Agenda and minutes

Adult Social Care and Communities Scrutiny Committee - Tuesday 6 July 2021 10.00 am

Items
No. Item

1.

Apologies

To note any apologies for abence

Minutes:

No apologies were made at the meeting.

2.

Declarations of Interest

To receive any declarations of interest

Minutes:

No declarations of interest were made at the meeting.

3.

Minutes pdf icon PDF 5 MB

To note the minutes of the meeting held on: -

 

a)    26 January 2021 (Joint Meeting with Health Scrutiny Committee)

 

b)    9 March 2021

 

Additional documents:

Minutes:

The minutes of the meetings held on 26 January 2021, (joint meeting with the Gloucestershire Health Scrutiny Committee), and 9 March 2021 were agreed as a true record of those meetings.

4.

Public Health Report pdf icon PDF 606 KB

An update from the Executive Director of Adult Social Care and Public Health,  Gloucestershire County Council), on matters relating to public health, including the response to the COVID-19 Emergency.

 

A Covid-19 intelligence summary update will be circulated prior to the meeting to provide members with the latest information.

Additional documents:

Minutes:

Professor Sarah Scott, Executive Director of Adult Social Care and Public Health at Gloucestershire County Council, gave an update on current issues relating to public health services, including the response to the COVID-19 Emergency. The update included information on plans to invest national funding on rough sleeping and adult weight management services; health inequalities; public mental health issues and suicide; and domestic abuse.

 

A Covid-19 early warning indicator summary report, (for the period 24 to 30 June 2021), was presented at the meeting, providing members with the latest information on confirmed cases of COVID-19, (including registered COVID-19 related deaths in Gloucestershire). The summary report is attached.

 

Member’s attention was drawn to the escalating repercussions of school children having to self isolate due to testing positive or coming into contact with someone with COVID-19. It was confirmed that over 200 cases of school children with COVID-19 had been reported in recent weeks and that a huge number of children were having to self-isolate. It was noted that a significant number of schools in Gloucestershire were located in rural areas, with home to school transport another area of concern in relation to the current emergency situation. The resilience of local schools in response to the pandemic was noted and commended.

 

Noting the success of the roll-out of the COVID-19 vaccination programme across the county, members enquired into the arrangements for extending the programme to reach the younger residents of Gloucestershire, including young people aged 20-24. It was explained that every effort was being made to encourage young people to take up the vaccination programme. A key area of work for the public health team was to establish a balance of encouraging young people to return to a more normal lifestyle via the protection and reassurances offered by the vaccination programme, whilst at the same time, highlighting the importance of adhering to safe and controlled COVID secure measures. It was confirmed that a huge amount of communications work, including the use of social media, was being invested in promoting key messages to young people.

 

Noting concerns about the impact of COVID-19 on mental health, particularly young people’s mental health, it was agreed to provide a more detailed briefing on mental health issues at a future committee meeting. It was later suggested that a joint briefing to the members of this and the Health Scrutiny Committee might be useful in relation to the work of the Be Well Gloucestershire Initiative. Wellbeing Gloucestershire. Another proposal suggested as an item for future consideration was a briefing on the impact of COVID-19 on obesity across the county and whether the issue had been accentuated during the pandemic. In terms of obesity, the committee agreed to wait until more data was available issue before requesting an update on the issue at a future meeting. Actions by – Executive Director of Adult Social Care and Public Health

 

One member enquired into the sharing of information/communications with members on details relating to vaccination drop in centres and the roll out  ...  view the full minutes text for item 4.

5.

Adult Social Care Report pdf icon PDF 160 KB

An update from the Executive Director of Adult Social Care and Public Health,  Gloucestershire County Council), on matters relating to adult social care, including the response to the COVID-19 Emergency.

Minutes:

The committee received an update from the Executive Director of Adult Social Care and Public Health, (Gloucestershire County Council), on matters relating to adult social care, including the response to the COVID-19 Emergency.

