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.

Members were invited to declare at this point in the meeting any personal interests, not included on the Register of Interests, or any prejudicial interests or disclosable pecuniary interests that they might have in the business on the agenda.

Councillor Mason declared that he was a Registered Paramedic, owned a private ambulance company with NHS contracts and was Vice Chair of the North Yorkshire Police and Crime Panel.

To approve and sign the minutes of the meeting held on 31 May 2017.

Resolved:  That the minutes of the Health and Adult Social Care Policy and Scrutiny Committee held on 31 May 2017 be approved and 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 5:00pm on Monday 19 June 2017. To register, please contact the Democracy Officer for the meeting, on the details at the foot of the agenda.

Filming, Recording or Webcasting Meetings

Please note this meeting may be filmed and webcast, or recorded, and that includes any registered public speakers, who have given their permission. This broadcast can be viewed at: http://www.york.gov.uk/webcasts or, if recorded, this will be uploaded onto the Council’s website following the meeting.

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 (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: http://www.york.gov.uk/download/downloads/id/11406/protocol_for_webcasting_filming_and_recording_of_council_meetings_20160809.pdf

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

The Executive Member for Housing & Safer Neighbourhoods will be in attendance to discuss priorities and challenges for the forthcoming year.

The Executive Member for Housing & Safer Neighbourhoods was in attendance to discuss priorities and challenges for the forthcoming year, along with the Corporate Director for Health, Housing and Adult Social Care. The Executive Member highlighted the following:

·        A key priority, and challenge, was affordable housing for key workers.

·        A CYC housing development company was being considered, with expectation of a paper being presented in September.

·        CYC had recently achieved homelessness gold standard, one of only three in the country at this time.

·        A new Community Safety Plan was currently being drafted to reflect Safer York Partnership’s strategic priorities for the next three years.

·        The roll out of Universal Credit in July would be a challenge and may cause some issues. In pilot areas there had been a rise in rent arrears so this would need to be carefully managed.

The Chair commented, for the record, on his concerns around this committee absorbing the Housing & Safer Neighbourhoods portfolio, given the demands of Health and Adult Social Care alone.

In response to questions from Members the Executive Member stated:

·        The CYC Housing Development Company was still in the early stages with a business case to be done. It would take a leadership role in providing affordable housing.

·        In relation to housing allocation, the budget had been allocated for a new IT system and it was expected this would be in place by 2019.

·        Formal consultation on Woolnough House would take place as part of the Older Persons accommodation plan.

·        There was recognition that the housing market in York was tough, partly due to its desirability as a place to live. Mixed tenure across the city was an important part of a wide offer to those on lower incomes and key workers.

·        In relation to the ‘Prevent’ agenda the Executive Member agreed that Councillors should never have to submit an FOI for information from CYC. Information circulated by police had included ‘anti-fracking’ groups as a category. There would be a locally agreed peer review taking place on Prevent in September.

·        Substance misuse would be covered under the Community Safety Plan.

·        There had been a recent decision session on the Private Sector Assistance Policy and category 1 hazards were now being considered by occupational therapists using increased funding from the Disability Facilities Grant, alongside usual adaptations.

·        In terms of Category1 hazards the Executive Member agreed to circulate further details to the committee following the meeting.

The Executive Member went on to give an update to the committee on Fire Safety, with the Head of Building Services in attendance to answer Member questions. He confirmed that as well as the information which had been circulated to members a letter was being sent to residents in all CYC housing as soon as possible. It was stated that:

·        CYC’s own housing stock had no cladding of the kind which had been used elsewhere.

·        Fire Safety Risk Assessments were completed on a cycle, with 350 communal areas to be completed in the 2017/18 municipal year.

·        Vulnerable  ...  view the full minutes text for item 4.

The Executive Member for Health and Adult Social Care will be in attendance to discuss priorities and challenges for the forthcoming year.

The Executive Member for Health and Adult Social Care was in attendance to discuss priorities and challenges for the

forthcoming year, along with the Corporate Director for Health, Housing and Adult Social Care. The Executive Member gave a brief update on the report and highlighted the following priorities: 

·        Mental Health, in particular the new hospital

·        Healthy Child Service

·        Work Place Health and the launch of the Yorwellbeing Service

·        Older Person’s Accommodation Programme

In response to member questions it was stated:

·        The Humber, Coast and Vale Sustainability and Transformation Partnership was looking at providing more synergy across provision including 6 locality plans and 3 hospital trusts and the Better Care Fund (BCF) was one of those locality plans. This was linked to supporting a reduction in admissions and delays in discharge and the BCF supports that flow. More broadly this meant more prevention, early help and support within communities.

·        Money saved through the decommissioning of the intermediate care hospital had not all been reinvested in supporting people to stay in their homes. This was perhaps something this committee could scrutinise. There was however an awareness that NHS England were under extra pressure to close the CCG’s financial gap.

·        Non-attendance at training sessions for the third sector had been a significant issue and they had now been asked to make a contribution. However there was an understanding of the impact this may have on small organisations and so, subject to attendance, this could be looked at again.

·        In terms of the Mental Health Strategy there was a commitment to co-production with both users and the wider community. Engaging housing in the strategy was significant and involvement of the third sector was also a key factor.

Resolved:  That Members note the comments of the Executive Member for Health & Adult Social Care.

