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 any personal interests not included on the Register of Interests, any prejudicial interests or disclosable pecuniary interests which they might have in respect of business on the agenda.

Councillor Douglas declared a personal interest in relation to items on the agenda relating to her membership of the Mental Healthand Learning Disabilities PartnershipBoard.

To approve and sign the minutes of the meeting held on 21 July 2015.

The following updates were given in relation to decisions made at the last meeting:

·        Progress in relation to Member Safeguarding training

·        Reporting date for the Vale of York Clinical Commissioning Groups report on wheelchair services

·        The Chair confirmed receipt of an email from Healthwatch which he would circulate to the Committee regarding Cllr Richardson’s potential scrutiny topic on pain management. He confirmed that Healthwatch would be requested to attend a future meeting to inform the Committee’s work.

Resolved:  That the minutes of the last meeting of the Committee held on 21 July 2015 be signed and approved 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 Wednesday 9 September 2015 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 no registrations to speak at the meeting under the Council’s Public Participation Scheme.

This report analyses the financial outturn position and performance data for 2014/15 by reference to the service plans and budgets for all of the services falling under the responsibility of the Director of Adult Social Care and the Director of Public Health.

Members received a report which analysed the financial outturn position and performance data for 2014/15 by reference to the service plans and budgets for all the services falling under the responsibility of the Director of Adult Social Care and the Director of Public Health.

It was noted that detailed benchmarking of the city’s position for 2014/15 would not be available until late autumn however early indications had shown improvements in the Adult Social Care Outcomes Framework which could lead to improvement in national rankings.

In answer to a number of issues raised by Members, Officer confirmed that:

·        Vacant posts were kept under review and were only left vacant when it was considered safe and sensible to do so

·        It would be possible to benchmark the authority against both neighbouring, national and regional authorities

·        Future report narratives referring to staff savings should include details of impact etc

·        Stress Risk Assessments and resilience training were undertaken with teams

Resolved: That the report be received and noted.

Reason:     To update the Committee  on the outturn financial and performance position for 2014/15.

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

Members received a report which analysed the latest performance for 2015/16 and forecast the financial outturn position by reference to the service plans and budgets for all of the services falling under the responsibility of the Director of Adult Social Care and the Director of Public Health.

Officers highlighted the Department of Health in year reduction in Public Health Grant of 6.2%, which had not been accounted for in the budget and confirmed that discussions were ongoing with the Clinical Commissioning Group regarding the Better Care Fund.

Members questioned a number of issues which Officers agreed to investigate further and provide responses:

·        Seasonal flu vaccine uptake, as the uptake fell for under 65’s at risk, did other costs rise and had this been budgeted for?

·        The detection rate for Chlamydia was lower in the city owing to a smaller % of young people being tested, could this be a problem?

·        The reasons for the lower take up of GP health checks in the city compared to the national average?

Following further discussion it was 

Resolved: That the report be received and noted.

Reason:     To update the Committee on the outturn financial and performance position for 2015/16.

This report outlines the current and forthcoming plans around Urgent Care and whole System Resilience during 2015-16 and beyond.

Members received a report which outlined the current and forthcoming plans around Urgent Care and whole System Resilience (winter pressure monies) during 2015/16 and beyond.

The Senior Improvement and Innovation Manager, Vale of York Clinical Commissioning Group presented the report. Members noted that as this years funding allocation had been received in February this had allowed a number of schemes to continue from the previous financial year without a break in service which had also provided an evidence base from which to identify whether schemes could be maintained or decommissioned. An analysis of all the schemes currently underway were detailed individually.

Members questioned a number of the schemes including:

·        The impact of GP’s working in the hospital emergency department – confirmed that it had been difficult to evaluate their effectiveness and impact owing to a number of staff changes however meetings had been arranged to take this forward

·        Resources in place for winter fuel poverty – confirmed that the Integrated Care Team examined at risk groups

Following further discussion, Members thanked the Innovation Manager for her attendance and it was

Resolved:  That the report and update be received and noted.

Reason:     To update the Committee on the schemes provided under the Urgent Care Resilience Plans for 2015/16.

This quarterly monitoring and performance report allows Members to review the current performance against outcomes of the first year of operation of Be Independent.

Members considered a report which provided details of the year end position of the Be Independent Service, an independent social enterprise since 2014 which provided Community Alarm, Telecare and Community Equipment Service under contract to Adult Services.

The Assistant Director for Adult Social Care presented the report, the first since the service had become a social enterprise, to allow the Committee to review current performance against the outcomes of the first year. He highlighted the achievements, customer satisfaction and growth of the service, pointing out the continual monitoring that would be undertaken.

In answer to Members questions the Assistant Director confirmed that he would clarify the relationship between the Council and the Board and email the details to Members.

Resolved:  That the quarterly monitoring report and performance of the Be Independent Service be received and noted and future reports be presented to the Committee on a six monthly basis.

Reason:     To advice the Committee on the performance of Be Independent. 

This report is to update Members in respect of concerns raised regarding the Direct Payments and Terms and Conditions raised by members of York Independent Living Network (YILN) and Lives Unlimited and following the verbal update given by the Director at the meeting, on21 July 2015. They also requested an update of progress from Officers of addressing the concerns following meetings with YILN and Lives Unlimited.

The Committee considered a report which updated them in respect of concerns raised regarding the Direct Payments and Terms and Conditions raised by members of the York Independent Living Network and Lives Unlimited at a previous Committee meeting.

Members noted that significant progress had been made and the key points of concern agreed, with the concerns resolved in a way that met both the needs of the Council and its customers.

Resolved:  That progress made on consultation with the York Independent Living Network and Lives Unlimited and the draft policy in relation to Direct Payments be received and noted

Reason:     To inform the Committee on the changes to Direct Payments

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

Consideration was given to the Committees work plan for the remainder of the municipal year.

The Chair confirmed that Members would receive updates in relation to the national issue of changes to the Public Health Grant.

Resolved:  That the Committees work plan for the remainder of the municipal year be received and noted.

Resolved:  To keep Members updated and to ensure that the Committee has a planned programme of work in place.