Items
| No. |
Item |
1. |
Apologies for Absence
Additional documents:
Minutes:
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1.1
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Apologies were received from Councillor Julie
Grocutt, who sent their representative – Councillor Dianne
Hurst.
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2. |
Exclusion of Press and Public
To identify items where resolutions may be
moved to exclude the press and public
Additional documents:
Minutes:
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2.1
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There were no items which would require the
exclusion of the press and public.
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3. |
Declarations of Interest  PDF 86 KB
Members to declare any interests they have in
the business to be considered at the meeting
Additional documents:
Minutes:
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3.1
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There were no declarations of interest
made.
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4. |
Minutes of Previous Meeting PDF 152 KB
To approve the minutes of the last meeting of
the Committee held on the 13th December 2023.
Additional documents:
Minutes:
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4.1
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The minutes of the meeting of the Committee
held on the 13th of December 2023 were approved as a
correct record.
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5. |
Public Questions and Petitions
To receive any questions or petitions from
members of the public.
(NOTE: There is a time limit of up to 30
minutes for the above item of business. In accordance with the
arrangements published on the Council’s website,
questions/petitions at the meeting are required to be submitted in
writing, to committee@sheffield.gov.uk, by 9.00 a.m. on
29th January 2024).
Additional documents:
Minutes:
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5.1
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One public question was
received from Mr Lennox, as follows:
‘What has recently
changed or will be introduced in 2024 in the South West area in
respect of care and wellbeing services?
There have been a number of
city council reports referring to a transformation in such matters
e.g.:
Hospital discharge and urgent
care plans
Preventative health care
services
Place based initiatives to
improve care health and wellbeing
Integrated pathways of
care
Team around the
Person
Primary care
networks
Pathways for support and
information platforms about care and health
Will we live longer and better
as a result of these and how will local people be engaged in
service development?’
The Chair and Executive
Director stated that they would arrange and attend a meeting with
Mr Lennox to discuss his question further, to include the Director
of Public Health and the Chair of the South East LAC.
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6. |
Appointments to Sub-Committees
To note that, in accordance with the authority
given by the Committee at its meeting held on 14th June
2023, the Monitoring Officer, in consultation with the relevant
political group whip, had authorised the appointment of Councillor
Gail Smith as a substitute member of the Health Scrutiny
Sub-Committee, with effect from the 6th December
2023.
Additional documents:
Minutes:
|
6.1 To note
that, in accordance with the authority given by the Committee at
its meeting held on
14th June 2023, the Monitoring Officer, in consultation
with the relevant political group whip, had authorised the
appointment of Councillor Gail Smith as a substitute member of the
Health Scrutiny Sub-Committee, with effect from the 6th
December 2023.
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7. |
Members' Questions
To receive any questions from Members of the
committee on issues which are not already the subject of an item of
business on the Committee agenda – Council Procedure Rule
16.8.
(NOTE: a period of up to 10 minutes shall be
allocated for Members’ supplementary questions).
Additional documents:
Minutes:
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7.1
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No Members’ questions were received on
this occasion.
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8. |
Work Programme PDF 213 KB
Additional documents:
Minutes:
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8.1
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The Committee received a report containing the
Committee’s Work Programme for consideration and discussion,
presented by the Principal Democratic Services Officer. The aim of
the Work Programme was to show all known, substantive agenda items
for forthcoming meetings of the Committee, to enable this
Committee, other committees, officers, partners and the public to plan their work with and
for the Committee.
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8.2
8.3
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RESOLVED UNANIMOUSLY: That the
Committee’s work programme, as set out in Appendix 1 of the
report, be agreed, including the additions and amendments
identified in Part 1 of the report.
Councillor Argenzio asked that any actions
from the scheduled Climate Statement item be integrated into the
Work Programme.
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9. |
Hospital Discharge and Urgent Care Delivery Plan Update Report PDF 211 KB
Additional documents:
Decision:
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9.1
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The Committee considered a report of the
Strategic Director for Adult Care and Wellbeing which updated the
Committee on the operational progress that had been made in
delivering the hospital discharge and avoidable admission paper
that was agreed by the Committee on the 14th June 2023.
