Agenda and draft minutes

Venue: Committee Room One, County Offices, Newland, Lincoln LN1 1YL

Contact: Rachel Wilson  Democratic Services Officer

Items
No. Item

51.

Apologies for Absence/Replacement Members

Minutes:

Apologies for absence were received from Councillors Mrs P Cooper, Mrs C J Lawton, A P Maughan and M A Whittington.

 

The Chief Executive reported that having received a notice under Regulation 13 of the Local Government (Committees and Political Groups) Regulations 1990, she had appointed Councillors T Aston and A Bridges as replacement members of the Committee in place of Councillors Mrs P Cooper and Mrs C J Lawton respectively for this meeting only.

 

Apologies for absence were also received from Councillor Mrs P A Bradwell OBE, Executive Councillor for Adult Care, Health and Children's Services.

 

52.

Declaration of Members' Interests

Minutes:

There were no declarations of interest at this point in the meeting.

53.

Minutes of the meeting held on 28 November 2018 pdf icon PDF 156 KB

Minutes:

RESOLVED

 

          That the minutes of the meeting held on 28 November 2018 be signed by the Chairman as a correct record, subject to it being noted that Councillor C E Reid was in attendance at this meeting.

54.

Announcements by the Executive Councillor and Lead Officers

Minutes:

There were no announcements reported.

55.

The Role of Lincolnshire Community Health Services NHS Trust (LCHS) in providing Sexual Health Services on behalf of the County Council pdf icon PDF 191 KB

(To receive a report by Carol Skye, Health Protection Programme Manager, which provides the Committee with an update on the role of Lincolnshire Community Health Services NHS Trust (LCHS) in providing sexual health services on behalf of the County Council)

Additional documents:

Minutes:

Consideration was given to a report which provided an update on the role of Lincolnshire Community Health Services NHS Trust (LCHS) in providing sexual health services on behalf of Lincolnshire County Council.

 

It was reported that the responsibility for sexual health services passed to the local authority in 2012 under the Health and Social Care Act, and it was one of several public health services that the Council was now responsible for.

 

Lincolnshire benefitted from what was classed as an integrated sexual health service which included most day to day service delivery.  Most of the services were available in most of the clinics most of the time. 

 

Members were provided with the opportunity to ask questions to the officers present in relation to the information contained within the report and some of the points raised during discussion included the following:

·         One member commented that they had heard about a tablet which was available in London and the southern counties that could prevent someone from getting HIV and could also prevent it from spreading.  It was confirmed that this was known as PrEP (Pre-Exposure Prophylaxis).

·         It was commented that Lincolnshire services were quite well performing when compared with other comparable areas and outperformed a range of comparator counties on a range of different measures.

·         The indicators measured the number of people who were screened but officers also had an interest in whether the right people were being screened and targeted.

·         It was queried how the service effectively connected with the under 21 age range, and members were pleased to see that social media was used.  Members were advised that sexual health education would be mandatory in schools again from 2020, and the County Council would offer help schools to prepare for this.  It was noted that there was some evidence that the current generation of young people were much better behaved than some of the other previous generations, in terms of drinking less alcohol, smoking less and had better sexual health.  The amount of conversations that took place on anonymous social media/internet platforms also seemed to help.

·         Young people had been involved in the co-development of services and market testing marketing materials for young people.  There had also been work to look at what people felt they needed and there was also work taking place around developing a digital service.

·         The approach was to try and find as many opportunities to offer a service as possible.

·         It was queried what the difference between a flyby clinic and pop up clinic was.  Members were advised that a pop up clinic would be delivered by request, for example in a GP surgery.  Fly by clinics were for those young people who did not want to answer a lot of personal questions, and they could just attend the clinic, have the test and go.

·         It was noted that the clinic map was not an exhaustive list, and there were possibly another 10-12 clinics and were not included as they may have been experimental to  ...  view the full minutes text for item 55.

56.

Adult Care & Community Wellbeing Budget 2019/20 pdf icon PDF 212 KB

(To receive a report by Steve Houchin, Head of Finance, Adult Care and Community Wellbeing, which provides the Committee with an opportunity to consider the Council's budget proposals for Adult Care and Community Wellbeing.  The report describes the basis on which proposals have been developed and their impact on services)

Minutes:

Consideration was given to a report which described the Council's budget proposals for Adult Care and Community Wellbeing (AC&CW).

 

Members were advised that the report set out a one year financial plan for revenue budgets to take the Council to the end of a four year funding deal from government.

 

The Committee received a presentation which provided further detail in relation to the following areas:

·         The Four Year Deal

·         Corporate Budget Strategy

·         Recent Trends

·         How 'other' expenditure has been squeezed nationally by protection for social care

·         Local Authority Over and Underspends

·         Better Care Fund (BCF) in Lincolnshire

·         Service User Contributions

·         Adult Care and Community Wellbeing – Commissioning Strategies

·         Service Changes - cost pressures and savings – Adult Safeguarding

·         Service Changes – cost pressures – Adult Frailty

·         Service Changes – savings – Adult Frailty

·         Service Changes – cost pressures – Adult Specialties

·         Service Changes – savings – Adult Specialties

·         Service Changes – cost pressures and savings – Carers

·         Service Changes – cost pressures and savings – Wellbeing

·         Capital

·         BCF in Lincolnshire

·         Next Steps and Future Budget Setting

 

(NOTE: Councillor T Ashton left the meeting at 11.45am)

 

Members were provided with the opportunity to ask questions to the officers present in relation to the information contained within the report and presentation and some of the points raised during discussion included the following:

·         It was queried how the budget could be reduced for 2020/2021.  Members were advised that it was expected that the BCF would carry on in some form, as to remove that funding nationally could cause social care services to collapse.   The assumption had been made that the council tax increases would return to the previous levels of 3.95%.  There would be a need to look at which services the authority wanted to carry on providing.

·         In terms of the capital investment in delivery of extra facilities, a piece of work would be undertaken to establish where these buildings and facilities needed to be and where the service demand was.

·         It was noted that extra care housing was a complicated issue and an update report would be requested for the Committee in the coming months.

·         It was commented that the Better Care Fund was a risk, in case it came to an end.  However, the BCF could also be increased, and there would be a need to consider what services to keep and it was highlighted that there would be some discretionary services that would be better to keep due to the rurality of the county.

·         Officers would be happy to provide the committee with additional updates.

·         In terms of the NHS Long Term Plan and the BCF, there was a need for the future service to be affordable for the County Council and provide the people of Lincolnshire with the services they needed.

·         It was commented that the rationale for the budget proposals was cogent and Adult Care and Community Wellbeing had done a good job in setting and balancing its budgets for the past few years.

·         One member  ...  view the full minutes text for item 56.

57.

Adults and Community Wellbeing Scrutiny Committee Work Programme pdf icon PDF 373 KB

(To receive a report by Simon Evans, Health Scrutiny Officer, which provides an opportunity for the Committee to consider its work programme for the coming year)

Minutes:

Consideration was given to a report which provided the committee with the opportunity to comment on its work programme for the coming year.

 

It was proposed that after the next meeting, the Committee would have a discussion about its forward plan in more detail. 

 

In terms of the working group, it was noted that as the Green Paper was not yet published, there was little point in the group meeting at this point in time.

 

RESOLVED

 

            That the work programme, as presented, be noted.

 

 
 
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