Agenda and minutes

Adults and Health Select Committee OLD - Friday, 14 July 2017 10.30 am

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

Contact: Andy Spragg, Scrutiny Officer

Items
No.	Item
1/17	APOLOGIES FOR ABSENCE AND SUBSTITUTIONS Share this item Minutes: Apologies received from Graham Ellwood, Angela Goodwin, Mark Nuti, Victoria Young, Patricia Wiltshire and Daryll Ratiram. Chris Botten substituted for Angela Goodwin.
2/17	MINUTES OF THE PREVIOUS MEETINGS: SOCIAL CARE SERVICE BOARD, 16 MARCH 2017 AND WELLBEING AND HEALTH SCRUTINY BOARD, 13 MARCH 2017 PDF 637 KB Share this item To agree the minutes of the previous meeting as a true and accurate record of proceedings. The minutes of the last two meetings of the Scrutiny Boards that preceded the Adults and Health Select Committee, the Social Care Services Board and the Wellbeing and Health Scrutiny Board, are included for approval by the Select Committee. Additional documents: Wellbeing and Health Scrutiny Board - 13 March 2017 Minutes v1.0 , item 2/17 PDF 578 KB Minutes: The Minutes of the previous meetings were approved as true and accurate records.
3/17	DECLARATIONS OF INTEREST Share this item 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 made.
4/17	QUESTIONS AND PETITIONS PDF 118 KB Share this item To receive any questions or petitions. Notes: 1. The deadline for Member’s questions is 12.00pm four working days before the meeting *(Monday 10 July 2017).* 2. The deadline for public questions is seven days before the meeting *(Friday 7 July 2017)* 3. The deadline for petitions was 14 days before the meeting, and no petitions have been received. Minutes: The responses to the public and Member questions submitted were noted by the Select Committee. The questions are attached to the minutes as Annex 1. The question author had a supplementary question to the response given to question one: Will the Surrey Heartlands Sustainability and Transformation Partnership (STP) assure the public that it will be the subject to the same or similar memorandum of understanding as the other Accountable Care Systems; ensuring that the STPmoderates demand growth, establishes a single system financial control total and receive a “devolved transformation funding package.” This question was deferred for a more detailed response by the Chairman. The question author had a supplementary question to the response given to question five: Resultant of the proposed changes to the Ambulances service, can the service assure Members that there will be timely ambulance response times to meet patient needs? This was referred to the Clinical Commissioning Group for a response by the Chairman.
5/17	RESPONSES FROM THE CABINET TO ISSUES REFERRED BY THE SELECT COMMITTEE Share this item There were no responses from Cabinet to issues referred by the Select Committee. Minutes: There were no recommendations made to Cabinet and no responses received.
6/17	HOUSING RELATED SUPPORT PDF 206 KB Share this item Purpose of report: Proposals for the future funding of Housing Related Support are explained and the Adults and Health Select Committee is invited to input into this process. Additional documents: Annex 1 - Government Supported Housing Welfare Benefits Reforms , item 6/17 PDF 131 KB Annex 2 - Exempt Accommodation , item 6/17 PDF 130 KB Minutes: Witnesses: Helen Atkinson, Strategic Director of Adult Social Care and Public Health Kathryn Pyper, Senior Programme Manager Adult Social Care Mel Few, Cabinet Member for Adults Matthew Parris, Healthwatch Evidence and Insights Manager Key points raised during the discussion: Officers outlined the proposals in the report. The presentation given by officers to Members has been attached as Annex 1. It was highlighted by officers and the Cabinet Member for Adults that the service was facing significant financial pressures and that they were looking to reduce non-statutory spend in this area. The Committee questioned the potential for service reduction of provision for Housing Related Support and what measures were being taken to safeguard those who would no longer receive support. Officers noted that the service hoped that providers would continue to maintain at least some provision but that the officers and providers were directing those effected to other options, such as the voluntary sector. It was noted by officers that the service was working with providers to outline the changes proposed clearly and also detail where other support can be found. It was noted by officers that providers were being asked to refer those that require assessment to the service. The timeline of the proposal was mapped out, explaining that there was an eight week period of consultation, after which Cabinet will make a decision. If Cabinet agrees the proposals officers would be looking to begin implementation in Oct 2017, with completion in April 2018. Officers suggested that there was an approximate £2.8 million saving from the implementation of the proposals. Officers explained that the eight week provider-led consultation would be held between June 2017 and August 2017. Officers noted that the providers were leading on consultation efforts due to their first-hand experience with service users and their individual requirements. It was also noted that there was an online questionnaire and a service mailbox available to maximise the reach of the consultation. Members questioned whether the results of the consultation would be taken into consideration. The Cabinet Member for Adults stressed that, while the service would seriously consider any consultation results, there was a requirement to reduce non-statutory spend within the service. It was highlighted by officers that a benchmarking exercise had been undertaken between the Surrey offer and other comparable local authorities. It was stressed that most had ceased provision for disabled and older people but had retained some floating support and provision for socially excluded groups. Officers noted that there were accommodation based services available for socially excluded groups. It was also highlighted that there were networks available to identify members of socially excluded groups early. Officers noted that the proposals outlined in this report should not significantly change the situation of socially excluded groups. The representative of Healthwatch Surrey queried whether benchmarking exercises had been undertaken to assess the impact in other comparable local authorities. Officers explained that there was no quantifiable data available to be found from other local authorities and that any feedback from other ... view the full minutes text for item 6/17
7/17	DATE OF THE NEXT MEETING Share this item The next public meeting of the committee will be held Monday 4 September 2017 at County Hall. Minutes: It was noted that the next public meeting of the Committee would be held on 4 September 2017 at County Hall.