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, other than

their standing interests that they might have had in the business on the agenda. No interests were declared.

To approve and sign the minutes of the Health and Adult Social Care Policy and Scrutiny Committee held on 24 May and 22 June 2016.

Resolved: That the minutes of the meeting of the Health and Adult

Social Care Policy and Scrutiny Committee held on 24

May 2016 be approved and then signed by the Chair as a correct record.

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 Monday 18 July 2016 at 5:00 pm.

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 one speaker registered to speak at the meeting under the Council’s Public Participation Scheme.

Eileen Ronan from Changing Lives spoke regarding Agenda Item 4 (Pre Decision Report on Reprocurement of Substance Misuse Treatment and Recovery Services). She requested that the provider who was selected to run the substance misuse service, spread cost savings over their contract period, as she was concerned that due to customers’ complex needs that there could be a wider impact on health, adult social care and on the Police. She asked for further work to be carried out and a Community Impact Assessment to be produced and submitted before the service reprocurement took place.

Members are asked to comment on the reprocurement of Substance Misuse Treatment and Recovery Services prior to an Executive Decision being made.

Consideration was given to a pre decision report which sought authorisation to approach the market for the tendering of adult substance misuse harm reduction, treatment and recovery services. The report also included a recommendation that the decision to award the contract be delegated to the Director of Public Health and that the outcome be reported to the Executive. 

The Committee were informed that a Community Impact Assessment (CIA) on the tendering of the service would be carried out and the results would be included within the Executive papers. Members were informed that two contracts had been proposed within the tender, the medical contract for substitute drugs and one for alcohol.

Discussion took place during which the following points were raised;

·        The spend did not include services run by the Police and Crime Commissioner, Safer York Partnership would be given responsibility to undertake these savings.

·        The contract could not be legally extended beyond three months, after this a re-tendering of the service had to take place.

·        It was difficult to set measures for performance of this type of service.

·        There needed to be greater accountability for the funding of council contracts.

Members felt that a further detailed report was needed and asked if they could recommend to the Executive that the decision be deferred. The Committee were informed that the re-procurement report would be signed off by the Corporate Management Team (CMT)  before it went to the Executive. As there was time to do some more detailed work Officers suggested this update report could be circulated to Members with the opportunity for a further briefing in the future.

Resolved: That the report be revised to incorporate further details discussed, as referred to above, and a Community Impact Assessment.

Reason:     To inform Members of the re-procurement of substance misuse treatment and recovery services.

The purpose of this report is to provide the Committee with an update on the transfer of health visiting, school nursing and the National Child Measurement Programme from York Teaching Hospital NHS Foundation Trust to City of York Council and progress with the development of a new Healthy Child Service.

Members received an update report on the transfer of health visiting, school nursing and the National Child Measurement Programme from York Teaching Hospital NHS Trust to the council. It set out the progress of development with a new Healthy Child Service for the city.

It was highlighted that;

·     In the transfer of staff from the NHS over to the council, some issues had appeared such as the storage of records.

·     In regards to Health Visitors safeguarding training, a report and decision on the development of an in-house training model integrated with children’s social care would be taken at the City of York Children’s Safeguarding Board.

·     There was a current lack of developed performance data on the school nursing service.

·     The new Healthy Child Service for the 0-5 age group would look at dental services, immunisation and toilet training to enable young children to start school.

Resolved: That the report be received and noted.

Reason:   To provide an update on the transfer of health visiting, school nursing and National Child Measurement Programme and progress with the development of a new Healthy Child Service.

This report analyses the financial outturn position and performance data for 2015/16 by reference to the service plans and budgets for all of the relevant services falling under the responsibility of the Director of Adult Social Care and the Director of Public Health.

Consideration was given to a report which analysed the financial outturn position and performance data for 2015/16 by reference to the service plans and budgets for all of the relevant services which fall under the responsibility of the Directors of Adult Social Care and Public Health.