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9.2
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RESOLVED UNANIMOUSLY: That the
Adult Health and Social Care Policy Committee:-
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·
Notes the current performance in relation to discharge and progress
in delivering phase one of the hospital discharge and urgent care
delivery plan.
·
Approves the Commissioning Strategy to externally commission a
specific Discharge Homecare Contract for a period of 2 years with
option to extend for a further period of 1 year.
·
Requests that the Strategic Director of Adult Care and Wellbeing
provides the Committee with update on progress against the delivery
plan in six months
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9.3
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Reasons for
Decision
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9.3.1
9.3.2
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As a partnership between agencies in
Sheffield, we have made a commitment to admission avoidance and the
development of a new operating model which focuses on building a
partnership between primary and social care will aim in longer term
to impact on admission avoidance.
The new discharge model aims to embed an
approach where people discharged from an acute hospital bed are
assessed at home or in another appropriate community setting where
assessments about what care they need can take place. This approach
is critical if we are to improve individuals and families
experience of discharge, optimise individuals’ wellbeing
outcomes, maximise our workforce capacity and effectiveness and
reduce avoidable demand.
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9.4
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Alternatives
Considered and Rejected
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9.4.1
9.4.2
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Do nothing: It would be possible not to
produce a plan in relation to discharge – but it would mean
any activity would lack focus, coherence, and public
accountability.
In relation to the commissioning strategy for
discharge homecare, as set out above, the alternative would be to
use the existing homecare contracts but
it is felt that this could be destabilising and a specific contract
is a better option.
|
Minutes:
|
9.1
|
The Committee considered a report of the
Strategic Director for Adult Care and Wellbeing which updated the
Committee on the operational progress that had been made in
delivering the hospital discharge and avoidable admission paper
that was agreed by the Committee on the 14th June 2023.
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9.2
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RESOLVED UNANIMOUSLY: That the
Adult Health and Social Care Policy Committee:-
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|
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·
Notes the current performance in relation to discharge and progress
in delivering phase one of the hospital discharge and urgent care
delivery plan.
·
Approves the Commissioning Strategy to externally commission a
specific Discharge Homecare Contract for a period of 2 years with
option to extend for a further period of 1 year.
·
Requests that the Strategic Director of Adult Care and Wellbeing
provides the Committee with update on progress against the delivery
plan in six months
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9.3
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Reasons for
Decision
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9.3.1
9.3.2
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As a partnership between agencies in
Sheffield, we have made a commitment to admission avoidance and the
development of a new operating model which focuses on building a
partnership between primary and social care will aim in longer term
to impact on admission avoidance.
The new discharge model aims to embed an
approach where people discharged from an acute hospital bed are
assessed at home or in another appropriate community setting where
assessments about what care they need can take place. This approach
is critical if we are to improve individuals and families
experience of discharge, optimise individuals’ wellbeing
outcomes, maximise our workforce capacity and effectiveness and
reduce avoidable demand.
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9.4
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Alternatives
Considered and Rejected
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9.4.1
9.4.2
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Do nothing: It would be possible not to
produce a plan in relation to discharge – but it would mean
any activity would lack focus, coherence, and public
accountability.
In relation to the commissioning strategy for
discharge homecare, as set out above, the alternative would be to
use the existing homecare contracts but
it is felt that this could be destabilising and a specific contract
is a better option.
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10. |
Personalisation and Direct Payments Update PDF 230 KB
Additional documents:
Decision:
10.1 The Committee received a
report of the Strategic Director of Adult Care and Wellbeing which
provided an update on progress against the Delivery Plan of the
Personalisation and Direct Payments Strategy and reviewed the
options appraisal for the future model of the Direct Payment
Support Service and asked the Committee to agree upon the proposed
option.
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10.2
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RESOLVED UNANIMOUSLY: That the
Adult Health and Social Care Policy Committee:
-
Note the continued progress of the Direct Payment Improvement
programme and delivery against actions from the strategy delivery
plan including the creation of a Personalisation Board to drive and
govern future work.
