Agenda and minutes

Adults and Health Select Committee - Wednesday, 20 October 2021 10.00 am

Venue: Council Chamber, Woodhatch Place

Contact: Ben Cullimore, Scrutiny Officer 

Media

Items
No. Item

21/21

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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

    Additional documents:

    Minutes:

    Apologies were received from Neil Houston, Rebecca Jennings-Evans, David Lewis and Vicki Macleod.

22/21

MINUTES OF THE PREVIOUS MEETING: 3 MARCH 2021 pdf icon PDF 267 KB

23/21

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 Clinical Commissioning Group.

     

    Frank Kelly declared a pecuniary interest as an employee of Surrey and Borders Partnership NHS Foundation Trust. It was agreed that he would withdraw from the meeting when Item 7 was discussed.

     

    Carla Morson declared a personal interest as a relative of a Frimley Park Hospital employee.

24/21

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 (14 October 2021).

     

    2.    The deadline for public questions is seven days before the meeting(13 October 2021).

     

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

    Additional documents:

    Minutes:

    None received.

25/21

ENABLING YOU WITH TECHNOLOGY TRANSFORMATION PROGRAMME pdf icon PDF 171 KB

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    Purpose of the item: To update the Adults and Health Select Committee on the Enabling You with Technology (Technology Enabled Care) Transformation Programme.

    Additional documents:

    Minutes:

    Witnesses:

     

    ·         Toni Carney – Head of Resources (Adult Social Care)

    ·         Nick Markwick – Co-Chair, Surrey Coalition of Disabled People

    ·         Sinead Mooney – Cabinet Member for Adults and Health

     

    Key points raised during the discussion:

     

    1.    The Head of Resources (Adult Social Care) introduced the report and explained that Surrey County Council did not have a history of routinely using technology to support people and that the current providers were largely the district and borough councils. They went on to explain that the aim of the Enabling You With Technology Transformation Programme was not to use one type of technology but to offer a whole range to help support people with varying needs.

     

    2.    Members heard that the Enabling You With Technology Transformation Programme started with Design Phase 1, which involved a pilot with Mole Valley District Council. Outlining the programme’s next steps, the Head of Resources (Adult Social Care) informed the Select Committee that Phase 2, which started in September 2021, would involve testing the technology and monitoring platform on a larger scale to better understand the impact that would have on not just the people being supported but also workforce. Phase 3, they went on to explain, was scheduled to take place in early 2022 and would involve developing and trialling a mobile wellbeing response service and self-funder model. Phase 3 would also involve working directly with the Council’s Learning Disabilities and Autism and Mental Health services to pilot further technology-enabled care solutions.

     

    3.    The Cabinet Member for Adults and Health added that the aim of the programme was to increase choice and the quality of care available to residents, which was one of their main strategic priorities. They went on to congratulate officers for their positive approach and spoke highly of the engagement that the Council had been having with Frimley and Surrey Heartlands Integrated Care Systems.

     

    4.    Responding to a question regarding work that was to be undertaken with the Learning Disabilities and Autism Service and how deeply embedded technology-enabled care solutions were likely to be, the Head of Resources (Adult Social Care) explained that the purpose of the pilot was to explore what could be done in supported living spaces, as these presented unique challenges. The aim of Phase 3 would be to learn what worked best for individuals in those settings. The Cabinet Member for Adults and Health added that they would be looking to tailor the technology-enabled care package around those needs, and it was suggested that a site visit should be organised for the Select Committee so Members could see what technology-enabled care solutions looked like in action.

     

    5.    The Co-Chair of the Surrey Coalition of Disabled People asked how officers were planning to move forward the overseeing of data and dashboards by home care providers, what was being done to explain to people the way in which the technology worked and how data was being used, and what was being done to get buy in from other district and borough councils in  ...  view the full minutes text for item 25/21

26/21

COVID-19 RECOVERY PROGRAMMES AND PREPARATION FOR WINTER PRESSURES pdf icon PDF 224 KB

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    Additional documents:

    Minutes:

    It was agreed that Items 6a and 6b would be considered together as they related to the same topic.

     

    Witnesses:

     

    ·         Dr Charlotte Canniff – Clinical Chair, Surrey Heartlands CCG

    ·         Helen Coe – Director of Recovery and Transformation, Surrey Heartlands ICS

    ·         Jo Hunter – Deputy Director of Recovery and Transformation, Surrey Heartlands ICS

    ·         Nick Markwick – Co-Chair, Surrey Coalition of Disabled People

    ·         Nikki Mallender – Director of Primary Care, Surrey Heartlands CCG

    ·         Dr Pramit Patel – Primary Care Network Lead, Surrey Heartlands CCG

    ·         Kate Scribbins – Chief Executive, Healthwatch Surrey

    ·         Fiona Slevin-Brown – Executive Lead for Urgent and Emergency Care, Frimley CCG

    ·         Simon White – Executive Director of Adult Social Care, Surrey County Council

    ·         Patrick Wolter – Chief Executive Officer, Mary Frances Trust

    ·         Paul Young – Portfolio Lead for Health and Social Care Integration, Surrey Heartlands ICS & Surrey County Council

     

    Key points raised during the discussion:

     

    1.    The Director of Recovery and Transformation introduced the report and explained to the Select Committee that Frimley and Surrey Heartlands Integrated Care Systems (ICSs) were working closely together to recover services and deal with the significant pressure the health service was currently under.

     

    2.    A Member started by thanking health and care staff for all of their hard work throughout the Covid-19 pandemic. They then asked what mental health support was being offered to members of staff, as well as support relating to abuse they might receive from the public. In response, the Director of Recovery and Transformation explained that a self-help website had been made available to all staff, alongside crisis support and the delivery of approximately 1,500 wellbeing workshops. Regarding abuse, conflict resolution and customer care training was on offer to all staff. They went on to say that exhaustion and burnout, anxiety about returning to the office, and the management of Long Covid were all issues of concern that had been raised by staff. Personal risk assessments had been conducted for all members of staff, and a zero tolerance policy was in the process of being developed.

