Agenda Item No. 5
The Vale of Glamorgan Council
Scrutiny Committee (Social Care and Health): 3rd November, 2014
Report of the Director of Social Services
The Vale of Glamorgan Health, Social Care and Well-being Partnership
Purpose of the Report
1. To provide an update on the work of the Health, Social Care and Well-being Partnership.
1. That Scrutiny Committee notes the content of this report.
Reason for the Recommendation
1 To ensure that Elected Members can exercise effective oversight of this important area of collaborative working.
2. The overall Health, Social Care and Well-being (HSCWB) 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 helped to establish. 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.
3. The Integrated Health and Social Care (IHSC) Programme Board oversees the collaborative work undertaken between the Vale of Glamorgan Council, Cardiff Council, Cardiff and Vale University Health Board, Cardiff Third Sector Council and the Vale Centre for Voluntary Services to develop and support the growing number of joint services provided by health and social care services.
4. The Public Health and Well-being Board currently operates within the Vale of Glamorgan only. It comprises representatives from the NHS, 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 uptake of immunisations. The priorities are determined by the public health evidence base and population needs assessments. This report gives an overview of discussions which are underway to revise the current structure and reporting arrangements for the Board.
Relevant Issues and Options
Integrated Health and Social Care Programme
5. The Integrated Health and Social Care Programme has been reviewed this year to increase the pace and scale of integration where joint responsibility for service provision produces clear benefits for citizens and for the partner organisations. A Governance Board is responsible for the oversight of the IHSC Programme as a whole. The membership of the Governance Board includes the Leaders and Cabinet members from the two Councils, the Chair and Vice Chair of the University Health Board and representation from the Vale Council for Voluntary Services and the Cardiff 3rd Sector Council. In accordance with a Collaborative Agreement, the Board ensures that shared service developments are managed effectively so they continue to meet the quality standards set for individual partner organisations and that agreed, shared resources are co-ordinated as efficiently as possible across the Partnership.
6. The Leader of the Vale of Glamorgan Council is the Chair of the Governance Board for 2014-15. He is supported in this role by the Chair of the Cardiff and Vale University Health Board, Maria Battle, and the Councillor for Health, Housing and Wellbeing at Cardiff Council, Councillor Susan Elsmore, who are the Deputy Chairs.
7. A Leadership Team has been established, comprising the Managing Director/ Chief Executive from the Vale of Glamorgan and Cardiff Councils, Chief Executive from the University Health and the Chief Executives from the two third sector umbrella organisations. This team meets to consider progress and agree strategic overall direction of the work plans which then become the responsibility of a Strategic Implementation Group, consisting of key senior managers from across the five organisations.
8. The following assumptions have been made in establishing the scope and focus of the work of the Programme :
· The overall purpose of the Programme is to facilitate closer working between the organisations and to demonstrate effective use of joint resources where it makes sense to do so;
· Ways to improve and prolong the health of the population will be co-ordinated by the new structure for oversight of health and wellbeing issues that is being developed by the joint Local Service Board for Cardiff and the Vale of Glamorgan;
· The overall outcomes for the Programme as a whole must support and shape the objectives for work plans developed for any identified population group (e.g. Older People, Learning Disabilities).
9. These outcomes are now arranged along four main themes, seeking to ensure that people in our community are:
· involved in shaping future support and care;
· informed and know who to contact and trust the reliability and sensitivity of support and care;
· have support and care when they need it, without duplication, confusion or delay and in a way that prevents avoidable deterioration.
· can get access to sustainable support and care, designed to meet their needs over the next 5 to 10 years.
10. Overall outcomes for the Integrated Health and Social Care Programme have been developed and are attached as Appendix 1 for information.
11. The key workstreams within this programme include :
· Intermediate Care Fund and Regional Collaborative Fund
Work to take forward the extensive programme of commitments arising from these short-term funding streams is progressing well, as reported to this Committee in October 2014.
· The Older People’s Framework
Following initial review by the Scrutiny Committees of both Councils and the UHB Board, the Framework will now be shared with wider stakeholders, to encourage debate on how specific outcomes might best be achieved for older people.
Public Health and Wellbeing Programme
12. Following recent proposals to develop a joint Local Service Board between the Vale of Glamorgan and Cardiff, work has started to identify a model to improve public health and wellbeing across the Vale of Glamorgan and Cardiff which allows for increased collaboration and joint working whilst respecting the specific needs of individual communities and the roles and responsibilities of statutory organisations. A proposal will be presented to Scrutiny for approval once available.
Resource Implications (Financial and Employment)
13. There is a commitment from all the organisations that projects associated with the Health, Social Care and Well-being Strategy will be delivered within existing resources, unless external funding can be secured. At present, the Council has been successful in securing time-limited grants for implementing parts of the programme from a number of Welsh Government funding streams, including the Regional Collaboration Fund and the Intermediate Care Fund which are being used to remodel adult social services. These grants, together the Sustainable Social Services Wales: Delivering Transformation Grant are being used to produce service improvements and to increase management capacity to support the programmes of change.
14. In the longer-term, there are likely to be significant workforce implications arising from plans for changes to current service models and to review options for integration. In these circumstances, the Council's policies in respect of workforce changes will apply.
Sustainability and Climate Change Implications
15. There are sustainability implications arising from forecasted changes 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)
16. There are no legal implications arising directly from this report. The Programme Boards exercise oversight of the work without affecting current executive and scrutiny arrangements for Council services in the Vale of Glamorgan.
Crime and Disorder Implications
17. There are no crime and disorder implications as a direct result of this report.
Equal Opportunities Implications (to include Welsh Language issues)
18. There are no equal opportunities implications arising directly from this report.
19. 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
20. The report is in accordance with the Council's Policy Framework and Budget.
Consultation (including Ward Member Consultation)
21. There are no matters in this report which relate only to an individual Ward.
Relevant Scrutiny Committee
22. Social Care and Health
Scrutiny Committee (Social Care and Health): 15th April, 2013 - The Vale of Glamorgan Health, Social Care and Well-being Partnership.
Scrutiny Committee (Social Care and Health): 6th October, 2014 - Update on the Regional Collaboration Fund and Intermediate Care Fund Programmes.
Scrutiny Committee (Social Care and Health): 19th May, 2014 - Collaborative Planning for Older People’s Services
Meredith Gardiner, Programme Manager, Health, Social Care and Well-being
Officers attending the Local Service Board and the LSB Implementation Group
Philip Evans, Director of Social Services