Agenda for Adult Social Care & Public Health Sub-Committee on Wednesday, 17th January, 2024, 4.00pm
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Agenda and draft minutes
PDF 187 KBVenue: Hove Town Hall - Council Chamber. View directions
Contact: Penny Jennings Democratic Services Officer
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Procedural Business (a) Declaration of Substitutes: Where Councillors are unable to attend a meeting, a substitute Member from the same Political Group may attend, speak and vote in their place for that meeting.
(b) Declarations of Interest: (a) Disclosable pecuniary interests (b) Any other interests required to be registered under the local code; (c) Any other general interest as a result of which a decision on the matter might reasonably be regarded as affecting you or a partner more than a majority of other people or businesses in the ward/s affected by the decision.
In each case, you need to declare (i) the item on the agenda the interest relates to; (ii) the nature of the interest; and (iii) whether it is a disclosable pecuniary interest or some other interest.
If unsure, Members should seek advice from the committee lawyer or administrator preferably before the meeting.
(c) Exclusion of Press and Public: To consider whether, in view of the nature of the business to be transacted, or the nature of the proceedings, the press and public should be excluded from the meeting when any of the following items are under consideration. NOTE: Any item appearing in Part Two of the Agenda states in its heading the category under which the information disclosed in the report is exempt from disclosure and therefore not available to the public.
A list and description of the exempt categories is available for public inspection at Brighton and Hove Town Halls. Minutes: 26(a) Declaration of Substitutes
26.1 Cllr Sue Shanks attended as substitute for Cllr Pete West.
26(b) Declarations of Interest
26.2 There were no declarations of interest.
26(c) Exclusion of the Press and Public
26.3 In accordance with Section 100A the of the Local Government 1972 (“The Act”), the Sub Committee considered whether the public should be excluded from the meeting during consideration of any item of business on the agenda on the grounds that it was likely in view of the business to be transacted or the nature of the proceedings that if members of the public were present during it there would be disclosure to them of confidential information as defined in Section 100(A) of the Act.
26.4 It was noted that the appendix to Item 24 on the agenda contained information which was exempt under Paragraph 3 of the Act. If the Sub Committee wished to discuss any information contained in the appendix they would need to do so whilst the public were excluded. Members did not raised any matters in respect of any information contained in the confidential appendix and therefore all of the business of the meeting was conducted in public session.
26.5 RESOLVED – That the Press and Public not be excluded from the meeting during consideration of any item of business on the agenda.
Webcasting of the Meeting
26.6 The Chair explained that the meeting was being webcast live and that it would be available for repeated subsequent viewing.
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To consider the minutes of the meeting held on 12 September 2023 (copy attached) Minutes: 27.1 RESOLVED – that the minutes of the 12 September 2023 meeting be agreed as an accurate record. |
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Chair's Communications Minutes: 28.1 The Chair gave the following communications:
Today at our sub-committee, we’re presenting an item on how we commission Care Home placements. We’ve taken some important steps in this re-commissioning of care homes to enhance their quality of care. with a range of new conditions included in the contract – this includes new standards around Public health and Infection prevention and control, but also vital new conditions around LGBTQ+ inclusivity.
While the real scale of possible abuse of LGBTQ+ elders is currently unknown, during an investigation, the campaigning charity Compassion in Care received 423 reports of homophobic abuse in care homes across the UK and feel that’s “just the tip of the iceberg” - with a national rise in homophobic abuse up by 112% and trans abuse up by 186% % in the last five years, it’s feared much more abuse remains hidden.
In Brighton & Hove, we need to take a preventative approach. We’re the LGBTQ+ capital of Britain, so we need to be on the front foot with inclusive care – when our older population need to enter a care home in later life, it’s totally unacceptable for them to feel they have to go back into the closet or risk facing abuse.
Through our involvement with The CIRCLE project, led by a research team at the University of Kent, Brighton & Hove are able to steer care homes to improve their quality of care and support for older LGBTQ+ people, whilst challenging any form of poor practice, and I’m proud of the work we’re doing in our city in collaboration with this project, which includes the CQC, other local authorities across Sussex, and voluntary organisations Opening Doors and Switchboard. The CIRCLE project are the vanguard of inclusive care – and through our work with them, new standards in inclusive care are being co-designed that will enhance, not just care for our local populations across Sussex, but set new national benchmarks for inclusive care in Britan.
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Call-Over (a) Items (x – y) will be read out at the meeting and Members invited t reserve the items for consideration. (b) Those items not reserved will be taken as having been received and the reports’ recommendations agreed. Minutes: 29.1 Items 33, 34 and 37 were reserved for discussion. |
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Public Involvement To consider the following matters raised by members of the public:
(a) Petitions: to receive any petitions presented by members of the public to the full Council or as notified for presentation at the meeting by the due date of (10 workingdays);
(b) Written Questions:to receiveany questionssubmitted bythe due dateof 12 noon on the (insert date) 2021;
(c) Deputations:toreceive anydeputations submittedby thedue date of12 noon onthe (insert date)2021. Minutes: 30.1 There was none. |
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Items Referred from Council To consider the following item(s) referred from the Council meeting held on the (insert date) 2021. Minutes: 31.1 There were none. |
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Member Involvement To consider the following matters raised by councillors: (a) Petitions:toreceive anypetitions submittedto thefull Councilor atthe meetingitself;
(b) Written Questions: to consider any writtenquestions;
(c) Letters: to consider anyletters;
(d) Notices of Motion: to consider any Notices of Motion referred from Council or submitted directly to theCommittee. Minutes: 32.1 There was none. |
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Re-commissioning of Healthwatch services Report of the Executive Director, Housing, Communities & Neighbourhoods (copy attached) Minutes: 33.1 The report was introduced by John Reading, Third Sector Manager.
