To confirm the record of the meeting of the Adults and Health Scrutiny Panel held on 29 June 2017 (previously circulated).

The minutes of the meeting of the People (Adults and Health) Scrutiny Panel held on the 29 June 2017, copies of which had been previously circulated, were confirmed and signed by the Chair.

In accordance with the Regulations, Members are invited to declare any personal or prejudicial interests they may have and the nature of those interests in respect of items on this Agenda and/or indicate if Section 106 of the Local Government Finance Act 1992 applies to them.

Mr Conde declared an interest in item 10 as his daughter was a mental health nurse at a Peterborough Hospital.

Mr Parsons declared an interest in any item that related to carers payments.

To receive any petitions, deputations and questions received from Members of the Public in accordance with the provisions of Procedure Rule 217.

The total time allowed for this item shall be 30 minutes.  Petitions, declarations and questions shall be dealt with in the order in which they are received.  Questions may also be submitted at short notice by giving a written copy to the Committee Administrator 15 minutes before the start of the meeting.

The total time allowed for questions at short notice is 15 minutes out of the total time of 30 minutes.  Any petitions, deputations and questions that have been submitted with prior formal notice will take precedence over questions submitted at short notice.  Any questions that are not considered within the time limit shall receive a written response after the meeting and be the subject of a report to the next meeting.

No petitions, deputations or questions were received from members of the public.

To consider any questions with notice from Members received in accordance with the provisions of Procedure Rule No 219 and No 219A.

No questions were received from members.

To consider any Notices of Motion from Members submitted in accordance with the provisions of Procedure Rule No 220.

No notices of motion were received from members.

To consider any matter referred to the Panel for a decision in relation to call in of a decision in accordance with Procedure Rule 206.

No matter was referred to the Panel for a decision in relation to call-in of a decision in accordance with Procedure Rule 206.

To receive Report No. 141/2017 from the Chief Executive

(Report circulated under separate cover)

Report No. 141/2017 from the Chief Executive was received.

The purpose of the report was to provide Cabinet with strategic oversight of the Council’s performance for the first quarter of 2017/18 in delivering its Corporate Plan Aims and Objectives.

The Chair invited Mr M Andrews, Deputy Director for People to give a brief overview on the Performance Report.

During discussion the following points were noted:

a)    Mr Andrews advised that in future the Panel would also receive a more detailed performance framework for Social Care, mirroring Children and Young People Scrutiny Panel alongside the quarterly report.

AGREED

That the Panel NOTED the report.

To receive Report No. 147/2017 from the Director for Resources

(Report circulated under separate cover)

Report No. 147/2017 from the Director for Resources was received. 

The purpose of the report was to inform Cabinet and all Members of the full year forecast position as at Quarter 1 for 2017/18 and to highlight issues that may impact on the Medium Term Financial Plan to enable them to maintain sound financial management of the Council’s operations.

During discussion the following points were noted:

a)    Concerns were raised that there was still an overspend in the People Directorate and that taking the demand led and commissioning into account  more could be done to predict the spend, specifically comparisons to other Local Authorities. Mr Clifton confirmed that work was currently being carried out around Domiciliary Care including comparison work with other Councils to check rates.

b)     An external consultant was used to check provision, re negotiate contracts and look at care needs. In Adult Social Care there were no immediate savings however, a saving was made when a placement increase was retracted.

AGREED

That the Panel NOTED the report.

To receive Report No. 176/2017 from Sarah Iveson, CEO Healthwatch Rutland.

Report No. 176/2017 was received from the Chief Executive Officer (CEO) for Healthwatch Rutland. 750 people responded to the survey. That represented just over 2.0% of the Adult Rutland Population. The largest group of respondents was aged 66-75.

During discussion the following points were noted:

a)    The survey suggested there was not enough NHS dental provision in Rutland. Ms Iveson, CEO for Healthwatch Rutland confirmed there was a new contract staring in December 2017 that would provide more NHS dentistry places.

b)    The East Leicestershire and Rutland Clinical Commissioning Group (ELRCCG ) THe ELRCCG were aware of the issues raised in the report regarding the lack of public awareness of Urgent Care facilities.

c)    The Chief Operating Officer from the ELRCCG would be attending the next People (Adults and Health) Scrutiny Panel meeting to provide and update on the Sustainability and Transformation Plan (STP). Members requested that the presentation include addressing issues raised in the survey. Dr O’Neill would pass this information to the ELRCCG.

d)    Healthwatch Rutland had raised concerns from the survey regarding the provision of Mental Health services with commissioners and providers.  They hoped to work together with them to address some of the issues raised in the survey.

e)    The concerns of Oakham residents regarding the provision of GP services in the town had been passed on to the ELRCCG to enable them to address this issue in their future planning.

