Agenda and draft minutes

Health and Adult Social Care Overview and Scrutiny Committee - Monday, 30th November, 2020 6.00 pm

Venue: Microsoft Teams

Contact: Democratic Services  Email: democratic.services@bcpcouncil.gov.uk

Media

Items
No. Item

91.

Apologies

To receive any apologies for absence from Councillors.

Minutes:

Apologies were received from Cllr C Johnson.

92.

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.

 

Minutes:

Cllr L Fear substituted for Cllr C Johnson for this meeting.

93.

Election of Chair of the Health and Adult Social Care Overview and Scrutiny Committee

Councillors are asked to elect the Chair of the Health and Adult Social Care Overview and Scrutiny Committee for the remainder of the 2020/21 Municipal Year.

Minutes:

RESOLVED that Cllr J Edwards be elected Chair of the Health and Adult Social Care Overview and Scrutiny Committee for the remainder of the 2020/21 Municipal Year.

94.

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.

Minutes:

Councillors made the following declarations of interest:

Cllr L-J Evans declared, for transparency, that she was an employee of the University Hospitals Dorset Foundation Trust. Cllr L-J Evans also declared that she was a previous member of the Tricuro Executive Shareholder Group and would therefore not participate in Item 9.

Cllr J Edwards declared that she was a current member of the Tricuro Executive Shareholder Group and would therefore not participate in Item 9.

Cllr C Matthews declared, for transparency, that he was a governor for the Dorset Healthcare University NHS Foundation Trust.

95.

Confirmation of Minutes pdf icon PDF 312 KB

To confirm the minutes of the meeting held on 28 September 2020.

Minutes:

The minutes of the meeting held on 28 September 2020 were approved as a correct and accurate record.

96.

Public Issues

To receive any public questions, statements or petitions submitted in accordance with the Constitution, which is available to view at the following link:

 

https://democracy.bcpcouncil.gov.uk/ieListMeetings.aspx?CommitteeID=151&Info=1&bcr=1

 

The deadline for the submission of a public question is 4 clear working days before the meeting.

 

The deadline for the submission of a public statement is midday the working day before the meeting.

 

The deadline for the submission of a petition is 10 working days before the meeting.

 

Minutes:

There were no public questions, statements or petitions received for this meeting.

97.

Action Sheet pdf icon PDF 198 KB

To note and comment as required on the action sheet which tracks decisions, actions and outcomes arising from previous Committee meetings.

Minutes:

A Councillor commented on minute number 59, The Big Plan. Members heard in an update from the Democratic Officer that, since the Action Sheet was published, BCP Council had considered and endorsed the People First Forum’s Bill of Rights Charter at their meeting on 24 November 2020.

Following this update, the action sheet was noted.

98.

COVID19 Winter Response

To receive an update on the Dorset NHS and Public Health Dorset COVID19 Winter response.

Minutes:

The Committee received a presentation from the Director of Public Health Dorset and the Chief Officer of Dorset Clinical Commissioning Group on the COVID-19 NHS Winter response.

The Director of Public Health Dorset explained the context of the current situation. Members heard that lockdown had been effective at bringing cases down and the 7-day case rate per 100,000 of the Bournemouth, Christchurch and Poole (BCP) population had decreased from 250 to 94 in the last two weeks.  9600 people were being tested per week in BCP and Pillar 2, community transmissions, had dropped from 9% down to 4.5% in the last fortnight. The Director of Public Health Dorset’s assessment was that Tier 1 restrictions were not able to limit the rise of infections, hence the national decision to exit cautiously on 2 December 2020.

The Committee were shown data on the epidemic curve to November 28 and the main points highlighted were:

·       The Steep increase during September, fuelled by summer travel and the return of schools

·       The second escalation in October which was partly due to the return of students

·       The continued climb until mid-November

·       The decline from the 5 November due to the national measures imposed.

 

The Director for Public Health Dorset explained the measures taken to prepare for Winter, the main actions being:

·       Two local outbreak management plans had been developed across both BCP and Dorset unitary Councils.

·       Public health teams were supporting the response to COVID-19 in complex settings. These teams work alongside Council and NHS colleagues to ensure that the right actions were being taken to limit and contain the spread of COVID-19.

·       24/7 on-call consultant advice service has been provided.

·       Day response team handle incidents and support the different sectors.

·       EpiCell (collaboration of intelligence leads organisations) had produced near-term forecasts and reports on the local hospital admissions and subsequent impact on capacity.

The Committee heard that a typical week during the surge saw around 90 separate incidents and that these single, positive cases were affecting a mixture of settings, such as: care homes, school, workplaces and healthcare settings. Members were informed that strong working relationships with both Councils and NHS partners had limited the spread.

The Director for Public Health Dorset informed the Committee of the contain and enable strategy, which detailed the longer-term intervention. The Committee heard that:

·       A medium-term response to COVID-19 was being developed in order to progress from the continual acute response.

·       Local contact tracing was improving and closer integration with NHS Test and Trace was developing.

·       A Local Contact Tracing Partnership with NHS Test and Trace, along with other models to improve local follow up, is being developed.

 

On the issue of transmission, the Committee heard that transmission rates were being driven by increasing transmission among the younger age groups and that the virus was most spread within and between households. Furthermore, infection rates were higher than was to be desired among older residents and this was impacting on hospitals and the care sector. Finally, Members heard that the public  ...  view the full minutes text for item 98.

99.

Report on the Development and Performance of Tricuro pdf icon PDF 131 KB

To receive a report from the Interim Managing Director of Tricuro on the position of Tricuro in respect of the management and status of services provided on behalf of BCP Council, including quality improvement, safety and safeguarding.

