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 asked to declare at this point in the meeting, any personal interested not included on the Register of Interests, or any prejudicial or disclosable pecuniary interests they may have in respect of business on the agenda. None were declared.

To approve and sign the minutes of the meeting held on 20 June 2018.

The Chair raised an issue regarding the level of detail in the minutes of HHASC Policy and Scrutiny Committee meetings. It was noted that, as organisations are being held to account, the specifics of the debate needed to be recorded and this included the detail of Member questions.

Members requested that the following amendments be made to Minute 7 (Unity Health Report on Patient Communication Problem):

a)   Add a further bullet point to the list of issues considered by Members during their discussion, as follows: 

·        ‘Whether the project manager held a professional qualification in project management.’

b)   Amend Resolutions (ii) and (iii) to read as follows:

(ii) ‘That Unity Health be invited back to the September meeting of the committee to provide a further update.’

(iii)          That the Director of Health bring an updated report on student health to a future meeting, in order that Members are aware of ongoing work.’

Resolved: That the minutes of the meeting held on 20 June be brought back for approval following the above amendments being made.

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 5:00 pm on 24 July 2018

Filming, Recording or Webcasting Meetings

Please note that, subject to available resources, this meeting will be filmed and webcast, or recorded, including 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 registrations to speak at the meeting under the Council’s Public Participation Scheme.

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

The Executive Member for Adult Social Care and Health was in attendance to brief Members on current activities and challenges within the Directorate.

In an amendment to the report, the Executive Member clarified that Tim Madgewick had been appointed as the Independent Chair of the Mental Health Partnership.

The Executive Member and Officers then answered questions on:

·        Universal Credit

·        CQC local system review and Place-Based Improvement Partnership

·        Potential development of Bootham site

·        Talking Points services and 7 day services

·        LAC scheme

With regard to the potential development of the Bootham site as a continued health resource, the Committee agreed to write a letter to the Health Secretary supporting the proposal and urging him to do likewise.

Resolved:  That the report be noted.

Reason:     To update Members on the priorities and challenges within the Executive Member’s portfolio over the coming year.

The Chair of the Health and Wellbeing Board will present the annual report which will include a review of the Health and Wellbeing Strategy and an update on the new Mental Health Strategy

The Health and Wellbeing Board Chair was in attendance to update the committee on the work of the Health and Wellbeing Board, the Health and Wellbeing Strategy and the Mental Health Strategy.

It was reported that it had been a very active year for the Health and Wellbeing Board and that clarified priorities had helped give focus to the Board’s work.

The HWBB Chair and Officers responded to questions on the following items:

·        The Board’s key performance indicators (KPI’s)

·        The content and presentation of data sets in reports to Scrutiny

·        The high levels of Anxiety being reported

·        Childhood and Adult Obesity measurements and data

·        Hospital admissions for self harm

It was noted that:

·        A common way for data sets to be presented would be useful

·        The Healthy Weight Steering Group was developing a plan to combat childhood obesity; and

·        A report would be submitted to Scrutiny on Hospital Self Harm Admissions, as the committee would like to consider this issue in more detail.

Resolved: That Members note the report.

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

This report analyses the latest performance for 2017/18 and presents the financial outturn position by reference to the service plans and budgets for all of the services falling under the responsibility of the Corporate Director of Health, Housing & Adult Social Care.

Officers presented a report on finance and performance for the Health, Housing and Adult Social Care directorate.

During the discussion, officers answered questions from Members on the closing of a number residential care homes, the effect this had on residents and the associated overspend.

It was also noted that a plan had been made to meet the requirements and increase the amount of older people’s accommodation. To achieve this it had been necessary to close sites, so that the resulting funds could be used for new developments.

Officers were questioned on the use of funds from the Improved Better Care Fund and discussed the success of employing ‘Best Interest Assessors’ rather than hiring consultants.

Finally, officers were questioned around trends in suicide rates following an increase in this area, officers pointed out that no clear long term trends had been discovered although there had been a slightly higher than usual number of young people who had committed suicide in this quarter.

Resolved: That Members note the report.

Reason: To update the committee on the latest financial and performance position for 2017/18.

This report compares standards of care in York with the latest CQC findings relating to Residential, Nursing & Homecare Services.

Officers presented the biannual report for Residential, Nursing and Homecare Services.

It was noted that, similar to Local Authorities across the Country, there had been significant pressure on services. However, York’s overall ratings were either at or above the national average.

Officers answered questions regarding ‘Well Led’, leadership within Residential and Care Services, as this had been noted as a concern. Whilst officers agreed that this had been an issue, work was being undertaken across the various organisations involved to up skill staff in leadership roles.

Resolved: That Members note the report.

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

This 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 well-being.

The committee were presented with an assurance report to show the measures in place to support adults who have safeguarding needs.

Officers informed the committee that new procedures were in place and that further training for staff around safeguarding and suicide prevention had been financed.

Officers responded to Members questions regarding the main reasons for needing safeguarding and changes that had occurred in this data. Officers informed the committee of the continued challenge regarding financial exploitation of residents via the internet. It was noted that officers are working with the Police to understand and combat this issue.

Resolved: That Members:

1.   Note this report and are assured that arrangements for safeguarding adults are satisfactory and effective.

2.   Receive the SAB annual report following its publication

3.   Receive updates to this report on an annual basis.

Reason: To assure the committee of the arrangements for safeguarding

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

The committee then discussed the work plan for upcoming meetings.

Due to the September meeting being oversubscribed, the following changes were suggested and it was agreed that:

-      the following reports be discussed in September

o   CQC inspection report on Unity Health

o   Student Health Needs Assessment

-      the following reports be discussed in October

o   New Licensing Laws for HMO’s

o   Community Policing

-      the following reports be discussed in November

o   Oral Health Action Team

o   Engagement around Home First Strategy

o   Report on Self Harm and Suicide Prevention

Resolved: That the work plan be approved subject to the amendments above.

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