Brighton & Hove City Council
Adult Social Care & Public Health Sub-Committee
4.00pm13 June 2023
Hove Town Hall - Council Chamber
Minutes
Present: Councillors Burden (Chair) Galvin, Miller, West and Winder
1 Procedural Business
(a) Declaration of Substitutes
There were no substitutes.
(b) Declarations of Interest
There were none.
(c) Exclusion of Press and Public
It was agreed that the press and public not be excluded.
2 Minutes
The Minutes of the previous meeting held on 10 January 2023 were agreed as an accurate record.
3 Chair's Communications
The Chair gave the following communications:
The Care Quality Commissioning are starting new Inspection Framework that will include Council delivery of Adult Social Care Services. The Inspection Framework has officially started from April 2023, although the inspections themselves are in development in partnership with Local Authorities. Currently the CQC is working with 3 volunteer Local Authorities to pilot 2 of the 4 themes within the Inspection Framework. From September the CQC will work with 20 Local Authorities with the same 2 themes in scope. From January 2024, the CQC will begin the Inspection cycle in full for all Local Authorities which they are expecting to last around 2 years before all Local Authorities are visited.
In terms of Brighton & Hove City Council preparation, whilst the framework is new to all Local Authorities, we have significant corporate knowledge in Families Children and Learning Directorate as well as our In-House Provider services. We are also well connected to NHS and Community & Voluntary Sector Partners.
Local Authorities will be assessed on 4 themes;
· Working with People
· Providing Support
· How the Local Authority ensures safety within the system
· Leadership
Full Inspection Framework is currently draft awaiting official sign off from Department Health & Social Care - optional extra once the Inspection Framework is confirmed we will invite Committee members to a full briefing with officers.
The Health and Adult Social Care Directorate are taking a proactive approach to preparation. In addition to the above, we are working with two other authorities in the South East, Royal Borough of Windsor and Maidenhead and the Isle of Wight providing peer support and challenge to each other and viewing this as an opportunity for identifying both areas of development and ways of capturing best practice to share across all teams”
TAKEPART – 17-25 June (and followed by the walking festival)
We all know how important physical activity is for our physical health, it’s also great for our mental health too. Next week there will be opportunities across the city to try out many of the local sports, dance and exercise opportunities for free as part of TAKEPART Festival. It’s opening with an event on the level where you’ll be able to try things out, watch performances or speak to professions about activities, your wellbeing and active travel. Pop along on Saturday between 11am and 5pm to get involved.
And from 24 June our first Walking Festival will be offering more than 51 free guided walks.
Last two weeks to get Covid vaccination
The chance to get a Spring vaccination or a 1st or 2nd dose COVID-19 vaccination ends on 30 June for most people. Appointments are still available at some pharmacies, Brighton Racecourse and Portslade Health Centre.
Walk in sessions are also being held at Hove Polyclinic on Tuesday, Hove Tesco on Wednesday, and Wellsbourne CIC on a Friday.
Finally, I’m very happy to announce that our committee legal advisor, Sandra O’Brien was awarded the Leadership in Local Government award at the recent Lawyers in Local Government event. I haven’t had the opportunity to develop much of a relationship with Sandra yet, but everyone involved in social care I’ve spoken to tells me that this award was thoroughly deserved and I’d like to congratulate Sandra.
4 Call Over
The following items were reserved for discussion:
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Item 8 |
HASC Delivery Strategy |
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Item 9 |
Homecare and Learning Disabilities Dynamic Purchasing System (DPS) |
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Item 10 |
Homecare Recommission: Update on Award |
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Item 11 |
Public Health and Community Nursing Contracts Options Paper |
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Item 12 |
Integrated Sexual Health Services Contract Extension |
5 Public Involvement
5.1 The Chair invited Tina Cioci to present her question to the Committee:
Will BHCC set up an ASC Forum for parent carers of adults with learning disabilities so we can engage with the council directly?
5.2 The Chair gave the following response:
The Council recognises how important it is to hear the views and experiences of family carers for adults with learning disabilities. Our Learning Disability services work with several Carer Support and Advocacy services, including Speak Out, Parent Carer Council, AMAZE and the Carers Centre.
In 2021 a new Adult learning Disability Strategy for the City “The Big Plan” was co-produced with people and their families. This involved considerable consultation and engagement with people with learning disabilities and their family carers, Speak Out, Parent Carer Council, Amaze, the Carers Centre, the Local Authority, Sussex Partnership Foundation Trust, The Integrated Care board, Social Care Providers and the wider Learning Disability Community.