Members asked questions that related to the following;

·        Staffing at Older People’s Homes

·        The continued low take up of Direct Payments

·        Rise in Delayed Transfers of Care

Officers reported that there had been an overspend on staffing at older people’s homes. This was because agency staff had been used as posts became vacant. There was a plan in place for this year to reduce the numbers of agency staff used in Older People’s Homes.

It was expected that as there would be an increase in Direct Payments due to the launch of a new case management system in October and additional providers to organise the payments.

Regarding the rise in the numbers of delayed transfers of care, there had been a pilot discharge scheme between the Council and the hospital at the beginning of the year. Members were told that it had the most effect at the start of the year, but then showed a decline. However, as the reported figures only showed the end of year figures the overall effect would be evident at the next quarter.

Resolved: That the report be received and noted.

Reason:   To update the committee on the latest financial and performance position in health and adult social care for 2015/16.

This update report from Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) informs Members about the arrangements for formal consultation regarding the new mental health hospital in York.

Members received an update report from Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) which informed them about the formal consultation on the new mental health hospital in York.

Questions from Members included;

·        How much money was available for the building of the hospital, and would cost determine the outcome?

·        Would the Trust have any Out of Area beds?

·        Was the community hub site options consultation included as part of the consultation on the new mental health hospital?

Members were informed that based on floor area, TEWV was looking to source £29m as part of its business case for the hospital. The Trust underlined that this was a working figure. It was confirmed that the Trust would not be looking to access beds outside the area and that the community hub site options consultation was separate.

The Chair thanked the TEWV Chief Operating Officer and Clinical Director for Adult Mental Health Services for their attendance and for answering Members questions.

Resolved: That the report be received and noted.

Reason:   To keep the Committee updated on arrangements for the formal consultation process and the new mental health hospital in York.

This update report outlines arrangements in place to ensure that City of York Council discharges its responsibilities to protect adults with care and support needs from abuse and neglect, whilst maintaining their independence and wellbeing. The report also includes the presentation of the Safeguarding Adults Board Annual Report 2015-2016.

Members received an update report which outlined arrangements in place to ensure that the council discharged its responsibilities to protect adults with care and support needs from abuse and neglect, whilst maintaining their independence and wellbeing. The report also included the City of York Safeguarding Adults Board Annual Report 2015-2016.

In response to a question on what proactive measures had been taken in light of the recent closure of a hospital in the city and low inspection ratings at care homes from the Care Quality Commission, Officers reported that;

·        The commissioning department had a regular process by which it engaged care homes around its quality and sustainability standards, however some care homes did not have a relationship with the council and were self funders.

·        An intelligence group had been established which shared and monitored safeguarding intelligence from a variety of sources. There were plans for Healthwatch to be a member of this group.

·        More general adult safeguarding work, such as workshops being undertaken to ensure that care providers were being trained.

·        NHS England were commissioning a piece of work on the oversight of independent hospitals.

·        Community safety issues had been identified for a forensic hospital in the city as they took Out of Area patients.

In relation to the report recommendations, the Chair requested that a six month update report be circulated to Members by email.

Resolved:  (i) That the report be received and noted and the Committee be assured that the arrangements for safeguarding adults are satisfactory and effective.

                 (ii) That the Committee receive a six monthly update report via email.

Reason: To assure Members about adult safeguarding arrangements in the city.

Members are asked to consider the Committee’s work plan for the municipal year 2016/17.

Consideration was given to the Committee’s work plan for the municipal year 2016/17.

It was suggested that a report on the GP Practice Mergers at Beech Grove and Front Street, Acomb should be removed from the work plan and be circulated to Committee and Ward Members via email.

In relation to the possible work plan item on commissioning of GP services across the city, it was suggested to wait until NHS England and NHS Vale of York Clinical Commissioning Group had finished all their public consultations on the matter, before it was considered by the Committee.

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

·        The removal of a report on GP Practice Mergers at Beech Grove and Front Street, Acomb. This report to be circulated to Committee and Ward Members via email.

·        The update report on the Clinical Commissioning Group (CCG) Turnaround plans be considered at September’s meeting.

·        The update report on the roll out of the re-procurement of North Yorkshire Community Equipment and Wheelchair Services be considered at October’s meeting.

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