The Committee will be asked to note the appointment of the Chair and Vice Chair for the municipal year 2016-2017.

The committee noted the appointment of Councillor Aspinall as Chair, and Councillor James as Vice Chair.

Members will be asked to make any declarations of interest in respect of items on this agenda.

To receive reports on business which, in the opinion of the Chair, should be brought forward for urgent consideration.

The 5pm start time of the meeting was discussed. It was decided to review the start time in the winter.

The Committee will receive a report in respect of the Plymouth City Council Corporate Plan.

The Committee received a report presented The Leader of the City council, Councillor Linda Bowyer and Carole Burgoyne, Plymouth City Council, on the Plymouth City Council Corporate Plan containing the attached.

Comment from the Committee covered the following areas;

a)    a number of the plans detailed on page 7 of the agenda were already in place. The Plan for Sport and the Welcoming City Action Plan were under development;

b)    the possibility of setting up a cross party working group in relation to the Active Neighbourhoods Project would be considered, community engagement was recognised as important and to be encouraged;

c)    delayed discharge was less of an issue in Plymouth than in other areas. Occupancy of beds is under pressure but this winter had been better than last and no Black Alert had been issued

The Committee noted the report and agreed the following recommendations;

1.    The Welcoming City Action Plan will be available for scrutiny.

2.    Scrutiny members would take an active role in the consultation on budget setting priorities.

Members will receive a presentation and report in respect of the success regime and the sustainable transformation plan.

The Committee received a presentation from Laura Nichols, NEW Devon CCG, regarding the Success Regime and Sustainable Transformation Plan detailing the attached;

In response to questioning the Committee heard that;

a)    when planning future provision of health services it was necessary to take in to account that there were historical overspends that would need to be paid down. It was critical to act immediately or the situation would continue to get worse;

b)    the STP was not designed to slow down progress that was already being made in Plymouth but to provide a strategic plan for solutions to remaining issues;

c)    20 opportunities for improvement of services had been identified via workshops. These were the ideas that should deliver good outcomes quickly;

d)  Some of the variation in standards of care across the region could be explained by differing demographics accessing care in differing ways in different areas. Variation was only a concern where it resulted in an unfair or unacceptable outcome;

e)  the Integrated Care Fund provided a good opportunity to solve funding issues around early discharge;

The Committee agreed to -

1. Support the strategic direction of the Sustainable Transformation Plan.  However it should not impact on the programme of change in Plymouth and Health and Care Organisations in Devon should be encouraged and supported to keep pace with the shift to new models of care.

2. Delegate to small working group to monitor progress of the Sustainable Transformation Plan and bring back to the committee proposals which have a significant impact and/or risk to services and people in Plymouth.

3. Report on progress against opportunities for accelerated implementation of service delivery and quality improvement as part of the integrated fund monitoring report.

The Committee will receive a report on the Integrated Commissioning Action Plans.

Councillor Lynda Bowyer and Carole Burgoyne presented a report to the Committee regarding the integrated Commissioning Action Plan containing the attached;

The Committee agreed to –

1. Review the action plan aim “Deliver and integrated education, health and care offer: ensure the delivery of integrated assessment and care planning” at the next meeting of the committee.
2. Request that the integrated commissioning scorecard will made available as a standing agenda item.
3. Establish a Select Committee review on the Urgent Care System.

The Committee will receive a report on the Medium Term Financial Strategy Submission to DCLG to secure four year RSG settlement and eligibility for capital receipts flexibilities.

Cllr Ian Bowyer introduced a draft version of Plymouth City Council’s Medium Term Financial Strategy to the Committee detailing the attached;

In response to questioning the Committee heard that;

a)    The Public Health Grant was currently ring fenced to specific services, however, in the 2017 – 18 financial year this ring fence will be removed and the grant will be intended for use on local priorities.

b)    There was a level of risk attached to proposals within the MTFS. The Committee was assured that there was a lot of work ongoing to identify and mitigate risk, formulate contingencies and to constantly revaluate processes and consider the right way forward.

c)    The document was very much a draft which was being brought to the attention of the Committee at the earliest opportunity in the interests of transparency.

d)     Some “overheating” in the system was inevitable with demand led services.

The Committee agreed that -

1. Improvements were required to the MTFS to make visible how risks and opportunities were being identified through scenario planning and to make the management of risk more explicit.

2. The corporate strategic risk register should be emailed to members as soon as possible

3. Mitigation plans for the “overheating” in Adult and Children’s Social Care as to be made available as part of the Integrated Fund Monitoring Report.

The Committee will be asked to consider and approve the work

Programme and give consideration to the prioritising tool attached.

The committee agreed to add the following items to their work programme –

• Sustainable Transformation Plan (subject to working group recommendations)
• Integrated Commissioning Score Card (Standing Item)
• Dental Health (date to be confirmed)
• CQC Inspection Reports (date to be confirmed)
• Community Safety Partnership (date to be confirmed)
• Urgent Care (Select Committee Review)
• Welcoming City Action Plan (September)
• Integrated Commissioning Aim - Deliver and integrated education, health and care offer: ensure the delivery of integrated assessment and care planning (September)