Agenda, decisions and minutes

Health and Social Care Overview and Scrutiny Committee - Thursday, 27th January, 2022 4.30 pm

Venue: Council Chamber - City Hall, Bradford

Contact: Jane Lythgow 

Items
No. Item

39.

DISCLOSURES OF INTERESTS

(Members Code of Conduct - Part 4A of the Constitution)

 

To receive disclosures of interests from members and co-opted members on matters to be considered at the meeting. The disclosure must include the nature of the interest.

 

An interest must also be disclosed in the meeting when it becomes apparent to the member during the meeting.

 

Notes:

 

(1)       Members may remain in the meeting and take part fully in discussion and voting unless the interest is a disclosable pecuniary interest or an interest which the Member feels would call into question their compliance with the wider principles set out in the Code of Conduct.  Disclosable pecuniary interests relate to the Member concerned or their spouse/partner.

 

(2)       Members in arrears of Council Tax by more than two months must not vote in decisions on, or which might affect, budget calculations, and must disclose at the meeting that this restriction applies to them.  A failure to comply with these requirements is a criminal offence under section 106 of the Local Government Finance Act 1992. 

 

(3)       Members are also welcome to disclose interests which are not disclosable pecuniary interests but which they consider should be made in the interest of clarity.

 

(4)       Officers must disclose interests in accordance with Council Standing Order 44.

 

 

Minutes:

No declarations of interest were made for matters under consideration.

 

 

40.

INSPECTION OF REPORTS AND BACKGROUND PAPERS

(Access to Information Procedure Rules – Part 3B of the Constitution)

 

Reports and background papers for agenda items may be inspected by contacting the person shown after each agenda item.  Certain reports and background papers may be restricted. 

 

Any request to remove the restriction on a report or background paper should be made to the relevant Strategic Director or Assistant Director whose name is shown on the front page of the report. 

 

If that request is refused, there is a right of appeal to this meeting. 

 

Please contact the officer shown below in advance of the meeting if you wish to appeal. 

 

(Jane Lythgow - 01274 432270)

 

Minutes:

No requests were received to remove the restriction on a report or background paper.

 

 

41.

REFERRALS TO THE OVERVIEW AND SCRUTINY COMMITTEE

Any referrals that have been made to this Committee up to and including the date of publication of this agenda will be reported at the meeting.

Minutes:

No referrals were received.

 

 

42.

PREPARATION FOR ADULTHOOD AND TRANSITIONS PATHWAYS FROM CHILDREN TO ADULT SERVICES pdf icon PDF 313 KB

The report of the Strategic Director, Health and Wellbeing (Document “Q”) informs Members of:

 

·         The position in relation to the integrated transitions service for 16-25 year-old disabled young people and their families in Bradford, including the policy context for such changes;

 

·         Improvements to strengthen pathways for young people with learning disabilities, physical disabilities and mental health in order to better align services and resources; and

 

·         performance against the Adult Social Care Outcomes Framework (ASCOF) over the past year.

 

Recommended –

 

It is recommended that Members note the contents of the report and continued progress to improve the extent to which transitioning planning is aligned to the 4 preparation for adulthood outcomes which young people and their families advocate for.

 

(Elaine James – 01274 432900)

 

 

Additional documents:

Decision:

 

Resolved:-

 

 

(1)  That the Committee strongly encourages the Council to support the Into Employment Scheme

 

(2)  That the importance of the Integrated Transitions Service be recognised during the forthcoming changes to Children’s Services

 

(3)  That an update on the work of the service be presented in 18-24 months

 

Action: Strategic Director (Health and Wellbeing)

 

(Elaine James – 01274 432900)

Minutes:

The report of the Strategic Director, Health and Wellbeing (Document “Q”) informs Members of:

·         The position in relation to the integrated transitions service for 16-25 year-old disabled young people and their families in Bradford, including the policy context for such changes;

·         Improvements to strengthen pathways for young people with learning disabilities, physical disabilities and mental health in order to better align services and resources; and

·         Performance against the Adult Social Care Outcomes Framework (ASCOF) over the past year.

 

The Service Manager was in attendance and at the invitation of the Chair she introduced the report to the committee. She explained that the work of the service continued to improve pathways which were designed to provide young people with the most complex disabilities and their families across the Bradford District with improved information and support into adulthood and independence. This work proceeded in partnership with young people with the most complex disabilities and their families to improve the education, health and social care offer and aligned support to meet Care Act eligible needs to key outcomes which prepared for adulthood and maximised independence at point of transition.

 

She further explained that as set out in the SEND Code of Practice (2015) and within the Care and Support Statutory Guidance to the Care Act (2015), preparing for adulthood meant formulating for higher education and/or employment, this included exploring different employment options, such as support for becoming self-employed and helped from supported employment agencies. Independent living meant that young people had choice, control and freedom over their lives and the support they had, their accommodation and living arrangements, which included supported living. Participation in society, included having friends and supportive relationships, and participating in, and contributing to, the local community and participation in democratic life. This included a healthy lifestyle as possible in adult life.

