Agenda and minutes

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Contact: Dan Sharples, Democracy Business Manager  Tel: 0151 666 3791 email:  danielsharples@wirral.gov.uk

Media

Items
No. Item

76.

APOLOGIES

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Minutes:

Apologies for absence were received from Councillor Moira McLaughlin.

77.

MEMBER DECLARATIONS OF INTEREST

Members are asked to consider whether they have any disclosable pecuniary interests and/or any other relevant interest in connection with any item(s) on this agenda and, if so, to declare them and state the nature of the interest.

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Minutes:

Members were asked to declare any disclosable pecuniary interests and any other relevant interest and to state the nature of the interest.

 

The following declarations were made:

 

Councillor Chris Jones

Personal interest by virtue of her employment in the NHS.

Councillor Mary Jordan

Personal interest by virtue of her employment in the NHS, her son’s employment in the NHS and her involvement as a trustee for ‘incubabies’.

Councillor Clare O’Hagan

Personal interest by virtue of her employment in the NHS.

Councillor Jason Walsh

Personal interest by virtue of a family member’s employment in the NHS.

Councillor Ivan Camphor

Personal interest as a General Practitioner at Heatherlands Medical Centre, Medical Secretary for Mid-Mersey Medical Committee and a GP representative for Cheshire Mid-Mersey.

Councillor Yvonne Nolan

Personal interest as a governor at Clatterbridge Cancer Centre.

 

78.

MINUTES pdf icon PDF 77 KB

To approve the accuracy of the minutes of the meeting held on 16 November 2021.

 

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Minutes:

Resolved – That the minutes of the meeting held on 16 November, 2021, be approved and adopted as a correct record.

79.

PUBLIC QUESTIONS

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Minutes:

No public questions, statements or petitions had been received.

80.

SHARED LIVES SERVICE - DEVELOPED MODEL OPTION pdf icon PDF 135 KB

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Minutes:

The Lead Commissioner: Community Care Market introduced a report which provided a summary of the developed Shared Lives Option paper which was approved for progression at the Adult Social Care and Public Health Committee on 23 September 2021 (minute 44 refers).

 

The report gave a detailed breakdown of the developed option and provided an update on establishing a Shared Lives framework, including the proposed costs of an in-house service with a complementary framework of providers, the staffing establishment required and the necessary regulatory requirements.

 

The Lead Commissioner and Director of Care and Health responded to a number of comments from Members, outlining the comprehensive engagement process which had taken place; how the service could be grown, one of the reasons for bringing the service in-house, as the profile of the service would also be raised; and the invest to save approach, providing a real alternative to residential care by keeping people safe and supported in their own homes.

 

Resolved – That,

 

(1)  approval for the development of an in-house Shared Lives Model to be delivered during financial year 2022/2023 be authorised;

 

(2)  delegated authority be given to the Director of Health and Care to:

 

(A)Establish a procurement framework of Shared Lives providers to complement the inhouse Shared Lives service, and

 

(B)Extend the current Shared Lives contract for 12 months to enable the new service developments to be put in place.

81.

DISCHARGE TO ASSESS (D2A) BED-BASED SERVICE MODEL pdf icon PDF 426 KB

The table in item 3.10 may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact committeeservices@wirral.gov.uk if you would like this document in an accessible format.

 

Additional documents:

Minutes:

The Lead Commissioner: Integrated Care Services introduced a report which provided an update on the transfer of the D2A (Discharge to Assess) bed-based provision from the range of services in the independent care home sector, to a single service operated by the NHS. The proposal to proceed with this model was supported by this Committee on 7 June, 2021 (minute 9 refers).

 

The Lead Commissioner and Director of Care and Health responded to a number of comments from Members, assuring the Committee of the Infection Prevention Control measures in place at Clatterbridge. The Director spoke of the very fluid occupancy situation with regard to the 71 beds available and the additional beds being currently unavailable due to Covid, but due to open shortly. 

 

The Director of Public Health confirmed the current Covid regulations and the self-isolation period, currently 10 days which would continue until the end of March, although with a negative lateral flow test on days five and six, it was possible to leave the isolation period earlier.

 

Resolved – That the report be noted.

82.

EXTRA CARE HOUSING pdf icon PDF 95 KB

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Minutes:

The Lead Commissioner: All Age Independence introduced a report regarding planning for sufficient Extra Care Housing in Wirral. The report set out the plan to provide appropriate Extra Care Housing schemes in Wirral, that would support Wirral residents with eligible needs. These were needs that were assessed as eligible under the Care Act 2014. Details were given of the planned development of 554 units by 2025 on Wirral, and the work being undertaken with Liverpool City Region and Cheshire colleagues to develop a strategic approach to the provision of such units.

