Meeting documents

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

Mrs L Clarke had replaced Mrs A Wight on the Committee.  Mrs Clarke had sent her apologies.

Mrs M Aston joined the Committee as a co-optee.

Mrs T Jervis declared an interest relating to item 2 and Commissioning of Services ; Healthwatch Bucks were currently going through their commissioning process

Mrs M Aston declared an interest as Chairman on the Local Abbeyfields Society and as a Trustee of Carers Bucks.

To agree the Minutes of the meeting held on Tuesday 13th June 2017 as a correct record.

The minutes of the meeting held on 13 June 2017 were agreed as a correct record.

Mr B Roberts welcomed Mrs Aston, previous County Councillor to the meeting as a new co-opted member of the Committee.  Mrs H Llewelyn-Davies Chair of the Buckinghamshire Heathcare NHS Trust was also welcomed as an observer to the meeting.

Mr Roberts gave an overview of the theme of the meeting; scrutinising whether Adult Social Care in Buckinghamshire was ready for Growth.

Committee Members gave a brief update of progress within their areas.

• Mrs B Gibbs updated the Committee on the Centre for Public Scrutiny conference; a briefing note would be circulated to the Committee

ACTION: Mrs Gibb

• Julia Wassell highlighted the review of GP provision in East Wycombe that had begun and the commitment to look at GP provision across the County
• Mrs L Wheaton and Mr Roberts had attended the Marlow Community hub open day, an update would  be provided at the September HASC meeting

·         Launch of Healthwatch Annual report – Mrs Jervis advised that the annual report launch had taken place and the report had been circulated.  Any questions were to be directed to Mrs Jervis

·         Mrs Wheaton attended the Accountable Care System (ACS) event for officers and circulated an update note.  Mrs Wheaton reported that Bucks Healthcare NHS Trust were 1 of 9 ACS in the first wave

·         Mr B Bendyshe – Brown and Mr R Bagge would be attending the Bucks Healthcare Trust Board meeting on 26 July 2017 and would  provide an update at the September meeting

·         The recent Care Quality Commission (CQC) inspection had put the Mandeville Practice into special measure.  The report and response from the Clinical Commissioning Group (CCG) had been circulated to Members; progress updates would be provided in due course

·         It was updated that Bucks Fire safety checks at Bucks Healthcare Trust sites had taken place in light of the Grenfell Tower tragedy; no issues had been identified at this stage

An opportunity for the Committee to ask the Cabinet Member for Health and Wellbeing and the Cabinet Member for Community Engagement and Public Health questions about their portfolios.

Contributors:

Lin Hazell, Cabinet Member for Health and Wellbeing

Noel Brown, Cabinet Member for Community Engagement and Public Health

Lin Hazell, Cabinet Member for Health & Wellbeing and Mr N Brown, Cabinet Member for Community Engagement and Public Health attended the meeting to provide updates on their portfolios.

Dr J O’Grady, Director of Public Health and Ms S Norris, Executive Director of Communities, Health and Adult Social Care were also in attendance.

The Executive Summary of the CHASC Business Unit Plan and the Adult Social Care report that were presented to Cabinet on 26 June 2017 had been circulated to the Committee prior to the meeting.

The following areas were raised and discussed:

• Lin Hazell was questioned on the main priorities in her portfolio.  Lin Hazell stated that the service area would be having an in-depth look at whole service delivery with the need to review all care packages.  It was confirmed that a Transformation Board had been set up in order to monitor the delivery of this programme. 
• The Committee discussed the number of care packages at any one time and how the service user would be consulted in these changes.  Lin Hazell responded that there was 6500-7000 care packages at any one time and consultation with service users would be a mix of interviews, focus groups and one to one consultation.
• It was confirmed that due to the ongoing budget pressures a transformation programme was in place, a Programme Manager had been recruited as a secondment for 18 months.  The programme was currently at the evidence gathering stage.
• A Member of the Committee raised a concern around a local residents suffering from dementia and the help they had been offered.  Lin Hazell confirmed that the case being referred to was being looked into.  It was also mentioned that dementia was a growing condition and more work needed to be done around how these services were delivered and the alternatives available.  The Committee discussed the plans for Libraries going forward; the improvements planned for the Aylesbury Library were currently out for consultation.  The innovative approach to libraries was also discussed referring to other businesses within their premises and creating hubs for the community and the opportunities for more libraries to be run by the community which could include public health service.
• The Committee discussed the Sustainability Transformation Partnerships (STPs), clients were going to be reassessed; it was queried whether this would be done based on their needs and not budget pressures.  It was confirmed that while under the Care Act, overall financial resource needs to be considered, service users would still be assessed on their needs.

