Venue: Committee Rooms A/B - Neath Civic Centre. View directions
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Minutes of the Social Care, Health and Wellbeing Scrutiny Committee held on 5th October 17 PDF 88 KB Minutes: The
Committee noted the minutes. |
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Scrutiny Forward Work Programme and Actions Register 2017/18. PDF 185 KB Additional documents: Minutes: The
Committee requested that Adult Safeguarding and Quality Assurance be added to
the Forward Work Programme. The
Committee requested that a Task and Finish Group in relation to Direct Payments
be undertaken by the Committee. The
Committee then noted the Forward Work Programme. |
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URGENT ITEM Minutes: Because
of the need to deal now with the matter contained within Minute No 3 below, the
Chairman agreed that this could be raised at today’s meeting as an urgent item
pursuant to Section 100B (4) (b) of the Local Government Act 1972. Reason: Due
to the time element. 3. Urgent Report of the Head of Social Work Services and the
Western Bay Programme Director on the Western Bay Health and Social Care
Programme Update. Members asked whether the Multi Agency Placement
Support Service (MAPPS) would work in a similar way to the Child and Adolescent
Mental Health Service (CAMHS) and if service users could expect to experience
the same delays in accessing the service? Officers explained that they are working closely
with ABMU to try to resolve the issues with the CAMHS service but that MAPPS is
for children who are in the care of the Local Authority only so there should
not be the same issues. Officers agreed to submit a report by the end of the
financial year detailing what the MAPPS remit is. Members asked how the progress of the Integrated
Autism Service is monitored. It was explained that the reports on the different
workstreams would be brought to Committee to assist Members understand the
progress. Members enquired if the development work of the Integrated Autism
Service included the involvement of Swansea University. It was stated that they
have not been involved but confirmed that they would be contacted to discuss
potential for future engagement. The report states that the Western Bay Programme mirrors
the footprint of the Health Board and the Committee sought assurance that this
did not mean a duplication of work. Officers explained that continuous
discussion takes place to ensure that this is not the case and clarified that
the Western Bay Programme covers the same demographical area as the Health
Board. Members asked for further information in relation
to the mechanisms that are in place for ensuing that decisions are being taken
forward locally. It was clarified that all decisions are subject to each
Council/Health Board individual scrutiny processes and issues are escalated to
the Officer and Cabinet Members representatives on the Regional Board. The Committee wondered what the situation would be
in the event that a Local Authority did not agreeing with decisions taken by
partner Authorities.Officers explained that discussion would take place between
partners and a compromise and solution agreed. Members expressed concern at the potential impact
on the Western Bay partnership if Bridgend leaves the Western Bay Partnership
as is proposed. Officers stated that the Partnership would need to adjust
within the parameters of its remaining partners and presently a mapping out
exercise is taking place. It was noted that nothing has been confirmed at the
moment in relation to the position of Bridgend and that some of the
collaborative projects would continue as they are currently. Members asked for clarification on what the word ‘frail’ means in the context of the circulated report. Officers agreed that the ... view the full minutes text for item 3. |
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PRE-SCRUTINY Minutes: The
Committee scrutinised the following matters: Cabinet
Board Proposals 3.1 Western Bay Commissioning Strategy for Care Homes for Older
People 2016-2025 The Committee received the proposed Western Bay Commissioning
Strategy for Care Homes for Older People for 2016-2025 as contained within the
circulated report. The Committee initially queried why paragraphs had
been omitted in the report before them at this meeting that had been contained
within the previous report for their consideration in September 2017 which
referred to the closure and new build of residential care homes. Officers
explained that in the original report references were made to information that
was not for consideration at that meeting in September and had caused overall
confusion so the information was omitted from the report in front of Members at
this meeting. The Committee queried what was meant by ‘Quality of
Life’ as mentioned throughout the circulated report. Officers explained that
part of the initial assessment that is carried out by Social Workers of the
needs of service users include consideration of their quality of life and it
was agreed that this is different for all people. It is used as part of the measure for
monitoring purposes and is contained in the regional quality framework guidance
which is set across the region. Members asked what measures monitored whether the
workforce was strong and motivated as stated in the circulated report. They
learnt that retention and recruitment of staff is a measure; Members noted the
difficulties in maintaining a strong workforce and that work is needed to
encourage people to work in the sector and that an action plan has been
developed to specifically target recruitment as a regional initiative. It was highlighted that presently there is a
shortage of specialist care facilities within Neath Port Talbot and work is
progressing with private providers to try to resolve this. In addition, there
is a piece of work being undertaken locally to explore what service users or
families need to contribute to care costs.
A report will be brought to a future meeting for Members consideration. Members agreed that there is a need to consider all
alternative ways of delivering care and officers explained that any parties
interested in providing models of care or taking over any vacant residential
care buildings to provide that care would be considered. Focus is presently on developing a marketing
strategy which will include working with social enterprise ventures and Members
were pleased to note that discussions are currently taking place with Neath
Port Talbot Council for Voluntary Service. Members queried how the Authority monitors services users whose care is provided via independent living and whether there was any data highlighting the outcomes experienced. Officers explained that presently there are no indicators to capture this data and there is no evidence available to identify what measure could be put in place to capture the data. Also, the majority of service users choose to have their care provided at home to enable them remain independent. Members asked that this be ... view the full minutes text for item 4. |