Agenda and draft minutes

There were no Disclosable Pecuniary Interests.

a)  To agree the minutes of the meeting held on 11^th October, 2018

b)  Matters arising

The minutes of the meeting held on 11th October, 2018 were agreed and signed as a true record.

Report of the Deputy Chief Executive (People)

To consider the above petition, bearing 1 400 signatures from Coventry and Warwickshire, which has been submitted by the petition organiser, who has been invited to the meeting for the consideration of this item.

The Cabinet Member considered a report of the Deputy Chief Executive (People) which responded to a petition bearing approximately 1400 signatures, which had been submitted to the City Council on 7th November 2018.  The petition was collected by the Coventry and Warwickshire group Keep Our NHS Public (KONP).  The petition was simultaneously submitted to Warwickshire County Council. The petition reported that “We call on our elected representatives involved in the Coventry and Warwickshire ‘Better Health, Better Care, Better Value’ plan (formerly ‘Sustainability and Transformation Plan’ – STP) to require Andy Hardy (STP lead) to respond to our petition handed to him on the 11th September 2017 requesting him to publish full details of the financial, workforce and site plans of the STP.”  The petition spokesperson was invited to the meeting and spoke on behalf of the petitioners.  The Cabinet Member had also invited Councillor Gannon, Chair of the Health and Social Care Scrutiny Board (5) Designated as the Health Overview and Scrutiny Committee and Councillor K Caan, Cabinet Member for Public Health and Sport.

The Sustainability and Transformation Plan (STP) was a health led planning process established to achieve the ‘triple aims’ contained within NHS England guidance called "Delivering the Forward View: NHS planning guidance 2016/17 – 2020/21" in December 2015.  The report noted that the delivery of the STP required the input of all key health and social care organisations within areas referred to as ‘footprints’ of which there are 44 nationally.  Coventry was included within the Coventry and Warwickshire footprint and the City Council, through the Deputy Chief Executive for People was present on the STP Board – locally named the Better Care, Better Health, Better Value Board (BCBHBV).

STP footprints were not statutory bodies but collective discussion and planning forums to bring together health and care leaders to plan services for the populations they serve.  The Coventry and Warwickshire STP does not have delegated authority for decision making from its member organisations.  Therefore, any plans produced through the STP (BHBCBV) process would need to be considered and approved by the appropriate decision making bodies of the relevant organisations. 

The STP process had been challenged by local authorities in respect of the degree of openness and sharing.  The Coventry and Warwickshire footprint had submitted its STP to NHS England in October 2016 and following feedback, the plan was released publicly on 7 December 2016.  The requirement from NHS England was that plans were not shared prior to the October 2016 submission.

At its inception the STP process was challenged by the City Council in respect of the degree of openness and sharing.  The leader of the City Council wrote to the chair of the Coventry and Warwickshire STP on 20 October 2016 and the Council considered a report on matters in respect of the STP at its meeting on 3 January 2017, which was subsequently considered by Council on 24 January 2017 (Council minute 98/16 refers).

Despite these early challenges on visibility and openness the STP process did  ...  view the full minutes text for item 49.

Report of the Deputy Chief Executive (People)

The Cabinet Member considered a report of the Deputy Chief Executive (People) regarding extending the Section 75 Partnership Agreement for Mental Health Services.  This report sought permission to extend the existing Section 75 Partnership Agreement with Coventry and Warwickshire Partnership NHS Trust (CWPT) for the delivery of integrated mental health services.

The report noted that the City Council entered into a Section 75 agreement on 1^st April 2014 following Cabinet approval, initially for a three year period but with provision for annual extensions.  The agreement was extended from the 1^st April 2017 for a period of 12 months and again in April 2018 and this report sought permission for a third extension of this agreement for a further 12 months.

The Section 75 Partnership Agreement provided the legal framework to underpin joint working in Adult and Older People's Mental Health Services.  Under this framework, joint Health and Social Care teams delivered mental health services from a single line management structure led by CWPT with designated Council staff seconded, and the delegation of specific social care duties.  Although the service delivery elements were integrated the financial responsibilities for health and social care remained separate with this separation to continue under the extended agreement.

Coventry City Council, Warwickshire County Council and CWPT remained committed to integrated working practices as a means for delivering joined up support to people with mental ill health across Coventry and Warwickshire, the S75 agreement continued to provide a suitable vehicle through which to deliver this.

Over the period of the previous extensions a formal review of the agreement was undertaken.  In summary the review concluded that whilst there were pressures within the service that needed consideration in order to enable staff and managers to deliver the integrated health and social care service and maximise the contribution each professional brought, it currently remained the most appropriate way to deliver services in the City.

As an outcome of the review it was considered that seeking to continue the S75 arrangements as opposed to dissolving this and returning to single agency arrangements for mental health services was preferable.  There were however a number of matters that arose within the review that needed to be addressed prior to committing to a new and longer term arrangement.  The further 12 month extension was to enable these changes to be made.  However, critical to this was the wider review of Mental Health Services being undertaken within the System Transformation Programme (STP).  This work along with other key elements had yet to conclude and the impact on the s75 arrangements were not yet known.  On that basis and to enable further consideration a further 12 month extension was required. 

Officers noted that they were working towards a greater understanding of performance and a dashboard and demonstrating integration. 

The Shadow Cabinet Member commented on the positive forward thinking about outcomes and Councillor Gannon asked if it was likely that there would be more Section 75 agreements and officers felt  ...  view the full minutes text for item 50.

Report of the Deputy Chief Executive (Place)

The Cabinet Member considered a report of the Deputy Chief Executive (Place) that contained a list of outstanding issue items that would be submitted to future meetings and summarised the current position in respect of each item.

The Cabinet Member discussed the report on Market Position Statement and Workforce Development.

RESOLVED that the Cabinet Member for Policing and Equalities approves the future consideration of matters relating to the outstanding issue items listed in the report.

There were no other items of business.