Meeting documents

RESOLVED

That Mr B Roberts be elected as Chairman of the Health & Adult Social Care Select Committee for the ensuing year.

RESOLVED

That Mrs B Gibbs be appointed as Vice-Chairman of the Health & Adult Social Care Select Committee for the ensuing year.

For Committee Members to consider the appointment of former County Councillor Mrs Margaret Aston as a non-voting co-opted Member on the Health & Adult Social Care Select Committee.

For Committee Members to confirm and approve the voting rights of the District Council representatives on the Health & Adult Social Care Select Committee.

RESOLVED

That Mrs M Aston, former County Councillor, be appointed as a non-voting Co-opted Member on the Health & Adult Social Care Select Committee.

That District Council representatives be confirmed as voting Co-opted Members on the Health & Adult Social Care Select Committee.

Apologies were received from Mr C Etholen and Mrs S Jenkins.

Ms J Cook had replaced Mr N Shepherd as the Chitern District Council representative.

There were no declarations of interest.

of the meeting held on Tuesday 28 March 2017 to be confirmed as a correct record.

 The minutes of the meeting held on Tuesday 28^th March 2017 were confirmed as a correct record.

The purpose of this item is to provide Committee Members with an understanding of the Health and Social Care environment in Buckinghamshire.  Members will hear from key representatives from within the health and social care sector about their strategies, main challenges and key priorities.

Attendees:

Neil Dardis, Chief Executive, Buckinghamshire Healthcare NHS Trust

Lou Patten, Chief Accountable Officer, Clinical Commissioning Groups

Sheila Norris, Managing Director, Communities, Health and Adult Social Care

Papers attached:

Health Integration report

Outcome:

For Members to gain a greater understanding of Buckinghamshire’s health and social care system and to meet the key representatives in the sector.

The Chairman explained that the purpose of this item was to provide Committee Members with an introduction to the health and social care system.

The Chairman welcomed Lin Hazell, Cabinet Member for Health & Wellbeing who provided Committee Members with a brief overview of her portfolio and the challenges it faced and emphasised the importance of partnership working.

Adult Social Care presentation

Ms S Norris, Executive Director for Communities Health and Adult Social Care, made the following main points during her presentation.

·         The vision for adult social care was described as helping people to help themselves, promoting wellbeing and self-reliance at all stages of their lives; supporting vulnerable people to be safe and in control, making choices about how they live and supporting communities to be strong, healthy, safe and resilient.

·         Key work strands for adult social care included prevention, health and social care integration, supporting the sustainability and diversity of suppliers, modernising social care and improving transition for young people from children’s to adult services.

·         The Care Act 2014 provided the statutory framework for adult social care.

·         The budget for adult social care in 2017/18 was £125m which was split as follows:

o   Residential care (£71m)

o   Community care (£32m)

o   Social work (£12m)

o   Plus improved Better Care Fund of £3.48m (Government funding to help ease pressures on adult social care)

·         Adult social care had contracts with 266 care providers covering 524 locations.

·         Public Health’s budget was £21m which included sexual health, substance misuse and children’s health.

·         There were nine mandatory public health functions.

·         60-65% of people in care homes were self-funders resulting in a drive to ensure people were provided with the right advice at the right time.

·         18% of the population of Buckinghamshire are over 65 and this would rise to 21% in the next 15 years.

·         Between 2015-2020, the over 85s were expected to rise by 26%.

·         The number of people with dementia in Bucks was 6,826 in 2015 and was set to rise to 11,522 in 2030.

·         Changes in legislation were putting pressure on providers, for example, National Living Wage.

·         In response to a question about the high number of contracts managed by adult social care, Ms Norris explained that there were a large number of contracts for residential care.  There was no ‘right’ number and clearly some contracts were of much larger value than others.  The care market needed to be sustainable and diverse.  The number and structure of contracts was kept under review.

·         In response to a question about hate crime across minority groups, Ms Norris explained that this was an issue for a wide range of partners and safeguarding issues would be a particular concern for adult social care.

·         A Member asked for further information about what was meant by modernising social care.   It was confirmed that this would be explored in more detail by the Select Committee including full compliance with the Care Act principles and integration with the NHS.  It would include development of personal care budgets, including direct payments.  ...  view the full minutes text for item 7.

The purpose of this item is for Committee Members to hear about the remit of Buckinghamshire’s Health & Wellbeing Board and how it differs from the work of the HASC Select Committee.  The Board provides a key partnership for promoting the health and wellbeing of residents.  Its focus is on securing the best possible health outcomes for local people.

Attendees:

Katie McDonald, Lead Policy Officer, Health & Wellbeing Board

Outcome:

For Committee Members to have a greater understanding of the statutory duties of the Health & Wellbeing Board and how its role differs from the work of the HASC.

The Chairman welcomed Ms K Mcdonald, Lead policy officer, Health & Wellbeing Board.

The following main points were made during her presentation:

·         The Health & Social Care Act 2012 required Health & Wellbeing Boards to:

o   Produce a Joint Strategic Needs Assessment (JSNA) and Joint Health and Wellbeing Strategy (JHWS);

o   Encourage integrated working between health and social care;

o   Sign-off the Better Care Fund;

o   Produce a Pharmaceutical Needs Assessment (PNA).

·         The JHWS had five key priority areas, including giving every child the best start in life, keeping people healthier for longer, promoting good mental health, protecting from harm and supporting communities.

·         The Director for Public Heath’s Annual report focussed on early years – Pregnancy and Beyond.

The purpose of this item is to introduce Committee Members to the work of Healthwatch Bucks.

Attendees:

Thalia Jervis, Chief Executive, Healthwatch Bucks

Papers attached:

Healthwatch Bucks briefing paper

Outcome:

For Committee Members to have a greater understanding of the work of Healthwatch Bucks and to provide feedback on their future projects.

Ms T Jervis, Chief Executive of Healthwatch Bucks, took Members through the briefing note attached to the agenda and made the following main points:

·         Priorities for 2017/18 include the following:

o   Mental health & wellbeing;

o   Prevention and Primary Care;

o   Transition to and within social care.

·         Recent projects undertaken:

o   Partners in maternity;

o   Community Transport;

o   Dignity in Care;

o   Mental health peer support;

o   GP Patient Experience;

o   Dentistry mystery shopping.

·         As part of its work around Dignity in Care, Healthwatch Bucks used its "enter and view" status to review care homes.

·         Healthwatch Bucks was always looking out for opportunities to speak to different community groups.

·         Volunteers played a key role in delivering the projects and the use of volunteers would be reviewed in future.

·         Options for further funding streams were being looked at.

A number of visits were being arranged for Committee Members including Hospital visits, shadowing the ambulance crews, the 111 contact centre and the Living Lab.

The next meeting is due to take place on Tuesday 25 July at 10am in Mezz 1, County Hall, Aylesbury.  There will be a pre-meeting for Committee Members at 9.30am.

The next meeting will take place on Tuesday 25 July at 10am in Mezzanine Room 1, County Hall, Aylesbury.