Name

Minute No. and Subject

Reason

Interest

Ms Schwarz

(Co-opted representative)

68. Annual Performance Assessment of Adult Social Care 2008/09 – Report from Care Quality

Is a Trustee for Cornwall Care.

Personal

CouncillorMrs Aspinall

68. Annual Performance Assessment of Adult Social Care 2008/09 – Report from Care Quality

Has a family member with Learning Disabilities.

Personal

CouncillorMrs

Watkins

68. Annual Performance Assessment of Adult Social Care 2008/09 – Report from Care Quality

Is a Board Member for Plymouth Community Homes.

Personal

(i)

the Adult Health and Social Care team meet with the CQC on a quarterly basis with the last meeting occurring in October 2009;

(ii)

these meetings had culminated in the CQC report, which contained a number of recommendations for Plymouth City Council to carry out improvements to the Adult Health and Social Care services;

(iii)

the report demonstrated that Plymouth had made significant improvements and that they were now regarded as one of the better Adult Social Care Departments in the South West;

(iv)

as a result of the recommendations provided by the CQC, an action plan had been drawn up, explaining the actions that were currently taking place or would be soon commencing to further improve the service. The action plan would be submitted to the CQC on 3 March 2010.

(v)

having been identified as an Authority that was performing well, Plymouth City Council would be able to self declare on the first six outcomes on the next assessment. However, outcome seven ‘maintaining personal dignity and respect’ would still need to be completed in full and submitted in May to the CQC;

(vi)

although Adult Health and Social Care had received an increase of £1.8 million to its budget for 2010/2011, there was a requirement for an additional £4.2 million to deliver the planned programme of services which would be challenging;

(vii)

the action plan submitted today was not as comprehensive as the evidence to  be provided to CQC in May as this would include a range of numerical data;

(viii)

in terms of commissioning, the Adult Health and Social Care team had developed significantly and were actively engaging with partner agencies and third sector organisations to improve their services. Some frontline teams were now co-located, provider forums had been created, newsletters were provided and there had been regular engagement and consultation processes;

(ix)

at the end of March 2010 the service would have supported approximately 9,500 service users of which approximately 1,600 would have had personal budgets or a direct payment.  Personal budgets empower service users by offering them a choice on what care they receive and by whom it is provided;

(x)

a project officer had been appointed within the Learning Disability Service to establish a database of how many people with learning disabilities were currently employed in the city, to champion Learning Disability employment more generally and also describe the range of support  ...  view the full minutes text for item 68.

(i)

the reason for the delay in distributing the draft strategy for consultation was due to the fact that the consultants developing the strategy had omitted a number of key points. Although the format was correct, the data gathered and research undertaken did not reflect the current situation in Plymouth. As a result, it was mutually agreed with the consultants to exit early from the contractual arrangement;

(ii)

the Alcohol Alliance, which is chaired by the Director for Public Health, would take over responsibility for developing a final revised strategy document;

(iii)

the Alcohol Alliance has representation  from key stakeholders linked to all Local Strategic Partnership (LSP) theme groups demonstrating that the alcohol strategy was a cross-cutting document with a multi-agency approach;

(iv)

it was anticipated that a revised draft strategy would be complete by the end of April 2010 following which would be a three month consultation period before a final version being agreed by September 2010 to inform future commissioning and service planning.

(v)

the Alliance was a strategic body, as well as this there was a clinical network to monitor services, develop care pathways and improve data exchange and information on alcohol between service providers including a link to violence prevention;

(vi)

a business case was being presented to the Primary Care Trust (PCT) to carry out work around the alcohol treatment in the community linked to GPs. This would potentially involve working with a number of GP practices whose patients have conditions linked to alcohol related admission, in order to improve earlier identification and thus reduce hospital admission rates;

(vii)

as funding for the Alcohol Service currently was limited there was a need to ensure that there was no risk of dis-investment to the service;

(viii)

the introduction of a Night Time Economy Manager if progressed should have a city wide remit and not just target the city centre;

(ix)

presently 53 professionals from services such as social work, youth work and the police personnel were being trained in alcohol awareness, screening and brief interventions.

(1)

the NHS Plymouth Joint Commissioning Manager based within PHDU be requested to forward the revised Draft Strategy and relevant papers on enhanced alcohol treatment service provision to the panel;

Recommended that –

(2)

if a Night Time Economy Manager is appointed, with responsibility for the whole of the city and not just to city centre trade, this post would ideally be funded in the majority by Statutory Partners with a contribution from the trade.