Agenda and minutes
PDF 302 KBContact: Omid Nouri, Scrutiny Officer
Media
| No. | Item |
|---|---|
|
APOLOGIES FOR ABSENCE AND SUBSTITUTIONS
Purpose of the item: To report any apologies for absence and substitutions. Additional documents: Minutes: Apologies were received from Robert Evans, Buddhi Weerasinghe, and Neil Houston. Neil Houston attended the meeting remotely. Jonathan Hulley substituted for Buddhi Weerasinghe.
|
|
|
MINUTES OF THE PREVIOUS MEETINGS: 3 MARCH 2022
Purpose of the item: To agree the minutes of the previous meeting of the Adults and Health Select Committee as a true and accurate record of proceedings. Additional documents: Minutes: The minutes were agreed as a true record of the meeting. |
|
|
DECLARATIONS OF INTEREST
Purpose of the 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. Additional documents: Minutes: Bernie Muir declared a personal interest that her son worked for Surrey Choices. Trefor Hogg declared a personal interest as a community representative for Frimley Clinical Commissioning Group. Frank Kelly declared a pecuniary interest as an employee of Surrey and Borders NHS Foundation Trust. Nick Darby and Sinead Mooney declared a pecuniary interest as a governor for Surrey and Borders NHS Foundation Trust.
|
|
|
QUESTIONS AND PETITIONS
Purpose of the item: To receive any questions
or petitions. NOTES: 1. The deadline for Members’ questions is 12:00pm four working days before the meeting (xxx).
2. The deadline for public questions is seven days before the meeting(xxx).
3. The deadline for petitions was 14 days before the meeting, and no petitions have been received. Additional documents: Minutes: None received. |
|
|
ALL-AGE AUTISM STRATEGY REVIEW
Purpose of the item: To update the Select Committee on progress to deliver the aims and objectives set out in the strategy within the first year of the implementation phase and seek support for continuing the work.
Additional documents: Minutes: Witnesses: Sinead Mooney – Cabinet Member for Adults and Health Hayley Connor – Director for Commissioning (Children, Families and Lifelong Learning) Steve Hook – Assistant Director for Learning Disabilities, Autism and Transition Liz Williams – Joint Strategic Commissioning Convenor (Learning Disabilities and Autism) Clare Burgess – Chief Executive of Surrey Coalition of Disabled People
Key points raised during the discussion:
1. The Assistant Director explained that the strategy was signed off in September 2021 and the report provided an update of the progress to date. During the development of the strategy there had been consultation with the autistic community. Resources of £500,000 had been allocated from the Better Care Fund and additional funding had been secured from NHS England for specific projects. Some projects could be delivered in the first year, whereas others would take longer to deliver.
2. The Chairman asked about co-operation with other partners involved in the strategy. The Assistant Director responded that the foundation of the strategy was based around co-production. The Council would continue to consult with the autistic community throughout the implementation of the strategy. A governance model that included partners was crucial, with senior level officer responsibility and input from those with lived experience. The implementation of the strategy was held across the system and the Implementation Board would monitor gaps.
3. A Member queried the accessibility of the information produced for autistic services. The Assistant Director explained that there were minimum standards that the Council had to reach, such as easy read benchmarks. The Council checked with groups like ATLAS to make sure that the information produced was relevant and easy to understand. The Learning Disabilities and Autism (LD&A) Partnership Board included communication officers with specific expertise.
4. In response to a question on the amount and the timescale of funding from the Better Care Fund, the Assistant Director responded that the funding had been used to recruit to key posts and develop an information strategy and a training programme. Although there was an annual bidding process, officers were confident that they would attract ongoing funding due to the profile and impact of the project. Each partner involved had committed their own resources to deliver on aspects of the strategy that they were responsible for. Successful bids had been made to the NHS, such as funding to improve sensory environments for individuals with autism.
5. A Member asked about the collaboration with other partners to increase awareness and understanding of autism in Surrey. The Director stated that the commissioning function had been integrated with Surrey Heartlands. Raising awareness and understanding of autism was a big element of the consultation and a focus of the first year of the strategy was autism friendly communities and schools. The national and regional autism strategies provided opportunities to learn from others and the autism community brought ideas, such as children and young people suggesting the change in the use of language. The Member highlighted the importance of ethnicity and autism. The Director agreed that equality, ... view the full minutes text for item 23/22 |
|
|
ADULT SOCIAL CARE COMPLAINTS - OCTOBER 2021 TO MARCH 2022
Purpose of the item: To provide a detailed summary of complaints, Ombudsman investigations and compliments in Adult Social Care for the period October 2021 – March 2022. Additional documents: Minutes: Witnesses: Sinead Mooney – Cabinet Member for Adults and Health Liz Bruce – Joint Executive Director for Adult Social Care and Integrated Commissioning (Surrey County Council and Surrey Heartlands ICS) Liz Uliasz – Deputy Director for Adult Social Care Kathryn Pyper – Senior Programme Manager (ASC) Clare Burgess – CEO of Surrey Coalition of Disabled People Maria Millwood – Board Director (Healthwatch Surrey)
Key points raised during the discussion:
1. A Member asked whether there was any explanation as to why the number of complaints were higher in north-west Surrey and Surrey Heath. The Deputy Director explained that they had merged into one area now creating a large patch with higher caseloads. The staff were now better at managing complaints, due to a cultural shift around learning from them.
