Agenda Item No 8
The Vale of Glamorgan Council
Healthy Living and Social Care Scrutiny Committee: 16th January, 2017
Report of the Director of Social Services
Cardiff and the Vale of Glamorgan Population Needs Assessment
Purpose of the Report
- To share a draft version of the Population Needs Assessment for the Vale of Glamorgan and Cardiff with members of the Scrutiny Committee, to ensure that they can contribute to the process and agree the future priorities for the service.
- That the Scrutiny Committee notes the contents of the draft assessment report and helps to inform the final assessment.
Reasons for the Recommendations
1. To provide Elected Members with an opportunity to contribute to the Population
- The Social Services and Well-being (Wales) Act 2014 introduced a duty on local authorities and Local Health Boards to jointly prepare and publish an assessment of the care and support needs of the population, including carers who need support. A draft report of the assessment for the Vale of Glamorgan and Cardiff region is attached at Appendix 1. The final report must be formally signed off by both Councils and the Cardiff & Vale University Health Board and published before April 2017.
- The Act and associated statutory guidance require that the report is presented under a number of themed headings. The draft report includes information on the methods used to undertake the assessment, as well as information on care and support needs, assets, and prevention needs under each topic area.
- The assessment should inform local area plans which will be prepared during the period Apr 2017-Mar 2018, as well as other statutory planning processes. Initial recommendations from professionals on priorities for these plans and areas where changes may be required in care or support arrangements are included in each chapter. These will be subject to review and refinement during 2017/18 as part of the area planning process and turned into detailed descriptions of the range and level of services required to meet the needs identified,
- The assessment was undertaken at the same time as the Well-being Assessments in each local authority area, required under the Wellbeing of Future Generations (Wales) Act 2015. Wherever possible, evidence from the assessments has been shared and the assessments inform each other.
Relevant Issues and Options
- Specific findings for each topic are given in the relevant chapter and summarised in the Executive Summary.
- At the start of section B, caveats are set out about the way in which parts of the assessment should be interpreted. These include the fact that, for the Vale of Glamorgan, there is insufficient detail on some topics at present. More information is being sought to ensure that the report is balanced across the two local authority areas.
- A number of overarching care and support needs emerged which were identified in more than one topic area. These are presented in section B13 of the draft report. The most common were:
- easy access to information about support and services available;
- timely access to mental health services, including diagnosis and counselling;
- timely access to other services;
- social isolation;
- building healthy relationships including emotional and mental health, sexual health;
- practical life skills, including financial skills (for all ages);
- support for young and adult carers;
- respite for young and adult carers;
- enabling smoother transitions from children to adult services;
- maintaining and increasing provision and sustainability of community services and support;
- healthy lifestyles including tobacco use, alcohol, diet and physical activity;
- transport to facilitate access to services; and
- healthy environment and accessible built environment.
Resource Implications (Financial and Employment)
- There are none at this stage. The statutory requirement that Area Plans are to be developed and implemented subsequently (which should take into account the findings of the completed assessment) will have potential resource implications. The priorities for action and detailed plans to address them, along with the financial implications, should be discussed and agreed as part of the Area Planning process.
Sustainability and Climate Change Implications
- There are none at this stage. However, the implementation of Area Plans will have potential sustainability and climate change implications. The priorities for action and detailed plans to address them, along with consequent sustainability implications, should be discussed and agreed as part of the Area Planning process.
Legal Implications (to Include Human Rights Implications)
- The development and publication of a population needs assessment is a legal requirement under the Social Services and Well-being (Wales) Act 2014. Very detailed guidance on the way in which this exercise should be conducted is set out in the Part 2 Code of Practice (General Functions).
- The local authority and Local Health Board are required formally to approve the population assessment report. This will need to be done by the Board of the Local Health Board and, in the case of the local authority, will need to be approved by the full Council on submission by the council's executive or board. This will ensure that the information contained within the report is considered at the most senior levels within these organisations.
