Councillors and committees

Agenda and minutes

Venue: REMOTE & INFORMAL MEETING

Contact: Ben Cullimore, Scrutiny Officer 

Media

Items
No. Item

1/22

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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

    Additional documents:

    Minutes:

    Apologies were received from Darryl Ratiram and Buddhi Weerasinghe.

     

2/22

MINUTES OF THE PREVIOUS MEETING: 16 DECEMBER 2021 pdf icon PDF 200 KB

    Purpose of the item: To review the minutes of the previous meeting. The minutes will be formally agreed as a true and accurate record of proceedings at the next public meeting of the Select Committee.

    Additional documents:

    Minutes:

    The minutes were reviewed. The minutes were to be agreed at the next public meeting on 3 March 2022.

     

3/22

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 Clinical Commissioning Group.

     

    Frank Kelly declared a non-prejudicial pecuniary interest as an employee of Surrey and Borders Partnership NHS Foundation Trust.

     

4/22

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 (Monday, 10 January).

     

    2.    The deadline for public questions is seven days before the meeting(Friday, 7 January).

     

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

    Additional documents:

    Minutes:

    None received.

     

5/22

ADULT SOCIAL CARE TRANSFORMATION PROGRAMMES BI-ANNUAL REVIEW pdf icon PDF 1 MB

    Purpose of the item: To provide a progress update on the programmes which make up the ASC transformation programme and to share the ambition for 2022/23.

    Additional documents:

    Minutes:

    Witnesses:

     

    • Sinead Mooney – Cabinet Member for Adults and Health
    • Liz Uliasz – Deputy Director of Adult Social Care
    • Kathryn Pyper – Senior Programme Manager, Adult Social Care
    • Sue Murphy – CEO, Catalyst
    • Immy Markwick – Mental Health Lead, Independent Mental Health Network

     

    Key points raised during the discussion:

     

    1. The Senior Programme Manager introduced the report and highlighted the scale of the Transformation Programmes, which covered seven areas of Adult Social Care (ASC). An overview of each of the Transformation Programmes was provided to the Select Committee Members. The Transformation Programmes were designed to deliver savings of £8.7 million in the 2021/22 financial year and it was expected that just over £5 million of those would be achieved. This was largely a consequence of the impacts of the COVID-19 pandemic on care packages. ASC had bid for £3.3 million of funding which would be used to invest in achieving financial benefits of £13.8 million. The progress of each Transformation Programme was robustly monitored by the ASC Leadership Team.  

     

    1. A Member asked whether other areas in ASC would receive reduced funding, in attempt to achieve the efficiencies which the Transformation Programmes were unlikely to fulfil. The Member also questioned whether the assumption of investment to produce financial benefits had been factored into the plans from the start. The Deputy Director of ASC explained that the focus was on remodelling delivery of services, rather than delivering financial cuts. The most appropriate outcomes for service users were the priority. The Cabinet Member for Adults and Health highlighted that the Transformation Programmes were about developing the Council’s offer through improving the quality of care and developing options for service users.

     

    1. A Member enquired about how realistic the expected benefits were, given the continuing impact of the pandemic and high level of inflation, and what mitigations were in place to respond to those pressures. The Deputy Director responded that the savings were about purchasing care in the most efficient way. Fee uplifts had been factored in to ensure that the Council’s fees were sustainable. The ASC team worked closely with the NHS to support them and to plan for future impacts of the pandemic.

     

    1. With reference to the table included on page eight of the report, a Member asked how the level of efficiencies would be achieved through the market management process. The Deputy Director emphasised that this was about the establishment of a different relationship with the provider market and having a dynamic purchasing framework. The Cabinet Member explained that the commissioning team had developed a consistent, and more digitally streamlined, approach. The commissioning team were to provide a more detailed written response to the Member in due course. The Deputy Director added that ASC now had a centralised brokerage team, which ensured that all care packages were sourced through one team.

     

    1. A Member asked whether ASC was on track to deliver all 500 Supported Independent Living units by 2025. The Deputy Director reassured the Member that they were on track to deliver this  ...  view the full minutes text for item 5/22

6/22

JOINT HEALTH AND SOCIAL CARE DEMENTIA STRATEGY FOR SURREY (2022 - 2027) pdf icon PDF 152 KB

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    Purpose of the report: This report presents the Joint Health and Social Care Dementia Strategy for Surrey (2022-2027) for the Select Committee’s views and input during the consultation period, which runs until 21 January 2022.

    Additional documents:

    Minutes:

    Witnesses:

     

    • Sinead Mooney – Cabinet Member for Adults and Health
    • Jane Bremner – Head of Commissioning (Mental Health), Surrey County Council
    • Marion Heron – Commissioning Manager for Dementia, Surrey Heartlands CCG
    • Kate Scribbins – Chief Executive, Healthwatch Surrey

     

    Key points raised in the discussion:

     

    1. The Head of Commissioning (Mental Health) and Commissioning Manager for Dementia presented slides on the report (attached as Annex 1). The Head of Commissioning highlighted that the Strategy had been developed based on both the national and local context, as well as feedback from residents. The consultation period was due to finish later this month (January 2022) and the final Strategy should be launched in April 2022. The Commissioning Manager shared the preventing well ambitions which included work around enhancement of post-diagnosis health support, whereby Age UK Surrey would run courses on this. Primary Care Networks (PCNs) had been incentivised to look at their case handling of patients with potential health risks. With reference to the diagnosing well ambitions, it was shared that the Alzheimer’s Society would now provide services based on demand, to avoid a ‘postcode lottery’. Management of demand in the future would need to be revisited due to the consequences of an ageing population. Regarding the living well ambitions, the Alzheimer’s Society had been looking at areas where there were a lack of dementia friendly communities and how they could be improved. A pilot in East Surrey had been established to help expand crisis support available to all affected parties. There had also been discussions with the Police about identification of vulnerable people and the support required.

     

    Neil Houston left the meeting at 12.12pm.

    1. The Chief Executive of Healthwatch Surrey welcomed the draft Strategy and appreciated the input that Healthwatch’s insight on the topic was able to have. Following Healthwatch’s extensive research, three recommendations were made which included: building access to dementia navigators and spreading resources equitably across Surrey; the importance of informal support offered by local groups; and empowering primary care to signpost effectively to the support on offer. The Chief Executive shared that Healthwatch would like to see the draft Strategy go further in terms of the areas covered by their recommendations.

     

    1. The Chairman asked about how it could be ensured that there wass an equitable situation regarding PCNs. The Commissioning Manager explained that the work of the PCNs was being shaped by their population management work which would help with case handling. There was still work to be done in this area, but changes were starting to be made. Monitoring of the dementia registers and other relevant data would help to track the progress of this work.

     

    1. With reference to a question on the links between areas of multiple deprivation and dementia sufferers, the Head of Commissioning shared that there was a lack of focus on prevention for dementia specifically within the Health and Wellbeing Strategy (HWS). A key driver for developing the Joint Dementia Strategy was about reducing inequality. Work had been undertaken with Public Health colleagues to  ...  view the full minutes text for item 6/22

7/22

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.

    Recommendation:

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

     

8/22

DATE OF THE NEXT MEETING

    The next public meeting of the Select Committee will be held on 3 March 2022 at 10.00am.

    Additional documents:

    Minutes:

    The next meeting of the Select Committee will be held on 3 March 2022.