NORTH YORKSHIRE COUNTY COUNCIL
Care and Independence Overview and Scrutiny Committee
22 September 2022
Work Programme Report
1.0 Purpose of Report1.1 The committee has agreed the attached work programme (Appendix 1).
1.2 The report gives members the opportunity to be updated on work programme items and review the shape of the work ahead. |
2.1 The scope of this committee is defined as ‘The needs of vulnerable adults and older people and people whose independence needs to be supported by intervention from the public or voluntary sector”.
Committee meetings
· 1 December 2022 at 10am
· 2 March 2023 at 10am
Mid cycle briefing dates
· 27 October 2022 at 10am
· 2 February 2023 at 10am
4.1 Your Group Spokespersons had their first Mid Cycle Briefing on Friday 29 July. The work programme attached reflects the outcome of that discussion. The key points they want to bring to your attention are:
4.2 High priority Items:
· Workforce– recruitment and retention pressures in the social care sector should be monitored on a regular basis. They would welcome regular updates being brought to committee, ideally covering the whole sector. In addition, the committee may want to invite contributions on this from the Independent, Community and Voluntary Sector on how they are experiencing these issues.
· Managing the Adult Social Care Market– How the authority is creating personalised, high quality, sustainable care solutions using a range of care providers and support organisations.
· Care Packages - The progress on taking a strength-based approach (especially the flexibility of our home care services). Are we confident that we are meeting people’s needs of/whilst reducing the package of care? If we are freeing up some resource to help more people, how are we doing that.
· Funding & Financial Matters, especially the Trailblazer - the care cap . The scope of the item brought before members to be not just the mechanics, the budget implications and our preparedness, but also how we get the message out and raise people’s awareness and understanding.
· Health and integration - Development of the Integrated Care Systems and Partnerships that cover North Yorkshire - what does this mean for social care, what are the risks.
· Care and support - Reimagining Home Care - Better understanding of the progress of the short-term pilots either underway or in their planning phase.
· Updates about the ASC Assurance Framework – this comes into force from April 2023 and means we could have an inspection of all council social care services from CQC at any point during 2023/24 onwards.
· Public Health – its contribution in the broadest sense, including not just its role in achieving social care objectives, but also its specific campaigns around smoking, Alcohol Abuse, Awareness and treatment
4.3 Other areas to be programmed and/or considered for inclusion:
· Supporting Unpaid Carers - assess the support provided - information, advice and support services - for people with caring responsibilities. How we recognise the important role they play and how we empower them to achieve the life goals that matter to them.
· Instances of provider failure – the causes, mitigations and contingencies for dealing with provider failure. How common provider failure is in the areas and how well prepared we are to deal with it, covering our turnaround quality improvement schemes to assist struggling providers. Group Spokespersons suggested a briefing report at some point outlining the activity and performance of this service.
· Micro Providers. Barriers to success – Commissioning, Procurement and promoting awareness. How we encourage more bespoke providers, micro-enterprises and wider community assets such as community-owned care, mutual aid and shared lives.
· Climate action: climate justice, health and social care. How can we identify those who are most at risk from the impacts of climate change, and what is being done to assist the most vulnerable, including those going through the health and social care systems? How climate change should be part of conversations about the new structures, responsibilities and ways of working in health and social care. (The scope for how this is brought to members to be initially considered at the next group spokespersons briefing)
4.4 Group spokespersons were keen to retain the current approach that when considering topics, officers be encouraged to provide a strong overview perspective to help new members grasp the broader context.
4.5 The importance of ‘local’ - the committee is encouraged that items be viewed through the lens of “...how we make connections in local communities between public, private, voluntary and community organisations”
4.6 To better understand the complexity and interrelationship of issues, rather than a series of separate reports, group spokespersons would prefer to limit the agenda to 2/3 in order that high priority items can be reviewed in reasonable depth.
5.1 Councillor Caroline Dickinson, Older People Champion, has agreed that her Annual Report be taken at the committee’s December meeting. Cllr Dickinson is minded to not just cover the activity she has been involved with over the last year, but invite the committee to consider some topical themes:
· Help for older people with heating and energy costs - especially pensioners with low incomes. We need to keep in mind that older people stay at home for longer. They are often not in the position to keep warm at work or other places.
· Financial Exploitation/Abuse - a growing issue faced by older adults at risk, affecting their economic well-being and quality of life.
6.1 The committee is recommended to consider the attached work programme and determine whether any further amendments should be made at this stage.
