Venue: Council Chamber, Runcorn Town Hall. View directions
Contact: Lynn Derbyshire on 0151 471 7389 or e-mail lynn.derbyshire@halton.gov.uk
No. | Item |
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Minutes Minutes: The Minutes of the meeting held 9 November 2010 having been printed and circulated were signed as a correct record. |
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Public Question Time PDF 27 KB Minutes: The Board was advised that no public questions had been received. |
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Executive Board Minutes PDF 15 KB Additional documents: Minutes: The Board considered the Minutes of the meetings of the Executive Board Sub Committee relevant to the Health Policy and Performance Board.
RESOLVED: That the minutes be noted. |
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Presentation: Working Together for a Sustainable Future PDF 16 KB Additional documents: Minutes: The Board considered a report and presentation from Mr Eugene Lavan, QIPP Project Director, NHS
Halton & St Helens PCT which described the background
to Quality Innovation, Productivity and Prevention (QIPP) in the mid-Mersey
sub-region (referred to as Level 3 QIPP), the challenge as a health and social
care economy and the progress that had been made to date and future plans
(including Halton Hospital) The presentation outlined the
following:- ·
The background to Working Together for a
Sustainable Future WHSHK ( ·
The scale of the challenge; ·
The vision; ·
Halton Health Campus; ·
The potential savings/efficiencies that could be
made; ·
Governance to manage ( WHSHK); and ·
Workstreams and progress. At the end of the presentation,
Members of the Board requested a copy of the slides. The Board noted the following
points:- ·
The five levels of QIPP (more quality,
innovation prevention and productivity)
to help address the significant funding gap; ·
The scale of the challenges in respect of the
increased level of complexity with less funding and performance targets such as
waiting targets being abolished. In
response it was reported that patients would retain their existing rights and
privileges in the new system. In
addition, clear information on quality measures and provision would be available
; ·
The benefits and importance of organisations in
respect of services collaborating rather than competing; ·
The importance of communication with members of
the public on the changes and how they would affect them. In response, it was highlighted that
communication and patient engagement was a key principle in the proposals for
the changes in order that the delivery of services in the community would be
effective; ·
The importance of keeping Elected Members and
the Board updated on the changes. In
response it was reported that Members could, if they wished, be involved in the
clinical workstreams as a representative of their community. An undertaking was also given to provide the
Board with regular updates; and ·
That services would be local if possible and
centralised if necessary and outpatients would be accessed locally and that
paediatric care would continue to be in RESOLVED: That (1)
the presentation be received; (2)
the comments made be noted; (3)
Mr Lavan be thanked for his informative
presentation; (4) update reports be presented to the Board on a regular basis.d. |
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(Councillor Martha Lloyd-Jones declared a Personal Interest in the
following three items 6A, 6B and 6C of business due to her husband being a Non
Executive Director of Halton & St Helens Primary Care Trust). |
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Additional documents: Minutes: The Minutes of the Health Strategic
Partnership Board of its meeting held on 2 September 2010 were submitted to
the Board for consideration RESOLVED: That the minutes
be noted. |
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PRESENTATION: URGENT CARE CENTRE HALTON HOSPITALS The Board will receive a presentation on Urgent Care – Halton Hospitals. Minutes: The Board was advised that this item had been deferred to a future meeting. |
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Safeguarding Adults and Service Inspection of Adult Social Care PDF 40 KB Additional documents:
Minutes: The Board considered a report of
the Strategic Director, Adults and Community which presented details of
the outcome of the Service Inspection of Adult Social Care recently carried out
by the Care Quality Commission (CQC) and gave an update on the key issues. The Board was advised that of the key issues since the previous
report to the Board in September 2010.
In addition, it was reported that the feedback from the Service
Inspection of adult social care (attached at Appendix 2) had been excellent and
was one of the top in the country. The
Members of the Board were thanked for the work they had undertaken during the
past year, in particular their focus on the key issues. Members of the Board also took
the opportunity to congratulate officers in achieving an excellent inspection report
and thanked them for their hard work during the past year. RESOLVED: That the report and comments made be noted. |
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Halton Multi-Agency Transition Strategy PDF 26 KB Additional documents: Minutes: The Board received a report of
the Strategic Director, Adults and Community which presented the updated Halton Multi Agency
Transition Strategy for Young People Aged 14 - 25 2010-2013 (Transition
Strategy) which was attached to the report at Appendix 1. The
Board was advised that the Strategic
Transition Group which oversees the Transition Strategy had worked to expand
the Strategy from 14-19 to 14-25 refreshed the existing Strategy to ensure that
this was focused and purposeful.
