Agenda item

(To receive a report from Justin Hackney, Assistant Director - Adult Care and Community Wellbeing, which provides the Committee with an overview ofSpecialist Adult and Safeguarding Services)

Consideration was given to a report by the Assistant Director – Specialist Services, which provided an overview of Specialist Adult and Safeguarding Services in Lincolnshire, focussing on the following areas:

• Learning disability services, including Learning Disability Section 75 Agreement between LCC Lincolnshire Clinical Commissioning Group
• In house day opportunities, including developing a more expanded offer across day centre buildings
• Mental health related services
• Adult safeguarding
• Key priorities for 2021-22 within specialist adult services
• Key priorities for 2021-22 for safeguarding

Further to the report, the Committee was informed that Lincolnshire Partnership NHS Foundation Trust (LPFT) were commissioned to deliver the key functions for the assessment and care management function of mental health on behalf of LCC, which allowed them to coordinate clinical health services with social care services, meaning a more joined up experience for the service user.

Further explanation was provided on the Team around the Adult (TAA) project, which was a multi-agency approach that sought to help those who were otherwise struggling to engage with services, often people who were homeless, at risk of mental health issues, or addiction issues. Should a person be identified for the service, a TAA Strategy meeting would be held to ensure that the right teams of people were utilised to achieve the best outcome for the individual. The approach taken was specific to each individual needs as it was recognised that individuals had complex needs which required a tailored approach.

The Committee watched a video clip which provided an insight into the day to day activities part of day care services across the County. Officers commended the person centred planning and creativity of staff across the centres.

The Committee considered the report and during the discussion the following points were noted:

• The Lincolnshire Transforming Care figures were specific to adults with learning disabilities. Within Lincolnshire there were 30 people with learning disabilities and autism in inpatient facilities and detained under the mental health act, which was around 10% less than the national target. It was acknowledged that LCC were behind the trajectory however there was a level of confidence that the target would be met by the end of the calendar year. Officers emphasised the importance of ensuring the right services were able to be provided when patients were discharged.
• The Council hoped to expand their offer for day care opportunities as they were seen as essential to supporting people with mental health issues. 
• Providing an individual qualified for adult social care, there was no waiting list for day care opportunities. LCC hoped to expand the day-care offer so that it was inclusive to anybody with a primary support reason with an assessed need, rather than just those with learning disabilities.
• Members welcomed a preventative approach to adult care, with the use of day care facilities as a step to maximise independence across the adult care sector.
• Lincolnshire's suicide prevention strategy was led by Public Health and the rise in male suicides across East Lindsey was being investigated. The Committee was reminded that a report on Mental Health would be considered at the next meeting of the Committee which would provide an opportunity to discuss this topic in more detail. 
• It was important that regardless of financial status, all people could access the services that they required.
• Members congratulated officers and commended the hard work that had been undertaken which had led to a successful day care service and welcomed the opportunity to expand services to provide a more holistic approach for the centres.
• The Committee commended the TAA Adult pilot scheme and supported it being developed further following the end of the pilot. A summary of the success of the pilot would be reported back to the committee on its conclusion.
• The Team around the Adult project had evolved from a Serious Adult Review which identified a need for a different approach to certain cases.

RESOLVED:

              That the report be noted.