Agenda and minutes

Apologies were received from County Councillor Nikki Hennessy, and Borough Councillors Julie Robinson and Fiona Wild.

Councillor Nweeda Khan replaced Councillor Jennifer Mein for this meeting only.

Members are asked to consider any pecuniary and non-pecuniary interests they may have to disclose to the meeting in relation to matters under consideration on the agenda.

None.

Resolved: That the minutes of the meeting held on 20 March 2024 be confirmed as an accurate record.

County Councillor Graham Gooch, Cabinet Member for Adult Social Care, Mark Howe, Director of Quality Improvement and Principle Social Worker and Kerry Ross, Head of Service Quality and Improvement, Elaina Quesada, Deputy Executive Director of Adult Services attended the meeting to provide information and partake in a discussion on Living Better Lives in Lancashire.

The report and presentation circulated in the agenda pack provided information on the Adult Social Care vision for the Living Better Lives in Lancashire operating model. The report also included information on the strength-based model utilising a three step conversation approach to prevent and delay social care needs.

The Chair invited questions from committee members and a summary is outlined below:

·  The committee queried when the Living Better Lives strategy would be fully implemented. Members were informed that the first and key stage would begin on 1 July 2024 with the Wellbeing and Early Support Function and that the updates to the Liquid Logic System would also be implemented from 1 July 2024. It was reiterated to members that some teams were already working to the strength-based practice model, the date of 1 July 2024 referred to when this model would go County wide.

·  Regarding the Living Better Lives workforce model, it was queried what the workforce's reaction had been to the model. It was explained to the committee that this report specifically applied to the social care services (e.g. social workers, social care support officers etc) and the training being delivered was in partnership with the Social Care Institute of Excellence (SKIE), who had rolled out strength-based practice training on a national scale. It was further explained to members that the training was not new, and strength-based practice training had been in place since 2021 and from this, the feedback already received was largely positive and changes made to the model as a result of workforce feedback. It was confirmed the training offered from SKIE was accompanied by managerial supervision, training for the system to be utilised by social care staff and the training programme up to the launch date was significant.

·  The committee raised concern regarding savings required within the Adult Social Care budget and queried how much was needed to be saved. Members heard that the implementation of the strength-based practice model attributed to specific savings, and from information regarding national strength-based practice models, it was a positive way of working for both the individual and the authority, as savings were made without affecting the individual requiring the service.

·  Concern was raised regarding implementation of the model, and an impact on staff morale. Further concern was raised by members regarding whether the workforce was equipped to deliver the model effectively and in a timely manner. It was explained to the committee that initially the authority was partnered with Partners4Change.It was explained to members that the first 5 pilot sites were largely successful however when the model was then rolled out across Central Older Adults and People with Physical Disability Services, staff feedback  ...  view the full minutes text for item 4.

Andrew Bennett, Director of Population Health (System Lead for New Hospitals Programme) and Andy Curran, Associate Medical Director, Lancashire and South Cumbria Integrated Care Board attended the meeting to present an update on transforming care in hospitals, and the New Hospitals Programme in Lancashire and South Cumbria.

The report circulated in the agenda pack provided an overview of the continued development of NHS Lancashire and South Cumbria Integrated Care Board (ICB), transforming care and the New Hospitals Programme. The report highlighted the three key elements of transforming care in hospitals: care for healthy communities, high quality and efficient services and population-centred care.

The Chair invited questions from committee members and a summary is outlined below:

·  The committee queried if the New Hospitals programme focused on increased community care, it was further queried how residents could see benefits to this practice. It was explained to the committee that the transformation of community services and people receiving care within the community was a key aim of the ICB. The committee were informed that transforming community services was a separate work programme, however, ran very closely with the transformation of hospitals work programme and one of the commissioning intentions was to commission within the community and out of hospital. Furthermore, it was explained to members that the views of the public were essential to this.

·  The committee queried if a funding settlement from central government was in place for the New Hospitals Programme. It was further queried if this funding was sufficient for 2 new Lancashire hospitals. It was confirmed the New Hospitals Programme had a financial envelope for both hospitals.

·  Regarding vascular services, the committee queried if this included stroke pathways. It was explained to the committee that this service did not include stroke services, as it was ringfenced to arterial vascular services.

·  In regard to the public consultation process once site selection had taken place, the committee were assured councillors would be utilised as much as possible during the consultation process. It was highlighted that the ICB had strong connections to several local organisations to ensure an effective response and breadth of reach to all communities.

·  Members queried how services were selected for each hospital, and whether there were certain criteria for one service to be in one hospital. The committee were informed that no decisions had been made regarding where services would be delivered in the New Hospitals Programme. Members were informed that it was dependent on the need of services of the population.

·  Members queried if funding would be available for Royal Preston Hospital and Royal Lancaster Infirmary for their maintenance and upkeep until the new hospitals were in operation. It was explained to the committee that the trusts received capital funding from the government for their maintenance and this would not end until they were no longer in use.

·  The committee queried if GP Services would have an opportunity to enhance the services they offered with the shift to community based care to further support hospital attendance. It  ...  view the full minutes text for item 5.

County Councillor Lizzi Collinge presented a report on the Health Scrutiny Steering Group meeting which took place on 18 April 2024.

There was an update on Performance Monitoring and Management in Adult Social Care and an update was provided on the CQC Inspection Preparation and the LGA Peer Review process.

The report contained information on data capture and analysis, with a particular focus on waiting lists and staffing challenges within Adult Social Care. There was information provided on Shaping Care Together, specifically the programme in West Lancashire.

Resolved: That the report of the Health Scrutiny Steering Group be received.

The committee received a report which provided information on the work programme of the Health and Adult Services Scrutiny Committee and Health Scrutiny Steering Group.

Resolved: That Health and Adult Services Scrutiny Committee and Health Scrutiny Steering Group work programme be noted.

An item of urgent business may only be considered under this heading where, by reason of special circumstances to be recorded in the minutes, the chair of the meeting is of the opinion that the item should be considered at the meeting as a matter of urgency. Wherever possible, the chief executive should be given advance warning of any member's intention to raise a matter under this heading.

There were no items of Urgent Business.

The next meeting of the Health and Adult Services Scrutiny Committee will be held on Wednesday 26 June at 10:30am in Committee Room C – The Duke of Lancaster Room, County Hall, Preston.

The next meeting of the Health and Adult Services Scrutiny Committee will be held on Wednesday 26 June at 10:30am in Committee Room C – The Duke of Lancaster Room, County Hall, Preston.