 

Following introduction, a video presentation of a select number of young participants involved in the transitional programme was presented to the committee. The young people voiced their individual experiences, transformation and achievements, that involved planning for a personalised curriculum, being assisted in applying the principles of the Mental Capacity Act appropriately to enable young people to have a say in their planning and decision making and being supported as a young person to be as independent as possible. 

 

Whilst the committee acknowledged the great effort of work of the service to better the lives of young people, the committee stated that in theory the end purpose seemed good in theory as outlined in the report but in terms of practice, the committee expressed its reservations as to whether this transitional work in equipping young people with learning disabilities would be a success. Further clarity was sought for the reason that so many similar work streams had been undertaken over the years, yet many young people with disabilities ended up with no employment or a lack of employment prospects.

 

In response, it was explained that there had been a positive impact of significant in efficiency of services  ...  view the full minutes text for item 42.

43.

UPDATE ON THE LOCAL HEALTH AND CARE SYSTEM'S STRATEGY, TRANSFORMATION PROGRAMMES, AND THE DEVELOPMENT OF PARTNERSHIP ARRANGEMENTS pdf icon PDF 760 KB

Following updates to the Committee in 2021,the report of the Bradford District and Craven Health and Care Partnership (Document “R”), summarises the strategy of the local health and care partnership; and highlights the benefits for local people which are being achieved through the partnership’s transformation programmes.

 

The report also provides an update on the implementation of local delivery and decision making arrangements which will support the partnership to make a difference as part of the West Yorkshire Integrated Care System.

 

Recommended –

 

The views of the Health and Social Care Overview and Scrutiny Committee are requested.

 

(James Drury – 07970 479491)

 

 

 

 

Additional documents:

Decision:

 

Resolved:-

 

That, once appointed, the Independent Chair of the Bradford District and Craven Partnership Board be invited to attend a future meeting of the Committee.

 

Action: Overview and Scrutiny Lead

(Caroline Coombes – 01274 432313)

Minutes:

Following an update to the Committee in 2021, the report of the Bradford District and Craven Health and Care Partnership (Document “R”), summarised the strategy of the local health and care partnership; and highlighted the benefits for local people which were being achieved through the partnership’s transformation programmes.

 

The report further provided an update on the implementation of local delivery and decision making arrangements which would support the partnership to make a difference as part of the West Yorkshire Integrated Care System.

 

The Partnership Development Director was present and accompanied with his team of colleagues at the meeting. With the invitation of the Chair, he gave a synopsis of the report to the committee. He explained that the partnership had the strategic ambition to reduce health inequalities and improve population health and wellbeing for the people of Bradford District and Craven. There was a strong commitment to a partnership vision of keeping people ‘Happy, Healthy at Home’ through the actions taken to support the population to stay healthy, well, and independent throughout their whole life. Health and care partners in the District had a strong history of working well together and as the Council moved into formal partnership arrangements, the service was confident that the work undertaken to date from the strategic partnering agreement, the transformation programmes to our distributed leadership model placed the Council in a strong position to take on the delegated responsibility to ‘Place’ from the West Yorkshire Integrated Care System.

 

The four primary purposes as a new partnership were:

  • Improving outcomes in population health, healthcare and wellbeing;
  • Tackling inequalities in outcomes, experience and access;
  • Enhancing productivity and value for money; and,
  • Supporting broader social and economic development.

 

Following a light narration of the report, a question and answer session ensued:

  • What was the fundamental practices in the Information Care Strategy (ICS) to assist the service in its growth on a local level through the intended place based partnership approach?
  • The local health and care partnership was changing the way it worked, to make it easier to implement the strategy and to make improvements for local people. The changes to local arrangements also enabled the maximising of effectiveness of our participation in the West Yorkshire Health and Care Partnership, and to prepare for the new Health and Care Act, which was expected to be passed by Parliament in 2022.
  • The primary care team had developed a bespoke pathway for the population of the Bradford District for example, patients who continued to displaying long Covid symptoms 12 weeks-post infection . These patients were referred by their GP to physiotherapists who then oversaw responsibility for coordinating their care. From there, the coordinator had access to a wide range of other clinical services such as specialist respiratory care, non-clinical services such as employee health links, support returning to work including financial advice.
  • There was room for refining communication levels and have new partnership arrangements which would support the partnership to make a difference as part of the West  ...  view the full minutes text for item 43.

44.

HEALTH AND SOCIAL CARE OVERVIEW AND SCRUTINY COMMITTEE WORK PROGRAMME 2021/22 pdf icon PDF 118 KB

The report of the City Solicitor (Document “S”) presents the work programme 2021/22.

 

Recommended –

 

That the Committee notes the information in Appendix A.

 

(Caroline Coombs – 01274 432313)

 

 

Additional documents:

Decision:

 

 

 

 

No resolution was passed on this item

Minutes:

The report of the City Solicitor (Document “S”) presented the work programme 2021/22.

 

No resolution was passed on this item.