Agenda and minutes

Health and Adult Social Care Scrutiny Board
Thursday 22nd July 2021 6.00 pm

Venue: Council Chamber - Civic Suite. View directions

Contact: Joe Suffield  Democratic Services

Items
No. Item

1.

Apologies

Minutes:

Apologies were received from Councillor Howell and Councillor Blunt. Councillor Howell was substituted by Councillor Qais.

2.

Declaration of Interests

To receive declarations of interest from Members.

Minutes:

There were no declarations of interests.

3.

Questions and Deputations

To answer any questions, if any asked by any resident of the Borough pursuant to Standing Orders.

Minutes:

There were no questions or deputations.

4.

Minutes pdf icon PDF 211 KB

To receive the public minutes of the previous meeting held on 14th June 2021.

Minutes:

The public minutes of the meeting held on 14th June 2021 was presented for information.

 

RESOLVED

The minutes of the meeting held on 14th June 2021 was approved.

5.

Deputy Leader of the Council: Health and Well-being Priorities for 2021/22 pdf icon PDF 176 KB

To present the priorities of the Deputy Leader of the Council in relation to Health and Well-being (including the work of the Health and Wellbeing Board).

Minutes:

The Deputy Leader of the Council introduced the report and highlighted the following points:

·  A priority for the year ahead was a focus on the Birmingham and Solihull Integrated Care System as continued to develop within the locality. This was an evolution of the STP, in line with central Government requirements. It aimed to emphasise on the theme of “place”, both at a Solihull level and a more localised level.

·  Alongside this, a key part of the portfolio included the oversight of the Solihull Health and Wellbeing Board which encompassed the delivery of the Health and Wellbeing Strategy and Health Inequalities Strategy (in development).

·  The portfolio also included oversight of how to get people more active through schemes such as Solihull on the Move, as well as to maximise the benefits of the Commonwealth Games.

 

Members made comments and asked the following questions:

·  A Member sought confirmation about the ICS footprint that Solihull would be involved with. The Deputy Leader explained that it was likely that the current Birmingham and Solihull footprint would be expanded to include West Birmingham.

·  A Member noted concerns about how the ICS could be held accountable to local residents. The Deputy Leader concurred that the health system recognised the importance of accountability to local residents. This fed into the theme of place based working, where local PCNs and other organisations would be able to feed into how services were delivered locally.

·  A Member queried how the Health and Wellbeing Board priority “Maternity, Childhood and Adolescence” would support adolescence which was often ignored. The Deputy Leader explained they would continue to assess the impact of COVID-19 on young adults and how to best support them. There currently were a number of schemes to support young people into jobs and for inclusive growth.

·  A Member asked whether the Health Inequalities Strategy would focus on the collection of accurate data to ensure policies were properly informed in the future. The Director of Public Health recognised the importance of data collection at source across all providers. The ICS was in the process of the creation of a Health Inequalities Strategy which would also emphasise accurate data collection. Good quality data would enable Officers to understand if policies and strategies had made the necessary impact.

·  A Member queried whether the prioritisation of prevention and early intervention meant that resources for acute services would be reduced. The Deputy Leader responded that this change related to being more explicit on prevention and early intervention. This would be more effective through tighter relationships with partners. From this, another Member asked how prevention could be prioritised when acute services were under pressure, and if additional resources were available to support this priority. The Deputy Leader explained there were not significant funds available to support this, however different services had started to work closely together. This would prevent duplication and ensure that resources were effectively used.

·  A Member noted the Health and Wellbeing Board priority on the impact of the COVID-19 pandemic and asked how  ...  view the full minutes text for item 5.

6.

Cabinet Portfolio Holder For Adult Social Care and Health: Priorities for 2021/22 pdf icon PDF 293 KB

The report highlights the key priority areas for 2020-21 for the Cabinet Portfolio Holder for Adult Social Care and Health.

Minutes:

The Cabinet Member for Adult Social Care and Health introduced the item and outlined the priorities as set out in the report.

 

Members made a number of comments and asked the following questions:

·  A Member asked what they hoped the key outcomes of the review into the local approach to health improvement services would be. The Director of Public Health explained that this would involve improved partnership working with PCNs, the ICS and other stakeholders. If there was additional investment available, then to ensure that this was effectively used.

·  A Member queried what was understood by inclusive growth and how it would be measured. The Cabinet Member explained they understood inclusive growth as including the use of services to support people to improve their health and quality of life. The Member then commented that it was important to ensure jobs improved residents’ quality of life and asked whether the Inclusive Growth Outcome framework could be bought to the Scrutiny Board. The Cabinet Member stated he would liaise with the Chairman to identify if it could be included on the work programme.

·  A Member asked for more information on the Integrated Health and Community Hub in Kingshurst Village Centre, and what steps had been taken to prevent problems on the project. The Director of Public Health explained that at present, they were in the process of the creation of an outline business case to ensure there were funds in place for the project. This took place alongside the ICS and the CCG. The Cabinet Member noted that they would learn from issues in the past as they progressed with the development.