• The recent Cabinet Member decision reducing the Public Health budget for the Falls Service; it was noted this could have a detrimental effect on individuals feeling safe and wanting to stay in their own homes for longer which would be counterproductive.  Dr O’Grady advised that the aim was to have early intervention to take the pressure off these services and work was being done with the NHS to see how best to do this.  Dr O’Grady confirmed that the County Council would be  ...  view the full minutes text for item 6.

Buckinghamshire will experience significant housing growth in the forthcoming decades, which will be set out in the District Council Local Plans.  This will have significant impact on the future demand for County Council services.

Each of the County Council’s four Select Committees will be holding themed meetings during July 2017 to investigate whether the County Council is ready for Growth.  The outline scope for this piece of work was agreed by the Transport, Environment and Communities Select Committee on 21st March 2017 and the final scoping document is attached for information.

The focus of this meeting will be around Adult Social Care and Public Health services.

The Health & Adult Social Care Select Committee will be considering the following key areas in its quest to examine the extent to which the County Council is ready for growth.

·         Plans and Strategies for managing demand on adult social care services;

·         Governance;

·         Commissioning of services;

·         Use of data sources to predict and manage future demand on services;

·         Public Health.

Contributors:

Sheila Norris, Executive Director, Communities, Health & Adult Social Care

Jane O’Grady, Director for Public Health

Tracey Ironmonger, Assistant Director for Public Health

Jane Bowie, Director of Joint Commissioning

Ali Bulman, Service Director (ASC Operations)

Lin Hazell, Cabinet Member for Health & Wellbeing, Mr Brown, Cabinet Member for Community Engagement and Public Health, Ms S Norris, Executive Director, Communities, Health & Adult Social Care, Dr J O’Grady, Director for Public Health and Ms J Bowie attended the meeting for Members of the Committee to seek evidence whether the County Council is ready for growth.

The Committee considered the following key areas for planning for Growth in Adult Social Care and Public Health in Buckinghamshire – Plans and Strategies, Governance, Commissioning of services, Use of data sources and Public Health.

Members received a PowerPoint update from the officers in attendance, followed by an opportunity to ask questions. The key findings and recommendations would then be included in a final report to be presented by the TEC Select Committee to Cabinet in October 2017.

Dr O’Grady and Ms Norris took Members through part 1 of the presentation which outlined the impact of Growth on Health and Wellbeing and Public Health.

The following points were raised and discussed:

• The Committee discussed the new homes being built, with less family living space and outside space for communities and how this was to the detriment to the health and wellbeing of children.  Dr O’Grady stated that Public Health were working with developers to ensure community spaces were being considered.
• The Committee discussed the state of the public realm and the need to make these environments safe for all to use.  Dr O’Grady stated that this was a shared problem and they were working with communities and other public sector partners to find solutions. 
• The Committee asked for examples of where Public Health input had an impact on planning developments, Dr O’Grady reiterated Public Health presence on working groups and in discussions with planners but no examples were given
• The Committee also discussed Active Bucks and the funding only being for a limited time.  Dr O’Grady confirmed that although the funding for Active Bucks had stopped, 70% of activities were now self-sufficient and continue to be run
• Provision for the elderly was also discussed and the closure of sheltered housing and the impact that has.  Some examples were raised and Ms Bowie agreed to follow them up with colleagues

ACTION: Ms Bowie

Ms Bowie took Members through part 2 of the presentation which outlined the impact of Growth on Adult Social Care

The following points were raised and discussed:

• The Committee discussed the work to support people to remain in their own homes and the work that needed to be done with families and nurses to help them better understand the support available.  Ms Bowie confirmed that re-enablement figures were not  as strong as they would like them to be therefore this was an area of focus

• The integration of Health and Social Care was also discussed.  A roadmap to 2020 had been to the CHASC Board which included integrating commissioning, governance and back office functions

The Committee asked questions set out under the following headings:

Bucks Strategic Infrastructure Plan

The Committee queried  ...  view the full minutes text for item 7.

The newly established Committee will be holding a workshop on the afternoon of the 25th July to discuss the work programme. The Committee’s work programme will be populated after this and will be agreed at the Committee’s next meeting on the 19^th September.

Items on the agenda for the 19^th September meeting include:

·         A 12 month recommendation monitoring of the Accessibility and Promotion of Services for Adults with Learning Disabilities Inquiry;

·         An opportunity to examine the outcomes of the Care Closer to Home pilot currently being undertaken at Thame and Marlow Community Hospitals;

·         To receive a progress report on the Patient Reported Outcome Measures (PROM) regarding vascular services.

The Committee work programme session took place after the meeting to discuss agenda items for future meetings and possible topics for in-depth inquiries.

Tuesday 19^th September 2017 at 10am in Mezzanine Room 1, County Hall, Aylesbury.

Tuesday 19 September 2017 at 10am in Mezzanine Room 1, County Hall, Aylesbury.  Please note that Members will have a private pre-meeting at 9.30am.