Agenda and draft minutes

Social Care Services Board - Thursday, 16 March 2017 10.00 am

Venue: Ashcombe Suite, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions

Contact: Andy Spragg or Richard Plummer 

Items
No. Item

13/17

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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    Minutes:

    Apologies were received from Yvonna Lay, Fiona White and Chris Townsend. Jonathan Essex substituted for Fiona White.

14/17

MINUTES OF THE PREVIOUS MEETING: 20 JANUARY 2017 pdf icon PDF 157 KB

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    To agree the minutes of the previous meeting as a true and accurate record of proceedings.

     

    Minutes:

    The minutes of the previous meeting were approved as a true and accurate record of proceedings.

15/17

DECLARATIONS OF INTEREST

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    All Members present are required to declare, at this point in the meeting or as soon as possible thereafter

    (i)            Any disclosable pecuniary interests and / or

    (ii)           Other interests arising under the Code of Conduct in respect of any item(s) of business being considered at this meeting

    NOTES:

    ·         Members are reminded that they must not participate in any item where they have a disclosable pecuniary interest

    ·         As well as an interest of the Member, this includes any interest, of which the Member is aware, that relates to the Member’s spouse or civil partner (or any person with whom the Member is living as a spouse or civil partner)

    ·         Members with a significant personal interest may participate in the discussion and vote on that matter unless that interest could be reasonably regarded as prejudicial.

     

    Minutes:

    There were no declarations of interest registered.

16/17

QUESTIONS AND PETITIONS

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    To receive any questions or petitions.

     

    Notes:

    1. The deadline for Member’s questions is 12.00pm four working days before the meeting (Monday 13 March).

    2. The deadline for public questions is seven days before the meeting (Friday 10 March)

    3. The deadline for petitions was 14 days before the meeting, and no petitions have been received.

    Minutes:

    There were no questions or petitions received.

17/17

RESPONSES FROM THE CABINET TO ISSUES REFERRED BY THE SCRUTINY BOARD pdf icon PDF 128 KB

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    There was a response from Cabinet dated 31 January 2017 in response to recommendation made 9 December 2016.

     

    This is attached as Annex A.

    Minutes:

    The Board noted the response made by Cabinet on the 31 January 2017 to recommendations made by the Board on the 9 December 2016.

     

18/17

BETTER CARE FUND pdf icon PDF 108 KB

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    Purpose of report:

    To update the Board on the current position of the Better Care Fund (BCF) and on future BCF allocations.

     

    Additional documents:

    Minutes:

    Witnesses:

    Helen Atkinson, Strategic Director for Adult Social Care and Public Health

    Sian Kenny, Transformation and Development Manager, Finance

    Mel Few, Cabinet Member for Adult Social Care, Wellbeing and Independence

    Tim Evans, Cabinet Associate for Adult Social Care, Wellbeing and Independence

    Declarations of interests:

    None

    Key points of discussion:

    1. Officers outlined that there were a number of future Better Care Fund (BCF) allocations. The Board was informed that in addition to the BCF and Improved BCF allocations that a third funding stream had been announced by the Chancellor of the Exchequer on 8 March 2017. It was noted that the service was awaiting guidance from central government regarding the Chancellors announcements.

    2. It was highlighted by officers that the service was forward planning using existing funding streams for 2017/18, due to the recent nature of changes.

    3. Officers noted that the third workstream was estimated to contain approximately £7.5 million which was ring-fenced to fund adult social care (ASC).

    4. It was explained by officers that existing BCF funding streams were financed partially by NHS England, under the stipulation that funding from this source is ring-fenced for ASC. The Improved BCF was a funding stream that came from the Department for Communities and Local Government (DCLG). It was noted that planning guidance and policy had not yet been published for the BCF 2017/18 stream. NHS Clinical Commissioning Groups (CCGs) and Surrey County Council were in discussion regarding funding the financial year ahead.

    5. The Cabinet Member for Adult Social Care, Wellbeing and Independence noted that there was a significant funding gap present in the Improved BCF and that this effected all of the Surrey CCGs. It was also noted that the new funding workstream was also a lower amount than its statistical neighbours.

