Overview and Scrutiny Board Minutes

Overview and Scrutiny Board Minutes

Tuesday 4 March 2014
4:00 p.m.
Mandela Room, Town Hall, Middlesbrough

Attendance Details

Brunton (Chair), Mawston, McIntyre, P Purvis, Sanderson, J A Walker, Williams
J Bennington, S Blood, A Crawford, E Pout, P Stephens and K Warnock.
Apologies for absence:
were submitted on behalf of Councillors Arundale, Cole, Dryden, C Hobson, Kerr, P Sharrocks
Declarations of interest:

There were no declarations of interest made at this point of the meeting.

Item Number Item/Resolution

The minutes of the meetings of the Overview and Scrutiny Board held on 4 and 20 February 2014 were submitted and approved as a correct record.


A report of the Executive Office Manager was presented which provided a further six months update on the monitoring of Executive Decisions which included the implementation of agreed recommendations arising from Scrutiny reports as outlined in Appendix A of the report submitted.


Following Members' questions it was agreed that information would be provided regarding the status of implementation of the recommendations arising from the Children and Learning Scrutiny Panel's Final Report on Child Poverty, Deprivation and Attainment.


It was agreed that the concerns raised by Members regarding an increase in the problems associated with dog fouling in certain areas of the Town be brought to the attention of the Environment Scrutiny Panel and Service Department. 




As part of the scrutiny process and in a report of the Executive Office Manager it was reported that the Executive had considered two Final Reports of the Environment Scrutiny Panel in respect of Middlesbrough Environment City and Bereavement Services.


The Executive had considered and supported the Service Responses as outlined in Appendices A and B of the report submitted.




In a report of the Principal Corporate Development Officer the Board was provided with an overview of the Middlesbrough Health and Wellbeing Board’s (HWBB) progress regarding the Joint Health and Wellbeing Strategy.


A Commissioning Intentions Task and Finish Group had been set up to review the commissioning intentions of various groups to ensure alignments with the Health and Wellbeing Strategy (HWBS) and the Joint Strategic Needs Assessment (JSNA) as well as identifying opportunities for joint working. Reference was made to four BIG Lottery Fund investment programmes (Fulfilling Lives, Better Start; Fulfilling Lives Ageing Well; Headstart; and Talent March) for which Middlesbrough was submitting bids all of which would address issues highlighted within the HWBS. The Commissioning Task and Finish Group had identified the need for improving the JSNA and to ensure its recommendations inform commissioning and service planning. An indication was given of the role of the HWBB in approving various plans including the setting up of a steering group chaired by the Director of Public Health which was being established to oversee and co-ordinate the actions required to update and improve the JSNA and the Pharmaceutical Needs Assessment.


As part of current arrangements the HWBB had noted the progress made by Healthwatch Middlesbrough and the establishment of a Children’s Delivery Partnership.


The report submitted summarised the 2013 Director of Public Health’s report and outlined the key recommendations contained therein in respect of:


Public Health and NHS Reforms:
Best Start in Life:
Prevention and Early Intervention for Long-Term Conditions:
Impact of Welfare Reforms: 

Creating Health Promoting Environments and Settings.


It was reported that a Public Health Campaigns Group had recently been established upon the recommendation of the Health and Wellbeing Strategic Co-ordination Group to co-ordinate communications activity amongst partners across Middlesbrough focussing in 2014/2015 on issues relating to alcohol, cancers, heart disease, lung disease, mental health, obesity and nutrition, smoking, sexual health, summer health and winter health.


In terms of the Better Care Fund it was reported that the NHS planning framework would require Clinical Commissioning Groups to agree five-year strategies, including a two-year operational plan that covered the Integrated Transformation Fund through the HWBB. The Middlesbrough HWBB had approved the elements of the emerging model and delegated final approval of the Better Care Fund submission to the Health and Social Care Delivery Partnership. Following Members' questions it was agreed that further information would be provided on the formula to be used which would be partly linked to performance regarding the allocation of the fund to local authorities.


It was confirmed that the Health and Social Care Delivery Partnership had been given delegated responsibility to sign off all section 75 partnership agreements and formal section 256 agreements between the Local Authority and NHS Area Team.


