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.
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.
For
the Select Committee to receive reports on the measures put in
place across the health system to mitigate against pressures during
the 2022-23 winter period.
Liz
Bruce – Joint Executive Director for Adult Social Care and
Integrated Commissioning (Surrey County Council and Surrey
Heartlands ICS)
Ben Hill – Director of
Urgent Care (Surrey Heartlands ICS)
Dr Charlotte Canniff
– Joint Chief Medical Officer (Surrey Heartlands
ICS)
Jo Hunter –
Deputy Director of Recovery (Surrey Heartlands ICS)
Nikki Mallinder –
Director of Primary Care (Surrey Heartlands ICS)
Dr Pramit Patel – Primary
Care Network Leader (Surrey Heartlands ICS)
Dr Helen Rostill
– Deputy Chief Executive and Director of Therapies (Surrey
and Borders Partnership)
Daryl Gasson –
Executive Place Managing Director (NHS Frimley)
Stephen Dunn –
Director of System Delivery and Place (NHS Frimley)
Mark Eley –
Deputy Director of Operations (South East Coast Ambulance Service
NHS Foundation Trust)
Helen Wilshaw-Roberts
– Strategic Partnerships Manager (South East Coast Ambulance
Service NHS Foundation Trust)
Maria Millwood –
Non-Executive Director (Healthwatch Surrey)
Key
points raised during the discussion:
Witnesses from Surrey
Heartlands and the South East Coast Ambulance Service (SECAmb)
presented slides (Annex 1). Witnesses from NHS Frimley also
presented slides (Annex 2).
A Member asked about
the implications of the ICS restructuring on preparations for
winter this year (2022). The Joint Chief Medical Officer
(Heartlands) explained that there should be limited implications if
all partners worked together to create the capacity required. The
Director of System Delivery and Place (Frimley) added that NHS
Frimley were developing a five-year strategy which involved
significant stakeholder engagement during the summer regarding
working together on collective priorities.
A Member queried the
measures in place to support the mental health of staff during a
period of increased pressure on the system. The Deputy Chief
Executive of Surrey and Borders Partnership (SABP) explained that
the system approach in place was the wellbeing hub which all staff
could access. Individual organisations were now considering the
cost-of-living crisis and how to support staff through that. SABP
had also been linking in with other organisations to support their
employee assistance schemes.
In response to a
question on the fragility of the workforce, the Deputy Director of
Operations (SECAmb) explained that they were aiming to reach 2,555
frontline staff by March 2023. SECAmb currently had approximately
2,150 frontline staff, with 150 in training. There had been a small
reduction in overtime and the Deputy Director explained that it was
about being able to achieve balance and not exhausting staff,
whilst still offering the opportunity to earn extra money. Thus,
the overtime hours made available were reviewed weekly. New avenues
for recruitment had been developed and there had been international
recruitment events targeting trained staff.
A Member queried
whether the countries SECAmb were recruiting trained staff from
were also short of staff. The Deputy Director of Operations
(SECAmb) explained that they were recruiting from countries where
they trained more staff than they were able to recruit. The Member
asked at what stage SECAmb would be fully staffed. The Deputy
Director responded by this time next year (October 2023), the
resources were planned to reach the target number of
...
view the full minutes text for item 32/22
Purpose of the report: To
update the Adults and Health Select Committee on the Enabling You
with Technology (Technology Enabled Care) Transformation
Programme.
Toni Carney – Head of
Resources, Adult Social Care
Stu Cole – Independent
Living Manager, Mole Valley Life (Mole Valley District
Council)
Key points
raised during the discussion:
The Head of Resources
presented slides to provide context and a historical understanding
of the programme (Annex 3).
A Member asked
whether there were any additional plans to involve users and their
carers in any potential future design phases or technology trials.
The Head of Resources and Performance explained that the plans
around cascade were to expand the use of it. There were a couple of
pilots such as, putting cascade in step-down facilities. The Member
asked whether there was training to help those who struggled with
using technology. The Head of Resources explained that they linked
in with Surrey Coalition of Disabled People, as they provided tech
angels and Adult Social Care (ASC) would like to do more work in
this area.
