Agenda and minutes

Adults and Health Select Committee - Thursday, 16 February 2023 10.00 am

Contact: Omid Nouri, Scrutiny Officer 

Media

Items
No. Item

1/23

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

    Purpose of the item: To report any apologies for absence and substitutions.

    Additional documents:

    Minutes:

    Apologies were received from Angela Goodwin, Neil Houston, Frank Kelly, Robert Evans, and David Lewis.

    Robert Hughes substituted for Rebecca Jennings-Evans.

     

2/23

MINUTES OF THE PREVIOUS MEETING: 6 DECEMBER 2022 pdf icon PDF 934 KB

    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 of the Adults and Health Select Committee held on 6 December 2022 were formally agreed as a true and accurate record of the meetings.

     

3/23

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:

    None received.

4/23

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 (Friday, 10 February 2023).

     

    2.    The deadline for public questions is seven days before the meeting(Thursday, 9 February 2023).

     

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

    Additional documents:

    Minutes:

    None received.

     

5/23

ACCESS TO NHS DENTAL SERVICES IN SURREY pdf icon PDF 749 KB

    Purpose of the item: To advise the Committee of the current position regarding access to NHS Dental services in the county and actions being taken to improve access.

    Additional documents:

    Minutes:

    Witnesses:

    Mark Nuti, Cabinet Member for Adults and Health

     

    Liz Bruce, Joint Executive Director, Adult Social Care and Integrated Commissioning

    Hugh O’Keeffe, Senior Commissioning Manager Dental

    Lillian Nigrelli, Senior Delegated Commissioning Transition Manager, Dental Contracts Surrey Heartlands Integrated Care Systems (ICS)

    Rachael Graham, Director of Non Acute and Primary Care Contracts, Surrey Heartlands Integrated Care Systems (ICS)

    Nicola Airey, Director of Commissioning and Assurance, SRO Delegated Commissioning, Frimley Integrated Care Board (ICB)

    Rachel Thompson, Associate Director Primary Care Transformation, Lead Commissioner Dentistry Frimley Integrated Care Board (ICB)

    Key points raised during the discussion:

     

    1. The Chairman asked what could be done to record information about residents who had tried and failed to access dental services. The Director of Commissioning and Assurance (SRO) explained that a consultation and engagement process with local communities had not yet taken place, however it was expected that the implementation of methods similar to those underway in other areas in addition to collaboration with partners with established links into communities would take place. The Director of Commissioning and Assurance (SRO) added that the link between deprivation and access to dental services required a commitment to engage with communities and welcomed any suggestions from Members regarding this.

     

    1. The Chairman said that understanding the number of people that had failed to access dentistry was essential to recognise the size of the issue and asked why dentists were not required to record the number of people being turned away. The Chairman also suggested that the current opening hours of dental surgeries could result in some people not being able to access treatment. The Director of Commissioning and Assurance (SRO) explained that what could be mandated of dentists was influenced by the national dental contract. The Senior Commissioning Manager, Dental said that dentists were mandated to collect the data of patients treated to record the activities being delivered with no requirement to collect the data of those turned away, however the NHS contact centre did record and report on people that had made contact because of difficulties in accessing dentistry. Following a request from the Chairman, The Senior Commissioning Manager, Dental agreed to provide this data to the Select Committee including surveys of work being undertaken by partners in this area. Action – Senior Commissioning Manager, Dental/ Director of Commissioning and Assurance (SRO)

     

    1. A Member, in referring to the new commissioning arrangements for dentistry outlined in the report, asked how effective the delegation agreement between NHS England and the Integrated Care Boards (ICB) was expected to be. The Director of Non Acute and Primary Care Contracts, Surrey Heartlands Integrated Care System (ICS) explained that the agreement would define the roles and responsibilities of the ICB’s with NHS teams continuing to deliver services, impart experience to the ICB’s and afford the opportunity to bring commissioning closer to the patient, focusing on the provision and improvement of services for those in greatest need.

