was?

Louise Hartland-Davies answered the 19th October [2012].

Brian Christian (Older Peoples Parliament) asked if when completed, would the results be audited,  shown and analysed by a small team of people?
The answer given was that they had a team of people doing this and that the raw data would be published. They had also asked the Market Research Society to double-check the questionnaire.

Cllr Harney said that although as a councillor he had plenty of opportunity to ask questions, there was an implication in how some of the questions were phrased. He said the evidence, especially when looking at the research into children showed that there were better results when one person was involved rather than many. He said it was his feeling it was not about spending more money, but about spending money properly and efficiently rather than destroying the futures of the vulnerable, but that it was not just about adults and social services.

A member of the public asked if there had been an indication if any of the Budget was ring-fenced, for example education and social care had previously been ring-fenced?

Kev McCallum said the Schools Budget was ring- fenced.

The member of the public asked him to explain.

Kevin McCallum said that it was a very difficult concept as there were additional bits of funding, but the world had changed.

I asked wasn’t this partly because Wirral Council lost out on £1.6 million of education funding this year because Wirral Council gave the wrong numbers for Early Years learners to the Department for Education?

Kevin McCallum (Press and Public Relations) said he didn’t know.

Arthur asked if they were looking at best practice in other Councils?

Kevin McCallum said that they should do that, but they don’t do enough of it.

Cllr Niblock said if there was nothing more, they would have the presentation.

The softly spoken Michelle Davis from the Department of Finance was asked by a number of members of the public to speak louder.

She told those present of the consultation on Council Tax Benefit changes, as Council Tax Benefit was to be abolished from the 1st April 2013, with the reasons for the changes being the Localism Bill and Welfare Reform Act 2012. She said that central government was cutting their benefit grant by £3.2 million, but as part of the scheme they had to protect pensioners, vulnerable people, people of working age with a disability, households with a disabled child or in receipt of a war pension. She said that working age people would either be paying Council Tax for the first time or paying more Council Tax. Michelle Davis said they would be mirroring the scheme they had currently, but there would be a change to the non-dependant charge and they planned to abolish a rebate, stop it for households that had over £6,000 in savings and stop backdated claims. She said if they didn’t develop their own scheme then one would be imposed upon them, they were legally required to consult residents, which they were doing from the 3rd September 2012 to the 31st October 2012. People could call the telephone centre, go to One Stop Shops, go into their nearest library, or go on the website. There were surveys available for people tonight, that they could take to a One Stop Shop or library. Michelle Davis said that once the consultation finished, there would be a report to councillors, who would be able to make adjustments, but it had to be finalised by the 31st January 2013. She told people that the proposed regulations had not gone through Parliament yet, but they still had to propose, design and implement a scheme.

A member of the public asked her to go through the list of people again.

She said pensioners in reply.

A member of the public asked about the leaflet.

She said that the proposed design of the scheme was in the leaflet and that they had to protect vulnerable people.

Brian Christian (Older Peoples Parliament) asked if they had consulted Age UK [formerly Age Concern]?

The officer said they had written to Age UK, who had responded.

Steve Preston (Community Safety) said would this include the single person discount?

Michelle Davis responded that the single person discount was not changing, this was a consultation on the benefit side [of Council Tax].

I asked how many responses had been received so far and was told they had received nearly four hundred responses. She said they planned an article in the Wirral Globe.

A member of the public asked if it would be in the Wirral News too as they don’t get the Wirral Globe?

The officer said it was only going to be the Wirral Globe.

Cllr Mitchell said he gets the Wirral Globe, but not the Wirral News.

Cllr Niblock thanked Michelle Davis and went to partner updates.

The police sergeant said that reported crime had fallen and on antisocial behaviour calls, the Archer Green Project had helped. He was pleased that hopefully it had been sorted, but they would still get problems in the open space, which was a congregating area for young people. He thanked Wirral Council. In early July over a two-week period they had received reports involving back to back garages which weren’t used on a regular basis. Although the reports came in over months, they’d released it was a one-off incident and “nothing major”.