Six key priority areas were developed as a result of the engagement process and listening to what is most important to adults with learning disabilities and their families.
The delivery of this plan is monitored by the Learning Disability Partnership Board to ensure that the objectives of the strategy are achieved and that there is continuing input from people with lived experience and their families in the delivery of the strategy.
The governance and structure of the Learning Disability Partnership Board, which is delivered in partnership with Speak Out (Independent Advocacy Charity), is currently under review to strengthen oversight and accountability over the delivery of the Learning Disability Strategy, and the Parent Carer Council, AMAZE and the Carers Centre will remain key members of the Board to ensure that the views and experiences of Family Carers are effectively represented and help shape the opportunities and supports available to people with learning disabilities both now and in the future. All the Carer Advocacy services referred to above provide forums for Carers to share their experiences and views about the support available and/or what they feel they need.
Contact details for all these Carer groups can be found in the links below:
For families with disabled children and young people in Sussex - Amaze (amazesussex.org.uk)
Home - PaCC | Brighton and Hove’s forum for parent carers (paccbrighton.org.uk)
The Carers Centre for Brighton & Hove — a member of The Carers Trust
5.3 The Chair invited Tina Cioci to ask the following supplementary question:
I would like a parent carer Chair to set the agenda with the Head of Service or an elected Chair – for example items should include the social care charge, day centres and activities, transport need, care plan assessments and reviews, support in hospital or a mental health crisis, and the housing plans for Brighton’s LD residents.
Note: Tina Cioci mentioned that she is specifically interested in the severe and learning disability adults, those who cannot speak for themselves and are reliant on their parents.
5.4 The Chair confirmed that a written response would be sent to Tina Cioci.
6 Items Referred from Council
There were none.
7 Member Involvement
There was none.
8 HASC Delivery Strategy
8.1 The Chair invited the Executive Director for Health and Adult Social Care (Robert Persey) to present the report starting on page 17 of the Agenda.
8.2 Councillor West was informed about the intent of the delivery strategy, which was to inform staff about why they come to work, and the Council’s aims.
8.2 Councillor Miller thanked officers for the report.
RESOLVED:
The Committee noted the Health and Adult Social Care Delivery Strategy for 2023-2027 (Appendix 1).
9 Homecare and Learning Disabilities Dynamic Purchasing System (DPS)
9.1 The Chair invited the Commissioning and Performance Manager (Judith Cooper) to present the report starting on page 41 of the Agenda.
9.2 Councillor West was informed about why the Home Care DPS was being extended until 2028.
RESOLVED:
That Committee:
1. Granted delegated authority to the Executive Director of Health and Adult Social Care to extend and vary the Home Care DPS for 2 years to 2026.
2. Granted delegated authority to the Executive Director of Health and Adult Social Care to further extend the Home Care DPS to 2028.
3. Granted delegated authority to the Executive Director of Health and Adult Social Care to extend the Learning and Disabilities DPS for a period of 2 months to April 2024.
10 Homecare Recommission: Update on Award
10.1 The Chair invited the Commissioning and Performance Manager (Claire Rowland) to present the report starting on page 49 of the Agenda.
10.2 Councillor West was informed that the Procurement Advisory Board had previously agreed all of the Recommendations in the report.
RESOLVED:
That Committee:
1. Noted the contents of the report.
2. Noted that a further report will be presented to Committee one year from commencement of contracts with information on how the contracts are working and the effectiveness of the new service(s) in relation to the previous arrangements.
11 Public Health Community Nursing Contracts Options Paper
11.1 The Chair invited the Public Health Programme Manager (Sarah Colombo) to present the report starting on page 55 of the Agenda.
11.2 Councillor West raised some concerns with the report.
RESOLVED:
The Committee agreed to extend the current Public Health Community
Nursing Contract to March 2025 as detailed at paragraph 4.1
12 Integrated Sexual Health Services Contract Extension
12.1 The Chair invited the Consultant in Public Health (Caroline Vass) to present the report starting on page 65 of the Agenda.
12.2 Councillor West was informed by Robert Persey and Alistair Hill as to why there is more time needed to conduct stakeholder engagement. Sandra O’Brien confirmed that the recommendations were permissible and lawful.
12.3 Robert Persey agreed to give a written response to Councillor West regarding stakeholder engagement.
RESOLVED:
The Committee agreed to the extension of the contract for Integrated Sexual Health Services for one year with the option of a further one year extension and grants delegated authority to the Executive Director Health & Adult Social Care to extend the contract subject to satisfactory performance.
13 Items Referred for Council
There were none.
The meeting concluded at 5.20pm
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Signed
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Chair |
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