Agenda and draft minutes

Special Joint Scrutiny Meeting, Children and Young People Scrutiny Committee - Thursday, 21st January, 2021 7.00 pm

Venue: https://zoom.us/j/91065821352

Contact: Joanna Morley  01572 758271

Items
No. Item

1.

APOLOGIES

2.

DECLARATIONS OF INTEREST

In accordance with the Regulations, Members are invited to declare any personal or prejudicial interests they may have and the nature of those interests in respect of items on this Agenda and/or indicate if Section 106 of the Local Government Finance Act 1992 applies to them.

3.

PETITIONS, DEPUTATIONS AND QUESTIONS

To receive any petitions, deputations and questions received from Members of the Public in accordance with the Virtual Meetings Regulations (s1 2020 392) and the subsequent RCC Procedure Rules agreed at Council on 20 May 2020 and revised by Council on 14 September 2020. (Please see link: Revision to Virtual Meetings Protocol.)

4.

QUESTIONS WITH NOTICE FROM MEMBERS

To consider any questions with notice from Members received in accordance with the provisions of Procedure Rules No 2198and No. 218A.

5.

EXCLUSION OF THE PRESS AND PUBLIC

The Committee is recommended to determine whether the public and press be excluded from the meeting in accordance with Section 100(A)(4) of the Local Government Act 1972, as amended, and in accordance with the Access to Information provisions of Procedure Rule 239, as the following item of business may involve the disclosure of exempt information as defined in Paragraph 3 of Part 1 of Schedule 12A of the Act.

 

Paragraph 3: Information relating to the financial or business affairs of any particular person (including the authority holding that information).

6.

CQC REVIEW OF SAFEGUARDING AND LOOKED AFTER CHILDREN'S HEALTH SERVICES RUTLAND: 2019 pdf icon PDF 433 KB

To receive a presentation from Janette Harrison, Designated Nurse, Children and Adult Safeguarding LLR CCG Safeguarding Team, Chris West, Director of Nursing and Quality Leicester City CCG, Neil King, Head of Safeguarding Leicestershire Partnership Trust and Michael Clayton, Head of Safeguarding  University Hospitals Leicester on the issues raised in the Care Quality Commission (CQC) Review of Safeguarding and Looked After Children’s Health Services Rutland: 2019 and the action plans arising from them.

 

Additional documents:

Minutes:

A presentation (appended to the minutes) was received from Janette Harrison - Designated Nurse for Children and Adult Safeguarding LLR CCG, Chris West - Deputy Director of Nursing, Quality and Performance LLR CCGs, Neil King – Head of Safeguarding LPT and Michael Clayton – Head of Safeguarding UHL. The presentation was in response to the questions raised by the committees on receipt of the action plans that stemmed from concerns outlined in the CQC Review of Safeguarding and Looked After Children’s Health Services Rutland 2019.

 

During the discussion the following points were made:

 

·       Councillor Razzell acknowledged the response to question 1 that health service providers commissioned by the CCG were monitored by submitting a Safeguarding Assurance Template (SAT) on a quarterly basis, but was interested to know how these checks were physically carried out and whether records of them were in the public domain. He also queried how these checks had been affected by the significant increase in use of locum and agency staff at GP surgeries and at sites such as the minor injuries unit at Rutland Memorial Hospital (RMH) which Oakham Medical Practice (OMH) operated from. The urgent care center also operated from RMH, run by Derbyshire Health United (DHU), and so there were two organisations using the same site and facilities but with different electronic systems, and Councillor Razzell wanted to know how the safeguarding audits were carried out under these conditions.

·       Because of their work at RMH, the CQC, as part of their review, had asked a direct question of Oakham Medical Practice on the use of the Child Protection Sharing Information System (CPIS). Unfortunately, there was not a national child protection sharing system in place yet so flags were not automatically put on GP records when children went on child protection plans or were children looked after. Currently however, there was an NHS England/NHS digital project, in conjunction with Local Authorities, to address this and there were now automatic flags in the majority of unscheduled healthcare appointment settings and emergency departments. Oakham Medical Practice, along with other GP surgeries, would get flags put on their records as part of the second roll out of this system although the time line of this roll out was not known yet.

·       The CCG had maintained this flag issue on their register as they recognised it was still a risk and had been in touch with the regional lead for CPIS and NHS Digital to request, as a matter of urgency, that sites such as RMH be put on CPIS sooner rather than later. Jan Harrington confirmed that she was happy to share these emails with the Committee.

·       Derby Health United (DHU), who operated the urgent care unit at RMH during the out of hours period, were originally commissioned by the CCG as an extended hours service, not an urgent care one and therefore had not been picked up in the first wave of the project to place automatic safeguarding flags on their system. Emails had been sent to  ...  view the full minutes text for item 6.