A member of the public referred to banners outside a school saying that parking on zigzag lines was selfish and dangerous, she asked if it was an offence not only on zigzags but opposite zigzags?

The police sergeant said his colleague had more traffic experience.

The Police Community Support Officer answered that it was only enforceable if on the zigzag, unless they were blocking the driveway it was not an offence.

Paul Murphy gave an update on Merseyside Fire and Rescue Service and said their target for Wirral was 13,000 Home Fire Safety Checks, to date Bromborough had had 771 free Home Fire Safety Checks, which had been free of charge. He said that there were very low numbers that hadn’t been visited, but they were prioritising high risk people, but how sustainable it was over the longer term he didn’t know. In December he said the Chair on the Merseyside Fire Authority would make budget announcements. He expected an similar cut or an even larger cut compared to last year’s £9.2 million. Working with Wirral Council they were targeting their resources and he reported a reduction in deliberate secondary fires, mostly down to the poor weather and interventions with young people.

Paul Murphy continued by talking about their bonfire plan, how private firms were on board with rubbish removal, the community safety partnership and how they would be working with Wirral Council to prevent bonfire material building up. He said it was a very safe forum area, with two accidental dwelling fires over the past three months and a reduction in deliberate secondary fires to about twenty-eight. On road traffic collisions, they had attended three in the past three months, with the ones the Fire Service attended involving people who needed to be removed from cars.

George Thomas said he had asked a question at the last Area Forum he couldn’t answer, but since then he had made a Freedom of Information Act request about the money generated as income through groups using Wirral’s fire stations. He said it had been £25,000 over two years and £15,000 last year. George Thomas said that it was unfair that they could use the premises with not paying rent or utility bills.

Cllr Niblock said it was easier if he answered, he said in November [2012] they would know how bad the cuts would be, but nothing would be debated until they knew the figure, the Metropolitan Authorities were getting the highest cuts, whereas Cheshire had a three percent increase. He said the cuts were back loaded which could be even more horrendous, but that community groups could [currently] use the stations free of charge.

George Thomas responded.

Cllr Niblock said he can’t preempt the decision and the budget [for 2013/2014] would be set in February [2013] which may result in the closure of fire stations.

A member of the public asked what the number was to ring for reporting rubbish?

Paul Murphy replied that it was also the number for Home Fire Safety Checks if they know somebody vulnerable and was 0800 731 5958. He said people could call about the rubbish removal from the 22nd October and they would be working with their Council partners.

Jim Thompson said that Wirral was a safe place and antisocial behaviour was falling and that Cllr Harney had pointed out that the community safety team was a joint agency, the One Stop Shop for community safety, on burglaries there were less than a thousand across the Borough, but they were planning ahead for Bonfire Night.

A member of the public said Bonfire Night had been much quieter last year.

Community Safety answered that 65 tons of rubbish had been removed.

Brian Christian (Older Peoples Parliament) said he didn’t want to rub salt in the wound, but they had applied to the Area Forums to two part-time outreach workers and that it was a shame it hadn’t happened, he said it was more important now but that if the Council wouldn’t listen to a single voice, they would listen to over two thousand people. He referred to an event in February 2013 about safeguarding across all ages, which would involve plays through the schools and that it wasn’t just about elderly people living on their own.

Cllr Niblock asked if there were any questions?

Someone said they worked in the leisure services and in the 1980s there had been the same problem, so they had put the prices up at Christmas, so they would get three months of income before the end of the financial year.

Cllr Niblock asked Arthur if he would care to suggest it on the form?

He said he had sent the form in, but it was only a thought.

Cllr Niblock said the date of the next Forum would be Wednesday 6th February 2013 and people would be notified of the venue. He thanked people for their attendance.

Health and Wellbeing Overview and Scrutiny Committee (Wirral Council) 10th September 2012 Item 9 Vascular Services move from Arrowe Park Hospital Part 1

This is part 1 of item 9, part 2 is here. It starts with Martin McEwan of NHS Wirral talking about the proposed move of vascular services from Arrowe Park Hospital to Countess of Chester hospital at Wirral Council’s Health and Wellbeing Overview and Scrutiny Committee.

