Agenda and minutes

Health and Adult Social Care Scrutiny Committee - Wednesday, 15th January, 2020 10.30 am

Venue: County Hall, Chichester

Contact: Rob Castle on 033 022 22546  Email:


No. Item


Declarations of Interest

Members and officers must declare any pecuniary or personalinterest in any business on the agenda. They should also make declarations at any stage such an interest becomes apparent during the meeting. Consideration should be given to leaving the meeting if the nature of the interest warrants it.  If in doubt please contact Democratic Services before the meeting.

Additional documents:


34.1   In accordance with the code of conduct, Mrs Bridges declared a personal interest in item 4, Adults' Services Improvement - Next Steps, as she has a family member in a residential home in West Sussex.


Minutes of the last meeting of the Committee pdf icon PDF 150 KB

The Committee is asked to agree the minutes of the meeting held on 27 November 2019 (cream paper).

Additional documents:


35.1 Resolved – that the minutes of the meeting held on 27 November 2019 be approved as a correct record and that they be signed by the



Adults' Services Improvement - Next Steps pdf icon PDF 60 KB

Additional documents:


36.1   The Committee considered a report by the Executive Director Adults and Health (copy appended to the signed minutes) which was introduced by Mrs Jupp, Cabinet Member for Adults & Health who told the Committee: -


·         In Summer 2019 pressures in Adults’ Services led to Newton being appointed to carry out a diagnostic across Adults’ and Lifelong Services to identify ways to improve outcomes for people and identify ways of more cost-effective working


36.2   Kim Curry, Executive Director for Adults & Health, added: -


·         Newton’s work enhanced that of the Council’s Transformation Team

·         Adults’ Services was now safe, although West Sussex was still behind some other authorities


36.3   Steve Phillips and Laps Senthilgiri of Newton took the Committee through a presentation (copy appended to the signed minutes) on the work Newton had carried out in collaboration with Adults’ Services using workshops with Council staff and surveys of customers, families and professionals.


36.4   Summary of responses to the Committee’s questions and comments: -


·         SP – The criteria for deciding if a customer outcome was ideal or non-ideal was decided by the Council’s social workers

·         SP – Families and health professionals might be reluctant to advocate any type of care at home as they might not be familiar with its quality or availability

·         SP – People could be reluctant to refer customers for reablement services due to previous experience, lack of availability, quality of service or pressure to make a quick decision

·         SP – Reablement services would be time limited

·         SP – A customer’s hospital stay should not be the basis for a decision on long-term care, but should be an influence

·         Care packages were reviewed between six weeks and two months after implementation, at the annual review and if a person’s condition changed

·         SP – All operational and commissioning requirements had been considered

·         Four options were being considered for the way forward, but the Council does not have the capacity or capability to deliver the programme alone

·         CG – There were savings to be made by moving away from dependent to independent services such as reablement, but to reach the level of service required an investment of £1.4m would be needed in reablement

·         The Adult Social Care Improvement Board had instigated five safety indicators – performance against these showed the services was safe, especially in regard to safeguarding and assessments of deprivation of liberty standards – ACTION: Kim Curry to provide detailed data on the five safety indicators

·         There needed to be changes in the leadership and management teams as well as investment in training and development of the workforce so that staff felt more supported – the Department of Health & Social Care was encouraged that the Council was working with Newton

·         Connecting Lives, Supporting people fitted the proposals and identified local voluntary services

·         The Council was working with district and borough councils to hasten adaptations (if needed) so that people could return home from hospital as soon as possible

·         SF – Newton has worked with 42 other authorities, 40 of  ...  view the full minutes text for item 36.


Responses to Recommendations and Updates to Actions pdf icon PDF 83 KB

The Committee is asked to note


a) the responses to recommendations made at the 27 November 2019 meeting and


b) the updates to actions requested at the 27 November 2019 meeting

Additional documents:


37.1   The Committee considered responses to recommendations from its last meeting and had concerns over the take-up of flu vaccinations by hospital staff – ACTION: Mrs Jupp to raise the possibility of hospital staff receiving flu vaccination vouchers at the next meeting of the Health & Wellbeing Board.


37.2   The Committee considered updates to actions from its last meeting and raised concerns over the staff vacancy rates at Sussex Partnership NHS Foundation Trust and Western Sussex Hospitals NHS Foundation Trust.


37.3   Resolved - that the Committee: -


  1. Notes the responses to recommendations
  2. Asks the Chairman to write to Sussex Partnership NHS Foundation Trust and Western Sussex Hospitals NHS Foundation Trust regarding their staff vacancy rates



Forward Plan of Key Decisions pdf icon PDF 244 KB

Extract fromthe ForwardPlan dated 2 January 2020.


Anextract fromanyForwardPlan publishedbetween the date of despatchof the agenda and the date of the meetingwill be tabled at the meeting.


The Committee is asked to consider whetheritwishes to enquireinto any of the forthcoming decisions withinits portfolio.

Additional documents:


38.1   Resolved – that the Committee notes the Forward Plan of Key Decisions.


Business Planning Group Report pdf icon PDF 105 KB

The report informs the Committee of the Business Planning Group meeting held on 20 November 2019, setting out the key issues discussed.


The Committee is asked to endorse the contents of this report, and particularly the Committee’s Work Programme revised to reflect the Business Planning Group’s discussions (attached at Appendix A).

Additional documents:


39.1   The Committee considered a report by the Chairman of the Business Planning Group (copy appended to the signed minutes) and requested that the future item on access to primary care include information from Healthwatch on waiting times and queried whether the item on low vision services would include cataracts and star guards – ACTION: Helena Cox to check the scope of low vision services


39.2   Resolved – that the Committee endorses the contents of the report, and the Committee’s Work Programme.


Possible Items for Future Scrutiny

Members to mention any items which they believe to be of relevance to the business of the Select Committee, and suitable for scrutiny, e.g. raised with them by constituents arising from central government initiatives etc.


If any member puts forward such an item, the Committee’s role at this meeting is just to assess, briefly, whether to refer the matter to its Business Planning Group (BPG) to consider in detail.

Additional documents:


40.1   The following items were suggested for future scrutiny: -


·         NHS Human Resources Strategy

·         NHS Dentistry


Date of Next Meeting

The next meeting of the Committee will be held on 11 March at 10.30 am at County Hall, Chichester.  Probable agenda items include:


·         West Sussex Suicide Prevention Strategy & Self-harm Needs Assessment

·         Refreshed Dementia Strategy

·         Adults Services Improvement

·         Review of In-house Residential Care

·         Proposals to improve mental health services in West Sussex

·         Sussex-wide review of emotional health and wellbeing support for children and young people


Any member wishing to place an item on the agenda for the meeting must notify the Director of Law and Assurance by 25 February.

Additional documents:


41.1   The next meeting of the Committee will take place on 11 March.