 

The Lead Commissioner responded to a number of comments from Members regarding the demand for these schemes and the principles around more specific extra care housing schemes.

 

Members welcomed the report and commented upon the importance of providing extra care housing, maintaining people’s independence as much as possible.  

 

Resolved – That the development of further plans for the growth of Extra Care Housing for Wirral, be agreed and the targets for growth and engagement with potential partners to identify opportunities for further Extra Care schemes, be supported.

 

83.

REVENUE BUDGET MONITORING MONTH 8 pdf icon PDF 742 KB

Some of the tables below may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact committeeservices@wirral.govuk if you would like this document in an accessible format.

 

Additional documents:

Minutes:

The Director of Care and Health introduced the report which set out the financial monitoring information for the Adult Social Care and Public Health Committee and provided an overview of budget performance for this area of activity. The report also detailed the projected year-end revenue position, as reported at Month 8 (November) 2021/22, projected to be a £0.519m favourable position. The Director reported that progress had been made in delivering savings in 2021/22 due to the review of care packages. He also acknowledged the additional funding received from central government in terms of Covid grants and also from the NHS.

 

Resolved – That Committee notes:

 

(1)  the projected year-end revenue forecast position of £0.519m favourable, as reported at month 8 (November) of 2021/22;

 

(2)  the progress on the achievement of approved savings and the projected year end forecast position at month 8 (November) of 2021/22;

 

(3)  the reserves allocated to the Committee for future one-off commitments;

 

(4)  the projected year-end capital forecast position of £0.125m adverse, as reported at month 8 (November) of 2021/22;

 

(5)  the current activity profiles from 2018 to month 8 (November) of 2021/22.

84.

2022/23 BUDGET UPDATE pdf icon PDF 73 KB

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Minutes:

The Head of Legal Services introduced the report which provided consideration of the recommendations of the Policy and Resources Committee in respect of the 2022/23 Budget Update. The proposals outlined were part of a draft budget and were therefore not without prejudice, and it was for the Committee to focus on these specific proposals, any comments on which would be fed back to the Policy and Resources Committee.

 

The report included one savings proposal titled Demand Mitigation – Technology and Care Package Review which was an increased efficiency requirement for 2022/23 against the community care budget based on a range of case reviews, demand management approaches and care provider market shaping, providing a saving of £3.89m.

 

Members queried how the saving would be achieved and whether a guarantee could be made that those who needed care would still be able to access it. The Director of Care and Health explained different opportunity savings and that these were counted once a care package had been reduced as a result of providing alternative services which allowed residents to live more independently. He outlined that as care packages were reviewed on an individual basis, care would only ever be reduced when it was safe to do so and where it was in the interest of an individual to do this.

 

Resolved – That

 

(1)  the 2022/23 draft budget proposals be noted.

 

(2)  the Director of Care and Health be authorised to take the necessary action to consult on any proposals that require additional consultation and take necessary action to deliver the resulting service changes in consultation with the Chair and Group Spokesperson or reporting to the Adult Social Care and Public Health Committee as the Director considers appropriate.

85.

COVID-19 RESPONSE UPDATE pdf icon PDF 94 KB

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Minutes:

The Director of Public Health introduced the report which provided the Committee with an update on surveillance data and key areas of development in relation to Wirral’s Covid-19 response and delivery of the Local Outbreak Management Plan. It was outlined that in the week to 19 January, 2022 there were 437 cases per day in Wirral, with 92 patients in hospital with Covid, as of 25 January.

 

The Director responded to a number of comments from Members and agreed to supply a response in writing as to the number of hospitalised Covid patients who were non-vaccinated and a breakdown of the age profiles.

 

Resolved – That the content of the report, the progress made to date and the ongoing Covid-19 response be noted and supported.

86.

WORK PROGRAMME pdf icon PDF 82 KB

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Minutes:

The Head of Legal Services introduced the report of the Director of Care and Health which provided the Committee with an opportunity to plan and review its work across the municipal year.

 

Members made suggestions as to an additional item and the need to look at the item on suicide prevention as soon as possible.

 

Resolved – That the work programme be noted, with the item on suicide prevention being brought to the next meeting, and an additional item on dementia care and awareness being added for the new municipal year.