Agenda and minutes

Care, Health and Wellbeing Overview and Scrutiny Committee
Tuesday, 11th December, 2018 1.30 pm

Venue: Bridges Room - Civic Centre

Contact: Helen Conway email 

No. Item


Minutes of last meeting pdf icon PDF 72 KB

The Committee are asked to approve the minutes of the meetings held on 15 October 2018 and 30 October 2018 respectively.

Additional documents:


The Committee agreed the minutes of the meetings held on 15 October and 30 October 2018 respectively as a correct record.


The Council Plan - Six Month Assessment of Performance and Delivery 2018-19 pdf icon PDF 143 KB

Report of the Strategic Director, Care, Wellbeing and Learning

Additional documents:


The Committee received the six month update of performance and delivery for the period 1 April 2018 to 30 September 2018 in relation to the Council’s Thrive agenda for the indicators and activity linked to Care, Health and Wellbeing delivered and overseen by Adult Social Care and Public Health services within the Care, Wellbeing and Learning Group.


Particular reference was given to LW22 and LW23 – Gap in Life Expectancy at birth between each local authority and England as a whole Male and Female. The Committee were advised that the direction of travel – performance has declined and Gateshead is back at it’s joint highest gap in life expectancy .


LW24(b) – Health Inequalities – Reduce the Inequalities in Life Expectancy across Gateshead- Female. The Committee were advised that the direction of travel – performance has declined. Target is 7.3 years and most recent performance is 8.8 years.


This is the highest level of inequalities in life expectancy for females since this data became available and is part of a continuing year on year trend of increasing inequalities in life expectancy between the least and the most deprived areas of Gateshead. Gateshead is the highest deprived quintile in England for this indicator.


Strategic Outcome Indicators – Delayed Transfer of Care from hospital – average days per day per 100,000 population. The Committee were advised that the direction of travel – performance has declined. Gateshead performance is at 8.31 is currently better than the provisional England rate for this period of 10.80 but worse that the provisional NE rate of 5.72.

Gateshead has 7th highest rate out of 16 nearest neighbour local authorities.

Gateshead target is considered to be particularly challenging as it is based on best performance quarter in previous year.


LW4A – Reduce Excess Weight 4-5 year olds. The Committee were advised that the direction of travel – performance has declined at 22.5%- first increase in excess weight in last 3 years of data – despite increase Gateshead is still significantly better than NE fig of 25% although worse but not significantly worse than England fig at 22.4%.


Committee were also advised that a number of areas of improvement were also highlighted in the report as well as key achievements. For example, the Harvest and Help Use led enterprise for people with learning disabilities and autism won the ‘Making a difference award’ at the National Learning Disability Awards in June 2018  and Blaydon Lodge has achieved an Outstanding Rating by the Care Quality Commission.




That the information be noted



The Committee were satisfied that the activities undertaken during April 2018 to September 2018 were achieving the desired outcomes.



The Committee agreed to review the indicators and revising the format of the report in line with the Thrive agenda.



OSC Review - Assistive and Digital Technology - Helping People to Stay at Home Safely, Evidence Gathering pdf icon PDF 214 KB

Report of the Strategic Director, Care, Wellbeing and Learning


The Committee received a report and two presentations as part of the evidence gathering session in relation to the OSC Review, Helping People to Stay at Home Safely. The presenters provided Committee with an overview of the current work being undertaken within social care.


Lorinda Russell, Care Call Manager, presented Committee with a presentation on Assistive Technology in Social Care and Roger Abbott, Digital Services Manager, presented Committee with a presentation on Digital Technologies.


Copies of the presentation slides will be circulated to Committee at the conclusion of the meeting.


The OSC was also reminded that as part of the review, it is proposed that there will be a site visit on the morning of Tuesday 15 January 2019 to Woods Green and Cosy Crow Older People’s Assembly. Separate details will be circulated in due course.


RESOLVED -              that the information be noted.


Annual Report of Local Safeguarding Board and Business Plans - Emerging Priorities pdf icon PDF 71 KB

Report of Strategic Director Care, Wellbeing and Learning

Additional documents:


The Committee received a report outlining the Safeguarding Adults Board (SAB) statutory Annual Report 2017/18 and the updated 2018 refresh of the Strategic Plan 2016/2019.