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Guest Post: Leonora Brace tells her life story (Part 1)

Guest Post: Leonora Brace tells her life story (Part 1)

                             

Declarations of interest: This is a guest post written by Leonora Brace but edited by John Brace. Leonora and John Brace are married to each other.

I have now been married to John, for four years, but John’s mother, also his brother, don’t want us to be together. I have gone out of my way to be there for him, but his mother said I should not stand by him if he wants to help the people with their problems. I should tell him to say “No!” Why, when he loves helping them?

Also, he loves writing, for his paper on the laptop. She said no, no, but he loves to write the truth. Also she does not want him to be happy as he is with me. She likes to treat him like a small child, but he is a grown man in his thirties.

Also, because I am not English born, she does not like me. Also, as she hit me in my face on the 27th December 2011 and made me have a black eye. Then a few days later, when I was at home having a transient ischaemic attack (TIA), and I dialled 999 for help. The ambulance came, but also the police came first and they demanded to take John away, because as I still had a blackened eye, which his mother had given me, they took John away.

I did not go with the ambulance to the hospital, but stayed behind. I waited an hour to make sure I could drive and went to the Custody Suite after ringing up. His mother had phoned the Custody Suite and did not contradict that he gave me the black eye when it was her who gave it to me. After I got there, one and half hours passed before he was allowed to come away with me.

We decided to have nothing to do with his mother or any member of that branch of the family. On the 10th May this year 2012, John and I had gone to bed. We have a cat called Stranger, a black cat, whom he loves very much.

During the night, or early morning, Stranger started to cry. He got out of the bed to see what the matter was, but unfortunately fell down the stairs. He banged his head and broke his arm.

Once again I informed the ambulance and we went off to the hospital. They couldn’t see to his arm there and then, but on the 12th May we were called back in again where they operated and plastered him up. Late afternoon they allowed him to go home.

A few days later, he was having a bit of a problem with the pain in his arm, and I was not feeling very well, so I dialled 999 to call an ambulance for myself. Once again the police came and they had been informed that I had pushed him down the stairs, but I had not pushed him down the stairs.

Going by what she had said to the police previously, even though I was having a transient ischaemic attack (TIA) they put me into handcuffs and dragged me away to the Custody Suite, for six and a half hours. They did not allow John to travel to the hospital with me. They dragged me down and up the steps causing injury. When John got to the Custody Suite, after having first gone to the hospital and missing me by five minutes, she stated to the officers not to let me out. Eventually they let me out after six and a half hours with no charge.

She is now stating that I don’t look after her son. She has informed Social Services of this fact, she desperately wants to break us up and for John to move away, so that she can keep him like a little boy for eternity.

© John Brace and Leonora Brace 2012

Bidston and Claughton Area Forum 12th June 2012 Part 2

Colette raised the issue of the NHS doing armchair exercise with a pensioner’s luncheon club, she said the NHS had only guaranteed to pay for the coach for a further nine weeks, after which they’d have to pay. She said the existing coach was very good and that Arrowe Park Hospital were referring people to them.

In response to a question Colette clarified that the coach was a person and not a transport issue. It was pointed out that a decision over the Area Forum funds wouldn’t be made until October.

Michelle Gray pointed out that the St James Centre also had funding for community projects.

Donnie asked if the £83,000 included Your Wirral funds?

Michelle Gray said no as that was dealt with by regeneration and Wirral Partnership Homes.

John Cocker suggested they could put the existing IT suites in the community centres to better use, but that they needed someone to run it.

Michelle Gray encouraged them to apply for the participatory budget funding.

Colette asked the police to investigate cars braking harshly in the early hours of the morning in Grange Road West. She said there had been drug activity and a recent stabbing there.

I asked the police about what had been done about antisocial behaviour around the Tollemache Road play area. Inspector McGregor said they had had more patrols in the area.

