Agenda and draft minutes

Health and Adult Social Care Scrutiny Committee - Wednesday, 15th September, 2021 10.30 am

Venue: County Hall, Chichester, PO19 1RQ

Contact: Rob Castle on 033 022 22546  Email:  rob.castle@westsussex.gov.uk

Media

Items
No. Item

9.

Committee Membership

The Committee is asked to approve Cllr Russ Cochran as the co-opted member of the Committee representing Worthing Borough Council.

Additional documents:

Minutes:

9.1        Resolved – that the Committee approves the appointment of Cllr Russ Cochran as Worthing Borough Council representative.

10.

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:

Minutes:

10.1      In accordance with the code of conduct the following interests were declared: –

·         Cllr A Cooper and Cllr B Cooper declared personal interests in respect of item 5, Recovery Planning, as governors of the University Hospital Sussex NHS Foundation Trust

·         Cllr Pudaloff declared a personal interest in respect of item 5, Recovery Planning, as a vaccine champion and being discharged from adult social care services

11.

Minutes of the last meeting of the Committee pdf icon PDF 125 KB

The Committee is asked to agree the minutes of the meeting held on 23 June 2021 (cream paper).

Additional documents:

Minutes:

11.1     Resolved – the minutes of the meeting held on 23 June 2021 are approved as a correct record and are signed by the Chairman.

12.

Recovery Planning pdf icon PDF 73 KB

The Committee will consider a Report by the West Sussex Clinical Commissioning Group on Covid recovery planning, including winter planning.

Additional documents:

Minutes:

12.1        The Committee considered a report by West Sussex Clinical Commissioning Group (copy appended to the signed minutes) and were told that: -

 

·         £7.7m is being invested in primary care to support access

·         The Clinical Commissioning Group is working with GP practices, GP federations and primary care networks to identify areas where support is needed

·         Partnership working across all Sussex providers will help increase capacity for elective surgery

·         The expected impact of planned care recovery is tracked using a dynamic system to ensure a response to surges in demand

·         Frailty services are improving

·         Discharge lounges are being extended

·         Where clinically appropriate, at least 25% of patients continue to attend outpatient visits virtually

·         Extra capacity at University Hospital Sussex and work with partners is helping deal with demand with less patients waiting 62 days or more to be seen

·         Care homes and emergency care are supported

·         £34m has been invested in mental health services and a Sussex-wide help line is in place

·         Voluntary and community sector organisations are also helping to deliver continuing mental health care

·         There is a recruitment drive to attract staff from the UK and abroad

·         Work is taking place to encourage those who have not been vaccinated against Covid-19 to receive the vaccination

·         It is hoped that uptake of the flu vaccination will increase again this year

 

12.2        Summary of responses to committee members’ questions and comments: -

 

·         The July figure of 57% for face-to-face GP consultations was higher than the national average and was expected to increase

·         New telephony systems should help people contacting GP surgeries

·         The digital system for GP appointments was introduced much quicker than anticipated due to the pandemic and would be improved

·         There will be communication campaigns about using NHS 111 and repeat prescriptions

·         More work was taking place to deal with the increase in eating disorders amongst children and young people

·         Services were working towards meeting the two-week deadline for seeing cancer patients, which was not being universally met currently, including the provision of weekend clinics for dermatology in September

·         The number of people waiting a year or more for elective surgery had decreased

·         Programmes existed to target groups where cancer screening was low

·         South Coast Ambulance Service NHS Foundation Trust was using paramedic practitioners to offer advice to their ambulance drivers to make sure that only people who need to go to hospital are conveyed to hospital

·         Care/nursing home residents were treated at the scene if possible

·         Plans existed to improve handover times at acute hospitals

·         The Winter Plan would be finalised in October and would be very detailed and include risks and mitigations

·         Vaccinations for 12 – 15-year-olds would take place in schools

·         Booster vaccinations would be available to priority groups in the autumn

·         The patient voice was heard through systems and processes within the NHS and Integrated Care System, with a public involvement framework in place Actions: West Sussex Clinical Commissioning Group to provide updates on the Post Covid Assessment and Support Service and Mental Health (including  ...  view the full minutes text for item 12.