The Board was also advised that the Health and Social Care Delivery Partnership had established a project group to oversee the implementation of the Health and Social Care Bill and develop a joint action plan.


The report gave an indication of the South Tees Clinical Commissioning Group’s IMProVE programme to improve the quality of care for the vulnerable and elderly to ensure that services remained safe now and were sustainable in the future.


In commenting on a number of public health Key Performance Indicators which were off target at Quarter Three 2013/2014 Officers confirmed that the HWBB's Public Health Delivery Partnership was currently in the process of developing a delivery plan and performance management framework to monitor progress against the priority areas.


In response to clarification sought from Members it was agreed that information would be provided regarding the basis of the funding in submitting bids for the Big Lottery Fund projects as outlined and an indication given of when results would be announced.


Following Members' comments regarding the extent of partnership working and potential for duplication of work the Board was advised of ongoing work with the intention of streamlining certain processes. Given the Council's primary responsibility for public health the Board was keen to seek assurances that the arrangements for scrutiny by the Health Scrutiny Panel, Social Care and Adult Services Scrutiny Panel and the opportunities for the scrutiny of the HWBB itself were clear.


Whilst noting the progress made it was hoped that future progress reports would provide an indication of improvements and achievements that had been secured.


ORDERED that the information provided be noted and further information be provided on the areas identified.



A report of the Director of Transformation was presented which provided an overview of the Council’s performance and its corporate risk register at Quarter Three 2013/2014.

The report summarised the Council's performance against the 2013/2014 KPIs within the Strategic Plan which outlined the Council's targeted outcomes and provided a broad overview of high-level improvement activity in the short to medium term.

The Board's attention was drawn to the figures off target as detailed in the report submitted.


Members reiterated the need for clarification around the Key Performance Indicators in respect of permanent exclusions in Secondaries and raised concerns with regard to a number of areas being off-target including:-


(a) Environment - Domestic Waste Recycled

(b) Children, Families and Learning - Referral rates to CAF per 10,000 under 18 populations.

(c) Public Health - Adults 18 + 4 week quitters.

(d) Council Services - Council Tax collected was below target following welfare reform changes.

(e) Central Services - Invoices paid within 20 days.


Members indicated that it would be useful to have comparative information with other Tees local authorities in respect of (d) above.


Of particular concern to the Board, was the ranking of the Authority in comparison with other local authorities regarding education achievement in 2013 with specific reference to KS2 and KS4.


Members requested that further information was needed regarding the Public Health Key PI's which were off target and asked that additional information be provided in respect of the Children's Food Trust.


ORDERED as follows:-


1. That the information provided be noted.


2. That further information be provided as outlined.


3. That the Assistant Director School Partnerships be invited to attend the next meeting of the Board in order to discuss further the 2013 academic attainment and the measures being pursued to seek improvement and also information regarding the results of the recent departmental Ofsted inspection if known.


A Final Report of the Economic Regeneration and Transport Scrutiny Panel which outlined the Panel's findings, conclusions and recommendations in respect of a scrutiny investigation on the topic of the recent introduction of a 20 mph speed limit in residential across the Borough had been circulated.


ORDERED that in the absence of the Chair and Vice - Chair consideration of the Final Report be deferred to the meeting of the Board scheduled for 1 April 2014.


A report of the Chair of each Scrutiny Panel was submitted which outlined progress on current activities.


In commenting on the different roles of the Health Scrutiny Panel, Health and Wellbeing Board and Healthwatch reference was made to current working in an endeavour to avoid duplication of work. It was agreed that a copy of a publication by the Centre for Public Scrutiny which provided an overview of the roles and responsibilities be circulated to Members.



13/100 CALL-IN

It was confirmed that no requests had been received to call-in a decision.




A Final Report of the Environment Scrutiny Panel which outlined the Panel's findings, conclusions and recommendations in respect of a further update on the topic of allotments had been circulated to the Board. 


ORDERED that in the absence of the Chair and Vice-Chair consideration of the Final Report be deferred to the meeting of the Board scheduled for 1 April 2014.


The Chair confirmed that arrangements had been made for an additional meeting of the Board to be held on 8 April 2014 at 10.00 a.m. in order to consider a further update on Welfare Reforms.



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