Agenda and minutes
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Contact: Democratic Services Tel: 020 7364 5554 E-mail: rushena.miah@towerhamlets.gov.uk
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DECLARATIONS OF DISCLOSABLE PECUNIARY INTERESTS PDF 68 KB To note any declarations of interest made by Members, including those restricting Members from voting on the questions detailed in Section 106 of the Local Government Finance Act, 1992. See attached note from the Monitoring Officer.
Minutes: Eve McQuillan declared a personal interest in that she worked for the Royal College of Psychiatrists.
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MINUTES OF THE PREVIOUS MEETING PDF 76 KB To confirm as a correct record the minutes of the meeting of the Health Scrutiny Panel held on 11 December 2018. Minutes: The minutes of the meeting held on 11 December 2018 were approved as an accurate record and signed by the Chair. |
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REPORTS FOR CONSIDERATION: |
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HEALTH AND SUBSTANCE MISUSE PDF 68 KB This item aims to present an overview of the relationship between health and substance misuse in Tower Hamlets, review substance misuse prevention services in place and review the quality of the current treatment services available to support people with alcohol and substance misuse issues. Additional documents: Minutes: [The Chair decided to take agenda items in a different order than published. The first item presented was Health and Substance Misuse, followed by the Health and Social Care Budget Report, the Reablement Action Plan Item and then the Health Based Places of Safety Report. For readability the minutes will follow the order published on the agenda]. The Committee received the report of Dezlee Dennis – Substance Misuse Commissioning Manager and Katie Cole –Associate Director of Public Health, on Health and Substance Misuse. Colleagues from the Tower Hamlets Drug and Alcohol Team were present to answer questions from Members. In response to Member questions, Officers provided the following:
The Chair thanked Officers for their presentation. RESOLVED: 1. To note the presentation.
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HEALTH BASED PLACES OF SAFETY PDF 318 KB CCGs must ensure plans for the designation, and appropriate staffing of CCG-commissioned health-based places of safety (HBPoS). In May 2018 the East London Health Care Partnership produced a pan-London business case for fewer better quality HBPoS. This paper outlines the recommended changes and how they will impact on Tower Hamlets residents. Minutes: The Committee received the report of Carrie Kilpatrick – Deputy Director of Mental Health and Joint Commissioning and Dan Burningham – Mental Health Programme Director City and Hackney CCG. In response to Member questions officers provided the following: · The proposal to reduce sites from 20 to 9 hubs did not mean there would be fewer beds. The hubs would receive investment to expand their site space to accommodate more people. This means additional suits would be built at the Homerton and Sunflower Court. · People will be diverted to the Homerton from June 2019 when the new suite is ready. There would be a small impact (0.1%) on the A&E service at the Homerton and the possibility of the use of the in-patient wards if a bed could not be found within the hub. · Alternative flows include hubs at Camden and Haringey. · Members were concerned about the distance if provision was out of borough. They said people tended to want to use services closer to home. · Officers explained that the Raid service at the Royal London was inadequate and users would receive specialist care at the hubs. The Chair thanked the speakers for their report. RESOLVED: 1. To note the report.
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REABLEMENT SERVICE SCRUTINY REVIEW ACTION PLAN PDF 167 KB This report provides an updated overview of the activities and work that has been undertaken by the Reablement Service in meeting the eighteen recommendations adopted (in November 2017) following the Health Overview and Scrutiny Committee report from April 2017. Minutes: The Committee received the report of David Jones, Interim Divisional Director of Adult Social Care and Paul Swindells, Service Manager for Reablement. Reporting officers summarised the recommendations made in the Reablement Service Scrutiny Review Action Plan and provided an update. In response to Member questions, officers provided the following: · The triage process mentioned in recommendation 3 (That the Reablement Service develops a communications plan linked into the launch of the new integrated single pathway..), will only apply to people who are processed through the social care or rehab route. Acute therapists play a key role in identifying people who require a reablement pathway. · There was a discussion about measures used to calculate savings. There were two approaches that could be used, one may be to calculate the actual cost savings resulting from reablement and a second calculation could be made based on ‘cost avoidance’ and this could apply to new people coming into the system who would not have necessarily had a care and support plan in the same way as previous users. However, it would be difficult to capture cost avoidance. · Officers were optimistic that the £556k savings for 2019/20 could be made. · The reablement service is responsible for making assessments. The Localities Team are responsible for producing a support plan with the individual who is then supported by the relevant localities team. · The reablement team will be proactively capturing user feedback from next month. Challenging views were expected due to differing perceptions on the value of reablement and expected level of service post assessment.
ACTIONS: 1. For officers to follow up on Barts medication boxes recommendation. 2. To find out why the majority of referrals are made for women (64%) 3. To find out how many Referrals were made by REAL. RESOLVED: 1. To note the report.
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HEALTH AND SOCIAL CARE BUDGETS PDF 62 KB This item aims to provide an overview of the budget available to fund Adult Social Care services provided by the Council, the type of services it funds, the draft 3 year medium term financial strategy for adult social care. Additional documents:
Minutes: The Committee received the reports of Adrian Osborne-Finance Business Partner LBTH, and Steve Collins – Finance Advisor Tower Hamlets CCG regarding the budget for Adult Social Care Services, the draft medium-term financial strategy and the THCCG draft operating plan for 2019/20.
In response to questions from Members, officers provided the following:
· The benchmarking on expenditure did not reflect the level of demand. It was noted that each local authority collected and presented data differently which was a weakness in the data collection method. · Although the borough has a small older population, the demand for the service was higher than expected. This was likely to be due to high levels of complex needs and disability in the borough. · The year ahead would look at re-scoping day opportunities · When asked if the 20% savings target was realistic, officers advised that this would be approximately £1 million pounds worth of savings and were achievable if efforts were made to minimise duplication or triplication of provisions across partnered providers.
The Chair thanked Officers for the presentation.
RESOLVED: 1. To note the report. |
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ANY OTHER BUSINESS Minutes: Inner North East London Joint Health Overview & Scrutiny Committee (INEL JHOSC):
The Chair informed the Committee that the INEL JHOSC representative position was vacant. He agreed to attend the 13 February 2019 INEL JHOSC meeting but asked if a Member could volunteer to attend the following meeting, on 20 March 2019. Councillor Gabriela Salva Macallan agreed to attend the March meeting.
It was noted the 20 March 2019 meeting date clashed with Tower Hamlet’s full Council meeting. Jack Kerr (SPP Policy Manager) agreed to contact Newham to request a date change for INEL JHOSC.
RESOLVED: 1. Councillor Macallan to attend the March 2019 INEL JHOSC meeting. |