Councillors and committees

Agenda and minutes

Venue: Council Chamber, Woodhatch Place

Contact: Ben Cullimore, Scrutiny Officer 

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Items
No. Item

9/22

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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

    Additional documents:

    Minutes:

    Apologies were received from Frank Kelly. Bernie Muir and Angela Goodwin attended remotely. Riasat Khan chaired the meeting.

10/22

MINUTES OF THE PREVIOUS MEETINGS: 20 OCTOBER 2021, 16 DECEMBER 2021 AND 14 JANUARY 2022 pdf icon PDF 266 KB

11/22

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.

12/22

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.

13/22

UPDATE ON THE IMPLEMENTATION OF COMMUNITY MENTAL HEALTH TRANSFORMATION pdf icon PDF 3 MB

    Purpose of the item: To provide the Adults and Health Select Committee with an update on the implementation of the Community Mental Health Transformation Programme in Surrey.

    Additional documents:

    Minutes:

    Witnesses:

    ·         Professor Helen Rostill – Deputy Chief Executive, Surrey and Borders Partnership

    ·         Georgina Foulds – Associate Director for Primary and

    Community Transformation, Surrey and Borders Partnership

    ·         Ane Sosan – Community Mental Health Transformation Programme Manager, Surrey and Borders Partnership

    ·         Patrik Wolter – CEO, Mary Frances Trust

    ·         Immy Marwick – Mental Health Lead, Independent Mental

    Health Network

     

    Key points raised during the discussion:

    1.  The Deputy Chief Executive introduced the report and noted that the programme had a multi-agency approach. The programme was built through co-production with those who had lived experiences of mental health services. The witnesses shared four videos of personal stories with the Select Committee, which can be accessed using the following link: Adults and Health Select Committee - Thursday 3 March 202210.00am - Surrey County Council Webcasts (public-i.tv)(from 7 minutes 15 seconds). The Deputy Chief Executive explained that a lot of progress had been made, but there was still work to do. The Associate Director emphasised the complexity of the programme and noted that there were still a number of years until completion. It was highlighted that they would continue to listen to experiences of where they had not got it right yet and continue to reflect and learn. 

     

    2.      A Member asked about how the programme was supporting young people transitioning into adult mental health services, as well as the accessibility of transition packs. The Member also asked about the link to health inequalities. The Deputy Chief Executive responded that the programme worked closely with Mindworks Surrey and the alliance programme to support those in transition. The Reaching Out service targeted all young people over 17 who were transitioning into adult services, which tried to bridge the journey for them. The transition packs were co-designed and developed with the Young Adults Reference Group, to try and improve the process around transition. The transition packs helped to guide conversation and listen to young people’s needs and ambitions. The Deputy Chief Executive explained that because the conversations were guided, it enabled staff to tailor the conversation appropriately. Recovery Colleges supported young people and their families through transition and were open to anyone who wished to attend. They offered a running programme of courses which had been codesigned. The Associate Director added that the Reaching Out service was to go live in the spring. In six to nine months, it would be appropriate to evaluate the work. The Deputy Chief Executive explained that work was also underway to develop a number of initiatives for young people with eating disorders to improve the service offer, including early intervention. 

     

    3.      A Member raised the issue of a lack of continuity between services when transitioning, which often led to long waiting times and having to change counsellor. The Associate Director responded that the ambition was that the Reaching Out service would address these sorts of issues. The Deputy Chief Executive agreed that a challenge of transition can be moving from a trusted relationship with one professional to another.  ...  view the full minutes text for item 13/22

14/22

ADULT SOCIAL CARE DEBT pdf icon PDF 239 KB

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    Purpose of the item: To update the Adults and Health Select Committee on Surrey County Council’s Adult Social Care Debt position as at the end of December 2021.

     

    Additional documents:

    Minutes:

    Witnesses:

     

          Sinead Mooney – Cabinet Member for Adults and Health

          Toni Carney – Head of Resources (Adult Social Care)

          Pamela Hassett – Lead Manager (Financial Assessment and Income Collection)

          Clare Burgess – CEO, Surrey Coalition of Disabled People

     

    Key points raised during the discussion:

    1.    The Head of Resources introduced the report and highlighted key points included. It was noted that the upcoming funding reforms would have significant impacts and a future report should come to the Select Committee on that topic. 

     

    2.    A Member asked whether there had been a delay introducing the new financial system. The Head of Resources confirmed that the new system was due to be introduced in December 2021, but it was delayed and was now due to be introduced later this year (2022).

     

    3.    Responding to a question about what plans were in place to prepare for the funding reforms and national insurance changes, the Head of Resources explained that the Area Director for North West Surrey was leading on a working group on the reforms and there were several streams to the working group about processes that would need to be introduced. The regulations had not been published yet, but a consultation document was expected in next few weeks. The Head of Resources told the Select Committee that the impact of the reforms on the workforce, residents and finances should not be underestimated.