 

The Chair of O&S Board and/or a representative of his will be invited to participate in scrutiny of this item.

Additional documents:

Minutes:

The Committee received an update on the management and status of services provided on behalf of BCP by Tricuro. The Finance Director of Tricuro provided information on the effect of COVID-19, a position statement on service modernisation and the transformation plan, an update relating to quality improvement, an update on safety and finally a financial position statement.

 

Members were referred to the covering report for the context of the update. The main points of the Finance Director’s presentation were:

·       An immediate response took place at the start of the COVID-19 pandemic, even before national measures were introduced.

·       Care Homes were closed to visitors which helped the initial circumstances.

·       Infection and death rates have been lower than national figures.

·       Control measures were assessed, strict infection control measures from Tricuro’s creation – able to adapt to policy and guidance.

·       PPE supply chains have been difficult however we have purchased government supplied PPE and have stockpiled. We have not been aware of any struggles to obtain PPE in a safe manner.

·       Performance has been above standard expectation.

·       Lifestyle and complexities of lifestyles have been challenging, especially for things like visiting. Consultation has taken place with families and clients. Technology has benefited this move and virtual conferencing and calls have taken place to support clients and families.

·       Maintaining a high level of staff morale has been important. A regular news cycle keeps staff updated across the service.

·       Flexibility has been a key staffing strategy in order to best place workers across the 12 residential homes, 25-day services and numerous reablement services across Bournemouth and Dorset. An example of this is where staff from closed day services have been transferred to support other areas. Up to a dozen staff have had to isolate due to showing symptoms.

·       Agency costs have been kept only fractionally higher than normal.

·       During the second wave, there has been only one positive case within any of our services.

·       Work is progressing in partnership with commissioners to assess how the stock of buildings and staffing can be best used to deliver for future needs. A transformation program has been created start of 2020 in order to assess the future needs/requirements of the local authority in order to develop services in response to this. This is not exclusive to Tricuro but is being assessed across the whole system.

·       Reablement services in Bournemouth and Dorset have been brought together to offer a single service across the whole county.

·       Considerable saving of funds have been made when recruiting new staff.

·       Adjustments have been made throughout services, yearly, to achieve financial efficiency. The transformation program is not a financial savings program but will contain savings and funding efficiencies.

·       The modernisation of day services has been another part of the transformation program.

·       The financial results of the previous year saw Tricuro make a post-tax profit of £556,000. This is positive, given challenges faced, and can be reinvested in local services as appropriate. However, this figure is a very small percentage of the overall value and costs  ...  view the full minutes text for item 99.

100.

Portfolio Holder Update

To receive any updates from the relevant Portfolio Holders on key issues or actions that have been taken since the last meeting, as appropriate.

Minutes:

The Portfolio Holder for Adults and the Portfolio Holder for Covid Resilience, Public Health and Education provided an update on the work that had taken place since the last meeting of the Health and Adults Social Care O&S Committee.

The main points of the update from the Portfolio Holder for Adults were as follows:

                The Portfolio Holder for Adult Social Care had attended various board meetings, including the Joint Public Health Board, the Safeguarding Adults Board, the Learning Disability Partnership Board and was looking ahead to attending the Health and Wellbeing Board and the Tricuro Executive Shareholders Group meeting.

                Furthermore, the Portfolio Holder for Adult Social Care had held weekly briefings with the Corporate Director of Adult Social Care and several Service Directors.

                Recent Adult Social Care briefings had been delivered to around 250 members of staff.

                Positive feedback and recognition of work to staff during the pandemic was given.

                An all member seminar, delivered by the People First Forum, was delivered in October. The session was very informative and was attended by over 45 Councillors. This session preceded the Council meeting in November where the People First Forum’s Bill of Rights Charter was formally adopted.

                Presentations on the Front Door service had been delivered with members in attendance. The aim going forward was for the session to be widened out to all Councillors throughout early 2021.

                The lead member for Engagement was working on the ‘Asset Based Community Development (ABCD) and a possible seminar may be held early next year on this project.

                Several champions had been selected within the Health and Adult Social Care area, these were: Cllrs L Fear (Mental Health), D Butler (Learning Disability), J Bagwell (Disability), J Edwards (Dementia) and M Howell (Wellbeing).

 

The main points of the update from the Portfolio Holder for COVID Resilience, Public Health and Education were as follows:

 

                Following the Council’s change in administration, the Leader was keen for a cross-cutting role to be created, one that would observe and contribute to the COVID-19 response, as well as ensuring that all services were mindful of COVID-19 in their work.

                The Portfolio Holder had recently chaired the Joint Public Health Board with Dorset Council. As expected, the focus was on COVID-19. 

                The Portfolio Holder will chair the Health and Wellbeing Board this week, which will also include focus on the community response.

                Regular updates on the COVID-19 response would continue to be sent out to all members.

                Work by the local outbreak board had stepped up to ensure there is a full response across the public sector. Tracking was 10% below national average since mid-September and BCP must not jeopardise the gains made by extraordinary efforts of residence. Therefore, restrictions should continue to be observed by all.

 

There were no questions following the Portfolio Holder’s update.

101.

Forward Plan pdf icon PDF 243 KB

To consider and comment as appropriate on the development of the Committee’s Forward Plan.

Minutes:

The Committee considered the Forward Plan and the following suggestions were made:

·       For an update on the Homelessness Strategy combined with the wider Housing Strategy.

 

RESOLVED that the Forward Plan was agreed and approved by the Committee.