     

    3.    Responding to a question on what measures were in place to deal with potential staff absences and the pressures that these could place on the health system, the Director of Recovery and Transformation explained that a system-wide call was currently held each weekday at 9am at which operational issues were discussed, and this would take place seven days a week from 1 November. Mutual aid was offered to all hospitals, staff were reduced in some areas to deal with pressures elsewhere, and they had access to agency and bank personnel to help with absences when needed. The whole system had been working hard to support one another.

     

    4.    Referencing Paragraph 33 of the Surrey Heartlands report, a Member asked about the specific measures being put in place to deal with possible greater demand on Intensive Therapy Units over the winter months. In response, the Director of Recovery and Transformation said that a review had been undertaken on what was done in first  ...  view the full minutes text for item 26/21

27/21

UPDATE ON THE IMPLEMENTATION OF MENTAL HEALTH TASK GROUP RECOMMENDATIONS pdf icon PDF 428 KB

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    Purpose of the item: To provide the Adults and Health Select Committee with an update on progress in implementing the recommendations of the Mental Health Task Group, which was established to map the individual and carer’s journey through adult mental health services in Surrey.

    Additional documents:

    Minutes:

    Witnesses:

     

    ·         Andy Erskine – Deputy Chief Operating Officer, Surrey and Borders Partnership NHS Foundation Trust

    ·         Immy Markwick – Mental Health Lead, Independent Mental Health Network

    ·         Sinead Mooney – Cabinet Member for Adults and Health

    ·         Professor Helen Rostill – Deputy Chief Executive & Director of Therapies, Surrey and Borders NHS Foundation Trust

    ·         Liz Uliasz – Assistant Director of Mental Health, Surrey County Council

    ·         Patrick Wolter – Chief Executive Officer, Mary Frances Trust

     

    Key points raised during the discussion:

     

    Frank Kelly left the meeting for the duration of the item.

     

    1.    In response to a Member’s question regarding support, funding and resourcing for the work of the Mental Health Improvement Plan, the Deputy Chief Executive & Director of Therapies explained that there was a cross-sector commitment to deliver improvement to mental health services, and these were being driven forward through a range of schemes and initiatives that showcased an improvement in collaborative working. Financially, there was an ongoing commitment to funding under the NHS Long-Term Plan, and mental health investment was received through the 2020 spending review. The Deputy Chief Executive & Director of Therapies went on to say that a review was underway to look at the resourcing of mental health services in Surrey, and as part of this they would look at issues around the sufficiency, use and distribution of funding, as well as value for money and effectiveness. They also added that a second Mental Health Summit would be taking place in December 2021 after being discussed at a meeting of the Health and Wellbeing Board in June 2021. The Select Committee then heard from the Assistant Director of Mental Health, who reiterated her commitment to supporting, funding and resourcing mental health services and spoke about how refreshing it was to see joined up working happening at all levels.

     

    2.    A Member asked about support being given to smaller third sector organisations and was told by the Assistant Director of Mental Health that this was part of the work that was being done around the Alliance model to ensure that everyone involved, including residents, had an equal voice. The Cabinet Member for Adults and Health added that she was committed to taking the Alliance forward and discussing at the Mental Health Summit what could be done to make sure that third sector organisations had every opportunity for their voices to be heard.

     

    3.    The Mental Health Lead of the Independent Mental Health Network spoke about the current availability of the General Practice Integrated Mental Health Service/Mental Health Integrated Community Services (GPIMHS/MHICS) being based primarily around the north and north-west parts of Surrey, and that there was a lack of availability in the south and south-east. They went on to say that there was an issue with people experiencing mental health crises being taken to A&E, despite this not being an appropriate setting for them. In response, the Deputy Chief Operating Officer explained that very few people experiencing mental health crises were taken directly Safe Havens by ambulances and were instead being  ...  view the full minutes text for item 27/21

28/21

ESTABLISHMENT OF A HEALTH INEQUALITIES TASK GROUP pdf icon PDF 139 KB

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    Purpose of the item: To propose the establishment of a Health Inequalities Task Group based on the attached draft scoping document.

    Additional documents:

    Minutes:

    Key points raised during the discussion:

     

    None.

     

    Recommendations:

     

    The Select Committee:

     

    1.    Reviewed and commented on the draft scoping document of the Task Group

    2.    Approved the membership of the Task Group

29/21

APPOINTMENT OF A NAMED STANDING OBSERVER AND SUBSTITUTE FOR THE HAMPSHIRE TOGETHER JOINT HEALTH OVERVIEW AND SCRUTINY COMMITTEE pdf icon PDF 130 KB

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    Purpose of the item: To appoint a named standing observer and substitute for the Hampshire Together Joint Health Overview and Scrutiny Committee.

    Additional documents:

    Minutes:

    Key points raised during the discussion:

     

    The Chairman informed the Select Committee that Carla Morson had put herself forward for the role of substitute.

     

    Recommendations:

     

    The Select Committee agreed to appoint Trefor Hogg as standing observer for the Hampshire Together Joint Health Overview and Scrutiny Committee and Carla Morson as substitute.

30/21

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.

     

    Recommendations:

     

    The Select Committee noted the Recommendations Tracker and Forward Work Programme.

31/21

DATE OF THE NEXT MEETING

    The next public meeting of the committee will be held on 16 December 2021.

    Additional documents:

    Minutes:

    The next meeting of the Select Committee will be held on 16 December 2021.