Agenda and draft minutes

Please note that this meeting may be filmed or recorded by the Council for live or subsequent broadcast via the Council’s internet site or by anyone attending the meeting using any communication method. Although we ask members of the public recording, filming or reporting on the meeting not to include the public seating areas, members of the public attending the meeting should be aware that we cannot guarantee that they will not be filmed or recorded by others attending the meeting. Members of the public participating in the meeting (e.g. making deputations, asking questions, making oral protests) should be aware that they are likely to be filmed, recorded or reported on. 

By entering the meeting room and using the public seating area, you are consenting to being filmed and to the possible use of those images and sound recordings.

The chair of the meeting has the discretion to terminate or suspend filming or recording, if in his or her opinion continuation of the filming, recording or reporting would disrupt or prejudice the proceedings, infringe the rights of any individual or may lead to the breach of a legal obligation by the Council.

The Chair referred Members present to agenda Item 1 as shown on the agenda in respect of filming at this meeting, and Members noted the information contained therein’.

It was noted apologies for absence had been received from Cllr Eddie Griffith and apologies for lateness had been received from Cllr Jason Arthur, Cabinet Member for Finance and Health.

The Chair will consider the admission of any late items of urgent business (late items will be considered under the agenda item where they appear. New items will be dealt with as noted below).

None.

A Member with a disclosable pecuniary interest or a prejudicial interest in a matter who attends a meeting of the authority at which the matter is considered:

(i) must disclose the interest at the start of the meeting or when the interest

becomes apparent, and

(ii) may not participate in any discussion or vote on the matter and must withdraw from the meeting room.

A member who discloses at a meeting a disclosable pecuniary interest which is not registered in the Members’ Register of Interests or the subject of a pending notification must notify the Monitoring Officer of the interest within 28 days of the disclosure.

Disclosable pecuniary interests, personal interests and prejudicial interest are

defined at Paragraphs 5-7 and Appendix A of the Members’ Code of Conduct.

Cllr Pippa Connor declared a personal interest in relation to agenda items 8 and 9 by virtue of her sister working as a GP in Tottenham.

Cllr Pippa Connor declared a personal interest in relation to agenda items 8 and 9 by virtue of being a member of the Royal College of Nursing.

There were no disclosable pecuniary interests or prejudicial interests declared by members.

To consider any requests received in accordance with Part 4, Section B, Paragraph 29 of the Council’s Constitution.

None.

To approve the minutes of the Adults and Health Scrutiny Panel meeting held on 10 October 2017.

AGREED: That the minutes of the Adults and Health Scrutiny Panel meeting held on 10 October 2017 be approved as a correct record.

To note that the minutes of the meeting held on 16 November 2017 will be reported to the next meeting.

It was noted that the minutes of the meeting held on 16 November 2017 would be reported to the next meeting.

To consider and comment on the Council’s draft 5 year (2018/19 to 2022/23) Medium Term Financial Strategy proposals relating to the Scrutiny Panel’s remit (Priority 2).

Cllr Bernice Vanier, Cabinet Member for Adult Social Care and Culture, introduced the report as set out and Marc Kidson, Transformation Strategy Manager, provided further information via presentation.

Mr Kidson commenced his presentation by providing an overview of the budget strategy for the services within Priority 2 (P2). It was noted this included all services managed by the Director of Adult Social Services and those adults-focused services managed by the Director of Public Health and the Assistant Director for Commissioning.

In terms of delivering the budget strategy, the Panel was informed that the actions below set out the primary levers for managing the main sources of financial pressures across P2:

-       Demand Management (preventing, reducing and delaying demand for social care), including:

o   Strengthening preventative support across the community

o   Diversion at the Community Front Door

o   Managing demand from acute hospitals

o   Managing transitions from Children and Young People’s Services

o   Expanding the use of assistive technology

o   Promoting independence through care planning and reviews

-       Market Management (commissioning packages of care that meet needs in the most cost-effective way), including: 

o   Improved information and access to community alternatives

o   Increasing the sufficiency and value for money of community-based provisions including Day Opportunities

o   Increasing the local availability and utilisation of a range of Supported Living Options

o   Strengthening the Homecare market, improving quality and outcomes

o   Containing the cost of residential and nursing placements by working across North Central London to develop capacity

o   Developing capital assets to deliver commissioning intentions

-       Operational Management (reducing the cost base for delivering Adult Social Services), including: 

o   Improving the resilience and permanence of the workforce

o   Strengthening management oversight and decision-making on performance and finance

o   Implementing operational integration with health and other local authorities

o   Establishing fairer contributions – income and subsidies

o   Revising contracts for services (non-care packages)

In response to questions, Mr Kidson provided information on the context for future savings. The Panel was informed that service improvements, invested in over the past 18 months, meant the Council was in a much stronger position to deliver savings through maximising independence of residents and service users during the next MTFS period. The improvements that had taken place across the following areas were considered by the Panel:

-       Service Redesign, including multi-disciplinary First Response

-       Established Brokerage Service, including issues in relation to income maximisation

-       Improved Reablement, including double the number of clients

-       The work of the Care Authorisation Panel to ensure asset-based support planning

-       The work that had taken place to build relationships with other North Central London boroughs

-       Issues in relation to health and care integration, including hospital discharge

In terms of the Council’s approach to savings, the Panel was informed that aside from £1m of unplanned expenditure on Osborne Grove, the pressure on the P2 budget during 2017/18 had predominately been from care purchasing across three main client groups. In part this was because of undelivered savings where proposals had  ...  view the full minutes text for item 43.

This report gives details of the proposed scrutiny work programme for the remainder of the municipal year.

Christian Scade, Principal Scrutiny Officer, provided an update on the proposed work programme for the remainder of the 2017/18 municipal year.

AGREED: That the areas of inquiry outlined in Appendix A of the Work Programme Update be approved and recommended for endorsement by the Overview and Scrutiny Committee.

To consider any items admitted at item 3 above.

None.

To note the dates of future Panel meetings:

-       8 February 2018

-       8 March 2018  

The Chair referred Members present to item 11 as shown on the agenda in respect of future meeting dates, and Members noted the information contained therein’.