33.2 Cllrs Miller and Shanks asked questions on this item.
33.3 RESOLVED - That Committee approves the re-commissioning of the Healthwatch contract and delegates authority to the Executive Director for Housing, Neighbourhoods and Communities to procure and award a three year contract and to grant a two year extension (subject to satisfactory performance).
33.4 Cllr Shanks voted against the resolution, having argued that a direct award to the current provider could have been made instead and would be a better option given the excellent track record of the current provider and the need to manage procurement costs.
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Care Homes Spot Purchase Recommission Report of the Executive Director, Health & Adult Social Care (copy attached) Minutes: 34.1 This item was introduced by Christopher Davies, Commissioning Officer, HASC.
34.2 Cllrs Shanks and Cllr Galvin asked questions on this report.
34.3 RESOLVED – That the Sub-Committee:
2.1 agrees to the proposed re-commission of Residential Care Home Services, via the route to market identified in Section 4 awarding contracts for a period of six years; and
2.2 agrees that, if required, a compliant extension of the existing contracts until 30th September 2024 may be actioned; and
2.3 delegates authority to the Executive Director of Health and Adult Social Care to undertake the above recommendations 2.1 and 2.2.
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Annual Adult Social Care Fees Report 2024-25 Report of the Executive Director, Health & Adult Social Care (copy attached) Minutes:
35.1 RESOLVED - That the Adult Social Care & Public Health Sub Committee agrees to the recommended fee increases as outlined in Appendix 1. The underpinning background to this proposed fee change is contained in the main body of the report. The proposed fee increases are within the council funding allocated for uplifts for 2024-25.
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Annual Review of Adult Social Care Charging Policy 2024-25 Report of the Executive Director, Health & Adult Social Care (copy attached)
Additional documents: Minutes:
36.1 RESOLVED - That Sub-Committee
(2.1) agrees with the current charging policy for care and support services which includes an individual financial assessment to determine affordability and complies with the requirements of Section 17 of the Care Act 2014; and
(2.2) agrees to a 3.5% increase (rounded) on the following maximum charges from 8th April 2023 (when state benefits increase):
Maximum Charges 2023-2024 2024-2025 Means Tested Charges Maximum Proposed Maximum In-house home care/support £31 per hour £32 per hour In–house day care Drop in Day Care £46 per day £23 per session £48 per day £24 per session In-House Residential Care £160 per night (£1120 per week) £166 per night (£1162 per week) Fixed Rate Charges Fixed Rate Transport £4.70 return £4.90 return; and
(2.3) agrees to an increase for miscellaneous fees at 3.5% : 2023-2024 2024-2025 Deferred Payment set up fee (see 2.13) £617 initial charge £639 one off charge Initial fee for contracting non-residential care for selffunders £325 initial charge £336 one off charge Ongoing fee for contracting for non-residential care for self- funders £101 per year £105 per year; and
2.4 agrees to increase Carelink Service fees by 3.5%: 2023-24 2024-25 Standard Carelink Plus £22.30 per month £23.10 per month Enhanced Carelink Service £26.70 per month £27.60 per month Mobile Phone (discontinued) £28.90 per month 28.90 per month; and
(2.5) agrees to continue with the existing policy not to charge carers for any direct provision of support to carers.
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Brighton & Hove City Council Strategic Risk Register: HASC Risks
Report of the Executive Director, Health & Adult Social Care (copy attached)
Additional documents: Minutes: 37.1 This item was introduced by Kat Brett, HASC Business Improvement Manager.
37.2 Cllrs asked questions on this report.
37.3 RESOLVED – That the sub-committee:
Notes Appendix 1 with details of the two SRs and mitigating controls and actions; and
Notes Appendix 2 which provides: i. a guide on the risk management process; ii. guidance on how Members might want to ask questions of Risk Owners, or officers connected to the strategic risks; and iii. details of opportunities for Members, or officers, to input on Strategic Risks at various points and levels; and
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Items Referred for Council To consider items to be submitted to the [Insert Date] Council meeting for information.
In accordance with Procedure Rule 24.3a, the Committee may determine that any item is to be included in its report to Council. In addition, any Group may specify one further item to be included by notifying the Chief Executive no later than 10am on the eighth working day before the Council meeting at which the report is to be made, or if the Committee meeting take place after this deadline, immediately at the conclusion of the Committee meeting Minutes: 38.1 There were none. |