Venue: Council Chamber - Time Square, Market Street, Bracknell, RG12 1JD. View directions
Contact: Kirstine Berry
Election of Chairman
RESOLVED that Councillor Tullett be elected Chairman of the Panel for the Municipal year 2019/20.
Appointment of Vice Chairman
RESOLVED that Councillor Mrs Mattick be appointed Vice-Chairman of the Panel for the Municipal year 2019/20.
Chairman's Opening Remarks
The Chairman welcomed everyone to the meeting. He observed that there were no press or public present at the meeting and outlined to the Panel that he would like to foster a more open environment at the meetings and his desire was to see more public engagement during his term of office.
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 26 March 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 26 March 2019 be approved as a correct record, and signed by the Chairman.
Primary Care Patient Experience Working Group
The introduction of primary care networks and the passage of time had negated the possible recommendations that the Primary Care Patient Experience working group might have made.
It was agreed by the Panel that this working group should now be closed.
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.
Introduction from Fiona Edwards, Frimley Integrated Care System (ICS) Leader
Fiona Edwards, Frimley Integrated Care System (ICS) Leader to introduce herself to the Panel and provide a brief overview of the vision for the Frimley ICS and how it integrates with the NHS Long Term Plan.
Fiona Edwards, Leader: Frimley Integrated Care System (ICS) attended to introduce herself to the Panel and provide a brief overview of the vision for the Frimley ICS and how it integrated with the NHS Long Term Plan.
The Chairman welcomed Fiona Edwards, Leader: Frimley (ICS) to the meeting.
Fiona Edwards, Leader: Frimley ICS thanked the Panel for their invitation and confirmed that she had received a number of questions from Members of the Panel in advance of the meeting that she would seek to address.
Fiona Edwards, Leader: Frimley ICS introduced herself to the Panel and outlined how she:
· Was the Chief Executive of the Surrey and Borders Partnership NHS Foundation Trust and had responsibility for the provision of health and social care services for people of all ages with mental health, learning disabilities and drug and alcohol services in Surrey, North East Hampshire and Farnham.
· Had been a member of the Frimley ICS since its inception
· Was a resident within the Frimley ICS patch and had been for over 20 years
· Had been a public servant and Chief Executive for over 20 years.
· Had experienced the ICS first hand last year and attributed her recovery and rehabilitation to a working integrated health and social care model.
· Felt her personal case was a good example of a well functioning emergency system.
· Felt very proud of the successful integrated care system in practice that demonstrated her vision of the ICS, but also acknowledged that this was not everyone’s experience.
She outlined some further details about the Frimley ICS and explained that it:
· Worked on behalf of residents serving about 800,000 people across East Berkshire, Surrey Heath Clinical Commissioning Group (CCG) and North East Hampshire and Farnham CCGs.
· Was formed around the population and catchment area of Frimley hospitals as a health led establishment but had recently begun to shift to a place based approach.
· The financial flow for the population of about 800,000 was £1.3 billion.
· Local Government and the wider determinants of health were now being worked on and Councillor Dale Birch, Executive Member for Adult Service, Health and Housing was closely associated with this in his role as Chairman of the Health and Wellbeing Board.
· Residents expected the integrated care system (ICS) to work in an integrated way.
· Her vision for the Frimley ICS was to help the system work much better for residents when they needed help, supporting the wider determinants of health such as supporting healthy communities and the role the environment, housing and transport played.
· The ICS was in the process of refreshing their strategy to support the NHS Long Term Plan which would take a population based approach looking at health data and residents’ health.
She explained that the issues and challenges of how best to work across the large footprint of the Frimley ICS to support close, joined up working were:
· The definition of place was increasingly the local authority (LA) boundary.
· Primary care networks were now becoming part of the system. This ... view the full minutes text for item 8.
Nikki Edwards Executive Director: People and her team to provide the Panel with an overview of the event horizon for Adult Social Care Health and Housing (ASCH&H) and provide guidance how Overview and Scrutiny can help.
Nikki Edwards Executive Director: People and her team provided the Panel with an overview of the event horizon for Adult Social Care Health and Housing (ASCH&H) and provided guidance how Overview and Scrutiny could help.
Nikki Edwards, Executive Director: People introduced herself to the Panel and outlined that this was an opportunity for her and her team to share their vision for their respective service areas. She explained that:
· Only part of her team were at the Panel, the Children’s team were not in attendance.
· The People Directorate held two thirds of the council spend and two thirds of the workforce and so formed the bulk of service delivery and also a lot of the risk.