2. A Member queried whether the officers were satisfied that it was easy to complain. The Deputy Director responded that they were satisfied. They had been working with staff to encourage people to complain and reassuring residents who had doubts about complaining. The website was accessible, and the Council had been using GPs to help to encourage people to complain as well. The Member queried the publicity of learnings from complaints. The Deputy Director explained that in the Council’s response to a complaint, they shared what they have done differently as a result of the complaint and an annual report was published with learnings from complaints. The Joint Executive Director added that as of May 2022, there were over 20,000 cases open on the system. This was positive as it illustrated the engagement of service users.
3. The CEO of Surrey Coalition of Disabled People asked about the involvement of people with lived experiences in the learning space training. The Senior Programme Manager responded that they would welcome that.
4. The Board Director welcomed the section of the report on equality, diversity and inclusion. Healthwatch Surrey met with ASC on a quarterly basis to provide them with user feedback. Healthwatch had undertaken a piece of work on care within the home, through the Giving Carers a Voice contract.
5. A Member asked about plans for more in-depth complaints training for front-line staff. The Deputy Director explained that complaints training was offered, and staff were expected to attend it. Staff had mandatory training related to their job role which would be monitored by their line manager. The Senior Programme Manager explained that the learning space training consisted of monthly 60-minute sessions, with each session looking at a specific theme. The Cabinet Member added that the section on Ombudsman complaints was the most challenging to read but it was important to learn from those case studies.
6. In response to a question on preventing complaints from going to the Ombudsman, the Deputy Director explained that sometimes complaints needed to go to the Ombudsman for an objective view. However, early resolution and talking to residents helped to stop the complaint process at the beginning.
7. A Member asked about the involvement of other agencies ... view the full minutes text for item 24/22 |
|
|
MENTAL HEALTH IMPROVEMENT PROGRAMME (MHIP) STOCKTAKE AFTER 12 MONTHS
Purpose of the item: To provide an update to the Adults and Health Select Committee on the implementation of the 19 improvement recommendations identified during the 2021 independent peer-led review of Surrey's mental health system. Additional documents: Minutes: Witnesses: Sinead Mooney – Cabinet Member for Adults and Health Joanna Killian – Chief Executive of Surrey County Council Liz Bruce – Joint Executive Director for Adult Social Care and Integrated Commissioning (Surrey County Council and Surrey Heartlands ICS) Liz Uliasz – Deputy Director for Adult Social Care Liz Williams – Joint Strategic Commissioning Convenor (LD&A) Kate Barker – Joint Strategic Commissioning Convenor (CFLL) Graham Wareham – Chief Executive of Surrey and Borders Partnership Professor Helen Rostill – Deputy Chief Executive of Surrey and Borders Partnership and Director of Therapies Sally Heath – Director of Business and Innovation (Surrey and Borders Partnership) Patrick Wolter – CEO of Mary Frances Trust Clare Burgess – CEO of Surrey Coalition of Disabled People
Key points raised during the discussion:
Frank Kelly left the meeting for this item.
1. The officers gave a presentation to the Members (Annex 1). The Deputy Director explained that the cost-of-living crisis and the war in Ukraine was impacting on residents’ mental health. Service users’ voices were the focus of the work and recommendations and a whole system response was required.
2. The Director of Business and Innovation shared that the General Practice integrated Mental Health Service (GPimhs) programme had been rolled out to 18 out of 25 sites, with planned for last 7 to go live by end of 2023. GPimhs is currently offering around 20,000 appointments per quarter As a result, there had been a reduction in routine referrals and bounce back. A one team pilot had been developed and early findings had shown reduced waiting times for psychologist services, improved working relationships, and early identification of social care needs. SABP had commissioned a piece of work to understand the resource and capacity across the system and a number of opportunities around resourcing and contracting mechanisms had been identified.
3. The CEO of Mary Frances Trust added that they had a system wide campaign to address the impact of the pandemic, led by a joint mental health communication group. It aimed to reduce the stigma and tackle health inequalities. By diverting five people it would offset the cost of the campaign.
4. The Deputy Chief Executive of SABP emphasised the scale and complexity of the transformation programme. There was significant commitment from all senior stakeholders, but it had not translated into prioritisation, capacity and clarity of purpose. The governance had been fragmented and the right level of expertise was required to drive forward the programme. There was an agreement to share human resources, however, some partners were unable to provide the resource required to continue to deliver the programme. The impact of the pandemic was not declining for mental health and a vision had been lacking as well. The Chief Executive of SABP added that there was a lack of accountability which had now been addressed by the development of the Mental Health System Delivery Board which would govern the programme.
5. The Chairman questioned the clarity of decision-makers. The Chief Executive of SABP confirmed that ... view the full minutes text for item 25/22 |
|
|
RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME
Purpose of the item: For the Select Committee to review the attached recommendations tracker and forward work programme, making suggestions for additions or amendments as appropriate. Additional documents: Minutes: Key points raised during the discussion:
None.
|
|
|
DATE OF THE NEXT MEETING
The next public meeting of the committee will be held on 5 October 2022. Additional documents: Minutes: The Select Committee noted that its next meeting would be held on Wednesday, 5 October 2022.
|