     

     

    4.    A Member questioned the use of the text messaging service in this context and the security of the process, as well as the amount of outstanding debt in relation to the income. The Head of Resources explained that the debt was spread over a long period, it was not a direct proportion of income this year and a significant proportion was not yet due. The text messaging service was a secure gov.uk service. Security checks were completed to ensure the right number was on the system before sending a text message regarding debt. It had not been used for recovery, but to remind people of an upcoming financial assessment or the online assessment tool. The Head of Resources explained that they had received positive feedback from the trial. If it was to be used for debt recovery, it would need to be done carefully to ensure people did not feel bombarded by texts. It would be used as a prompt rather than be part of core system and if it did not work, they would revert to the current approach.

     

     

    5.    A Member asked about the percentage of payments collected by direct debit and whether this was considered a good figure. The Head of Resources responded that this had been the figure for many years, despite efforts to try and maximise direct debit. People were always encouraged to use direct debit. Those who experienced static levels of charges were more likely to sign up. The Head of Resources did not expect the percentage to get significantly higher.

     

    6.    The CEO of Surrey Coalition of Disabled  ...  view the full minutes text for item 14/22

15/22

PRIMARY CARE ACCESS pdf icon PDF 209 KB

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    Additional documents:

    Minutes:

    Witnesses:

     

          Nikki Mallinder – Director of Primary Care, Surrey Heartlands

          Giselle Rothwell – Associate Director of Communications and Engagement, Surrey Heartlands

          Nina Crump – Communications and Engagement Lead, Surrey Heartlands

          Rich Stockley – Head of Research, Surrey County Council & Surrey Heartlands

          Dr Charlotte Canniff – Clinical Chair, Surrey Heartlands

          Dr Pramit Patel – Primary Care Network Lead, Surrey Heartlands

          Maria Millwood – Board Director, Healthwatch Surrey

          Clare Burgess – CEO, Surrey Coalition of Disabled People

     

    Key points raised during the discussion:

    1.    The Clinical Chair introduced the Surrey Heartlands report. It was noted how primary care access had changed since the pandemic and in some ways, it had changed for the better. The changes that were already planned pre-pandemic were accelerated. Many service users liked the digital form of access, and many conditions could be managed in this way. It was important to recognise now that some conditions were better dealt with face to face, therefore, primary care needed to be flexible about the types of access for conditions and patient preferences, especially for vulnerable communities. There was continued work with the 104 GP surgeries in Surrey Heartlands to address the issues from residents. 

     

    2.    The Chairman asked about the use of KPIs to monitor progress in practices. The Director of Primary Care explained that KPIs measured the impact and delivery of GP surgeries. Surgeries were registered with the Care Quality Commission and the Primary Care Commissioning Committee oversaw the delegated authority for Primary Care, including the performance. A demand and capacity tool was used locally to monitor the delivery of services, such as face to face or digitally.Support was provided to surgeries by visiting each surgery and talking to them about best practice and how to improve inconsistencies. The Access Improvement Programme was a national piece of work and 23 of Surrey Heartlands’ GP surgeries were part of this programme, with 17 already completed. The programme helped to improve quality of access.

     

    3.     A Member enquired about the number of hours a doctor provided to each surgery. The Director explained that a contract was held by the partners in the surgery, and there was a workforce tool which showed the totality of the workforce. There were around 530 FTE GPs, which meant that they provided eight or more sessions into the surgery. The Clinical Chair added that contractually the surgery had to offer a service from 8am to 6.30pm. The Primary Care Network Lead clarified that a session was 4 hours and 10 minutes, but between sessions there would be other work to complete due to the complexity of the role. The Member asked for any information about hours worked to be shared with the Select Committee. The Clinical Chair responded that they should be able to share the number of FTEs and their contractual hours. 

     

    4.     A Member raised concerns about the waiting times on the phone to contact a GP surgery. The Director explained that telephony had never  ...  view the full minutes text for item 15/22

16/22

UPDATE ON THE HEALTH INEQUALITIES TASK GROUP pdf icon PDF 152 KB

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    Purpose of report: To provide the Adults and Health Select Committee with an update on the work of the Health Inequalities Task Group.

    Additional documents:

    Minutes:

    Key points raised during the discussion:

     

    1.    The Chair of the Task Group provided a short update on the recent work of the Task Group and explained that another update would be provided to the Select Committee in June 2022. 

     

    2.    A Member asked whether Select Committee Members who were not members of the Task Group could attend witness sessions. The Chair of the Task Group explained that they could and asked if they could communicate this in advance of the witness sessions. 

     

17/22

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.

18/22

DATE OF THE NEXT MEETING

    The next public meeting of the committee will be held on 23 June 2022.

    Additional documents:

    Minutes:

    The next meeting of the Select Committee will be held on 23 June 2022.