Venue: Council Chamber - Time Square, Market Street, Bracknell, RG12 1JD. View directions
Contact: Kirstine Berry
To approve as a correct record the minutes of the meeting of the Adult Social Care, Health and Housing Overview and Scrutiny Panel meeting held on 4 February 2019.
To review the Actions Log arising from the Minutes, to include an update on the Task and Finish Group’s progress and to provide an update on any issues arising since the last meeting.
RESOLVED: that the Minutes of the Adult Social Care, Health and Housing Overview and Scrutiny Panel held on 4 February 2019 be approved as a correct record, and signed by the Chairman.
Issues Arising Since the Last Meeting.
Mark Sanders, Healthwatch Bracknell Forest, advised Members that associated with the NHS long term 10 year plan, Healthwatch had been given some funding for (research) ICS work across the piece, targeting children aged from 0 to 9 years.
He explained that:
· 48% of people who attend A&E are children aged 0-9 years (with their parent/carer).
· 80% of these (visits) ends with the provision of information only.
· The ‘journey’ these children make to A&E would be mapped and a report would be available in mid-June 2019 to assess how service provision could be done differently.
· There was also work on maternity going ahead, looking at how to reach hard to reach and other disadvantaged groups, with a report out in June 2019.
At the 4 February meeting of the Adult Social Care, Health and Housing Overview and Scrutiny Panel, it was raised with Catriona Khetyar, Head of Medicines Optimisation: East Berkshire Clinical Commissioning Group (CCG) that the collection of sharps boxes was an issue. Patients using sharps were no longer able to take them back to GP surgeries, the boxes had to be left out in patients’ front gardens between 7am and midnight for collection. Strangers had entered people’s gardens and were looking at the sharps boxes. It was suggested that there needed to be a central point to drop off sharps boxes.
Catriona Khetyar, Head of Medicines Optimisation: East Berkshire Clinical
Commissioning Group (CCG) agreed to take this suggestion back to the CCG for
Action: Kirstine Berry, Governance and Scrutiny Co-ordinator to contact Catriona Khetyar to obtain an update and clarify for the Panel who is responsible for the policy for and responsibility of the collection of sharps.
Declarations of Interest and Party Whip
Members are asked to declare any disclosable pecuniary or affected interests and the nature of that interest, including the existence and nature of the party whip, in respect of any matter to be considered at this meeting.
Any Member with a Disclosable Pecuniary Interest in a matter should withdraw from the meeting when the matter is under consideration and should notify the Democratic Services Officer in attendance that they are withdrawing as they have such an interest. If the Disclosable Pecuniary Interest is not entered on the register of Members interests the Monitoring Officer must be notified of the interest within 28 days.
Any Member with an Affected Interest in a matter must disclose the interest to the meeting. There is no requirement to withdraw from the meeting when the interest is only an affected interest, but the Monitoring Officer should be notified of the interest, if not previously notified of it, within 28 days of the meeting.
There were no declarations of interest relating to any items on the agenda, nor any indication that Members would be participating under the party whip.
Urgent Items of Business
Any other items which, pursuant to Section 100B(4)(b) of the Local Government Act 1972, the Chairman decides are urgent.
There were no urgent items of business.
To receive submissions from members of the public which have been submitted in advance in accordance with the Council’s Public Participation Scheme for Overview and Scrutiny.
No submissions had been made by members of the public under the Council’s Public Participation Scheme for Overview and Scrutiny.
To provide the Panel with an update on Transformation for 2018/19 and a forward view for how it will affect Adult Social Care, Health and Housing (ASCH&H) in 2019/20.
Sarah Kingston, Adults Transformation Programme Manager, attended the meeting and provided an update on transformation for 2018/19 and a forward view for how it will affect Adult Social Care, Health & Housing in 2019/20.
In addition to the detail contained in the slide presentation, Sarah Kingston, Adults Transformation Programme Manager advised Members that:
· Transformation was trying to achieve the best outcomes for residents in adult social care and to align with the Council’s strategic priorities to deliver value for money and strong, safe, supportive and self-reliant communities.