-
Endorse the planned activity for the next 12 months.
-
Approve commissioning strategy Option 5: Provide a Direct Payment
Support Service as an in-house service offer.
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10.3
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Reasons for
Decision
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10.3.1
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Our focus is to
offer people of Sheffield a good life with choices as outlined in
our Strategy Living the Life you Want to Live. As a Council it is
imperative that we fulfil our statutory duties. The Direct Payments
and Personalisation Strategy approved in 2022 commits us to
delivery.
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10.4
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Alternatives
Considered and Rejected
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10.4.1
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Options considered for the delivery of the
Direct Payments Support Service are as set out in the Options
Appraisal. No other options have been considered as the strategy,
delivery plan and offer of personalised support and Direct Payments
are statutory duties within The Care Act 2014, Care and Support
(Direct Payments) Regulations 2014, Care and Support Statutory
Guidance issued with the Care Act 2014, Children and Families Act
2014.
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11. |
Adult Health and Social Care Committee Climate Statement PDF 187 KB
Additional documents:
Decision:
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11.1
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The Committee considered a report of the
Strategic Director for Adult Care and Wellbeing which sought
endorsement of an Adult Health and Social Care Policy Committee
Statement.
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11.2
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RESOLVED UNANIMOUSLY: That the
Adult Health and Social Care Policy Committee:
1. Agree the Adult Health and Care Policy
Committee Climate Statement attached at Appendix 1.
2. Note that dedicated adult climate focused
workshops will take place during 2024 with social care providers,
voluntary sector, and partners to agree a long-term social care
action plan to realise our climate ambitions. The resultant action
plan will be brought to a future Committee for approval.
3. Note the intention to seek a partnership
with academia to consider the adult social care contribution to
climate action.
4. Note the intention of the Strategic
Director to embed within our contract monitoring processes an
assurance that all providers have effective business continuity
arrangements to respond to impacts of climate change and have plans
to support our climate ambitions.
5. Requests that the Strategic Director of
Adult Care and Wellbeing provides an update every six months to
Committee on delivery of the Statement.
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11.3
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Reasons for
Decision
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11.3.1
11.3.2
11.3.3
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It is
important that the response to the Annual Climate Progress Report
is open and transparent in setting out the challenges which the
local authority faces in making progress and clarifies future
expectations on the part we all have to play in addressing climate
change.
An
endorsed Adult Climate Statement gives the public assurance that
the Committee is delivering upon its commitment towards Climate
Change and Net Zero.
Asking
for the six-monthly updates provides public accountability and
transparency of our progress in delivery.
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11.4
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Alternatives
Considered and Rejected
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11.4.1
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Not providing committee climate statements.
This would not provide the assurances to Committee and the Council
that Climate Change and a commitment to Net Zero are being
progressed by Adults Services.
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12. |
Adult Social Care Complaints Annual Report and Learning from Feedback Annual Report PDF 207 KB
Additional documents:
Decision:
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12.1
12.2
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The Committee considered a report of the
Strategic Director for Adult Care and Wellbeing which provided the
Adult Social Care Complaints Annual Report 2022-3 for endorsement
by Committee and an update regarding learning from feedback from
individuals and carers.
RESOLVED UNANIMOUSLY: That the
Adult Health and Social Care Policy Committee:-
1. Endorses the Sheffield Adult Social Care
Complaints Annual Report 2022 – 2023 attached at Appendix
1.
2. Notes the Analysis of Complaints by Care
Quality Commission Quality Statement attached at Appendix 2.
3. Endorses the Learning from Feedback Annual
Report attached at Appendix 3. 4. Notes that engagement will be
undertaken during 2024 with individuals and unpaid carers to
continue to build our approach to learning from feedback and using
this to inform service improvements and strategic developments.
5. Agrees that the Strategic Director Adult
Care and Wellbeing providing six monthly updates on our learning
from feedback and subsequent service improvements as an assurance
to Committee that Adult Care and Wellbeing are continually learning
from feedback.