A Member enquired
about the advantages and disadvantages of District and Borough
Councils (D&Bs) outsourcing their monitoring to external
agencies. The Independent Living Manager explained that the ability
of Mole Valley District Council to have their own alarm receiving
centre provided more opportunities with the pathway and an
advantage was being able to grow their own technology. The Head of
Resources added that the Council had secured agreement with all of
the D&Bs who had signalled that they wanted to work with the
Council using the same technology. The Member asked whether there
was any resistance from any of the D&Bs. The Head of Resources
shared that there was not resistance, however, hard work was
required to secure agreement. Waverley Borough Council was the only
Council without agreement as of yet.
The Chairman asked
about the maintenance of the technology and whether it captured
data. The Independent Living Manager explained that the two issues
had been around the batteries, which had been resolved recently,
and the sensors, which they had taken learnings from. Overall, the
technology was reliable. There was ongoing work with cascade about
how the data comes in and how it could be reported to capture the
most from the technology.
In response to a
question on privacy of the technology, the Head of Resources
informed committee Members that staff explained to the users at the
outset that there were no cameras or microphones in the technology.
It was common for people to feel apprehensive about monitoring.
There had been a couple of instances where people changed their
mind and consent was crucial to the work. Occasionally, sensors had
been installed as a best interest decision for that individual, but
this was not the norm.
A Member queried
whether there were any funding opportunities following March 2023.
The Head of Resources explained that there was sufficient funding
for the technology, and this would come out of the ASC budget for
those with eligible care needs. The technology could have a
positive impact on reducing costs for ASC. Regarding the responder
service, ASC were ...
view the full minutes text for item 33/22
Liz
Bruce – Joint Executive Director for Adult Social Care and
Integrated Commissioning (Surrey County Council and Surrey
Heartlands ICS)
Dr Helen Rostill – Deputy Chief Executive and Director
of Therapies (Surrey and Borders Partnership)
Jonathan Perkins
– Independent Chair of Mental Health System Delivery Board
(Surrey)
Tim Beasley –
Programme Director, Mental Health Improvement Programme (Surrey and
Borders Partnership)
Toby Avery – Lead for the
Mental Health Improvement Programme Digital and Data Workstream and
Chief Digital & Information Officer (Surrey and Borders
Partnership)
Liz Williams – Joint
Strategic Commissioning Convener, Learning Disability and Autism
and all age Mental Health
Kate Barker – Joint
Strategic Commissioning Convener, Children and all age Mental
Health
Clare Burgess – Chief
Executive, Surrey Coalition of Disabled People
Patrick Wolter –
Chief Executive, Mary Frances Trust
Key points
raised during the discussion:
Cllr
Frank Kelly left the meeting.
The Joint Executive
Director (Heartlands and SCC) presented slides (Annex 4),
emphasising that it was about phasing the existing plan, not making
a new one. The Lead for the Mental Health Improvement Programme
(MHIP) Digital and Data Workstream added that there were a number
of strategic challenges regarding technology, and they were working
to align technology with the service needs. The Independent Chair
of the Mental Health System Delivery Board explained that there was
a reset of governance in July 2022, whereby the priorities and
scope of the work of the Board were set. There were now the right
people on the Board to resolve issues of the plan and to move
forward with clear accountability.
The Chairman noted
that it was difficult to scrutinise the MHIP without the
appropriate data or parameters of the priorities. The Joint
Strategic Commissioning Convener for Learning Disability and Autism
(LD&A) and all age Mental Health (SCC) explained that the Joint
Strategic Needs Assessment was due to come to the Mental Health
System Delivery Board in November 2022 which would provide data to
support the priorities. The Joint Executive Director (Heartlands
and SCC) shared that there were going to be whole system workshops
looking at the financials across the system and what the operating
model needed to be to stay within the financial envelope. There
were also going to be quality and performance sessions to look at
risks and quality, as well as understanding the pressures and
finances to provide business as usual. The Joint Strategic
Commissioning Convener for Children and all age Mental Health (SCC)
added that there was work underway to identity activities and
programmes which could have been badged as actions of the programme
that could have greater benefits if done at scale and the outcomes
recorded.
A Member asked about
the system-wide cooperation that has occurred to help develop
technology for mental health services. The Lead for the Mental
Health Improvement Programme Digital and Data Workstream (SABP)
shared that there was a disconnect between partners in relation to
technology this time last year. Since then, there had
...
view the full minutes text for item 34/22
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.
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