Agenda

Health and Adult Social Care Overview and Scrutiny Committee - Monday, 20th July, 2026 6.00 pm

Venue: HMS Phoebe, BCP Civic Centre, Bournemouth BH2 6DY. View directions

Contact: Louise Smith, Email: louise.smith@bcpcouncil.gov.uk or Democratic Services  Email: democratic.services@bcpcouncil.gov.uk

Media

Items
No. Item

1.

Apologies

To receive any apologies for absence from Councillors.

2.

Substitute Members

To receive information on any changes in the membership of the Committee.

 

Note – When a member of a Committee is unable to attend a meeting of a Committee or Sub-Committee, the relevant Political Group Leader (or their nominated representative) may, by notice to the Monitoring Officer (or their nominated representative) prior to the meeting, appoint a substitute member from within the same Political Group. The contact details on the front of this agenda should be used for notifications.

 

3.

Declarations of Interests

Councillors are requested to declare any interests on items included in this agenda. Please refer to the workflow on the preceding page for guidance.

Declarations received will be reported at the meeting.

4.

Minutes pdf icon PDF 329 KB

To confirm the Minutes of the meeting held on 19 May 2026.

5.

Recommendation Tracker pdf icon PDF 865 KB

For the committee to note the latest updates to the Recommendation Tracker and consider any outstanding actions.

6.

Public Issues

To receive any public questions, statements or petitions submitted in accordance with the Constitution. Further information on the requirements for submitting these is available to view at the following link:-

https://democracy.bcpcouncil.gov.uk/documents/s2305/Public%20Items%20-%20Meeting%20Procedure%20Rules.pdf 

 

The deadline for the submission of public questions is midday on Tuesday 14 July (3 clear working days before the meeting).

The deadline for the submission of a statement is midday on Friday 17 July (the working day before the meeting).

The deadline for the submission of a petition is Friday 3 July (10 working days before the meeting).

 

ITEMS OF BUSINESS

7.

Homeless Health pdf icon PDF 507 KB

Homelessness is a serious societal and complex public health issue that is an indicator of fundamental breakdown in a person’s life with wide-ranging causes and consequences including ill-health. Rough sleeping is the most visible and extreme end of homelessness.

There is a strong link between health and homelessness with poor health a major cause of homelessness, and homelessness/rough sleeping increasing the risk of additional health needs developing and/or exacerbation of existing ones. It is now well recognised that those experiencing homelessness often suffer multiple disadvantage, experiencing a combination of problems including substance misuse, contact with the criminal justice system and mental ill health. They often fall through the gaps between services and systems, making it harder to address their problems and lead fulfilling lives. Solutions to improve the health and wellbeing of the homeless population require both a systemwide commitment and well-coordinated local services.

A range of services (both commissioned and those provided by the charitable sector) are available across the BCP conurbation to support the health needs of the homeless population. Dedicated provision to address the needs of rough sleepers is commissioned by NHS Dorset. A multi-disciplinary team approach has been maturing and brings together a range of partners to manage a personalised approach to individuals with complex presenting needs.

Despite positive developments in recent years, a recent Healthwatch report allied to local data and intelligence indicate ongoing challenges associated with the current configuration of service provision.

Working in partnership, BCP Council and NHS Dorset will undertake a Homeless Health Needs Assessment to better understand any unmet need within the population cohort alongside the effectiveness of existing pathways of care in meeting identified needs.

The health needs assessment will incorporate:

·       Scale and size of population (using an agreed definition)

·       Impact and outcomes associated with all current commissioned local homeless health provision including primary care

·       Impact and outcomes associated with local non-statutory provision

·       Areas of strength / weakness / gaps in the current model of care

·       Quantitative & qualitative intelligence associated with population cohort including lived experience

The needs assessment will then be used to inform future strategic commissioning intentions where indicated, including the potential for a co-produced redesign of existing models of care.

 

8.

Learning Disability Big Plan 2026–2031

This report seeks approval for the publication and delivery of the Learning Disability Big Plan 2026–2031, which sets out the shared priorities for supporting people with a learning disability in Bournemouth, Christchurch and Poole to live fulfilled lives. The Plan has been developed through the Learning Disability Partnership Board, in partnership with people with lived experience, families, carers, providers, voluntary sector organisations, BCP Council and NHS Dorset. It reflects the Council’s commitment to co-production, person-centred support and the duties set out in the Care Act 2014.

The Big Plan has been shaped through extensive engagement and consultation. Engagement events in 2024 involved over 150 people, followed by formal consultation between February and March 2026, which received 97 responses across online and paper formats. Feedback was broadly supportive of the Plan and its vision, while highlighting the need for clearer communication, more joined-up services, earlier support, greater consistency and a stronger focus on delivery and real-life impact.

The final Plan is structured around seven Big Aims: Where I Live; Staying Healthy; Having a Good Life; Right Care and Support; Keeping Safe; Becoming an Adult; and Support for My Family. These aims focus on improving housing choice, health outcomes, community inclusion, personalised care and support, safety, transition into adulthood and support for families and carers.

Delivery will be overseen by the Learning Disability Partnership Board, with action groups responsible for progressing the agreed priorities and reporting progress quarterly. Further work is required to confirm the delivery arrangements for Right Care and Support and Having a Good Life, including whether dedicated groups are needed or whether actions can be embedded within existing governance structures.

The Committee is asked to approve the Learning Disability Big Plan for publication and delivery, enabling continued co-production with local people, families and partners and supporting a clearer framework for improving outcomes for people with a learning disability across BCP.

9.

Fulfilled Lives Programme Update pdf icon PDF 460 KB

In July 2024, BCP Cabinet and Full Council agree to support a four-year transformation programme called Fulfilled Lives, approving a total investment of £2.9m spanning the first three years.

     The programme is made up of four inter-dependent projects:

·       How We Work

·       Short-Term Support

·       Self-Directed Support

·       Support At Home

The programme entered its delivery phase in January 2025 and progress reports were presented to Committee in January, March, July and September.

This report provides a further update for the programme overall to reflect the achievements to date, the current challenges, and the next steps to be taken over the following six months.

10.

Outcome of the CQC Assurance Visit

To receive a verbal update on the outcome of the CQC Assurance Visit.

11.

Work Plan pdf icon PDF 163 KB

The Health and Adult Social Care Overview and Scrutiny (O&S) Committee is asked to consider and confirm work priorities as plotted on the draft Work Plan.

Additional documents:

12.

Portfolio Holder Update

To receive a verbal update from the Portfolio Holder for Health and Wellbeing.

ITEMS CIRCULATED BETWEEN MEETINGS

13.

Corporate Performance Report - Q4 pdf icon PDF 250 KB

BCP Council adopted ‘A shared vision for Bournemouth, Christchurch and Poole 2024-28’ in May 2024. 

The shared vision is the corporate strategy which sets out the council’s vision, priorities and ambitions as well as the principles which underpin the way the council works as it develops and delivers its services. 

Incorporated in the vision is a set of measures of progress for achieving the vision, priorities and ambitions. 

This is the performance monitoring report for Quarter Four 25-26, presenting an update on the progress measures. 

The council’s delivery against its priorities and ambitions can also be monitored through the performance dashboard which is available on the council’s website providing up-to-date real time information on the progress measures.

Additional documents: