To receive apologies for absence.

Apologies for absence had been received from Councillors David Minnery (substituted by Edward Towers), Heather Kidd (substituted by Ruth Houghton) and Hilary Luff.

Members are reminded that they must declare their disclosable pecuniary interests and other registrable or non-registrable interests in any matter being considered at the meeting as set out in Appendix B of the Members’ Code of Conduct and consider if they should leave the room prior to the item being considered. Further advice can be sought from the Monitoring Officer in advance of the meeting

Members were reminded that they must declare their disclosable pecuniary interests and other registrable or non-registrable interests in any matter being considered at the meeting.

Councillor Ruth Houghton declared an interest in Agenda Item 5, Winter Plan.

To approve as a correct record the minutes of the previous meeting held on 28^th February 2022.

RESOLVED:

That the minutes of the meeting held on 28^th February 2022 be confirmed as a correct record.

To receive any questions, statements or petitions from the public, notice of which has been given in accordance with Procedure Rule 14. Deadline for notification is not later than 5PM on Tuesday 22^nd March 2022.

Public questions were received from Darren Childs in relation to West Midlands Ambulance Service (WMAS).

The full questions and responses provided to them are available on the web page for the meeting: Agenda for Health & Adult Social Care Overview and Scrutiny Committee on Monday, 28th March, 2022, 10.00 am — Shropshire Council

Members requested an update on the information previously requested from WMAS.

To receive any questions from members of the council.  Deadline for notification is no later than 5PM on Tuesday 22^nd March 2022.

No Members Questions were received.

·       To Review the lessons learned from the 2020-2021 and 2021-2022 adult social care winter plan.

·       To Scrutinise any action plan proposed for the following winter

Report from Kate Garner, Local Commissioning Manager – TO FOLLOW

Contact: 01743 252344

Members received a presentation from Kate Garner, Local Commissioning Manager and Laura Tyler, Assistant Director Joint Commissioning on the Adult Social Care Winter Plan 2021/2022.

Members’ attention was drawn to how the lessons learned from previous winter periods have been implemented in the 2021/2022 Winter Plan and how activity has been adapted to take account of Covid and workforce pressures - particularly around transfers of care and hospital admission avoidance.

Some examples of what had worked well were highlighted as follows:

-        16 new winter beds were put in place across different locations to increase capacity

-        The commissioning of 5 local designated covid beds

-        Recruitment campaigns would be taking place throughout the year, with a new recruitment website in development. Talks would also be held with local colleges

-        A focus on reablement to maximise independence

Thanks were given to the voluntary and community sector as well as unpaid carers for their resilience across a particularly challenging winter.

It was noted that the team would be looking at how to have a joint Winter Plan, taking into account the need for flexibility and adaptability to meet challenges.

Members were keen to promote career opportunities and suggested that family carers should be paid. It was felt that the priority should be getting patients home with suitable care packages.

It was questioned whether West Midlands Ambulance Service could be contacted to discuss an offer from the fire service to use first responders to support the ambulance service. The Director of Public Health stated that this would be taken back to Joint HOSC to seek clarification on the offer.

Members felt that the public perception of the discharging process was slow and that this should be scrutinised using data. Members were advised that the team would be looking at the journey to discharge, which was complex. There was a lot of work taking place surrounding this and it would be presented in the future to give the community some assurance.

Members noted that there was a joint approach across multiple service areas such as housing and transport to ensure people’s wellbeing. They are looking into preventative measures as well as reviewing current services to agree the support that is needed on discharge. Demands and capacity were reviewed on a regular basis.

To scrutinise arrangements for joint commissioning within adult social care, with Telford and Wrekin Council and Shropshire, Telford and Wrekin Clinical Commissioning Group.

Contact: Laura Tyler, Assistant Director Joint Commissioning – 01743 253178

Laura Tyler, Assistant Director Joint Commissioning, gave a presentation on Joint Commissioning, which advised Members that many councils have moved to an all ages integrated approach recognising a whole family approach to services at place-based level. This has been aligned with national strategy emphasising the need for integration. Joint Commissioning looks to deliver a personalised service by involving people in their own care and care decisions.

Members were advised that the team were working with health colleagues to streamline the service provision and an emphasis put on early intervention.

Members noted that following the migration of the CCG to the Independent Care System, the team would be looking at governance and structures as the Council has a statutory duty to manage the care market.

Members raised concern that partnerships cannot be successfully formed when data is not being shared. Members were advised that joint dashboards had been set up and protocols would be developed. This would enable scrutiny and to hold decisions to account. It was noted that local decisions would be considered by a local Board before being implemented and that the Council had a strong voice when it came to decision making.

The Joint Commissioning team were working closely with the CCG to develop a stronger Commissioning team.

Members noted that briefings would be held on how the ICS and Shropshire Integrated Place Partnership are working and how the community can keep track of progress.

Report of the Scrutiny Officer is attached

Contact:  Danial Webb (Tel: 01743 258509)

The contents of the work programme were noted.

It was agreed that an informal meeting would be arranged prior to the next meeting to discuss additions to the work programme. Further details would be circulated outside of the meeting.

To note that the next meeting of the Health and Adult Social Care Overview and Scrutiny Committee will be held at 10am on Monday 16^th May 2022.

Members noted that the next meeting of the Health and Adult Social Care Overview and Scrutiny Committee will be held at 10am on Monday 16^th May 2022.