The Board was further advised that the Strategic Transition Group had representatives from Halton Adults
Social Care, Halton Children and Young People’s Directorate, NHS Halton and St
Helens, Members of
the Board took the opportunity to thank Officers for the excellent report. It was noted that this report was also being
presented to the Children & Young People’s Policy and Performance Board. In
addition, it was noted that the report contained a significant number of key
targets and it was suggested that the Board monitor these on a six monthly
basis. RESOLVED: That (1)
the report and comments made be noted; and (2) in order to monitor the key targets the Board receive a six monthly update report. |
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Electrically Powered Scooters and Wheelchairs PDF 56 KB Minutes: The Board considered a report of
the Strategic Director, Adults and Community which informed the Members that
Halton residents were increasingly purchasing their own electrically operated
scooters or being supplied with electrically powered wheelchairs via Halton
Wheelchair Service. Once they had this equipment,
a request was made to their Registered Social Landlord (RSL) or Halton Borough
Council (HBC), or both, to supply a permanent ramp to their property, and at
times, adequate storage facilities. The Board was advised that the report stated
the position of Halton Borough Council, towards the provision of permanent
ramps and storage facilities for these items.
The Board was also advised that the
Department of Transport had recently held consultations on the proposed changes
in the laws governing scooters. One suggestion in the consultation document
included taking forward some of the recommendations contained in the DfTs 2005 review e.g.:- ·
Improve advice to potential users when purchasing a
vehicle and provide training on its use; ·
Require users to have third party insurance; ·
Devise a fitness to drive assessment; and ·
That an appropriate body e.g. British Healthcare
Trades Association should assist buyers in researching the best value for
money. The following points arose from the
discussion:- ·
Clarity was sought on who would do the fitness to
drive assessment and what measures would be in place to ensure users had
undertaken an assessment. In response it
was reported that third party insurance would only be issued after a fitness to
drive assessment had taken place. In
addition, it was reported that it would be illegal to drive a scooter without
an assessment or insurance; ·
It was suggested that the Authority could issue a
licence and insurance could be obtained on production of the licence; ·
The issues related to the use of scooters in
supermarkets and retailers who sold scooters without providing any guidance was
noted; and ·
It was agreed that there would need to be an
awareness campaign on the use/purchase of scooters, the criteria for accessing
ramps and a checklist to ascertain suitability for a scooter. RESOLVED: That the contents of the report and comments made be noted. |
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A Vision for Adult Social Care PDF 53 KB Minutes: The Board considered a report
of the Strategic Director, Adults and Community which highlighted the main factors of A Vision for
Adult Social Care: Capable Communities and Active Citizens, published in
November 2010. The Board was advised that On Tuesday 16th November 2010, the Government had
launched its Vision for Adult Social
Care: Capable Communities and Active Citizens and the consultation,
Transparency in Outcomes: A Framework for Adult Social Care. This was the
first in a series of Government reforms and included a useful timeline of
forthcoming documents:- ·
Public Health White Paper – end of 2010; ·
Law Commission report on Adult Social Care
Legislation – spring 2011; ·
Commission on the Funding of Care and Support
report – summer 2011; ·
Care and Support White Paper – end of 2011;
and ·
Social Care Reform Bill – spring 2010. It was reported that given the strategic importance
of the new White Paper it was recommended that the Portfolio Holder for Adults
and Social Care and the Chair of the Health Policy and Performance Board submit
a letter in response to the consultation on the vision for Adult Social
Care. In addition, that the Council
explores the framework and potential to develop a Social Enterprise. This was unlikely to focus on adults with a
disability and further reports would be submitted to the Board on this matter. In this respect, a consultation
document on Transparency in Outcomes: A Framework for Adult Social Care
Consultation questions/response from Halton Borough Council was circulated at
the meeting and Members were encouraged to email the committee officer with
their views no later than Friday, 21 January 2011. The following comments arose from
the discussion:- ·
It was noted that the Authority had been part of