13.

End of June 2021 (Quarter 1) Quarterly Performance and Resources Report pdf icon PDF 64 KB

A report by the Director of Law and Assurance, setting out the finance and performance position as at the end of June 2021.

 

The Committee is asked to examine the data and supporting commentary for the performance and resources report and make any recommendations for action to the relevant Cabinet Member.

 

Additional documents:

Minutes:

13.1     The Committee considered a report by the Director of Law and Assurance (copy appended to the signed minutes).

 

13.2     Summary of responses to committee members’ questions and comments: -

 

·         The Cabinet Member for Adults’ Services has lobbied her MP with regard to the greater part of the Health and Social Care Levy being allocated to the NHS in its first three years and would continue to lobby for better social care funding

·         The Council is working towards a higher occupancy rate for Shaw Homes to match the number of beds it pays for

·         Key performance indicators 11 and 12 will be amended in line with the southeast Association of Directors of Adult Social Services methodology

·         The low target for indicator 39 is similar to the national position, but the Council is working internally and with partners to increase work opportunities for people with learning disabilities

·         Some people found alternatives to Shaw day services during the pandemic

·         The savings programme aims to improve services whilst reducing costs

·         The Council already works with the NHS and voluntary sector – the Integrated Care System will formalise and improve arrangements and will begin in shadow form from the autumn

·         Housing is covered by the Health & Wellbeing Strategy

·         The needs of people with disabilities are considered in all policies and decisions through Equalities Impact Assessments

·         There were concerns over the disparity in the flu vaccine uptake and the different targets for healthy life expectancy between men and women

 

13.3     Resolved – that the Committee requests: -

 

                i.      Information on Key Performance Indicator 14, to specify how many people are being deprived of liberty at present, and Key Performance Indicator 39, to specify benchmarking information on how many people with disabilities are in paid employment, in the next performance and resources report

               ii.      A briefing to be provided to all members on public health (as part of 12 November Member Day, or at a separate session)

             iii.      Information on what is being done to address the disparity in the flu vaccine uptake

             iv.     The Cabinet Member to consider changing the target for the healthy life expectancy Key Performance Indicator, to bring men and women into alignment

14.

Work Programme Planning and Possible Items for Future Scrutiny pdf icon PDF 97 KB

The Committee is asked to review its current draft work programme taking into account the Forward Plan of Key Decisions and any suggestions from its members for possible items for future scrutiny.

Additional documents:

Minutes:

14.1     The Committee considered its work programme taking into account the Forward Plan of Key Decisions and suggestions from members:

 

·         Cllr Bence, Cllr B Cooper, Cllr McGregor, Cllr O’Kelly and Cllr Patel were appointed to the Task & Finish Group on Adults and Health Strategic Budget Savings 2021/22

·         A proposal to hold the Task & Finish Group meeting in public was lost

·         The Integrated Care System to be added to the work programme

·         Dentistry to be discussed at a future Committee meeting

 

14.2     Resolved – that the Committee requested: -

 

                i.      The Business Planning Group to consider the Integrated Care System following the 12 November information session

               ii.      The Business Planning Group to receive an update on local transport planning and health outcomes

             iii.      Democratic Services to work with NHS England to provide a paper on Dentistry to the January 2022 meeting

             iv.     An update on mental health services in the west of the county from Sussex Partnership NHS Foundation Trust

 

15.

Date of Next Meeting

The next meeting of the Committee will be held on 26 November 2021 at 10.30 am at County Hall, Chichester.  Probable agenda items include:

 

·         Stroke Services

·         Adults’ Strategy

·         Adult Social Care Quality Assurance

·         Quarterly Performance and Resources

 

Any member wishing to place an item on the agenda for the meeting must notify the Director of Law and Assurance by 11 November 2021.

Additional documents:

Minutes:

17.1     The next meeting of the Committee will take place on 26 November 2021,