In addition to the presentation that had been supplied to Members of the Panel with the agenda, Nikki Edwards, Executive Director; People advised that:
When service users fed back, signposting was really important to
them. Her team was trying to be that
o Tessa Lindfield, Director of Public Health
o Cynthia Folarin, Public Health Consultant, Bracknell
Melanie O’Rourke, Assistant Director: Adult Social Care Operations introduced herself. In addition to the presentation that had been supplied to Members of the Panel with the agenda she explained that:
· Challenges were around recruitment for Occupational Therapists (OTs) and Physiotherapists and Mental health practitioners.
Tony Dwyer, Assistant Director: Mental Health and Out of Hours introduced himself. In addition to the presentation that had been supplied to Members of the Panel with the agenda he explained that:
· The Emergency Duty Service (EDS) was 128 hours per week
· Forestcare was a 365 days a year service
· Child and Adolescent Mental Health Service (CAMHS) covered children
Councillor Dale Birch, Executive Member for Adult Services, Health and Housing suggested to Members that a visit to the EDS would be a good idea to see the front line reality of the service.
Sarah Gee, Assistant Director: Early Help & Communities introduced herself. In addition to the presentation that had been supplied to Members of the Panel with the agenda she explained that:
· The early help element of her responsibility was not covered by the slides as this largely was relevant to the Children, Young People and Learning Panel but she does have a remit to support integration and early intervention across all age groups.
· She was responsible for welfare and housing.
· Housing was about providing housing advice, to prevent homelessness and intervening as early as possible to alleviate it and to develop housing options when residents were in need.
· Bracknell Forest Council owned and managed some temporary accommodation.
· Downshire Homes had some accommodation they used for homeless households whilst they were being assessed to fulfil the Council’s duty.
· Her team managed the MyChoice register.
· Bracknell Forest had no permanent housing stock and social and affordable housing was provided by housing associations.
In response to questions from Members, Sarah Gee, Assistant Director: Early Help & Communities advised that:
· She was working with Melanie O’Rourke, ... view the full minutes text for item 9.
To receive a presentation from Councillor Malcolm Tullett which summarises the seminar by the Westminster Policy Forum: Next Steps for Reducing Homelessness held on 26 Feb 2019 and attended by Councillor Tullett.
This item was deferred from the 26 March 2019 meeting.
The Panel agreed to defer this item was deferred due to lack of time for proper consideration.
To consider the latest trends, priorities and pressures in terms of departmental performance as reported in the Quarterly Service Report for the fourth quarter of 2018/19 (January to March) relating to Adult Social Care, Health and Housing. An overview of the key issues relating to the fourth quarter for the People Directorate 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 People Directorate for the fourth quarter of 2018/19 (January to March 2019) relating to Adult Social Care, Health and Housing.
There were no questions from Members.
Executive Forward Plan
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.
The Chairman asked Councillor Dale Birch, Executive Member for Adult Services, Health and Housing to provide a verbal update for the Panel as to what he was working on.
Councillor Dale Birch, Executive Member for Adult Services, Health and Housing advised the Panel that his key focus areas were:
· Forestcare and the Emergency Duty Team (EDT)
· The next phases of Heathlands to make sure the business case got fully and properly ratified.
· Making input into the PCN conversations
· Ellie Eghtedar, Interim Director: Housing had obtained resources to deliver a plan to ensure the homeless count in November should be considerably less than 19 and that, if it wasn’t, everyone had a plan.
· How could a demand led service predict, not just forecast, but PREDICT levels of demand.
· The Dashboard was hoped to be able to provide trended data to better inform decisions.
· He was keen that commissioning and the way contracting with providers was done and the way the market was created and managed; would be a key focus.
· On health, what integration really meant needed to be understood. It meant so much to so many people,
· As a service provider, the Council had lots of partners and, as elected members they would be required to jointly commission things that might not be as strong and deep to scrutinise as if it was solely Bracknell Forest’s own.
· The right protocols and the right ways to work with partners would be crucial.
· There was consultation on legislation for delivery of the ICS. The question was how you integrated a service based on assessed need and a service that is free at the point of delivery.
· He was keen to understand how and what the changing legal environment was, and what Bracknell Forest would have the legal right and responsibility to deliver, (alone) and what we would have the right and responsibility to jointly deliver.
· He asked for Members’ input into the Bracknell Forest housing strategy at an early stage so that Members could be involved and contribute throughout the process.
· The annual report for Downshire Homes was required to go to the O&S Commission for scrutiny and was presented by the Chief Executive of Downshire Homes.
The Chairman gave thanks to Councillor Dale Birch, all officers and all Panel Members for their attendance and valuable contributions at the meeting and advised Members that there was an open communication line to him to feed ideas and suggestions.
Date of Next Meeting
The next meeting of the Adult Social Care, Health and Housing Panel has been scheduled for 16 July 2019.