Issue - meetings

RECOMMENDED that Council: -

(a)           Approves in principle the business case for a new adult social care transformation delivery model to improve outcomes for residents and to achieve financial efficiencies and savings enabled by investment of up to 2.9M;

(b)           Agrees to the establishment of a formal transformation programme; ‘Fulfilled Lives’;

(c)           Agrees to an initial 12-month investment of 1.79M, with an interim report to Cabinet on progress of the design phase in January 2025 and a full report by July 2025, with recommendations for further investment; and

(d)           Invites the Health and Adult Social Care Overview and Scrutiny Committee to provide regular scrutiny of progress towards benefits and sustainable change. In particular the Committee be invited to review the progress against the four priority areas of the Fulfilled Lives programme and the risks and opportunities of data with ASC transformation.

Councillor David Brown, the Portfolio Holder for Health and Wellbeing presented the report and outlined the recommendations as set out on the agenda.

Councillor Jeff Hanna seconded the motion.

RESOLVED: That Council:-

(a)  Approves in principle the business case for a new adult social care transformation delivery model to improve outcomes for residents and to achieve financial efficiencies and savings enabled by investment of up to 2.9M;

(b)  Agrees to the establishment of a formal transformation programme; ‘Fulfilled Lives’;

(c)  Agrees to an initial 12-month investment of 1.79M, with an interim report to Cabinet on progress of the design phase in January 2025 and a full report by July 2025,with recommendations for further investment; and

(d)  Invites the Health and Adult Social Care Overview and Scrutiny Committee to provide regular scrutiny of progress towards benefits and sustainable change. In particular the Committee be invited to review the progress against the four priority areas of the Fulfilled Lives programme and the risks and opportunities of data with ASC transformation.

Voting: Nem.con

Adult Social Care (ASC) services locally and nationally have faced significant challenges in recent years, with an ageing population, increased demand for support and more complex needs. As a result, the Council is holding significant risk in relation to its ability to deliver statutory responsibilities within the available budget, to adults and their families who require support. 

The nature of these challenges means that long term, sustainable change is needed to ensure that BCP Council’s ASC services are modern, preventative, fit for the future and affordable.

This report sets out the ASC Transformation Business Case for Cabinet’s consideration and recommendation to Council.  It includes plans to establish the Fulfilled Lives Programme comprising four priority projects, with a proposed investment of £2.9m which will lead to improved outcomes for adults who draw on support within the BCP Council area. 

It is anticipated that the one-off investment will lead to recurring savings of approximately £3.5m. 

RECOMMENDED that Council: -

(a)           Approves in principle the business case for a new adult social care transformation delivery model to improve outcomes for residents and to achieve financial efficiencies and savings enabled by investment of up to 2.9M;

(b)           Agrees to the establishment of a formal transformation programme; ‘Fulfilled Lives’;

(c)           Agrees to an initial 12-month investment of 1.79M, with an interim report to Cabinet on progress of the design phase in January 2025 and a full report by July 2025, with recommendations for further investment; and

(d)           Invites the Health and Adult Social Care Overview and Scrutiny Committee to provide regular scrutiny of progress towards benefits and sustainable change. In particular the Committee be invited to review the progress against the four priority areas of the Fulfilled Lives programme and the risks and opportunities of data with ASC transformation.

Voting: Unanimous

Portfolio Holder: Health and Wellbeing 

Reason

The investment will enable improved outcomes for adults and their families within the BCP Council area, with effective and efficient services which are needed to fulfil statutory duties. In turn, this will lead to recurring savings of c.£3.5m.

The Portfolio Holder for Health and Wellbeing presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'J' to these Minutes in the Minute Book.

Cabinet was advised that Adult Social Care (ASC) services locally and nationally have faced significant challenges in recent years, with an ageing population, increased demand for support and more complex needs, and that as a result, the Council is holding significant risk in relation to its ability to deliver statutory responsibilities within the available budget, to adults and their families who require support. 

In relation to this Cabinet was informed that the nature of these challenges means that long term, sustainable change is needed to ensure that BCP Council’s ASC services are modern, preventative, fit for the future and affordable, and that this report sets out the ASC Transformation Business Case for Cabinet’s consideration and recommendation to Council.