    6. The Board questioned the reasoning for the lower level of funding than its statistical neighbours. The Cabinet Member for Adult Social Care, Wellbeing and Independence expressed the view that central government had determined that Surrey County Council could independently raise funding for ASC through Council Taxes, rather than requiring substantial additional funding.

    7. Members questioned whether the service could provide a breakdown of the funding allocated through the BCF funding streams per head of those in receipt of ASC, in order to better clarify the funding issue in the service.

    8. The Board questioned whether the service could look into reduction of any non-statutory provisions that did not provide additional social or economic value. Officers stressed that there had been work undertaken to determine the social value of spending and that services had already been decommissioned or recommissioned based on this analysis. However, it was highlighted that the service had worked to reduce the majority of services to their statutory requirements.

    9. Officers noted that the service had reviewed voluntary sector grants with the aim of reducing spend. However, Members raised the concern that the social value of this spend was significant, noting that there was a potential for high return on this investment. It was also stressed by Members that significant numbers of  ...  view the full minutes text for item 18/17

19/17

CORPORATE PARENTING: LEAD MEMBER'S REPORT pdf icon PDF 162 KB

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    Purpose of the report:  Scrutiny of Services

     

    The Lead Member’s annual report provides an overview of the Corporate Parenting Board and its work through the previous year.

    Additional documents:

    Minutes:

    Witnesses:

    Linda Kemeny, Cabinet Member for Schools, Skills and Educational Achievement

    Mary Lewis, Cabinet Associate for Children, Schools and Families
    Clare Curran, Cabinet Member for
    Children and Families Wellbeing

    Sheila Jones, Head of Countywide Services

    Joanna Lang, Children’s Rights Manager (Participation)

    Sophia Hamilton, Apprentice (Children’s Rights)

    Verrity Omonuwa, Apprentice (Children’s Rights)

    Devon Cox, Apprentice (Children’s Rights)

    Jamie-Leigh Clark, Children’s Rights Assistant (Participation)



    Declarations of interests:

    None

    Key points of discussion:

    1. Officers explained to Members that the report was produced by the Corporate Parenting Board, which was chaired by the Cabinet Member for Schools, Skills and Educational Achievement. It was highlighted that the Lead Member for Children’s Services held a statutory responsibility under the Children’s Act 2004 to ensure the provision of services that provide duty of care through Children’s Services.

    2. Officers explained that the service had, in 2016, the largest number of looked after children in Surrey care on record, with a total of 903 children in the care of Surrey County Council. It was also explained that the service had noted a significant number of Unaccompanied Asylum Seeking Children and those who are moving to be care leavers and entering the transition period between childhood and adulthood

    3. It was highlighted by officers that there had been improvements registered in key priority areas, particularly relating to Child Sexual Exploitation (CSE) awareness and response to children who go missing.

    4. It was noted that the service was seeking to encourage care leavers to adopt the “Staying Put” approach of remaining with foster carers post-18. It was noted that there were significant advantages to the wellbeing of the child using this approach, but that it limited carer availability for younger teenagers. It was noted that the recruitment of sufficient foster carers was also a concern within the service.

    5. Officers explained that there were a number of looked after children placed out of county. It was stressed that, in some cases, this was the optimal course of action, however, the service was working to reduce this number where feasible and appropriate. It was noted that Surrey was significantly above the national average of 14% of out-of-county placements and that it had not met its own target of reducing these placements below 20%. Officers acknowledged that more work was required to improve this and that a new strategy to improve this was in development.

    6. It was noted by officers that the service was working to improve educational attainment for looked after children, an area which had been noted as traditionally weaker in Surrey.

    7. Officers highlighted improving practice, noting the Safer Surrey practice guide as a key example and noted that this was working to positively develop overall outcomes.