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12.3
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The Committee noted the
report.
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13. |
Adult Health and Social Care: Financial Recovery Plan Update PDF 220 KB
Additional documents:
Decision:
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13.1
13.2
13.3
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The Committee considered a report of the
Strategic Director of Adult Care and Wellbeing which provided the
Committee with an update on 2024/5 business planning, an analysis
of the underlying financial pressures to be carried forward into
the 2024/25 financial year.
RESOLVED UNANIMOUSLY: That the
Adult Health and Social Care Policy Committee:-
1. Note the changes to the Committee’s
budget plan since the November update and the proposals being
brought forward to close the 2024/25 budget gap.
2. Note that £2.8m more Social Care
Grant (ringfenced for Adult and Childrens Social Care) than assumed
in the Council’s planning has been received but £4.9m
less of unringfenced ‘Services
Grant received. To note that this has resulted in a subsequent
increase of £2m Social Care Grant to Adult Health and Social
Care Policy Committee but a decrease of £0.9m corporate
funding to Adult Health and Social Care Policy Committee.
3. Note the impact of funding changes on the
2023/24 carry forward position and recovery plan for 2024/25.
4. Note the recovery plan to mitigate
underlying demand and cost pressures in 2024/ 2025.
The Committee noted the report.
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14. |
Adult Health & Social Care Target Operating Model and Partnerships Model Update PDF 726 KB
Additional documents:
Decision:
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14.1
14.2
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The committee considered a
report of the Strategic Director of Adult Care and Wellbeing which
provided a scheduled update on the Adult Health and Social Care
Strategy, approved by the Co-Operative Executive on 16th
March 2022. The update was aligned to the Council’s cycle of
assurance and set out the delivery progress in relation to the
Target Operating Model and the next steps for implementation in
2024 to 2025.
RESOLVED UNANIMOUSLY: That the
Adult Health and Social Care Policy Committee:-
1.
Endorses progress in delivering on the Adult Care
Strategy
2.
Endorses progress in delivering the Target Operating
Model
3.
Requests that the Strategic Director of Adult Care
and Wellbeing provides an update in six months as part of the DASS
and Strategy Delivery Updates
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14.3
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The report was noted by the
Adult Health and Social Care Committee.
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15. |
Sheffield Care Sector Workforce Development Strategy 2023-2026 Update PDF 236 KB
Additional documents:
Decision:
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15.1
15.2
15.3
15.4
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The Committee
considered a report of the Director of Adult Care and Wellbeing
which provided an update on progress made with the Care Sector
Workforce Development Strategy 2023-2026 which was endorsed by the
Adult Health and Social Care Policy Committee in March 2023. This
update was in line with the Cycle of Assurance approved in June
2023.
The Strategy set out a
vision for the future of Adult Social Care and explained how the
directorate would work towards addressing some of the systemic
issues affecting the Adult Social Care workforce.
RESOLVED
UNANIMOUSLY: That the Adult Health and Social Care Policy
Committee:-
1. Endorses progress
made with implementing the Care Sector Workforce Development
Strategy 2023 – 2026.
2. Notes that a Care
Sector Workforce Strategy Workshop Session will be organised in
2024 to involve and engage Social Care Providers, Voluntary Sector
and Academia in further developing our approach to workforce
development, wellbeing and including agreement of shared workforce
standards.
3. Notes that a
Sheffield Adult Workforce Celebration & Recognition Event will
be launched in 2024 to celebrate good practice and learning.
4. Notes the intended
commissioning strategy for a Sheffield Health and Social Care
Academy.
5. Endorses the
Sheffield City Council Adults Care & Wellbeing Being Healthy at
Work Plan 2024-2025.
6. Requests that the Strategic Director of Adult Care and Wellbeing
continues to provide the Committee with updates on progress against
the Strategy on a six-monthly basis, including updates made based
on ongoing learning.
The
report was noted by the Adult Health and Social Care
Committee.
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