Adult Social Care & Public Health Sub- Committee

Agenda Item 7 (b)]


       

Subject:                    Dementia: Response to Notice of Motion

 

Date of meeting:    14 June 2022

 

Report of:                 Director of Public Health

 

Contact Officer:      Name: Giles Rossington

                                    Tel: 01273 295514

                                    Email: giles.rossington@brighton-hove.gov.uk

                                   

Ward(s) affected:   All

 

For general release

 

 

1.            Purpose of the report and policy context

 

1.1         A Notice of Motion (NoM) was agreed at 07 April 2022 full Council meeting and referred to the Adult Social Care & Public Health Sub-Committee (ASCPH).

 

1.2         The agreed NoM is included as Appendix 1 to this report; an extract from the draft minutes of the full Council meeting as Appendix 2 and information from Public Health as Appendix 3.

 

2.            Recommendations

 

2.1         That Adult Social Care & Public Health Sub-Committee notes the information provided in Appendix 3 in response to the Notice of Motion; and

 

2.2         Agrees that officers should consult with BHCC services and with political groups regarding the NoM recommendations 3) and 6), with a further report to the next ASCPH meeting.

 

3.            Context and background information

 

3.1         A NoM on dementia was agreed at 07 April 2022 full Council. The NoM asks for the following actions to be undertaken:

 

Council also believes we can do more, therefore requests a report be taken to the relevant committee outlining current progress and further steps that can be taken, including but not limited to:

 

1)    Continued funding for the Public Health Dementia Friendly project beyond 2 years

2)    Prioritising work with the NHS to improve diagnostic rates

3)    Extending the dementia friendly awareness sessions by making them mandatory for customer-facing roles

4)    Dementia Friendly environmental checks being carried out in all public buildings and open spaces

5)    Further involvement of local dementia groups

6)    Appointment of Dementia Champions from each directorate senior team and among councillors.

 

3.2       Points 1), 2), 4) and 5) of the NoM recommendations are addressed in Appendix 3 to this report.

 

3.3       Points 3) and 6) will require further dialogue between council services; and the recommendation in 6) to have Councillor dementia champions will require conversations with political groups. It has not been possible to progress these conversations in time for the June ASCPH meeting, but this work will be undertaken over the summer, with a report-back to the next (12 September) ASCHOSC meeting.

 

 

4.            Analysis and consideration of alternative options

 

4.1         ASCPH could choose not to progress elements of the NoM. However, the NoM was backed by all political groups.

 

5.            Community engagement and consultation

 

5.1         None in relation to this report.

 

6.            Conclusion

 

6.1         Members are asked to note the information (Appendix 3) provided by Public Health in response to the NoM recommendations 1), 2), 4) and 5). Members are asked to agree that a further report will be taken at the next meeting of ASCPH to cover points 3) and 6) in the recommendations as these require further work.

 

7.            Financial implications

 

7.1         There are no financial implications directly arising from the recommendations of this report.

 

7.2         In 2022/23, there is a net TBM budget of £0.143m available for the Public Health Dementia Friendly project funded by the Brighton & Hove CCG. The Ageing Well Psychological Dementia Support (£0.105m) and a Dementia Age Friendly specialist post (£0.038m). From April 2023 to March 2025, Public Health will be funding the post referred to above and it is assumed that the CCG will continue to fund the remainder to the end of the contract. Any re-provision of this service will need to be managed within this existing available resource.

 

Name of finance officer consulted: David Ellis   Date consulted (24/05/22):

 

8.            Legal implications

 

8.1 The subject matter of this NOM sits within the functions of this sub-committee as does the power to call for a report – the outcome of which will then be reported to Health and Wellbeing Board and Council.

 

 In addition to the equalities and Public Health implications outlined in this

Report, the Care Act 2014 imposes a statutory duty on the local authority to (i) provide or arrange for the provision of services, facilities or resources, or take other steps, which it considers will contribute towards preventing or delaying the development by adults in its area of needs for care and support (ii) work in partnership with other statutory bodies.

 

Name of lawyer consulted: Sandra O’Brien              Date consulted 25/5/2021:

 

9.            Equalities implications

 

9.1         Dementia mainly affects older people (although people of working age may develop early onset dementia). Dementia has both genetic and environmental causes, with significant links to vascular health and to drinking, smoking and other environmental factors. In consequence the incidence and onset of dementia may vary between communities. Key to the effective management and treatment of dementia is early diagnosis, and diagnosis rates may also vary between communities depending on access to healthcare etc.

 

10.         Sustainability implications

 

10.1      None identified.

 

 

 

Supporting Documentation

 

1.            Appendices [delete if not applicable]

 

 

1.            Dementia NoM agreed at 07 April 202 full Council

2.            Extract from the draft minutes of 07 April 2022 full Council

3.            Information in response to the NoM provided by Public Health