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. No interests were declared.

To approve and sign the minutes of the meetings held on 27 February and 29 March 2017.

Resolved:  That, following discussion, the minutes of the Health and Adult Social Care Policy and Scrutiny Committee held on 27 February and 29 March 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 Tuesday 18 April 2017 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: 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 registered speakers under the Council’s Public Participation Scheme.

This report identifies the background to the decision to close Archways Intermediate Care unit and to reinvest the resources into an expanded range of community services.

Members received a report which identified the background to the decision to close the Archways Intermediate Care Unit and reinvest resources into an expanded range of community services. It provided an update on the success of measures planned and implemented.

Mike Proctor, Deputy Chief Executive of York Teaching Hospital NHS Foundation Trust and Steve Reed, Head of Strategy for Out of Hospital Services were in attendance to present the report and answer Members questions.

Members were given some background on the community services that were being provided following the closure of Archways. These included a Community Response Team (CRT), Community Discharge Liaison Team (CDLT), Advanced Clinical Practitioners and Outreach Pharmacists. Staff from the Archways Unit were either redeployed into other units and additional staff were recruited to work in the CRT.

They informed Members that as a result of the work of the CDLT, and the closure of Archways they had been able to support an additional 129 patients than in the previous year. They had planned that the expanded CRT team from January- March 2017 would be able to support 430 people as opposed to 360 people previously supported at home. 422 people had been admitted into inpatient beds, but this was 40 fewer admissions than previously and showed that those people who went to Archways were now going to other units. In addition more people were receiving care at home.

Further information was given on the how the Community Response Team would work alongside other teams such as voluntary sector services, Reablement and Physiotherapy services from York Hospital. It was noted that the CRT would be based in the Archways building, which would allow for an integrated space to deal with referrals.

The Deputy Chief Executive admitted that the Hospital had not carried out consultation on the closure of the Unit to the best of its ability.

In response to a Member’s question it was confirmed that patients who had been discharged from Archways into the Community Response Team would be monitored on the outcomes of their care and if they would recommend the service to others. It was noted that the rehabilitation period between community units and home based care was different and that rehabilitation was quicker at home.

The resilience of the system was brought up by a Member as the measures were introduced in winter time when travel to other units out of the area could be difficult due to the weather. It was also highlighted that with home based care, staff could have difficulty with travel.

The Deputy Chief Executive felt that although it there had been mild weather, it had been the toughest winter for the NHS. He felt that the hospital were in a better position for no longer having Archways and that more work could be undertaken to expand community services to prevent hospital admissions.

Further discussion took place over regarding financing the community services contract. Members were informed that it cost £1.5m to run Archways and that £1.2m had been  ...  view the full minutes text for item 78.

This report presents the results of the first Adult Safeguarding Peer Challenge at the Council, which took place in January 2017.

Consideration was given to a report which presented the results of the first City of York Council Adult Safeguarding Peer Challenge which took place in January 2017.

Members questions related to the following;

·        How far could safeguarding services be provided through the voluntary and community sector?

·        Early discharges which increased the needs of patients in the community-who were balancing the resources needed for the increased needs?

·        The provision for affordable housing.

In response it was noted that the provision of safeguarding services through the voluntary and community sector was at an early stage, and it was crucial to ensure that engagement from partners on the Health and Wellbeing Board and the CCG were engaged.

Members were informed that data of people after reablement was currently being analysed as to whether early discharge allowed them to become more independent.

It was noted that affordable housing was a key issue in social care in regards to mental health and wellbeing, but also to the workforce. Members were informed that housing strategies were being reviewed to ensure their urgency and deliverability.

Resolved: That the report be considered and accepted.

Reason:   To provide further scrutiny to support CYC and partners in  improving outcomes for people with care and support needs and developing the sustainability of the health and social care system.

Resolved: That the contribution to adult safeguarding made by our frontline staff and partners, our broader stakeholders, including service users, carers and scrutiny Members be recognised.

Reason:   The contribution made by front line staff and partners is highlighted by the Peer Challenge as is the need to celebrate our success.

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

Consideration was given to the Committee’s work plan for the rest of the municipal year.

A request had been received from the Chair of the Health and Wellbeing Board to present the Annual Report of the Health and Wellbeing Board at the June meeting, as it related to the end of the municipal year. The Health and Wellbeing Board Six Monthly Update Report would then be received in December.

It was noted that following Full Council that the Committee would also be responsible for monitoring the performance of the Housing portfolio.

Resolved: That the work plan be noted subject to the following amendments:

·        A report including figures on community service provision in light of the closure of Archways Intermediate Care Unit in six months time via email.

·        The Annual Report of the Health and Wellbeing Board be considered be at June and December’s meetings.

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