· The key delivery points of note were:
o The conversations approach had been embedded
o The online help yourself market place had been launched.
o Direct payments had been introduced.
o A number of initiatives were now operational.
· The Transformation Programme was currently aligning to form the people directorate and to contribute to the People Directorate’s vision.
· The Transformation Programme had been through a prioritisation exercise.
· Most transformation reviews within the Adult Social Care area were in the early ‘analyse phase’ of the transformation cycle.
The current transformation programme was discussed, (with the exception of Heathlands) and the key drivers behind each project and the value it might bring were outlined. It was explained that each review was looking at:
· Making sure residents were reviewed at the right time, the right care and support was received and that there was the best use of resources. This review was expected to be completed shortly, in May 2019.
Section 117 Reviews:
· Ensuring that those who were entitled to free social care get it and that we work appropriately with partners.
· The learning disability community and how best to provide them with an independence programme, provide support to them and their families and the provision of support services such as respite care etc.
Earlier intervention- Mental Health:
· How older adults with mental health conditions can remain at home longer and retain independence.
Residential affordability- Mental Health:
· How local services are commissioned for residents who need placements and how to get value for money and provide placements of suitable quality.
Discharge to Assess in Extra Care:
· The best environment in which to assess people’s needs after a hospital stay to increase the number that return home and maintain their independence.
· How this site might be used to help support residents locally and in a better way.
Emergency Duty Service (EDS) and Forest Care:
· How to get the best out of both services. EDS was a statutory service and Forest care was a discretionary service.
The future of the Transformation Programme was outlined. It was explained that:
· The themes for the Adult Social Care Transformation Programme were about maintaining residents’ independence, accurate assessment, keeping residents at home, and avoiding residential placements.
· All reviews, except Resource Management and Section 117 Reviews, were in the early analyse phase.
· The Transformation Team were always looking for ways to improve the services and outcomes for residents.
· The Transformation Team were also doing a large piece of work ... view the full minutes text for item 59.
Westminster Forum Project Seminar: Next Steps for Reducing Homelessness
To update the Panel with the key themes from the Westminster Forum Project Seminar: Next Steps for Reducing Homelessness, held in London on 26 Feb 2019.
The Chairman deferred this agenda item to the next meeting.
To consider the latest trends, priorities and pressures in terms of departmental performance as reported in the Quarterly Service Report for the third quarter of 2018/19 (Oct 2018 to Dec 2018) relating to Adult Social Care, Health and Housing. A current comment and an overview of the key issues (risk rated red items) relating to the third quarter will be provided.
Panel members are asked to give advance notice to the Governance and Scrutiny Team of any questions relating to the Quarterly Service Report where possible.
The Panel considered the latest trends, priorities and pressures in terms of departmental performance as reported in the Quarterly Service Reports for the third quarter of 2018/19 (October to December 2018) relating to Adult Social Care, Health and Housing. A current comment and an overview of the key issues (risk rated red items) relating to the second quarter was provided for the People Directorate.
Nikki Edwards, Executive Director: People provided the Panel with an introduction to the QSRs and explained that they were the first QSRs under the new directorates.
Melanie O’Rourke, Assistant Director: Adult Social Care Operations, provided commentary on 1.7.22 Adult Social Care 2018-19 transformation savings commitments delivered and advised the Panel that:.
· The transformation and review process had already delivered significant savings and future extrapolation predicted further savings, but that these had been offset by growing pressures in the last financial year. These pressures would continue into the new financial year.
· Contingency planning was required.
· Transformation had freed up some revenue to account for the unexpected pressures. Without the transformation process the pressures would have been higher.
No questions about the QSRs had been submitted in advance of the meeting and there were no questions raised by Members during the meeting.
Executive Key and Non-Key Decisions
There are currently no items on the Executive Forward Plan relating to Adult Social Care, Health and Housing.
There were no items on the Executive Forward Plan relating to Adult Social Care, Health and Housing.
Date of Next Meeting
The next meeting of the Adult Social Care, Health and Housing Panel has been scheduled for 4 June 2019.
The next meeting of the Adult Social Care, Health and Housing Overview and Scrutiny Panel has been scheduled for 4 June 2019.