THE VALE OF GLAMORGAN COUNCIL
CABINET: 30TH NOVEMBER, 2015
REFERENCE FROM SCRUTINY COMMITTEE (SOCIAL CARE AND HEALTH): 2ND NOVEMBER, 2015
"556 THE VALE OF GLAMORGAN HEALTH, SOCIAL CARE AND WELLBEING PARTNERSHIP (DSS) -
The Director of Social Services presented the report, the purpose of which was to provide an update on the work of the Health, Social Care and Wellbeing Partnership.
As a background summary, the report began by highlighting that Health, Social Care and Wellbeing for the Vale of Glamorgan was a key component of the Council's Community Strategy. This work was driven by two main partnership bodies, i.e. the Integrated Health and Social Care Partnership and the Public Health and Wellbeing Board.
The Integrated Health and Social Care (IHSC) Partnership oversaw the collaborative work undertaken between the key stakeholders (the Vale of Glamorgan Council, Cardiff Council, Cardiff and Vale University Health Board, the Vale Centre for Voluntary Services and Cardiff Third Sector Council) in developing and supporting joint Social Care and Health Services.
The Public Health and Wellbeing Board had responsibility for steering collaborative work that addressed key health determinants for the population such as the use of tobacco, food and physical activity, alcohol consumption and the uptake of immunisations. It previously operated within the Vale of Glamorgan only but, following development of a joint Local Service Board with Cardiff Council, it was agreed that this partnership stream would be aligned with similar work undertaken in Cardiff.
Integrated Health and Social Care Programme
The report stated that the Integrated Health and Social Care Partnership had benefitted from the revised governance structure which was set in place last year with the aim of increasing the scale and pace of integration across health and social care services. There had been further changes to its Terms of Reference brought about by new requirements from Welsh Government that regional arrangements for collaboration should reflect the membership of a national partnership board that had been established. Following completion of Part 9 of the Code of Practice, which set out the statutory collaborative requirements under the Social Services and Wellbeing Act, the Terms of Reference would need to be revised further.
The Integrated Health and Social Care Governance (Partnership) Board met quarterly; the leadership team, which comprised the Chief Executives of the relevant organisations, met every other month and the Strategic Implementation Group for senior officers met monthly.
In summarising some of the key areas of progress, the Director of Social Services advised Members of the following:
The completion of the Strategic Review which had looked at the level of resources and activity across Community Health and Local Authority services for older people. This led to the Governance Board agreeing that the Vale of Glamorgan Council, Cardiff Council and the University Health Board would fast track a far reaching integration programme which would provide the public with joined up services across the region. A public statement made by key members of the Board in relation to this was attached at Appendix 1. The Director also advised that an Assistant Director would soon be appointed to take forward a work programme and to focus on joint commissioning of services.
The reduction in Delayed Transfers of Care across Cardiff and the Vale of Glamorgan communities and the formulation of an action plan.
The implementation of the Welsh Community Care Information System (WCCIS) which would enable Social Services and a range of community health services to more effectively plan, co-ordinate and deliver services and support for individuals, families and communities. Members heard that this was a complex undertaking but so far it was progressing well.
Further to these, the report referred to the announcement by the Minister for Health and Social Services regarding the recurrent funding of the Intermediate Care Fund in order to continue projects which had shown themselves to be of a positive advantage to the community. This was followed by an agreement across the Cardiff and Vale Health Board Partnership footprint that funding would be made available to progress proposals that would see the delivery of a single point of access, a number of preventative intervention projects and an accommodation solutions / resettlement project.
With regard to the reduction in the Regional Collaborative Fund, the report outlined that this would now be realigned around two projects, these being the enhanced services for people with learning disabilities and an enhanced reablement service. The Head of Adult of Services also advised about an important development for primary care services, for which Welsh Government had allocated several million across Cardiff and the Vale. Of this money, approximately £800,000 would be made available for expansion of the Vale Community Resource Service. This expansion included additional reablement home care staff employed by the council. Furthermore, work was also progressing on the development of phlebotomy services which would hopefully improve District Nursing capacity.
In addition, the report highlighted the engagement with the Cardiff and Vale UHB in the production of the second iteration of the Regional Implementation Plan which was linked to the Social Services and Well-being (Wales) Act 2014.
Public Health and Wellbeing Programme
The report indicated that following recent proposals to develop the joint Local Service Board between the Vale of Glamorgan and Cardiff, work had started to identify a model to improve public health and wellbeing across both areas which allowed for increased collaboration and joint working whilst respecting the specific needs of individual communities and the roles and responsibilities of statutory organisations.
The Public Health and Wellbeing Board had now been replaced with a joint structure including both the Vale of Glamorgan and Cardiff Local Authorities. The new structure incorporated the Health and Wellbeing Performance Management Group and the Health and Wellbeing Development Task Force.
Membership of the Health and Wellbeing Performance Management Group included senior managers from across partner organisations, meeting every four months with the aim of:
ensuring delivery of existing action plans and that business "as usual" continued at a local level on tobacco, food and physical activity
ensuring links with ongoing work by the Area Planning Board, Healthy Schools and the Cardiff and Vale Immunisation Steering Group
scrutiny of highlight reports on the above
reporting to the Cardiff and Vale Joint Local Service Board
inform the work of the task force.
With regard to the Health and Wellbeing Development Task Force, Members were advised that despite concerted efforts across the Vale of Glamorgan, it was clear that significant work remained in order to reach the objectives set out within the Food and Physical Activity Action Plan. It had been agreed that obesity was now the key topic for which a task force was being initiated to develop an ambitious, aspirational and innovative approach to tackling this issue.
The Chairman asked if officers could comment upon some of their concerns following changes to the Regional Collaborative Fund and the Intermediate Care Fund. In response to this, the Director of Social Services stated that it was right to say that the Directorate's strategy had been to encourage the Health Board to invest in social care services that would help them to manage rising demand. He advised that Health had shown an open mind on the best way to use this grant. He praised the input of Council officers in being able to work closely with Health in devising joint health and social service projects and programmes.
Following the Director's comments, the Head of Adult Services stated that in relation to the Regional Collaborative Fund, the two important areas here were the Learning Disabilities and Reablement services. With regard to Reablement services, this area would be realigned to the primary care services and a £100,000 investment would now become an £800,000 investment. The Head of Adult Services expressed some concern that funding the changed Learning Disability services did represent a challenge, particularly in relation to the reviewing of the high cost of care packages. In terms of the Intermediate Care Fund, he alluded to the joint working arrangements around such areas like the Contact Centre and the Accommodation Solutions Discharge Project and he advised Members that Health had evaluated how the money would be spent and how much of that would be allocated on a partnership basis with the Council and also other groups.
In reply to a Member's query regarding the number of Delayed Transfers of Care, the Head of Adult Services advised that the figures shown in the graph within the report related to all health and social services delays. He stated that last year, 2014/15, the Vale had achieved some excellent results but that performance for Quarter 1 this year had deteriorated and, as this was an accumulative indicator, the performance by the end of the year would not be as good.
In summing up, the Chairman stated that overall this was a most useful report and that good progress had been made.
(1) T H A T the contents of the report be noted.
(2) T H A T the Scrutiny Committee continue to receive updates about the Vale of Glamorgan Health, Social Care and Wellbeing Partnership.
(3) T H A T the report be referred to Cabinet for information.
Reason for recommendations
(1-3) To ensure that Elected Members can exercise effective oversight of this important area of collaborative working."
Attached as Appendix - Report to Scrutiny Committee (Social Care and Health): 2nd November, 2015