DANIEL HARRY
SCRUTINY TEAM LEADER
County Hall,
Northallerton
Author of Report: Ray Busby
Contact Details: Tel: 01609 532655 E-mail: ray.busby@northyorks.gov.uk
Care and Independence Overview and Scrutiny Committee APPENDIX 1Work Programme 2022/23 |
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Scheduled Committee Meetings |
22 September 2022 at 10am |
1 December 2022 at 10am |
2 March 2023 10am |
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Scheduled Mid Cycle Briefings (Attended only by Group Spokespersons) |
29 July 2022 at 10am |
27 October 2022 at 10am |
2 February 2023 at 10am |
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Agenda Briefings - will be held at 9.30am on the day of the committee meeting |
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Meeting |
Subject |
Aims/Terms of Reference |
Lead/Current position |
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Thursday 22 September 2022 at 10am |
Adult Social Care in North Yorkshire right now |
· Strategic overview eg unmet need, Home care providers and packages, picture on homecare, workforce applications · Set the format for regular report on Pressures (especially workforce) · Introduction to ASC Assurance Framework |
Richard Webb & Michael Harrison |
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The Care Cap and other Financial Matters |
Extended review of the impact of the lifetime cap on the amount anyone in England will need to spend on their personal care, alongside the means-test for local authority financial support. A wider introduction to the financial pressures upon Health and Adult Services Directorate |
Anton Hodge |
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Meeting |
Subject |
Aims/Terms of Reference |
Lead/Current position |
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Thursday 1 December 2022 at 10am |
Trailblazer progress possible Financial and Budget Pressures |
Account of local, regional and financial pressures on the Adult Social Care Budget (possibly not necessary in light Anton being at September meeting) |
Anton Hodge |
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Reimagining Home Care |
Overview for new members and update on the progress of transformation phasing. |
Abbi Barron and Rachel Bowes |
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All Age Autism Strategy |
Follow up to briefing earlier this year – possible involvement of CYPS |
Karen Siennecki and Natalie Smith |
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Digital Lives |
Technology enabled care, online care, financial assessment and brokerage. Tech Enabled Care –supporting and enhancing the experience of people and their independence in their own homes |
Mike Rudd and Cath Simms/Neil Bartram. |
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Safeguarding |
6.2 Annual NY Safeguarding Adults Board Report |
Chair of Board and Sheila Hall |
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Care Market pressures |
Current position - update |
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Local Account |
A review of the published account |
Louise Wallace |
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DPH Annual Report |
A review of the DPH published report |
Louise Wallace |
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Older Peoples Champion Report |
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Caroline Dickinson |
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Meeting |
Subject |
Aims/Terms of Reference |
Lead/Current position |
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Thursday 2 March 2023 at 10am |
ASC Assurance Framework |
Where we are at in terms of preparedness |
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Unpaid Carers – support for Carers |
Overview item to help assess the support provided to adult carers of adults in North Yorkshire. Update on the Strategic plan for the transformation of carers offer across North Yorkshire and experience of the contract for the provision of the Adult Carer Service and Young Carers support and advice |
Cath Simms |
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Extra Care - next generation |
Revisit of Extra Care 12 months on as requested by the Committee. Update on progress and statement on ambition to see Extra Care in all key towns by 2023. |
To be determined |
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Direct Payments |
Revisit how NYCC is ensuring that Direct Payments enable more choice and control over the support people receive and how their social care needs are met |
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Living Well |
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Intermediate Care/Discharge to Assess (possibly covering Reablement) |
Discharge
arrangements. |
To be determined |
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Long list of items yet to be programmed |
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Supported Housing |
Transforming Care and current supported housing service overview |
To be determined |
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Shared Lives Scheme |
Approval to re-procure or in-source the Shared Lives Scheme is now planned for Executive in July. so timing of this may be brought forward |
To be determined |
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Respite/Short breaks current position |
Progress on a transformational approach to short breaks |
To be determined |
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Development of the Integrated Care Systems and Partnerships that cover North Yorkshire |
What does this mean for social care, what are the risks etc |
Richard Webb |
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Dementia Care Facility |
Report on progress business case and development in light of Executive approval Ito be determined) Potentially Broad based report for newly constituted committee |
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Day Services |
Overview with some focus on how the pandemic has changed demand for these services and how that influences commissioning arrangements that we have in place to deliver Personalisation and choice and meet current service and business requirements. |
Principle and scope of item yet be discussed |
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Suicide Prevention and Audit |
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Social Prescribing |
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