·  A Member enquired what support would be given to babies born during the pandemic, as they had not had the opportunity to socialise. The Cabinet Member explained that health workers would continue to monitor the development of babies, and as they exited the pandemic they would monitor the evidence to support babies.

·  A Member raised concerned about the health inequality implications of the increased digitalisation of health and social care services. The Cabinet Member explained that this was a big risk and they always had to consider those who were not very technology literate, and to use face to face meetings where appropriate. The Director for Adult Social Care and Support explained that there were some additional demands within the service, such as mental health and carers and that digitally based services were the right solution for some people. The Director for Adult Social Care and Support confirmed they had changed how some services were delivered, such as considering the development of mental health reablement. However, in response to the concern about the need for it to be easy to make a referral to social care, then for those who could not use online services, people continue to have the option of calling.

·  A Member asked if there was additional funding for the new Domestic Violence legislation. The Director of Public Health confirmed there was £220,000 additional funding to  ...  view the full minutes text for item 6.

7.

Housing Assistance Policy pdf icon PDF 170 KB

To update Health and Adult Social Care Scrutiny Board on the development of a Housing Assistance Policy and provide the opportunity for Scrutiny Board to provide feedback.

Additional documents:

Minutes:

The Assistant Director for Adult Care and Support introduced the report. They explained that the Council was required to administer Disabled Facilities Grants to enable disabled children, adults and older people with funds to make alterations to their accommodation to ensure they could remain in their home. The Housing Assistance policy would help to maximise residents’ independence and improve flexibility. Homeowners, tenants and landlords were able to apply for grants; an occupational therapist would then make recommendations based on their needs. In Solihull, SCH support with organisation and implementation of the works. The maximum grant for individuals was £30,000 and was subject to means tests. Local Authorities receive an annual capital grant to fund this service. There were aspirations to improve access to these grants to help more people live independently.

 

The Head of Service and Occupational Therapy Lead highlighted the following points:

·  One proposed change to the grants would be to make it easier to access. A passport arrangement would enable residents who receive a local Council Tax reduction to skip the means test process.

·  The Discretionary Disabled Facility Assistance would also be available to top up the £30,000 if extensive adaptations were required. This would streamline the service and would not impact on other service area budgets.

·  There would be a Discretionary Contribution Grant which would be for those who did not pass the means test but still required financial support.

·  A Help to Move Grant would be introduced for those who would not be able to have their property adapted. Instead they would be supported to move to accommodation which could be adapted to suit their needs.

·  Enhanced Minor Works currently offers minor adaptations free of charge up to the cost of £1000. The change proposed would be to increase this to £1,500 and would not be means tested.

·  The DFG had been underspent for a number of years as the focus has been on mandatory grants. The proposals introduce additional flexibility and includes a deactivation clause for the discretionary element if demand increases significantly and there are resource concerns.

 

Members made comments and asked the following questions:

·  A Member asked if there were circumstances where residents would be moved out of their accommodation to enable the work to be completed. The Head of Service confirmed that they would attempt to keep residents in their home while the works took place. However, if this was not possible, alternative accommodation would be sought.

·  A Member queried if the applications were accessible for all residents, especially as those who accessed the grant were likely to be vulnerable. The Assistant Director confirmed that most referrals were not made digitally, instead occupational therapy visits would take place face to face. They were confident they supported those who did not have digital skills.

·  A Member sought clarification whether funding could be used to speed up the completion of the works, or provide assistance which otherwise would not be available. The Assistant Director explained that the policy would improve flexibility and would speed  ...  view the full minutes text for item 7.

8.

Work Programme 2021/22 pdf icon PDF 379 KB

For the Scrutiny Board to comment and approve the work programme for the municipal year 2021/22.

Minutes:

The work programme was presented to the Board for consideration.

 

Councillor Sexton asked for the following items to be included on the work programme:

·  Health infrastructure in the Borough.

·  Suicide prevention update.

·  A review of the work of the Health and Adult Social Care Scrutiny Board.

 

RESOLVED

The Board approved the work programme subject to the incorporation of the above items.

9.

Exclusion of the public and press

The item is likely not to be open to the public during discussion of the following items because the reports contain exempt information as defined in Schedule 12A to the Local Government Act 1972.

Minutes:

That, pursuant to Section 100A (4) of the Local Government Act 1972, the press and public be now excluded from the meeting for the remainder of the business to be transacted, on the grounds that there would be disclosure to them of exempt information in terms of paragraph 3 of Part 1 of Schedule 12A to the said Act.

10.

Private Minutes

To receive the private minutes from the meeting held on 14th June.

Minutes:

The private minutes of the meeting held on 14th June 2021 were presented for approval.

 

RESOLVED

The private minutes of the meeting held on 14th June 2021 were approved.