Also in attendance: Councillor Aspinall, Councillor Lowry, Emma Crowther (Interim Head of Commissioning), Julie Frier (Consultant in Public Health Medicine), (Ross Jago (Head of Governance, Performance and Risk), David Northey (Interim Service Director for Finance) and Helen Slater (Lead Accountancy Manager).

Councillor Aspinall gave an overview of the Health and Adult Social Care (H&ASC) budget and discussed: 

a)    The 2023/24 Adult Social Care (ASC) budget was £88.859m including £107m for care packages. Budgets were offset by client income and grant funding; 

b)    The budget had supported 4,713 people in residential and nursing homes, community settings, and through direct payments; 

c)    ASC currently supported 3,620 individuals.Demand for support had approximately returned to pre-pandemic levels however, increased complexity of need and the ‘cost of living crisis’had resulted in considerable cost pressures; 

d)    Compared to the previous year, average weekly costs of residential care had risen 8.9%, nursing care had risen 18.6%, and domiciliary care packages had risen 10.7%; 

e)    The 2024/25 draft budget for ASC was £97 MM, which included a growth of £7.99 MM to reflect inflationary and demand pressures.  

f)     £3.448MM had been added to the budget to cover the rise in the National Minimum Wage however, confirmed figures of 11.44 /hr would require an additional £1.99 MM; 

g)    The Local Government Settlement was due on 19 December 2023 however, Government would not be providing financial resources to cover the increase in the National Minimum Wage; 

h)    Packages of care were tailor-made to individual’s needs, and were subject to review;  

In response to questions, the Committee discussed: 

i)     The Local Authorities responsibility for ensuring ASC needs were met; 

j)     The impact of inflation and the cost of living on providers in the care market; 

k)    Close partnership between the PCC commissioning team and care providers to ensure quality and continuity of care; 

l)     The establishment of ‘Caring Plymouth’ to encourage and support people into caring roles;

m)  The Governments’ new restrictions on immigration could negatively affect the sector, particularly as many workers could not bring their families; 

n)    Positive discharge performance for Devon, Cornwall and Plymouth; 

o)    An estimated 6% rise for care fees and charges for those who were financially assessed as required to contribute toward their care; 

p)    The Government’s withdrawal of previous commitments to the development of the Colin Campbell Court, West End Hub; 

q)    The development of a Community Diagnostic Centre on the land at Colin Campbell Court; 

r)    Ongoing communications between PCC and NHS Devon ICB to improve the health outcomes of the city. ICB funding was frozen until 2025; 

s)     The impact of early intervention and treatment, both for long term wellbeing, and financial efficiency; 

t)     A Strategic Needs Assessment had been undertaken to assess the long term future needs of the city; 

u)    The recovery of waiting  ...  view the full minutes text for item 5