 

Key points referred to at the meeting included:

 

a)    Work to roll out the Enhanced Independence Offer (EIO) was progressing. It was explained that the project was focusing on the home-based and bed-based pathways out of acute and community hospitals and in meeting the needs of people suffering with ill-health in the community. It was anticipated that the new service would be functioning from 1 November 2021. In the meantime, improvements were being made to improve the overall capacity of the Home First (Reablement) Service, including rationalising the assessment bed pathway to ensure the right type of bed based service is available to meet demand. Alongside this will be a review of therapy services to ensure the right type of therapy is available for each person.

 

b)    Updating members on some of the outcomes of the financial support allocated to social care providers during the pandemic, members noted that the Rapid Testing Funding had been used to fund COVID-19 testing in care homes. Of the £1,964,902 funding received in respect of 6,018 care home registered beds and 90 residential drug and alcohol beds, the full £1,945,793 had been allocated to care homes. It was noted that £19,109 funding remained unspent due to the funds not being accepted by providers.

 

c)    As of May 2021, the Gloucestershire Care Sector had received £23.7m financial support. By June 2021, this had been anticipated to reach £27.9m

 

d)    A member requested a more detailed update on the Park Homes Project at a future meeting and this was noted. It was explained that initial funding from the Disabled Facilities Grant had provided additional funds in 2018-19 to enable a pilot project to insulate some of the park homes located at various sites around the county. Concerns about the a higher prevalence of long term conditions including respiratory and cardio vascular issues amongst park home residents were noted. Action by – Executive Director Adult Social Care and Public Health

 

e)    It was reported that Gloucestershire had achieved one of the highest performances in the South-West Region for the number of people undergoing an annual health check. Gloucestershire achieved an overall position of 74% health checks completed, from a target of 67%.

 

f)     A Review of the Gloucestershire Care Partnership (GCP) Care Home Estate will need to be continued to meet the requirements of the council’s duty under the Care Act 2014. The Integrated Commissioning Team to work with the independent care market to ensure the council focusses on promoting the individual’s wellbeing, commissioning quality care provision and developing sustainable models of care to meet the needs of Gloucestershire’s diverse population. It was noted that the wider impact of the pandemic had created additional stresses on the care market, with many independent care homes experiencing significant loses and  ...  view the full minutes text for item 5.

6.

Chief Fire Officer Update

An update on matters relating to the delivery of services included within the portfolio of services covered by the Chief Fire Officer of Gloucestershire Fire and Rescue Service in context to the remit of the committee, comprising; Trading Standards, Civil Protection and Coroners Services.

Minutes:

The committee received an update from the Interim Chief Fire Officer on matters relating to the delivery of services included within the portfolio of services covered by the Gloucestershire Fire and Rescue Service in context to the remit of the committee. These included: Trading Standards, Civil Protection and Coroners Services.

 

The new members of the committee were informed that the County Council had a legal duty to provide a fire and rescue service for the county and that the Gloucestershire Fire and Rescue Service fulfilled this duty on the council’s behalf. 

 

At the Gloucestershire County Council Annual General Meeting on 19 May 2021, the Council agreed to establish a new, (stand alone), scrutiny committee, comprising seven members, to scrutinise the Fire and Rescue Service. The new committee was asked to carry out the scrutiny functions of the County Council, as set out in Article 8 of the Constitution, in the context of matters relating to Gloucestershire Fire & Rescue Service, including: -

 

a)    Response to fire and other emergencies

b)    Fire regulation, prevention and promoting fire safety

c)    Performance against Key and Local Performance Indicators

d)    Progress against recommendations from inspections and delivery of the Improvement Plan

e)    Co-operation and partnership working with other local responders to enhance co-ordination and efficiency and increase community resilience

f)     Cross-boundary co-operation with other Fire and Rescue Authorities

g)    Civil contingency planning

h)   Leadership, culture and workforce development across the service

 

Members were advised that the Adult Social Care and Communities Scrutiny Committee was no longer required to consider any of the above, fire related, aspects of work as part of its remit. Going forward, the committee to receive strategic update reports from Gloucestershire Fire and Rescue Service (GFRS) on key issues relating to community safety provision and non-fire related services.

