Agenda and minutes

Health and Adult Social Care Select Committee
Monday, 11th February, 2019 10.00 am

Venue: Ashburton Hall, Elizabeth II Court, The Castle, Winchester

Contact: Email: members.services@hant.gov.uk 

Items
No. Item

107.

Apologies for absence

To receive any apologies for absence.

Minutes:

Apologies were received from Councillor Ann Briggs. Councillor Lance Quantrill, as the Conservative standing deputy, was in attendance in her place. Apologies were also received from Councillor Tonia Craig. Councillor Dominic Hiscock, as the Liberal Democrat standing deputy, was in attendance in her place. 

 

Apologies were also received from Councillor Martin Boiles, and co-opted member Councillor Trevor Cartwright.

108.

Declarations of interest

All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to the circumstances described in Part 3 Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Non-Pecuniary interest in a matter being considered at the meeting should consider whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.

Minutes:

Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Non-Pecuniary interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.

 

No declarations were made.

109.

Chairman's Announcements

To receive any announcements the Chairman may wish to make.

Minutes:

The Chairman announced that the next meeting of the Health and Adult Social Care Select Committee, scheduled for 19 March, was likely to move to 2 April. The change of date would be confirmed to Members in due course.

 

110.

Deputations

To receive any deputations notified under Standing Order 12.

Minutes:

The Committee received five deputations relating to the item on the agenda about proposals affecting Orchard Close Respite Service:

 

Kathie & Samantha Tong (service user and her mother)

Samantha stayed at Orchard Close and really liked it there, she had made friends with others that stayed there, appreciated the consistency of knowing the staff there and was scared of the prospect of changing to have to use an alternative respite facility. Her mother was concerned about the time it took for her daughter to settle into a new arrangement. The impact of the potential loss of Orchard Close was like grief.

 

David Humphries (parent carer)

Felt the report was biased towards the option of closing Orchard Close, and challenged the viability of the estimated savings that could be achieved. While the report referred to service users and carers having meetings to discuss alternative options, he knew of several who had refused these meetings. There was anecdotal evidence that other respite units didn’t provide the same level of trips/activities for service users as Orchard Close. He felt it was unfair for successive savings to impact the same service users year on year.

 

Rosemary Macri (parent of service user)

Her son stayed at Orchard Close when she needed respite, he enjoyed it there and had good relationships with other service users and the staff. She was surprised it was proposed to close the unit, given it was so well used and highly regarded. Alternative respite units would not be the same as they didn’t have the benefit of the coastal location. She was concerned that the capacity estimates didn’t take account of different levels of demand at different times of year.

 

Sarah Orchard (sister to service user)

Her sister stayed at Orchard Close when her parents needed respite from caring for her. Her sister’s behaviour became challenging when she was unsettled. It took a long time for her to become comfortable with Orchard Close and it would be a long process to re-settle her at an alternative facility. Change was particularly hard for this cohort of service users due to their learning disabilities, so closing a unit they liked would have a big impact for these individuals and their families.

 

Sally Eshraghi (parent carer)

She was a carer to her son who accessed shared lives respite. She is also a carer representative on various groups. Carers that used Orchard Close had a sense of security from using this unit as they trusted the service provided there. This would be lost if Orchard Close closed. She believed that there was a backlog of carers assessments, and she felt there would be an increase in demand for respite once these were undertaken. Carers were often wary of private sector provided respite holidays as the staff involved were unknown. She lacked confidence in the alternative respite facilities being as good as Orchard Close and was concerned that it would be a long process for service users to re-adjust to alternatives. Other sites couldn’t replicate the access  ...  view the full minutes text for item 110.

111.

Pre-Scrutiny: Orchard Close Respite Service Proposals pdf icon PDF 46 KB

To pre-scrutinise proposal for closure of Orchard Close Respite Service (Hayling Island), prior to decision of the Executive Member for Adult Social Care and Health at her decision day on Wednesday 27 February at 2:00pm.

Additional documents:

Minutes:

Representatives of Adults Health and Care provided a report and supporting

presentation regarding findings from the consultation and recommendations on respite services at Orchard Close, Hayling Island, due for consideration by the Executive Member for Adult Social Care and Health at her 27 February 2019 Decision Day. (see Item 5 in the Minute Book). The Health and Adult Social Care Select Committee was invited to scrutinise the proposals prior to the Executive Member’s decision, and provide recommendations to the Executive Member about the proposals.