the pilot of independent social work practices; and ·
It was noted that the transition from young
people’s to adult’s services was crucial and the process to create a seamless
transition must be maintained and improved upon by identifying relevant wider
individual and family needs. RESOLVED: That the report and comments made be noted. |
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Self Directed Support Policy - Personalisation PDF 32 KB Additional documents:
Minutes: The Board
considered a report of the Strategic Director, Adults and Community which gave
the Members an update on the Personalisation agenda and highlighted the current
barriers and risks to full implementation on the personalisation programme. The Board was advised that Halton Borough Council was committed to
increasing the number of people who received Direct Payments and Personal
Budgets. This was in line with national
priorities and the shift to Self Directed Support (SDS) so that clients and
carers had a greater choice and control over the support they received and how
it was delivered. The Board was further advised that SDS was a term used to describe how
people could exercise choice and control over their lives and the services they
received. This required people to be
aware of the financial value attributed to meeting their needs. This was known as an individual budget and
allowed them to make an informed choice about how this was used. It was reported that SDS included the use of direct payments and the
delivery of individualised person centred services. Attached at Appendix 1 was a draft SDS policy
which embraced these mechanisms and applied them across all client group areas. In addition, it was reported that the Resource Allocation System (RAS)
outlined the new system for allocating resources through personal budgets and
was based on a person’s assessed need taking into account all their
circumstances. The personal budget
system was a robust system of fair funding and provided equality across all
service areas. Attached at Appendix 2
was a draft RAS. The following comments arose from the discussion:- ·
Concern was raised at the possibility of fraud
in the new system and how this could be monitored. In response, it was reported that there was a
significant amount of auditing undertaken throughout the whole system; ·
Concern
was raised on how the Authority ensured that the service individuals were
paying for met their needs and whether it was value for money. The Well Being
Board would also need to be monitored and it was suggested that an update
report be presented to the Board in six months time. It was also acknowledged that sometimes the
individual concerned would not always be aware of their specific needs; ·
It was
suggested that personal assistant training could be mandatory rather than
recommended; ·
Concern
was raised that the current post holder who audited the system and provided the
resultant individualised budgets and adjusted the system was only funded part
time until March 2011 from the Council’s Transformation Grant; and ·
Concern
was raised at the demand on the Authority for personal assistant training and
clarity was sought on how this would continue in light of the cuts in
funding. It was also noted that
monitoring the increased number of personal assistants would be challenging. In response it was reported that the
Authority were working towards providing an accreditation programme for
personal assistants. RESOLVED: That (1)
the
report and comments made be noted; and (2) that an update report be ... view the full minutes text for item 46. |
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Health Policy and Performance Board Work Programme 2011/12 PDF 14 KB Minutes: The Board
considered a report of the Strategic Director, Adults and Community which
sought Members consideration of developing a work programme for 2011/12. The Board
was advised that the Dignity in Care Topic Group would continue as part of the
work programme for 2011/12. After
discussion, the Board agreed that a Topic Group be established on Autism. Members were encouraged to email their
interest in becoming part of this group to the committee officer as soon as
possible. RESOLVED:
That (1)
an Autism Topic Group be established; and (2) Members indicate their interest in
becoming part of this Topic Group via email to the Committee Officer. |
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PERFORMANCE MONITORING REPORTS - QUARTER 2 PDF 29 KB Additional documents:
Minutes: The Board considered a report of the
Strategic Director, Corporate and Policy regarding the Second Quarter
Monitoring Report for: ·
Prevention
and Commissioning Services; ·
Complex
Needs; and ·
Enablement
Services. Prevention and Commissioning
Services Page
224 – Item 1 and Page 241 – Item 2 – clarity was sought on what progress had
been made with the work on the PCT Partnership.