    8. Officers stressed that the views of those in care and care leavers were taken into account within the service. Children’s Right’s (Participation) apprentices highlighted the Big Survey sent out to looked after children and care leavers to gain insight into experiences of being in care. Officers noted that the return rate for the survey was approximately one  ...  view the full minutes text for item 19/17

20/17

FOSTERING AND ADOPTION SERVICES pdf icon PDF 101 KB

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    Purpose of the report:  Scrutiny of Services

     

    To scrutinise Adoption Agency and Fostering Service activity as presented in the Adoption Agency Report and Statements of Purpose for both services

    Additional documents:

    Minutes:

    Witnesses:

    Sheila Jones, Head of Countywide Services

    Linda Kemeny, Cabinet Member for Schools, Skills and Educational Achievement

    Mary Lewis, Cabinet Associate for Children, Schools and Families
    Clare Curran,
    Cabinet Member for Children and Families Wellbeing

    Declarations of interests:

    None

    Key points of discussion:

    1. Officers outlined that there had been 51 adoption orders made during 2015/16.

    2. Officers explained that there were more Special Guardianship Orders (SGOs) than Adoption orders made in Surrey.

    3. It was noted by officers that central government had set ambitious targets relating to the timeliness of care proceedings and placements for adoption. While it was noted that Surrey was performing better than the national average with regard to this, there was more work that needed to be done to meet these targets..

    4. It was noted that there was a pool of foster carers available within Surrey, but that this pool had not increased over the last financial year. It was noted that there had been some use of agency carers to provide placements for children and to ensure that placements can be made when needed.

    5. It was highlighted that there were a significant number of care leavers in foster care arrangements who “stay put” as set out in central government guidelines, which was a positive feature for the service. However, it was noted that this increased pressures on the pool of foster carers, as a result of foster carers not being available for a longer period of time.

    6. The Cabinet Associate for Children, Schools and Families highlighted that there was a need for more foster carers within Surrey and encouraged the Board to work with the Fostering Recruitment Teams across Surrey to boost foster carer uptake.

    7. It was highlighted by officers that the Council was awarded the Fostering Friendly Employer of the Year 2016 award. The Board stressed that this was a significant achievement and that this news should be circulated to all Members as an example of good practice.

     

    Recommendations:

    The Board notes the report and thanks officers for their input.

     

21/17

SURREY CHILDRENS SERVICES MONTHLY PERFORMANCE COMPENDIUM pdf icon PDF 131 KB

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    Purpose of report: Scrutiny of service

     

    To provide a summary of the performance information used to monitor work and progress in Children’s Services, including work with partners.

     

    Additional documents:

    Minutes:

    Witnesses:

    Liz Ball, Head of Performance and Support

    Linda Kemeny, Cabinet Member for Schools, Skills and Educational Achievement

    Mary Lewis, Cabinet Associate for Children, Schools and Families
    Clare Curran,
    Cabinet Member for Children and Families Wellbeing

    Declarations of interests:

    None

    Key points of discussion:

    1. Officers outlined that they were presenting the January 2017 version of the performance compendium. It was noted that this edition of the compendium noted a spike in contacts received in comparison to more recent reports. It also suggested that re-referral rates had increased. It was suggested by officers that an audit to investigate the causes of these would be completed in March 2017.

    2. It was noted that, based on figures received after January, Child Protection Conference timelines had seen significant improvement, suggesting a positive improvement trajectory.

    3. It was noted that there was close management scrutiny relating to Child Protection visits and that the service expected to see improvement in this area as a result of this.

    4. Officers noted that there was a workforce profile in place to assess caseloads for social workers. It was explained that these were being examined and reviewed by assessment teams to ensure effective case management.

    5. The Cabinet Member for Children and Families Wellbeing stressed that the service provided a monthly dataset which was reviewed by Cabinet Members and officers regularly. It was highlighted that this detailed level of data had not been available to Members and officers previously and that it showed significant improvement in the service’s data gathering skills.

    6. The Board questioned why 82% of assessments were deemed to be requiring improvement. Officers noted that the service was targeting areas of practice that were identified as an issue regularly within audits. It was also noted that there was a workshop hosted to help resolve arising issues. It was noted by the Cabinet Member for Children and Families Wellbeing that the service was self-aware of its shortcomings and were working to continuously improve.