     

    1. A Member asked how long it could be expected for NHS England officials to work with the ICB’s as referenced  ...  view the full minutes text for item 5/23

6/23

CHILDREN AND YOUNG PEOPLE'S EMOTIONAL WELLBEING AND MENTAL HEALTH pdf icon PDF 705 KB

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    Purpose of the item: To provide an update to Adults and Health Select Committee and the Children, Families, Lifelong Learning & Culture Select Committee on Children’s emotional wellbeing and mental health (EWMH) and the services provided in Surrey.

     

    Additional documents:

    Minutes:

    Witnesses:

    Mark Nuti, Cabinet Member for Adults and Health

     

    Sinead Mooney, Cabinet Member for Children, Families and Lifelong Learning

    Clare Curran, Cabinet Member for Education & Learning

    Maureen Attewell, Deputy Cabinet Member for Children and Families

    Rachael Wardell, Executive Director for Children, Families and Lifelong Learning

    Liz Bruce, Executive Director, Adult Social Care and Integrated Commissioning

    Hayley Connor, Director for Commissioning, Children, Families, and Lifelong learning.

    Kerry Clarke, Children and Young People (CYP) Head of Emotional, Mental Health & Wellbeing Commissioning

    Lisa Andrews, Public Health Principal

    Fadzai Tande, Assistant Director, Learning Disabilities and Autism (LDA) & Transition

    Graham Wareham, Chief Executive, Surrey and Borders Partnership NHS Foundation Trust (SABP)

    Trudy Mills, Executive Director for Children's Community Services, Surrey and Borders Partnership NHS Foundation Trust (SABP)

    Jess Thom, Programme Director, Mindworks

    Ann Kenney, Independent Chair of Surrey Wellbeing Partnership

    Olivia Davenport – Assistant Manager for the User Voice and Participation Team

    Ethan Brooke – User Voice and Participation Apprentice

     

    Key points raised during the discussion:

     

    1. The Chairman asked if bullying was dealt with at an early enough stage. The User Voice and Participation Team Apprentice confirmed that common feedback from young people included reports that schools did not take reports of bullying seriously enough and that colleges lacked bullying support.

     

    1. The Chairman, in noting the low participation in Safe Havens, questioned the barriers to people attending and asked if more communications about the Safe Havens was required. The User Voice and Participation Team Apprentice confirmed that feedback had shown that some of those that would benefit from attending the Safe Havens found it difficult and expensive to travel to the existing locations and an Action Card had been raised to incorporate more locations as a result. The User Voice and Participation Team Apprentice agreed that wider communications could increase awareness.

     

    1. A Member questioned how communications about the mental health support available for young people could be improved. The User Voice and Participation Team Apprentice said that awareness could be widened by having frequent and increased communications in schools and colleges.

     

    1. A Member asked what travelling distance to Safe Havens would be appropriate as this could inform decisions about the number of Safe Havens required. The User Voice and Participation Team Apprentice was unsure of the appropriate distance but noted that cost of travel also impacted young people’s ability to attend the Safe Havens.

     

    1. The Chairman asked what were the difficulties faced by young people with autism and mental health issues combined. The Assistant Manager for the User Voice and Participation Team UVP Team said that young people wanted their mental health and neurodevelopmental issues or disabilities to be considered holistically and as a whole. The User Voice and Participation Team Apprentice offered to share feedback to the Committee by email if required.

     

    1. A Member queried the level of engagement with young people not in education, training or employment and asked what could be done to increase engagement with this cohort. The User Voice and Participation Team Apprentice said that services reaching out to these  ...  view the full minutes text for item 6/23

7/23

RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME pdf icon PDF 24 KB

8/23

DATE OF THE NEXT MEETING

    The next public meeting of the committee will be held on Thursday, 13 April 2023 at 10:00am.

    Additional documents:

    Minutes:

    The Committee noted its next meeting would be held on 13 April 2023.