 

Interim Chief Fire Officer, Mark Preece, presented a short power-point presentation, outlining some of the work undertaken within the three Community Safety Directorate service areas for which the committee would be scrutinising at future meetings. These included: -

 

1)    Civil Protection Team

 

a)    Working with all service areas across GCC to strengthen Business Continuity Management

b)    Ongoing work with GCC colleagues to revise, resource and train staff members involved in emergency response

c)    Working with district colleagues in accordance with Service Level Agreements

 

It was explained that the Civil Protection Team continued to support both County & District Councils to be compliant with the Civil Contingencies Act 2004 and to work closely with multi-agency partners as a key member of the Gloucestershire Local Resilience Forum. All functions, (except for live face to face training), had now resumed.

 

2)    Coroner’s Office

 

a)    Looking to return to ‘Business as Usual’ arrangements as quickly as possible;

b)    Continuing to work towards fulfilling statutory duties;

c)    Continuing to operate from Barnwood

d)    Mortuary service arrangements operating under the guidance of the Senior Coroner

e)    Complex inquests to be scheduled later in the year

 

The Coroner Service was continuing to work towards fulfilling its statutory duties under the Coroner  ...  view the full minutes text for item 6.

7.

Quarter 4 Performance Report (2020/21) pdf icon PDF 775 KB

To consider performance data for Quarter 4 of 2020/21 in relation to the delivery of services within the remit and context of this committee.

Minutes:

Members were presented with an analysis of performance relating to delivery of services within the remit of the Adult Social Care and Communities Scrutiny Committee. The report was prepared by the County Council’s Performance & Improvement Team, using data up to 31 March 2021.

 

Cllr Carole Allaway Martin, Cabinet Member for Adult Social Care: Commissioning, gave a useful explanation of what aspects of the performance report members might wish to concentrate on at future meetings, including the use of targets and symbols. It was suggested members may wish to make comparisons with previous performance reports and to prepare questions in advance of the meeting on areas they wished to seek clarification or further explanation on.

 

The committee reflected on the impact of the pandemic on delivery and performance and the unknown certainties anticipated from the easing of restrictions on 19 July 2021.

 

The report was noted.

8.

Work Plan

The committee to consider topics for scrutiny and suggest items for consideration at future meetings. 

 

2021

7 September

9 November

 

2022

25 Jan

15 Mar

10 May

5 July

6 September

15 November

 

Items suggested at the recent member induction session included:

 

1)    Market management (to include information on staffing issues, pay, training, recruitment and retention)

 

2)    Domiciliary Care

 

3)    Contain Outbreak Management Funding

 

4)    Covid-19 Funding/Community Grant Schemes

 

Other items (items to add to the Annual Work Programme 2021/22)

 

5)    Gloucestershire Safeguarding Board Annual Report 2020/21

Minutes:

The committee was asked to suggest items to add to the committee work plan and informed of items considered at previous meetings.

 

Highlighting the impact of the pandemic on the delivery of services going forward and the likely outcomes of pressures being placed on the NHS and Public Health Team over the winter months, it was suggested that the committee engage with the members of the Health Scrutiny Committee in considering the NHS Winter Plan proposals for 2021/22. An in-depth review of the Winter Plan 2021/22 to be considered at a joint committee meeting on the date of the scheduled Health Scrutiny Committee meeting on 8 March 2022. The date of the Adult Social Care and Communities Committee meeting scheduled on 15 March 2022 to be held in reserve (if required).

 

One member of the committee asked for an update on the Shingles Vaccination Programme to be included in a report to the committee at a future meeting.

 

Other items suggested for consideration at future meetings included:

 

1) Market Management Overview

2) Gloucestershire Safeguarding Board Annual Report 2020/21

3) Adult Social Care (Care Act) Three Tier Offer

4) Contain Outbreak Management Funding

5) Domiciliary Care Report

6) System Flow (New Guidance)

7) Health Inequalities

9) Covid-19 Funding/Community Grant Schemes Overview