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Contact: Joe Suffield
No apologies were received.
Declaration of Interests
To receive declarations of interest from
There were no declarations of interest.
Questions and Deputations
To answer any questions, if any asked by any
resident of the Borough pursuant to Standing Orders.
Hodgson made a deputation in relation to the Specialist
Psychotherapies Service, and the resumption of face to face
appointments. Birmingham and Solihull Mental Health Foundation
Trust (BSMHFT) provided a response which explained that the service
had to change to respond to the COVID-19 pandemic. Contact with
patients continued throughout the crisis albeit virtually or in an
alternative fashion. Steps were in place to increase the number of
face to face appointments in a COVID-19 secure environment.
Minutes PDF 277 KB
To receive the minutes of the previous meeting
held on 28th September 2020.
The minutes of the
meeting held on 28th September 2020 were presented for
The minutes arising
from the Health and Adult Social Care Scrutiny Board meeting held
on 28th September 2020 were agreed as a correct
Update on Mental Health Services within Solihull PDF 2 MB
For Scrutiny to
understand the key developments in Mental Health Services for
Solihull residents, with a particular focus on the impacts of
COVID-19, and responses.
The Director of
Joint Commissioning, NHS Birmingham and Solihull Clinical
Commissioning Group (BSol CCG)
introduced the item and provided an update on the Solihull mental
health system update. The following points were raised:
- The impact of
COVID-19 on people’s mental health had a big impact, for
example on service users, through the economic impact and those who
suffered from long COVID.
- Initially, there
had been reduced levels of admissions presented from March to May,
however there was now a rise in demand and people presented with
more complex problems.
- As a result, there
had been a rapid transition to new ways of working such as a
digital infrastructure to access care and to provide care in a
COVID-19 secure environment. Throughout the system, they worked
together to support service users and residents. This included with
a 24/7 helpline number and a communications exercise to encourage
residents to get support early.
- There was a
significant impact on people who suffered bereavement during the
crisis, which led to enhanced pathways for bereavement
- A Solihull Mental
Health pod had been set up as a forum to have key stakeholders
discuss shared priorities and concerns, to address concerns and
encourage good practice and collaboration.
Director, BSMHFT, provided information on the support available to
the collective workforce. The People Board of BSol Sustainability and Transformation Partnership
(STP) received £2mill of funding to create a Health and
Wellbeing Hub for staff and £500,000 for a mental health hub.
This would cover both health and social care staff, and recognised
the disproportionate impact on BAME staff.
The Director of
Operations for BSMHFT delivered further details on the delivery of
services during the COVID-19 crisis:
- It was highlighted
that no services stopped during the crisis and services were open
to referrals throughout. There had been an increased digital offer
to service users and staff to enable continued engagement during
the lockdown period.
- In Solar services,
when there was a dip in referrals to the service, which led to
closer links with schools to ensure there was continued
- The early
intervention service for early onset psychosis had remained
constant throughout the COVID-19, with continued contact both face
to face and virtually.
- Increased demand
in service users for SIAS services had been expected, and there had
been changes to the way support was provided to respond to the
challenges posed. Feedback from service users helped to inform how
the changes were introduced or modified.
- The Community
Mental Health Teams had to operate primarily a digital mode of
operation, and reduce the footfall through the hubs as part of
- The Acute and
Urgent Care inpatients had enhanced home treatments during the
COVID-19 crisis to encourage individuals to stay in their homes.
The Psychiatric Liaison Service had services at Good Hope Hospital,
Heartlands Hospital and Solihull Hospital. There would be mental
health hubs at both Good Hope Hospital and Heartlands Hospital for
the winter period to better support mental health service
Members made the
view the full minutes text for item 5.
Digital and Technology Use in Social Care PDF 175 KB
To inform Scrutiny
Board of the progress with the digital programme, and use of
digital solutions and technology within the Adult Care and Support
Director for Adult Care and Support introduced the item and
explained that the Digital Strategy involved the use of digital to
help people understand social care, improved contact with the
Council and better supported in their own home. There was a
recognition that digital contact would not always be appropriate
and other methods of engagement remained available. COVID-19 helped
to accelerate this agenda, as it forced staff to operate
Programme Manager outlined a number of key highlights from the
- A Shared Care
record was in the process of being created which would enable
information on people who used the services to successfully and
securely be shared between health organisations and the Council.
This should be in place by the next financial year.
- The Council
webpages for Adult Care and Support have been updated, and this
will continue with the development of the new corporate
- Portals were being
developed, which included online forms which enable individuals to
complete forms required by the Adult Care and Support. This would
also include links to information and advice within the website,
and linked to Liquid Logic. There had been substantial work
undertaken to ensure these would be accessible for individuals.
There was work undertaken to identify how providers would be able
to use portals as well, to share key information and upload
- Steps have been
taken to improve customer service, which has included the
procurement of an online booking service, which would give
residents more choice when they make an initial assessment. It had
a triage system which ensure the correct people were still
- There had been
more technology introduce to the smaller sites and day centres to
prevent errors and ensure information was available in real
- Commissioners had
also used information from national data collections to see wider
trends with providers. They also worked with Birmingham to ensure
there was information online for roles available within the care
- A lot of work had
taken place as a result of COVID-19 to ensure that staff were able
to operate remotely, and still remained engaged with their team.
Training was available online. In the future, they would look to
introduce an online care management system and a virtual adult care
and support conference.
Members raised the
following comments and questions:
- A Member asked
whether it would be possible to get tablets available in care homes
permanently for residents. The Assistant Director explained that
there were some tablets available to care homes as a result of NHS
X. Once these had been provided, the Council would assess the
effectiveness of this programme, and whether it should be used more
- A Member expressed
concern of the negative impact on mental health for residents if
technology was used as a substitute for day to day interactions.
The Assistant Director highlighted that digital would be used to
enhance the offer for residents, rather than replace a
- A Member queried
whether the data collected from the digital ...
view the full minutes text for item 6.
Health and Adult Social Care Scrutiny Board Work Plan PDF 382 KB
To provide the latest update of the work plan
for the Health and Adult Social Care Scrutiny Board.
The Board were
presented with the updated Health and Adult Social Care Scrutiny
Sexton requested that a Task and Finish Group would be set up to
look at the issue of Primary Care services within the Borough. The
Chairman recognised the importance of this problem and expressed
that a Task and Finish Group would be difficult to organise at
The Members debated
whether to create a Task and Finish Group which would consider
Primary Care. Councillor Dr Sexton stated that this was an urgent
problem that the Board was required to consider. It was proposed
that instead the issue of Primary Care would be considered at a
separate future meeting.
The Board noted the
changes made to the Work Programme, and requested an additional
meeting would be organised to consider Primary Care services during