AGREED

That the Panel NOTED the report.

To receive a presentation from Mark Andrews, Deputy Director for People, Rutland County Council

A presentation was received from Mr Andrews, Deputy Director for People.

The purpose of the presentation was to provide an understanding of who was involved with adults mental health and when.

During the discussion the following points were noted:

a)    Mental Health services are not a Rutland specific service. 

b)    Mr Morley, Head of Adult Social Care confirmed that the assisted Police Mental Health Service to assist police officers with live cases, that covers Leicester, also covers Rutland.

c)    Concerns were raised that clarification of expectations had not been received from providers, and if we were doing enough at an early stage. Members suggested a combined Children’s and Adults’ Task and Finish Group looking into mental health (thresholds and early intervention / prevention). Mr Morley agreed this would be useful to the Council and Directorate. The Chair agreed to add this to the next Scrutiny Commission agenda.

AGREED

1. That the Panel NOTED the content of the presentation.
2. The Chair AGREED to take the suggestion of a combined children’s and adult’s task and finish group to the next scrutiny commission meeting.

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Ms Iveson left the meeting at 8.05 p.m.

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To receive Report No. 174/2017 from Karen Kibblewhite, Head of Commissioning to agree the consultation with stakeholders regarding potential recommissioning options for Healthwatch.

Report 174/2017 was received from the Director for People. The purpose of the report was to enable discussion on the future provision of Healthwatch services in Rutland and inform Cabinet’s decision on the model of Healthwatch to be commission from 1 April 2018.

During the discussion the following points were noted:

a)    390 responses across Leicester, Leicestershire and Rutland (LLR) – 71 % from Rutland residents about Rutland.

b)    Concerns were raised that residents of Rutland consume healthcare from outside LLR therefore having a LLR Healthwatch would not work.

c)    Members suggested an alternative option of a Rutland specific Healthwatch with a portion of the funding retained to commission specific investigations and consultations.

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Mr Parsons and Mr Morley left the meeting at 8.30 p.m. and did not return

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AGREED

That the panel OFFERED views on the future provision of Healthwatch in Rutland and;

RECOMMENDED points of consideration in Cabinet’s decision of this matter.

To consider Scrutiny issues to review. 

Copies of the Forward Plan will be available at the meeting.

The Panel reviewed the Forward Plan

To receive any other items of urgent business which have been previously notified to the person presiding.

There was no other urgent business.

Thursday, 30^th November 2017 at 7 pm

Agenda items: 

1.     LLR Integrated Points of Access Programme    

Gateway review report of the LLR IPOA Programme and to outline the anticipated next steps       

Mark Dewick, Programme Manager for Leicester, Leicestershire and Rutland Integrated Health and Social Care Points of Access Project & Cheryl Davenport, Director of Health & Care Integration

2.     Quarter 2 Performance Management Report

3.     Quarter 2 Finance Management Report

4.     People Directorate: Fees and Charges - ANNUAL REPORT   

5.     Sustainability and Transformation Plan: Update – To receive an update from Tim Sacks, Chief Operating Officer, East Leicestershire and Rutland Clinical Commissioning Group

Thursday, 30 November 2017 at 7pm

Agenda Items:

1.    LLR Integrated Points of Access Programme     

Gateway review report of the LLR IPOA Programme and to outline the anticipated next steps         

Mark Dewick, Programme Manager for Leicester, Leicestershire and Rutland Integrated Health and Social Care Points of Access Project & Cheryl Davenport, Director of Health & Care Integration

2.    Quarter 2 Performance Management Report

3.    Quarter 2 Finance Management Report

4.    People Directorate: Fees and Charges - ANNUAL REPORT  

5.  Sustainability and transformation Plan: Update – To receive an update from Tim Sacks, Chief Operating Officer, East Leicestershire and Rutland Clinical Commissioning Group