Page 243/244 – clarity was sought
on the £231k underspend of the community care budget; In response, it was reported that
this was on target to balance and that the community care budget crossed
several service areas. Page 293 and 301 of the report –
summary of key activities – Clarity was sought on whether the planned
programmes of work and the proposed stakeholders
workshop would be affected by the current spending review. In response it was reported that
the programmes had already been affected by the spending review. However, front line staff would be protected
for health and social care and it was suggested that a Health representative
attend the next meeting. Page 321 – Key Milestone –
Consider with the PCT Partners … - would there be a wider consultation
regarding the implication of the White Paper.
In response, it was reported that this matter had been addressed earlier
on the agenda. The Board requested that a short
commentary on the reason for any underspend on
capital projects could be added to future reports. RESOLVED: That the quarterly monitoring reports and comments made be noted. |
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Sustainable Community Strategy Mid Year progress Report 2010-11 PDF 182 KB Minutes: The Board considered a report of
the Strategic Director, Resources which provided information in achieving
targets contained within the Sustainable Community Strategy (SCS) for Halton. The report advised that attached
at Appendix 1 to the report was progress to the 2010 – 11 mid-year which
included information for those specific indicators and targets that fall within
the remit of the Board. The Board was advised that in
considering the reports Members should be aware of the following:- ·
All of the measures within the National Indictor
Set (NIS) were monitored through Quarterly Departmental Service Plan monitoring
reports. The purpose of the report was
to consolidate information on all measures and targets relevant to the Board in
order to provide a clear picture of progress; and ·
In some cases out-turn data could not be made
available at the mid-year point.
Additionally, all measures captured through the National Place Survey,
which was due to be undertaken this year, had been deleted from the NIS central
government and therefore no further data would be made available in
2010/11. The future requirement for
localised perception survey under the transparency agenda is presently subject
to consideration. Concern was raised that Halton’s cancer statistics for under
75’s remained disappointing, despite a fall in cancer death rates from 185.98 /
100,000 in 1995/1997. Clarity was sought
on whether the planned activities to address this problem were affected by the
spending review. In response, it was
reported that the stakeholders workshop was going
ahead. However, there had been a
reduction in the budget for Health checks Plus carried
out by GPs on behalf of the PCT. RESOLVED: That the report and comments made be noted.. |
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Draft Business Plan 2011-14 for the Adults & Communities Directorate PDF 23 KB Additional documents: Minutes: The Board considered a report of
the Strategic Director – Resources which provided an update on Business
Planning for the period 2011-14 and the Directorate priorities, objectives and
targets for services for this period that fell within the remit of the Board. The Board was advised that each
Directorate was required to develop a medium term business plan, in parallel
with the budget, that was subject to annual review and refresh. Draft Service Objectives and Performance Indicators
and targets had been developed by each department and the information had been
included in the Appendices to the report.
These objectives and measures would form the basis of the quarterly
performance monitoring received by the Board during the future year. The Board was further advised
that due to the proposed structural changes across the Council and the need to
better integrate the Directorate’s priorities as last year a combined plan
would be published rather than individual Departmental Service Plans. The plan, however, was subject to
reconfiguration of services between Directorates and subject to consultation. It was reported that comments
could also be made to the relevant Operational Director by no later than 20
January 2011 to allow inclusion in the Draft Business Plan. It addition, the draft
Directorate Business Plan would be revised given proposed reconfiguration of
Directorates during January and would be presented to the Executive Board for
approval on 9 February 2011, at the same time as the draft budget. This would ensure that decisions on Business
Planning were linked to resource allocation.
All Directorate plans will be considered by full Council at its 2 March
2011 meeting. A member of
the Board highlighted the complexity of the data and how it was reported and
felt it would be useful to understand the thinking behind the proposals,
whether there was a hierarchy of indicators, whether there were any existing or
new objectives and if they had been considered in the light of the spending
review. He also suggested that the Board
have a half day workshop to share ideas and consider these points. It was noted that some data within the plan
also came within the remit of other Policy and Performance Boards. After
discussion, it was agreed that officers look at arranging a half day workshop
at the end of the financial year to consider the overall framework and key
priorities for the coming year. RESOLVED: That (1)
The report and comments made be noted; (2) Members of the Board pass any detailed comments that they may have on the information in the report to the relevant Operational Director by 20 January 2011; and (3) A half day workshop be arranged for Members of the Board to review the Business Plans. |