- Upon completion, assessment reports must be published on the websites of all local authorities and Local Health Boards involved in their production. A copy of the population assessment report must also be sent to Welsh Ministers at the time of publication.
- The population assessment report should be drafted using accessible language so that it can be considered by members of the public. I t is important the assessment report explains clearly how the local authorities and the Local Health Board have arrived at their decision in relation to the needs identified and the level of services required to meet those needs.
- Local authorities and Local Health Boards must produce one population assessment report per local government electoral cycle. The first population report must be published by April 2017. The Care and Support (Population Assessments) (Wales) Regulations 2015 will prescribe the timeframe for the production and publication of subsequent population assessment reports.
- In producing a population assessment report local authorities and Local Health Boards must be forward looking and consider the needs for care and support and needs for carers for the whole period up until the next population assessment is due for publication. However, given that circumstances may change, the partnership arrangement established to carry out the population assessment must keep the population assessment report under review. The population assessment report should be reviewed as required, but at least once mid-way through the population assessment period. If this review identifies a significant change in the needs for care and support or the needs of carers, an addendum should be produced and similarly be published and sent to the Welsh Ministers.
Crime and Disorder Implications
- The draft report includes care and support needs of offenders and people with substance misuse issues. It also describes the impact of Adverse Childhood Experiences (ACEs), including having a parent who is incarcerated, on subsequent health and wellbeing as an adult.
Equal Opportunities Implications (to include Welsh Language issues)
- As specified in the Act, a number of key population groups must be covered by the assessment and an assessment must be made regarding Welsh Language requirements. Local authorities must have due regard the United Nation Convention on the Rights of Persons with Disabilities, United Nation Convention on the Rights of the Child, and the United Nation Principles for Older Persons in relation to an individual person who needs care and support and carers who need support. In addition, the Public Sector Equality Duty contained in section 149 of the Equality Act 2010 requires all public authorities to have due regard to protected characteristics when exercising their functions. Local authorities and Local Health Boards, therefore, must undertake an Equality Impact Assessment as part of the process of undertaking a population assessment and the subsequent plans to meet the needs identified. These sections are being finalised and will be presented together, as an equality profile including Welsh Language need. The impact assessment process will continue and be completed during the development of the Area Plans.
- There is a statutory duty for the findings of the final assessment to be taken into account in future corporate planning by statutory bodies including the local authority. The Area Plans will be developed by the Regional Partnership Board with relevant elements implemented through corporate and service objectives within the local authority and other partner organisations.
Policy Framework and Budget
- This work sits under the Social Services and Well-being (Wales) Act 2014, for which the Regional Partnership Board and the statutory bodies (Vale of Glamorgan Council, City of Cardiff Council, and the Cardiff and Vale UHB) are responsible for delivery of the completed assessment, and subsequent Area Plan development.
- Most of the work has been completed by salaried officers of the local authorities and UHB but engagement through focus groups was externally commissioned. This and other items such as workshop venue hire and final publication costs for the document will be met using the regional Delivering Transformation Grant.
Consultation (including Ward Member Consultation)
- Formal consultation on this assessment (in contrast to the Well-being assessments) is not required. However, guidance clearly states that engagement with the local population should be a core part of the assessment. A significant amount of new engagement activity for the assessment has taken place through surveys and focus groups, in addition to engagement with relevant corporate and partner stakeholders (including the third and independent sectors).
- This draft is also being shared with the Regional Partnership Board and the Executive Team of Cardiff and Vale UHB, as well as all other stakeholders who have contributed to the process to date, to ensure the final document represents a balanced and accurate view of the care and support needs of our communities.
Relevant Scrutiny Committee
- Healthy Living and Social Care
Dr Tom Porter, Consultant in Public Health Medicine, Cardiff and Vale UHB/Public Health Wales
Helen Moses, Laura Eddins, Sharon Miller, Rachel Jones (as members of PNA Steering Group)
A broader cross-section of staff within Vale of Glamorgan Council through a professional survey, the results of which are summarised in the assessment
Philip Evans, Director of Social Services