Inspector McGregor said they had monthly meetings with their partners and concentrated on hotspots. He referred people to the handout and said there had been a reduction in crime. Three lads had been arrested which had led to a drop in crime. Joy riding of vehicles on Bidston Hill and Bidston Moss was still a problem, but they now had a quad bike to patrol and were working to engage the young people in positive activities. This was aimed not just at those that had got into trouble, but also as a reward for good behaviour.

Colette said she used to go to neighbourhood action group meetings, but these had stopped. Inspector McGregor said they’d been replaced by Have Your Say meetings, as well as an emailed newsletter that went out to 3,000 on the mailing list.

Paul Murphy of Merseyside Fire and Rescue Service explained that the main fire station in Birkenhead would soon be demolished and rebuilt over the next year under a PFI scheme. He provided statistics on different categories of fires and home fire safety checks done. He asked those present to identify vulnerable residents and to tell the fire service about them via the free phone number so a Home Fire Safety Check could be carried out. There had been a reduction in deliberate secondary fires. They were aiming for a target to reduce smoking which was the cause of some fires in this area.

Leonora asked about tyres dumped on Bidston Hill and about these had been set on fire before they were removed. What could be done to stop dumping of tyres here?

Paul Murphy said it was partly seasonal, as children were more likely to light fires in the holidays. They had received training as to where the hydrants were and trained the Community Patrol. He felt that the removal of flytipping was an issue for Wirral Council.

A member of the public asked where the fire service would be operating from while the building was rebuilt?

Paul Murphy said there would be temporary accommodation while it was constructed.

A member of the public asked what would happen if the building work overran?

Paul Murphy said that there were penalty clauses in the contract and that other PFI contracts had been finished on time.

Community Safety gave an update encouraging new Neighbourhood Watch schemes, there was also a new Birkenhead Park Watch. He also said they now had a more robust reporting mechanism for disability hate crime which involved the safeguarding team at the Department for Adult Social Services and the Sigma team at Merseyside Police.

There was a camera monitoring Tapestry Gardens and one monitoring the new Asda, although levels of antisocial behaviour there had not been above the normal level they expect. The limited resources they had such as the Contactabus had gone to a hotspot in another part of the Wirral.

Cllr Harry Smith asked if Neighbourhood Watch scheme stickers were available. Ian Lowrie said they were and they were trying to link the Neighbourhood Watch scheme areas to No Cold Calling Zones.

Donnie advised against residential properties displaying the stickers as they could become targets for crime, but suggested lamp posts instead.

Ian Lowrie said that in the No Cold Calling Zones there would be signs at either end of the street to advise traders.

Laura Quigley gave an update on the changes affecting the GP Commissioning Groups. From April 2013, they instead of the PCT would commission services. There were sixty-one GP practices in three groups on the Wirral, there were patient groups at each GP that patients could contact or they could raise matters with their GP. It didn’t involve privatisation and healthcare would still be free at the point of delivery.

A member of the public asked if it would lead to a postcode lottery?

The answer given was that the big things such as Arrowe Park hospital services would be commissioned together.

The Chair asked what would happen next.

Laura Quigley answered that before they commissioned any services they had to be authorised which was a rigorous process. They would find out in January 2013 if they were, if not a NHS Commissioning Board would commission services.

A member of the public said the three groups had similar names, would they be commissioning the same sort of services and what was the logic in having three?

Laura Quigley answered that they had been formed in isolation, however they would commission some services together.

Colette asked how this would affect hospital services.

Laura Quigley replied that there wouldn’t be a change as the yearly contract would be made on behalf of all three groups for emergency and elective care.

The issue of the vascular services review was brought up by Colette. The Chair said there had been public consultation and public meetings.

A member of the public brought up speeding in the morning in Wexford Way and asked for traffic calming. Another member of the public asked for Buttermere Avenue to be resurfaced as there were many potholes. Someone else asked if the double yellow lines outside shops were reviewed as many shops were closing. Cllr Harry Smith suggested people contact Streetscene about it.