Cabinet was informed that it includes plans to establish the Fulfilled Lives Programme comprising four priority projects, with a proposed investment of £2.9m which will lead to improved outcomes for adults who draw on support within the BCP Council area, and that Cabinet was informed that it is anticipated that the one-off investment will lead to recurring savings of approximately £3.5m. 

In proposing the recommendations, the Portfolio Holder advised that he was proposing amended recommendations to those set out within the report to take into consideration the comments of the Health and Adult Social Care Overview and Scrutiny Committee who had recently met.

The Chair of the Health and Adult Social Care Overview and Scrutiny Committee addressed the Cabinet highlighting the comments raised at the recent meeting of the Committee.

RECOMMENDED that Council: -

(a)           Approves in principle the business case for a new adult social care transformation delivery model to improve outcomes for residents and to achieve financial efficiencies and savings enabled by investment of up to 2.9M;

(b)           Agrees to the establishment of a formal transformation programme; ‘Fulfilled Lives’;

(c)           Agrees to an initial 12-month investment of 1.79M, with an interim report to Cabinet on progress of the design phase in January 2025 and a full report by July 2025, with recommendations for further investment; and

(d)           Invites the Health and Adult Social Care Overview and Scrutiny Committee to provide regular scrutiny of progress towards benefits and sustainable change. In particular the Committee be invited to review the progress against the four priority areas of the Fulfilled Lives programme and the risks and opportunities of data with ASC transformation.

Voting: Unanimous

Portfolio Holder: Health and Wellbeing 

Reason

The investment will enable improved outcomes for adults and their families within the BCP Council area, with effective and efficient services which are needed to fulfil statutory duties. In turn, this will lead to recurring savings of c.£3.5m.

This report sets out the ASC Transformation Business Case for Cabinet’s consideration and recommendation to Council.  It includes plans to establish the Fulfilled Lives Programme comprising four priority projects, with a proposed investment of £2.9m which will lead to improved outcomes for adults who draw on support within the BCP Council area.

The Corporate Director for Wellbeing introduced the item and the Director for Adult Social Care and the Director for Commissioning presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'A' to these Minutes in the Minute Book.

Adult Social Care (ASC) services locally and nationally had faced significant challenges in recent years, with an ageing population, increased demand for support and more complex needs. As a result, the Council was holding significant risk in relation to its ability to deliver statutory responsibilities within the available budget, to adults and their families who require support.  The nature of these challenges means that long term, sustainable change was needed to ensure that BCP Council’s ASC services were modern, preventative, fit for the future and affordable.

The report set out the ASC Transformation Business Case for Cabinet’s consideration and recommendation to Council. It included plans to establish the Fulfilled Lives Programme comprising four priority projects, with a proposed investment of £2.9m which would lead to improved outcomes for adults who draw on support within the BCP Council area. It was anticipated that the one-off investment would lead to recurring savings of approximately £3.5m.

The Committee discussed the report, including:

·       In response to a concern that the objective was to reduce the amount of residential and sheltered accommodation on offer, the Committee was advised that the purpose of the transformation was to ensure the right level of care model was used to ensure the response was appropriate to the need presented.

·       In response to a request for clarity, the Committee was advised of the different elements reablement had to offer and how it could improve the lives of those in need.  It was also highlighted that a recovery model was needed and that no long-term support should be decided until they were out of a hospital environment.

·       In response to a query regarding the funding of reablement, the Committee was advised that it formed part of the Better Care Fund received from NHS England.

·       In response to a query the Committee was advised that even though the business case did include financial drivers for change, it was also about the need to modernise the service, focusing on prevention and empowerment and ensuring the fulfilled lives aspects of the transformation were met.

·       In response to a query regarding carers and whether the transformation business case was going to improve the allowance and working conditions for them, the Committee was advised of the revised Carers Strategy which was approved in 2022 and what that put in place to support carers across BCP.

·       In response to a concern regarding the reliance on third party providers, the Committee was advised that it was hoped that the council owned company, Tricuro would increase its influence on the local market, however it was acknowledged that this would require investment.  It was also highlighted that the case focused on prevention and reablement to enable transformation by building on what  ...  view the full minutes text for item 21