Agenda and draft minutes

Special Joint Meeting with Children's Scrutiny Advisory Board, Cumbria Health Scrutiny Committee - Wednesday, 14th September, 2016 10.00 am

Venue: Committee Room 2, The Courts, Carlisle, CA3 8NA. View directions

Contact: Lynn Harker  Email:

No. Item


Election of Chair

To elect a Chair for the meeting


RESOLVED,    that Mr D Fairbairn be elected Chair for this meeting only.


Mr Fairbairn thereupon took the Chair.




Apologies for Absence

To receive any apologies for absence.



Apologies for absence were received from Mr J Bland, Mr B Crawford, Mrs EA Mallinson, Ms C McCarron-Holmes, Mr A Toole, Mrs G Troughton, Ms E Weir, Mrs C Wharrier, Ms J Williams and Mr M Wilson.




Disclosures of Interest

Members are invited to disclose any disclosable pecuniary interest they have in any item on the agenda which comprises


1.         Details of any employment, office, trade, profession or vocation carried on for profit or gain.


2.         Details of any payment or provision of any other financial benefit (other than from the authority) made or provided within the relevant period in respect of any expenses incurred by you in carrying out duties as a member, or towards your election expenses.  (This includes any payment or financial benefit from a trade union within the meaning of the Trade Union and Labour Relations (Consolidation) Act 1992.


3.         Details of any contract which is made between you (or a body in which you have a beneficial interest) and the authority.


            (a)       Under which goods or services are to be provided or works are to be executed; and


            (b)       Which has not been fully discharged.


4.         Details of any beneficial interest in land which is within the area of the authority.


5.         Details of any licence (alone or jointly with others) to occupy land in the area of the authority for a month or longer.


6.         Details of any tenancy where (to your knowledge).


            (a)       The landlord is the authority; and


            (b)       The tenant is a body in which you have a beneficial interest.


7.         Details of any beneficial interest in securities of a body where


            (a)       That body (to your knowledge) has a place of business or land in the area of the authority; and


            (b)       Either –


(i)                 The total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body; or


                        (ii)        If that share capital of that body is of more than one class, the total nominal value of the shares of any one class in which the relevant person has a beneficial interest exceeds one hundredth of the total issued share capital of that class.




A “disclosable pecuniary interest” is an interest of a councillor or their partner (which means spouse or civil partner, a person with whom they are living as husband or wife, or a person with whom they are living as if they are civil partners).



Mr M Cassells advised that he was an appointed governor by Cumbria Partnership NHS Foundation Trust, appointed by Cumbria CVS who represented Cumbria’s voluntary sector.




Exclusion of Press and Public

To consider whether the press and public should be excluded from the meeting during consideration of any item on the agenda.



RESOLVED,    that the press and public be not excluded from the meeting for any items of business.




Recommissioning of public health services for 0-19 year olds pdf icon PDF 163 KB

To consider a report from  the Assistant Director - Health, Care and Community Services (copy enclosed)


Members received a report from the Assistant Director – Health, Care and Community Services which sought views on proposals to re-commission 0?19 Public Health services and integrate them with Early Health services.


The Committee were informed that the County Council had taken over responsibility for commissioning public health services for 0-5 year olds (health visiting and the Family Nurse Partnership) in October 2015, adding to its existing responsibility for services for 5-19 year olds (school age nursing services).


It was explained that in the strategic planning round for 2015/16-2017/18, Council approved a savings proposal to redesign and re?commission public health services for children and young people, integrating the whole pathway and bringing it together with Early Help services.  Over the past 6 months considerable work had been underway to identify a new model for the delivery of the 0-19 public health services and to define integration with Early Help. It was noted that throughout the process a number of design principles had been consistent and included:-


·              the need to deliver mandated services, specifically key contacts and assessments for the 0-5 age group, and the national child measurement programme;


·              a requirement to realise savings;


·              the principle of integrating services with Early Help, and in particular having health visiting services integrated within Children’s Centres, through extending the existing Early Help contracts where appropriate; with a presumption towards co-location of services;


·              a prioritisation given to supporting children, young people and families around the key priorities of promoting breastfeeding, tackling obesity, and supporting  mental and emotional health and wellbeing;


·              the need to ensure that the system for safeguarding children was enhanced and children received effective early help support.


Members were informed that integration would occur in two phases:-


·              Phase 1 – interim integration programme introduced in April 2017, which would primarily focus on bringing together health and wellbeing support for 0-19s across public health and Early Help, in order to reduce duplication and improve joined-up working.


·              Phase 2 – a radical proposal for total system integration, which would see a wide range of children and young people’s practitioners working together as one team via hubs located in children’s centres. 


Members were informed that currently universal health visiting services were delivered across Cumbria by approximately 80 health visitors and three clinical practice tutors.  It was explained their role was to deliver checks on children and families at five mandated points and whilst those checks were universal, the level of support subsequently given varied depending on need.  It was highlighted the health visitors were an important part of the system for safeguarding children, helping to identify those at risk and in need and providing support as required.


The Committee noted that the Family Nurse Partnership delivered specialist health visiting services to first time teenage mothers.  It was explained that this supported approximately 90 people at any one time (below its capacity of 150) and involved an intensive two year programme delivered by six health visitors in line with the requirements of a franchised scheme.  ...  view the full minutes text for item 28.