Agenda and draft minutes

Adults and Health Select Committee - Wednesday, 2 November 2022 10.00 am

Contact: Omid Nouri, Scrutiny Officer 

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Items
No. Item

37/22

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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

    Additional documents:

    Minutes:

    Apologies were received from Cllr Chris Farr, Cllr Neil Houston, Cllr Abby King, and Cllr Charlotte Swann.

     

38/22

MINUTES OF THE PREVIOUS MEETING: 5 OCTOBER 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.

     

    To follow following the publication of the draft minutes of the October meeting.

    Additional documents:

    Minutes:

    The minutes to be agreed at the next public meeting on 6 December 2022.

39/22

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:

    Trefor Hogg declared a personal interest as a community representative for Frimley Health and Care Integrated Care System.

40/22

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.

41/22

THE ACCOMMODATION WITH CARE AND SUPPORT STRATEGY PROGRESS UPDATE pdf icon PDF 429 KB

    Purpose of the report: This report provides the Adults and Health Select Committee with an overview of the progress made with the delivery of the Adult Social Care’s Accommodation with Care and Support Strategy.

    Additional documents:

    Minutes:

    Witnesses:

    Liz Uliasz – Deputy Director for Adult Social Care

    Adrian Watson – Programme Director, Adult Social Care (Land & Property)

    Simon Montgomery – Senior Programme Manager for Accommodation with Care and Support Strategy

    Kirsty Gannon-Holmes – Senior Commissioning Manager for Mental Health

    Anna Waterman – Head of Commissioning for Disabilities

    Maria Millwood, Board Director – Healthwatch Surrey

    Dan Stoneman – Head of Commissioning Older People)

     

    Key points raised during the discussion:

    1. The Senior Programme Manager presented slides which provided context to the item (Annex 1) and highlighted the importance of the Accommodation with Care and Support Strategy (AwCSS) in integrating residents into the community and having fulfilled lives.

     

    1. The Chairman asked whether the views received in the consultation about sharing with others were expected. The Senior Programme Manager explained that the views varied dependent on the client group. For those with learning disabilities, it was emphasised that they wanted the choice of living alone or living with others. The shared occupancy option would have facilities for social workers to be present for those with higher needs. In terms of those with mental health issues, single occupancy accommodation would be prioritised as per the views of the consultation.

     

     

    1. A Member queried whether the pandemic had an impact on the progress of the AwCSS and asked about any measures taken to overcome such challenges. The Programme Director explained that the pandemic had minimal effect on the early-stage planning of the programme, as they were still in the preparation stage and conducting due diligence. The greatest impact was on the Pond Meadow site, as procurement of the project was delayed. Acceleration and identification of pipeline sites had continued to take place and the programme was on track to achieve agreed targets. Additional resources to enable this had been secured. In terms of Adult Social Care (ASC) support, the pandemic limited the ability to fully support residents in their new accommodation.

     

    1. A Member enquired about the impact of the cost-of-living crisis on the programme. The Programme Director shared that the rising inflation and increased costs had impacted the cost of construction. Although, financial planning and pre-market testing had included appropriate provision for construction-related inflation. The impact on extra care housing was not known yet. The Senior Programme Manager added that supported independent living was for those with eligible care needs and extra care housing was trying to increase the availability of affordable housing in the sector.

     

    1. In response to a question on the AwCSS’s contribution to the delivery of Surrey Community Vision for 2030, the Senior Programme Manager explained that currently there was too much reliance on residential care which limited independence, especially for those with learning disabilities and autism (LD&A). Therefore, the Strategy linked to empowering communities and tackling health inequalities, as well ensuring no one was left behind. The Deputy Director added that for those with mental health needs, the Strategy involved helping them back into employment and independent living.

     

    1. A Member asked about the affordability of the accommodation. The Programme  ...  view the full minutes text for item 41/22

42/22

SURREY ALL AGE MENTAL HEALTH INVESTMENT FUND PROGRAMME: UPDATE ON PHASING OF IMPLEMENTATION PLANNING pdf icon PDF 236 KB

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    Purpose of the report: To provide an update to the Adults and Health Select Committee on progress since the June 2022 meeting.

    Additional documents:

    Minutes:

    Witnesses:

    Rachel Crossley, Joint Executive Director for Public Service Reform (Surrey County Council and Surrey Heartlands ICS)

    Lucy Clements, Health Integration Policy Lead (Surrey County Council and Surrey Heartlands ICS)

    Kate Barker, Joint Strategic Commissioning Convenor – Children

    Liz Williams, Joint Strategic Commissioning Convenor – Learning Disability and Autism and all age Mental Health

    Clare Burgess, Chief Executive of Surrey Coalition of Disabled People

    Key points raised during the discussion:

    1. The Joint Executive Director explained that the Mental Health Investment Fund (MHIF) was all age and there was delegated authority for both health and the Council, and therefore, it was run as a joint fund. The MHIF did not need to be spent completely in the current financial year (2022-23); some larger procurements may be supported. The first round of the grant process was expected to take place prior to Christmas (2022) and to then run every two to three months. Opportunities could include early help projects for winter pressures. The work would also be linked in with the key neighbourhoods of the Health and Wellbeing Strategy (HWB Strategy).

     

    1. The Chairman asked about other organisations that were approached to be involved in the MHIF and their responses. The Joint Executive Director explained that the Council approached Surrey Heartlands ICS (Heartlands) and Frimley Health and Care Integrated Care System (Frimley). Frimley were supportive but did not have the finances to invest in the fund at the time and the conversation remained open for future opportunities. Heartlands had funding available and contributed £4 million to the fund. District and Borough Councils did not formally want to pursue the opportunity. Community Foundation Surrey was able to raise a substantial amount of funding. Private sector funding was not explored and the Police and Crime Commissioner nor the Chief Constable did not indicate interest.

     

    1. The Chairman asked how the priorities of the MHIF synergised across the organisations involved. The Joint Executive Director explained that the fund was separate to allow focus on the Mental Health Improvement Plan (MHIP), however, prioritises would be assessed against priority two of the HWB Strategy.

     

    1. The Chairman queried whether there were plans to increase the funding available in the MHIF and asked about the length of funding. The Joint Executive Director explained that they were looking at seed funding, where they would get a project off the ground which would enable them to access longer term funding elsewhere. The Council could look to agree a different approach to the ring-fencing of the funding, which would enable more opportunities. The Joint Strategic Commissioning Convenor for Children added that there were two parallel work programmes, one on prevention and one on intervention, but a collaborative decision was taken to merge the work programmes, and this has resulted in improvements.

     

    1. In response to a question on the amount of money available for investment at a time of increasing demand, the Joint Executive Director responded that officers shared the concerns. In terms of prevention work, this money increased the capacity and opportunity. They needed  ...  view the full minutes text for item 42/22

43/22

RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME pdf icon PDF 24 KB

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    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.

44/22

DATE OF THE NEXT MEETING

    The next public meeting of the committee will be held on Tuesday, 6 December 2022 at 10:00am.

    Additional documents:

    Minutes:

    The Select Committee noted that its next meeting would be held on Tuesday, 6 December 2022.