    7. Officers highlighted that the workforce strategy and current cohort of students in the social worker academy were almost ready to enter active service, which was highlighted as a positive step towards resolving current workforce vacancies. It was also noted that there had been a freeze on the recruitment of locum social workers.

    8. The Cabinet Member for Schools, Skills and Educational Achievement highlighted that Early Help had a high service spend, but that it provided value for money in the preventative solutions that it offered, particularly highlighting the Multi-Agency Safeguarding Hub (MASH), which would offer long term savings.

    9. Members queried the allocation of resources and if there were any difficulties in some quadrants of Surrey, particularly highlighting the South East quadrant. The Cabinet Member for Children and Families Wellbeing noted that the MASH allowed for a central collation of resource that had previously not been present, which was working to resolve these issues, but that this was a relatively new resource which required the service to undergo a culture change to see maximum benefit.

    10. Officers noted that the number  ...  view the full minutes text for item 21/17

22/17

CHILDRENS, SCHOOLS AND FAMILIES COMMISSIONING PLAN 2017 - 2022 pdf icon PDF 196 KB

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    Purpose of report: To engage, inform and seek endorsement from the Social Care Services Board on the Children, Schools and Families Commissioning Plan 2017-22.

     

    Additional documents:

    Minutes:

    Witnesses:

    Garath Symonds, Assistant Director for Commissioning and Prevention

    Linda Kemeny, Cabinet Member for Schools, Skills and Educational Achievement

    Mary Lewis, Cabinet Associate for Children, Schools and Families
    Clare Curran,
    Cabinet Member for Children and Families Wellbeing

    Declarations of interests:

    None

    Key points of discussion:

    1. Officers offered Members an outline of the Children, Schools and Families (CSF) Commissioning Plan. It was highlighted that income for the service had been reduced and that overall unit costs were increasing for resources. The service, in response to these challenges was developing a Commissioning Plan to respond to these pressures and more efficiently target resources to fit need. It was stressed by officers that this plan was in draft form as of March 2017.

    2. Members questioned the sustainability of the CSF Commissioning Plan and whether the planned savings were enough to maintain the service. Officers stressed that the financial situation was a complex one, but officers and the Cabinet Member for Schools, Skills and Educational Achievement assured Members that savings were being made within the service and that significant savings prospects had been identified, but that the service was working to identify further opportunities.

    3. It was noted after questioning by the Board that the service was working to present savings data more coherently in future to ensure transparency.

    4. Officers highlighted that market management was a key aspect of the CSF Commissioning Plan and that the service was looking closely at working in partnership with providers to reduce costs. Members highlighted concerns regarding possible loss of quality of service, however officers stressed that the service was looking into working closely with providers to provide a quality service at a reasonable cost. It was explained that some providers had expressed the wish to work more closely in this way to help deliver key services.

    5. It was highlighted by officers that a workstream was underway with regard to demand management, particularly highlighting the Early Help “cusp of care” programme as an example of work undertaken in this area.

    6. Members queried the potential danger of poorer outcomes for children as a result of the redistribution of resources. It was stressed by Members that the service needed to consider the outcomes for children as a primary concern. Officers highlighted that this was a key aspect of the CSF Commissioning Plan. It was also noted that the service had a key role in a child’s wellbeing, in conjunction with parents and communities.

    7. It was noted that the service was developing a “Family Hub” model, recommended by the Children’s Commissioner for England, of integration of services for children and families. It was highlighted that this scheme would work to reduce costs, through a net reduction in assets, but provide better outcomes for children through an improved and integrated service.

    8. The Cabinet Member for Children and Families Wellbeing noted that the service could use the opportunity presented by the CSF Commissioning Plan to look into developing stronger ties with the Voluntary, Community and Faith Sector and provide a more integrated an effective  ...  view the full minutes text for item 22/17

23/17

RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME pdf icon PDF 158 KB