 

Members heard that:

·         It was proposed to close the respite service at Orchard Close, Hayling Island. Orchard Close is a 13 bed respite unit, primarily for adults with learning disabilities on Hayling Island?.

·         The proposals related to the provision of the service from the building, and not the building itself which is subject to a charitable trust

·         According to the proposals, carers and service users currently using Orchard Close would receive the same amount of respite they currently did. Analysis showed there is sufficient capacity available to accommodate their needs in the County Council’s other respite services. The other sites were purpose built modern facilities

  • That there were three HCC respite facilities in addition to Orchard Close and all of them provided better access for people with more severe needs. Severe needs would include people with learning disabilities who needed support with epilepsy, personal care, people with challenging behaviour and other needs in comparison to Orchard Close which was restricted due to its layout and design.

·         Consultation had been undertaken on the proposals, and the responses to the consultation and the concerns raised were acknowledged.

·         The proposals had been amended in response to the feedback received, including the proposal to put in extra support for service users and carers to assist with their transition to alternative services

·         It was proposed that the unit not be closed until January 2020 to allow time for transition to alternative services

·         Modelling had been done to assess capacity in the remaining units to accommodate the demand currently fulfilled at Orchard Close. This had shown that it was possible to accommodate this demand, including to provide all service users one week of respite provision over the summer period

·         It was explained that the alternative ways to make savings suggested through the consultation had either already been explored or were not viable

·         It was the view of the officers managing this service area that making this saving from other parts of the learning disability budget would have a more negative impact on service users than the impact of the proposed closure

·         The Council’s agreed budget strategy was to distribute savings proportionally based on expenditure

 

In response to questions, Members further heard that:

·         The statutory responsibility was to provide respite, there was no statutory responsibility to provide holidays for these service users

·         The cost of updating Orchard Close to provide services suitable for complex needs was prohibitive compared to building the other sites

·         Options for use of the building if the service  ...  view the full minutes text for item 111.

112.

Proposals to Vary Services pdf icon PDF 88 KB

To consider the report of the Director of Transformation and Governance on proposals from the NHS or providers of health services to vary or develop health services in the area of the Committee.

 

Items for Monitoring

 

a)    Hampshire Hospitals NHS FT and Hampshire Partnership CCG: Chase Community Hospital - Update on re-provision of Hampshire Hospitals NHS Foundation Trust services and Health Hub plans

Additional documents:

Minutes:

Hampshire Hospitals NHS Foundation Trust and Hampshire Partnership Clinical Commissioning Group: Chase Community Hospital - Update on re-provision of Hampshire Hospitals NHS Foundation Trust services and Health Hub plans

 

The Select Committee received a report from the Hampshire Partnership Clinical Commissioning Group, providing an update on re-provision of Hampshire Hospitals NHS Foundation Trust services previously provided from Chase Community Hospital, and the latest position on plans for a Health Hub in the area in the future (see report, Item 6a in the Minute Book).

 

RESOLVED:

 

That the Health and Adult Social Care Select Committee:

 

a) Note the update.

 

b) Request a further update be provided to a future meeting of the HASC when alternative proposals relating to the health hub have been developed.

113.

Issues Relating to the Planning, Provision and/or Operation of Health Services pdf icon PDF 81 KB

To consider a report of the Director of Transformation and Governance on issues brought to the attention of the Committee which impact upon the planning, provision and/or operation of health services within Hampshire, or the Hampshire population.

 

a)    Hampshire Hospitals NHS Foundation Trust – Update on actions following CQC report

 

 

Additional documents:

Minutes:

Hampshire Hospitals NHS Foundation Trust – Update on actions following Care Quality Commission report

 

The Select Committee received a report from Hampshire Hospitals NHS Foundation Trust, providing an update on actions being taken by the Trust in response to the Care Quality Commission report they received in September 2018 (see report, Item 7a in the Minute Book).

 

RESOLVED:

 

That the Health and Adult Social Care Select Committee:

 

a. Note the update on action taken by the Trust in response to the 2018 CQC inspection findings.

 

b. Request a further progress update for the May 2019 meeting.