The SAB 2017/18 Annual Report highlights progress throughout the 2017/18 financial year. The report also articulates how partner governance arrangements ensure members are accountable for Safeguarding Adults. The SAB has streamlined the way in which it operates, to seek to get the most out of the contributions of senior partners from all agencies. This includes the establishment of an Executive Group whose role is to monitor the effectiveness of the Board and its sub groups and to report directly to the Board on any emerging themes, risks areas of good practice and learning.


Key areas of work in 2017/18 include the development of a performance dashboard, the development of practice guidance for adult sexual exploitation, the implementation of a community and engagement strategy, improved links with the voluntary and community sector, maintaining compliance with Deprivation of Liberty Safeguards and a revised approach for responding to statutory Safeguarding Adult Reviews. During 2017/18 the Safeguarding Adults Board continued to explore opportunities for working collaboratively at a regional level.


The Committee were revised that the Strategic Plan 2016/19 (2018 refresh) sets out how the Safeguarding Adults Board will achieve its five Strategic Priorities which are:


·         Quality Assurance

·         Prevention

·         Community Engagement and Communication

·         Improved Operational Practice

·         Implementing Mental Capacity Act/Deprivation of Liberty Safeguards


The Strategic Plan includes key challenges to be addressed over the three-year period. 2018/19 is the final year of the three-year Strategic Plan and is supported by a Business Plan for 2018/19, which helps to reprioritise the work of the Board to ensure that the Strategic Priorities are addressed.


The Committee were also advised that the Safeguarding Adults Board has commenced a programme of consultation and engagement over the coming months in preparation for the new Safeguarding Adults Board Strategic Plan which will commence in April 2019. The Safeguarding Adults Board have suggested that this strategy will be a five-year strategy with annual refreshes in accordance with the Care Act statutory guidance.


The Safeguarding Adults Board want to hear the views and ideas of the public and partner organisations and have produced a survey. This has been circulated to key stakeholders, commissioned providers and voluntary and community sector organisations. In addition, consultation sessions have been arranged with residents including representatives from the Gateshead Council Shared Lives scheme, residents of the Shadon House Promoting Independence Centre and a focus group for The Gateshead Housing Company tenants.


RESOLVED -              that the information contained in the Safeguarding Adults

                                    Board Annual Report 2017/18 and Strategic Plan 2016/19

                                    (2018 refresh) be noted.


OSC Review - Work to address harms caused by Tobacco - Monitoring Report pdf icon PDF 215 KB

Report of Director of Public Health


The Committee received a report which provided an update on the recommendations (April 2018) on the OSC Review into Work to address the harms caused by tobacco.


In addition the OSC’s attention was drawn to the following;


The Public Health Team provides funding for several tobacco control workstreams, including the stop smoking service, Fresh (the Regional Office for Tobacco Control), and regulatory/enforcement activity. In 2018/19, this amounted to £516 088. Resource is also directed to other programmes that have a focus on smokefree/tobacco control, including the Better Health at Work Programme and the Making Every Contact Count programme. The Public Health Team also maintains a Programme Lead post with a principal focus on tobacco control and support for the Gateshead Smokefree Alliance.


In response to a reduced demand for stop smoking services, an underspend of £50k pa has been identified in 2018/19 which will be reflected in the service budget allocation for 2019/20. Funding from Public Health reserves that has been used to sustain regulatory/enforcement action by Trading Standards will no longer be available from April 2019.




That the information be noted



That further progress reports be provided in due course.



Work Programme pdf icon PDF 59 KB

Joint Report of the Chief Executive and the Strategic Director of Corporate Services and Governance

Additional documents:


The Committee received a report setting out the provisional work programme for the Care, Health and Wellbeing OSC for the municipal year 2018-19.


The appendix attached to the report set out the current position in relation to the work programme and highlighted proposed changes.




That the provisional work programme be noted



That further reports on the work programme will be brought to Committee to identify any additional policy issues which the Committee may be asked to consider.