Agenda and minutes

At this point in the meeting, Members are asked to declare:

·        any personal interests not included on the Register of Interests

·        any prejudicial interests or

·        any disclosable pecuniary interests

which they may have in respect of business on this agenda.

At this point in the meeting, Members were asked to declare any personal, prejudicial or disclosable pecuniary interests that they had in the business on the agenda. None were declared.

To approve and sign the minutes of the meeting held on 26 April 2016.

Resolved: That the minutes of the last Health and Adult Social Care and Policy and Scrutiny Committee held on 26 April be approved and signed as a correct record by the Chair.

Minute Item 89 (Hull Road Surgery Plans)

The Chair informed the Committee that he had written to First York about the routing of the bus between the York Campus Surgery and Hull Road Surgery. He had been told that the Director of First York would investigate, however he had not yet received a reply.

Minute Item 92 (Better Care Fund)

The Chair asked a question in regards to finance and the Better Care Fund submission. Officers were currently examining efficiencies in schemes that were outside of the plan.

At this point in the meeting, members of the public who have registered their wish to speak regarding an item on the agenda or an issue within the Committee’s remit can do so. The deadline for registering is 5:00pm on Tuesday 21 June 2016.

Filming, Recording or Webcasting Meetings

Please note this meeting may be filmed and webcast and that includes any registered public speakers, who have given their permission.  This broadcast can be viewed at: http://www.york.gov.uk/webcasts.

Residents are welcome to photograph, film or record Councillors and Officers at all meetings open to the press and public. This includes the use of social media reporting, i.e. tweeting.  Anyone wishing to film, record or take photos at any public meeting should contact the Democracy Officer (whose contact details are at the foot of this agenda) in advance of the meeting.

The Council’s protocol on Webcasting, Filming & Recording of Meetings ensures that these practices are carried out in a manner both respectful to the conduct of the meeting and all those present.  It can be viewed at: https://www.york.gov.uk/downloads/file/6453/protocol_for_webcasting_filming_and_recording_council_meetingspdf

It was reported that there had been no registrations to speak under the Council’s Public Participation Scheme.

The Executive Member for Health and Adult Social Care will be in attendance to provide an update on her priorities and challenges for the 2016-17 municipal year.

The Executive Member for Health and Adult Social Care attended the meeting to present her priorities for 2016/17.

Questions to the Executive Member from Members related to the following;

·        Access to Mental Health services for Young Adults

·        Delayed Transfers of Care

·        Healthy Child Service

Referring to the difficulties in providing access to mental health services to students, the Executive Member stated that there was a difficulty in that the University of York was a campus University and separate from the city centre. There had been a commitment from the University to signpost student mental health services on site. The complex nature of health issues meant that the University now had an increasingly pastoral role to play. Both Universities in York were in talks with Tees, Esk and Wear Valleys NHS Foundation Trust about student mental health. It was also reported that a Task Group of the Health and Wellbeing Board had been established to look at student mental health.

In regards to Delayed Transfers of Care, actions such as step down beds had started to have an effect on bed days, but people with complex needs still accumulated time. It was reported that a review had begun between Continuing Healthcare, the CCG, Partnership Commissioning Unit and the Council as to what was the best practice in terms of finance and customer experience. The Executive Member wished to record her thanks to all the social work team who tried to ensure discharges were carried out on time.

The Director of Public Health gave an update on the staffing of the new Healthy Child Service. She reported that the main issues were;

·        Staff records- there was a massive volume of paper records as well as those on the NHS IT system. A transit agreement was in place but this had a cost implication.

·        A Nurse Consultant had been appointed to redesign the service and this could lead to staff anxiety.

·        Cultural issues moving from working in an NHS Trust to working in Local Government.

It was reported that in all 97 staff had transferred from the NHS to the service, and other Local Authorities had begun to contact the Council to enquire on the outcome of the transfer.

Resolved: That the report from the Executive Member on her priorities for 2016/17 be noted.

Reason:   So that the Committee are kept informed of her priorities for the year ahead.

Members are asked to note the performance of Be Independent.

Members received a report which informed them of the end of year performance of Be Independent.

Officers reported that they had raised concerns over Be Independent’s data, and were challenging their accuracy. They advised the Committee that the problem with the data was that they could only cross reference half of the customers data as half of them were self funders, who paid for the service themselves and therefore had not been on the Council’s Adult Social Care database. In regards to what monitoring could be carried out, it was noted that improvement plans were available as part of Be Independent’s Service Level Agreement with the Council.

It was reported that the Council were paying in excess of a million pounds a year to Be Independent for the warden call, telecare and equipment contract and they were three years into a five year contract.

The Chair felt that the performance of Be Independent should continue to be monitored as the report noted that more than half of the customers did not see the service as improving their wellbeing. Officers suggested that a report be brought back to the Committee in six months time.

Resolved: That the performance of Be Independent be noted and a further report be brought back to the Committee in six months time.

Reason:    To inform Members of the work of Be Independent.

Members will receive a verbal update on the ongoing review work following the closure of Bootham Park Hospital.

The Scrutiny Officer gave an update to Members on the Bootham Hospital Scrutiny Review.

It was reported that;

·  The action plans of partner organisations were currently with NHS England.

·     NHS England had identified gaps in the action plans and they would be released further on that week.

·     A further Task Group needed to be organised.

The Committee was advised that although NHS England would release the action plans to the Task Group the Scrutiny Officer would check with NHS England to ensure they could be released to all Members before circulation. 

Resolved: That the verbal update be noted.

Reason:    So that Members are kept informed of current progress in the Bootham Park Hospital Scrutiny Review.

Members are asked to consider the Committee’s work plan for the municipal year.

Consideration was given to the Committee’s work plan.

Discussion took place on a substance misuse report, which would be considered by the Executive on 25 August. It was felt that Members of the Health and Adult Social Care Policy and Scrutiny Committee could contribute to the report. This report would include information on budget reductions for the substance misuse budget and how Officers intended to manage this.

It was suggested that the Healthy Child Service report which was due to be considered at the July meeting be slipped and the Substance Misuse report be considered instead. A scorecard with the Healthy Child Service report was requested.

Resolved: That the work plan be noted with the following amendments made;

·        The Executive Substance Misuse Report to be considered at July’s meeting.

·        The Update Report on Healthy Child Service Board at October’s meeting.

Reason:    To ensure that the Committee has a planned programme of work in place.