Reason:     To update the committee on the Executive Member’s priorities and challenges for the forthcoming year.

This report presents the Health, Housing and Adult Social Care Policy and Scrutiny Committee with the 2016/17 Annual Report of the Health and Wellbeing Board (Annex A).

Members considered a report presenting the Health, Housing and Adult Social Care Policy and Scrutiny Committee with the 2016/17 Annual Report of the Health and Wellbeing Board (HWBB). The Chair of the HWWB was in attendance to present the report and answer Member questions.

Members thanked the Chair for the work that had been done on this report and its accessibility as a document was commented upon. It was also noted that an ‘easy read’ version was also being made available around the city and on the website.

Resolved:  That Members note the contents of the Health and Wellbeing Board’s 2016/17 Annual Report.

Reason:     To keep members of the Committee up to date with the work of the Health and Wellbeing Board.

This report details the performance by organisations providing a service in York against Care Quality Commission (CQC) standards.

Members considered a report detailing the performance by organisations providing a service in York against Care Quality Commission (CQC) standards. The Head of Commissioning (Adult) was in attendance to present the report and answer Member questions.

Officers highlighted York’s improved position with one additional ‘good’ rating as this recent improvement was not included in the figures.

Resolved:  That Members note the report.

Reason:     To update the committee on the performance and standards of provision across care service in York.

This report provides a summary of the uptake of the City of York Council Stop Smoking Service, and successful quit rates, over the time period where Nicotine Replacement Therapy (NRT) and Varenicline have and have not been funded.

Members considered a report providing a summary of the uptake of the City of York Council Stop Smoking Service, and successful quit rates, over the time period where Nicotine Replacement Therapy (NRT) and Varenicline have and have not been funded. The Corporate Director of Health, Housing & Adult Social Care was in attendance to present the report and answer Member questions.

He gave a brief background to the report and highlighted areas of concern, in particular that the drop out rate for the service was higher than expected and that prevalence of smoking younger adult women remained the same.

Members were asked to consider public health doing more work to look at other areas in the country where there had been a drop off in uptake of these services and also to note the cost implications of any recommendations to Executive.

During discussion Members expressed concern that there were huge cost implications for additional social care related to smokers over the age of 50. They also highlighted that this issue had been brought to the fore by a motion to council on health inequality in relation to CCG restrictions on surgery. It was strongly felt that this decision needed to be urgently reviewed.

Resolved:  That;

                                             I.        Members note the information presented in the report

                                           II.        The Committee reaffirm an earlier resolution to ask the Executive Member for Health and Adult Social Care to review her decision on the level of support for smokers and in particular the provision of free Nicotine Replacement Therapy for smokers and funding for Varenicline (Champix) stop smoking medication

Reason:     So Members can add their input ahead of a decision concerning the future funding of pharmacotherapies for smoking cessation.

This report introduces proposals for a scrutiny review into the Vale of York Clinical Commissioning Group’s (CCG) approach to public and stakeholder engagement on delivering its Operational Plan 2017-19 and its Medium-Term Financial Strategy.

Members considered a report introducing proposals for a scrutiny review into the Vale of York Clinical Commissioning Group’s (CCG) approach to public and stakeholder engagement on delivering its Operational Plan 2017-19 and its Medium-Term Financial Strategy.

The Chair stated that although Councillor Barnes was soon to be replaced on this committee that he was in favour of him being a member of this task group given his level of expertise on this subject. It was agreed that the task group would include Councillors S Barnes, Culwick and Richardson and that invitations could be extended to co-optees and external bodies.

Resolved:   Members agree to undertake a scrutiny review into the CCG’s approach to public and stakeholder engagement and the remit detailed in paragraph 8 and appoint a Task Group to carry out this work on the Committee’s behalf.

Reason:     To work with the CCG to support delivery of its Operational Plan 2017-19 and its Medium-Term Financial Strategy.

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

Members gave consideration to the Committee’s work plan for the municipal year.

After discussion it was: -

Resolved:  That the work plan be approved.

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

In view of the fact that the next meeting of this committee is not until 25 July and news on the progress of plans for York’s new mental health hospital, published on 15 June 2017, is already in the public domain, the Chair has agreed to accept onto the agenda a report from Tees, Esk and Wear Valleys NHS Foundation Trust relating to the preferred site of the new hospital and configuration of beds.

Members considered a report detailing progress on plans for a new mental health hospital in York, which had been received after agenda publication and attached as a supplement online. Representatives from the Tees, Esk and Wear Valleys NHS Foundation Trust were in attendance to present the report and answer Member questions.

In response to questions from Members they stated the following:

·        Whilst a community model of care was the ideal, there was still a clear need to deliver hospital based care.

·        There was a need to engage with community links on discharge and interventions should be made earlier and closer to home.

·        Accessibility was a challenge as they were dealing with such varied needs.

·        The trust had worked in collaboration with both universities and going forward wanted research and development to form part of plans to ensure that this was a leading edge facility.

·        Historic England were not in opposition to using Bootham Park, however were concerned about the level of harm to the building when there were other viable sites available.

·        Part of the modelling was that care remain as local as possible, thus reducing out-of-area placements.

Resolved:  That Members note the report.

Reason:     To update the committee on progress towards a new mental health hospital in York.