Agenda Item No 7
The Vale of Glamorgan Council
Scrutiny Committee (Social Care and Health): 15th April, 2013
Report of the Director of Social Services
The Vale of Glamorgan Health, Social Care and Wellbeing Partnership
Purpose of the Report
1. To provide an update on the work of the Health, Social Care and Wellbeing Partnership.
1. That Scrutiny Committee notes the content of this report.
2. That Scrutiny Committee continues to receive reports every six months on the work of the Health, Social Care and Wellbeing Partnership.
Reasons for the Recommendations
1. To ensure that Elected Members can exercise oversight of this important area of work.
2. To ensure effective scrutiny of key developments in the delivery of the Health, Social Care and Wellbeing Strategy.
2. Section 40 of the National Health Service Wales Act 2006 places a statutory duty on each local authority and each Local Health Board (LHB) to prepare a health, social care and wellbeing strategy (HSCWBS) for the local authority's area.
3. The HSCWBS provides a framework within which the two organisations and relevant partners set out how, together, they will:
drive forward improvements in the health and wellbeing of the local population;
strengthen the planning and management of health and social services; and
improve outcomes for those who use them.
4. Welsh Government guidance required that the strategy for the three years 2011/12-2013/14 should focus more narrowly on two important areas:
improving the provision, quality , integration and sustainability of 'overlapping services';
improving health and wellbeing and reducing inequities that is inequalities in health that are unfair and unavoidable.
5. The overall HSCWBS agenda for the Vale of Glamorgan is the responsibility of a Partnership which operates within the framework for strategic partnerships established by the Local Service Board and the Council. The two strands of work set out in guidance are managed primarily by two Boards which the Partnership has established. These are the Integrated Health and Social Care Programme Board and the Public Health and Wellbeing Board. Both Boards report directly to the Local Service Board.
Relevant Issues and Options
6. The Public Health and Wellbeing Board operates within the Vale of Glamorgan only. It comprises representatives from health, the local authority and the third sector. They take responsibility for collaborative work to address key health determinants for the population such as use of tobacco, food and physical activity, alcohol consumption and the update of immunisations. The work of the PHWB is guided by two key strategic documents: the Vale of Glamorgan Community Strategy and the Local Public Health Strategic Framework (LPHSF). The priorities are determined by the public health evidence base and population needs assessments.
7. The Integrated Health and Social Care Programme Board works across Cardiff and the Vale of Glamorgan to co-ordinate agreed projects in respect of joint working between the two Councils, the University Health Board (UHB) and the third sector.
8. The main tasks of the Board are, through the oversight of key projects, to:
identify, by means of appropriate needs assessment, priority areas for improvement which require strengthened joint working to achieve better outcomes within existing resources;
provide a framework to enable the operational integration of services across health and social care (to include workforce planning, resource planning, etc); and
ensure that local government and health professionals are able to work jointly within statutory and organisational governance arrangements that provide a framework of clear accountability.
9. A number of priority workstreams have been agreed: Mental Health Services, Older People’s Services (the Wyn Campaign), Learning Disability Services and Services for children with complex needs because of disabilities.
10. Lead responsibility for taking these workstreams forward is shared between the three sponsoring organisations. Each of them is led by a Senior Responsible Officer (SRO), at Executive Director level within the Cardiff and Vale UHB and at Head of Service level within the local authorities. The SRO is responsible for the overall delivery of projects within their workstream, reporting progress to the IHSC programme board. The Director of Social Services in the Vale is the SRO for the programme as a whole.
11. Chairmanship of the programme board is currently taken (on a rotational basis) by Maria Battle (Chair, Cardiff and Vale UHB). This Council is represented by Councillors Stuart Egan and Chris Elmore, Cardiff Council by Councillors Ralph Cook and Luke Holland. The rest of the programme board is made up of senior corporate officers from the three statutory organisations as well as representatives from both third sector umbrella organisations (VCVS and C3SC). Minutes from the Board are reported to Cabinet.
12. Appendix 1 outlines the key achievements and challenges faced by both Boards as they seek to drive forward the HSCWBS.
Resource Implications (Financial and Employment)
13. There is a commitment from all the organisations that projects will be delivered within existing resources, unless external funding can be secured.
Sustainability and Climate Change Implications
14. There are sustainability implications arising from forecasted changed in population and demographic patterns, with a specific emphasis on predicted rises in the numbers of older people living within the Vale of Glamorgan.
Legal Implications (to Include Human Rights Implications)
15. There are no legal implications arising directly from this report. The Boards exercise oversight of the overall programmes without affecting current executive and scrutiny arrangements for Council services in the Vale of Glamorgan. The Local Authority must have regard to the strategy (HSCWBS) in the exercise of their functions.
Crime and Disorder Implications
16. There are no crime and disorder implications as a direct result of this report.
Equal Opportunities Implications (to include Welsh Language issues)
17. There are no equal opportunities implications arising out of this report.
18. The key objective of the Council addressed by this report is 'to make the Vale a safe and healthy place in which individuals, children and families can live their lives to the full'.
Policy Framework and Budget
19. The report is in accordance with the Council's policy framework and budget.
Consultation (including Ward Member Consultation)
20. There are no matters in this report which relate only to an individual Ward.
Relevant Scrutiny Committee
21. Social Care and Health.
Scrutiny Committee (Social Care and Health): 28th November, 2011 - Delivering Integrated Social Care and Health Services to meet the needs of local people.
Meredith Gardiner, Programme Manager, Health, Social Care and Wellbeing.
Officers attending the Local Service Board (LSB) and the LSB Implementation Group.
Philip J. Evans, Director of Social Services