Agenda Item No.
THE VALE OF GLAMORGAN COUNCIL
CABINET: 13TH APRIL 2015
REFERENCE FROM SCRUTINY COMMITTEE (SOCIAL CARE AND HEALTH): 9TH MARCH 2015
ASSISTIVE TECHNOLOGY AND DEMENTIA CARE TASK AND FINISH GROUP OF THE SCRUTINY COMMITTEE (SOCIAL CARE AND HEALTH) (DR) -
The Scrutiny Committee (Social Care and Health) set up the Task and Finish Group in order to examine the potential contribution assistive technology could provide in the development of a dementia supported community in the Vale of Glamorgan to enable people to live independently.
The Group’s objective and purpose was to assess whether the greater use of assistive technology could enable people to live more independent lives for longer and also to consider the effect this could have on the quality of life for those who care for those experiencing dementia.
The report attached at Appendix A contained 15 recommendations (as detailed at page 6 of that report) and 23 improvement actions had also been identified as contained within Appendix E to the actual report.
Members of the Group were able to consider and review a wide range of evidence and sources. These included:
· the organisation and structure of the Telecare Service
· the demonstration of equipment and devices available
· evaluation of a Telecare referral and assessment process
· assessment of the impact of TeleV+ packages
· changes to the Supported People Services
· understanding the perspective of carers
· Carmarthenshire County Council Telecare service
· the use of ICT
· Reminiscence therapy
· Cardiff and Vale Local Health Board future development of Assistive Technology Strategy
· regional / collaborative working
· voluntary and private sector partnership business models
· analysis of evaluation into the effectiveness of Assistive Technology
· financial matters.
In addition, the Group were extremely fortunate in being able to meet with a husband and wife who had been directly affected by dementia. From this, the Group was able receive invaluable knowledge and experience. The Group also undertook a site visit to the University Hospital in Llandough in order to review the form of Reminiscence therapy carried out at the hospital.
The report highlighted that during the course of the review, the Task and Finish Group was able to complete a thorough investigation into the potential for Assistive Technology in aiding the independent living for people experiencing dementia. From this, a number of recommendations were made, aimed at improving the responsiveness of the service. It was recognised that there was a requirement for further work before any major decisions could be taken in relation to the longer term planning of the service.
The Group concluded that Assistive Technology could be of considerable help to people experiencing dementia and also to their carers. However, national research, information from partners and data from our existing service was not sufficiently clear to suggest that Assistive Technology was likely to deliver savings. Of these significant budgetary pressures that the Council faces, the Group had made recommendations for improvements which it was hoped were realistic and measured, and that identified the further work required to develop the service for the future.
The Head of Adult Services advised the Committee that this was an area of the service that had needed to be developed. The service was relatively small in numbers and the service was unsure of its direction. A thorough and honest review of the service had been undertaken with no areas hidden and everything had been covered. This included a very complex financial picture which highlighted that the research available was unclear. The Task and Finish Review provided the service with a new level of perspective and clarity and the current Service Plan was committed to a number of the Task and Finish Group’s recommendations. These recommendations were realistic and grounded and a positive action plan had been developed. Finally, he offered his thanks and appreciation to Members of the Task and Finish Group.
The Vice-Chairman of the Committee stated that at the beginning of this Review into Telecare she was not fully convinced of the usefulness of the technology available. However, from speaking to and hearing the perspective of carers she fully appreciated how Assistive Technology could be a useful aid to people experiencing dementia and particularly for their carers. She stated that a lot more work needed to be undertaken on the financial side and she offered her thanks and appreciation to all involved.
A Committee Member, also a member of the Task and Finish Group, expressed his appreciation at being part of the Group and thanked all those who took part and provided evidence.
(1) T H A T the report, recommendations and the Action Plan of the Task and Finish Group as detailed at Appendix A to the report be accepted and referred to Cabinet for approval.
(2) T H A T, subject to Cabinet approval, the Scrutiny Committee receive an update on the delivery of the Action Plan within 12 months.
Reasons for recommendations
(1) To apprise Members and seek Cabinet approval.
(2) In order that Members of the Scrutiny Committee can monitor progress.
Attached as Appendix – Report to Scrutiny Committee (Social Care and Health): 9th March, 2015