Agenda and minutes

Scrutiny Health & Social Care Sub-Committee - Tuesday, 29th June, 2021 6.30 pm

Venue: This meeting will be held remotely. View directions

Contact: Simon Trevaskis
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No. Item


Minutes of the Previous Meeting pdf icon PDF 142 KB

To approve the minutes of the meetings held on 26 January and 8 March 2021 as an accurate record.

Additional documents:


The minutes of the meetings held on 26 January and 8 March 2021 were agreed as an accurate record.



Disclosure of Interests

In accordance with the Council’s Code of Conduct and the statutory provisions of the Localism Act, Members and co-opted Members of the Council are reminded that it is a requirement to register disclosable pecuniary interests (DPIs) and gifts and hospitality to the value of which exceeds £50 or multiple gifts and/or instances of hospitality with a cumulative value of £50 or more when received from a single donor within a rolling twelve month period. In addition, Members and co-opted Members are reminded that unless their disclosable pecuniary interest is registered on the register of interests or is the subject of a pending notification to the Monitoring Officer, they are required to disclose those disclosable pecuniary interests at the meeting. This should be done by completing the Disclosure of Interest form and handing it to the Democratic Services representative at the start of the meeting. The Chair will then invite Members to make their disclosure orally at the commencement of Agenda item 3. Completed disclosure forms will be provided to the Monitoring Officer for inclusion on the Register of Members’ Interests.



There were no disclosures of interest made at the meeting.



Urgent Business (if any)

To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.



There were no items of urgent business.



Overview of the 2021-22 Adult Social Care Financial Performance pdf icon PDF 386 KB

The Health and Social Care Sub-Committee is asked to review the information provided in this report and at the meeting, to reach a conclusion on the following:-

1.    Do the budget savings within Adult Social Care remain achievable?

2.    Does the leadership team have sufficient line of sight over the savings programme?

3.    Is there sufficient political oversight over the savings programme?

4.    Are the financial monitoring systems in place allowing effective tracking of the budget?

5.    Are the performance monitoring systems in place allowing any unforeseen impact, as a result of the savings programme, on vulnerable residents to be picked up and addressed at an early stage?

6.    Is the Sub-Committee reassured that the voices of service users and carers are being heard during the development of changes to service delivery and across the service as a whole?

Additional documents:


The Sub-Committee considered a report and an accompanying presentation providing an overview of the financial performance of Adult Social Care. The Sub-Committee was asked to review the information provided to reassure itself that the budget was being effectively managed.

During the introductory presentation for this item, delivered by the Cabinet Member for Families, Health & Social Care, Councillor Janet Campbell, and assorted Council officers, the following points were noted.

·         The spend for Adult Social Care was larger than any other Council service, equating to 31% of the total Council budget.

·         Although the service experienced many of the same pressures as other local authorities delivering social care across the country, it was recognised that the cost base was too high locally. As such all areas of the Adult Social Care budget were being reviewed to bring the service within the available resources, which would mean changing how services were delivered.

·         The aim was to reduce the Council activity and expenditure on adult social care to the London average or below by March 2024.

·         Taking into account £28.9m of growth and £10.7m savings, the net budget for 2021-22 was £114.342m.

·         A detailed savings programme had been developed to ensure the savings of £10.7m would be delivered. Although it was early in the year, progress to date had been good, with transformational funding used to provide capacity adding pace to the programme. A robust tracking system had been introduced to ensure that progress on the savings programme could be closely monitored and areas of concern identified at an early stage.

·         The priority area for savings was reviewing care packages to identify spend reduction. There had also been an options appraisal of provider services which had been approved by the Cabinet and was in the process of being implemented. There were other reviews, such as the Living Independently for Everyone (LIFE) service and the hospital discharge process that were likely to lead to further savings.

·         The total package of care savings equated to 7.5% of the budget and advice from the LGA had indicated that although this was achievable, particularly the first 5%, to achieve the full 7.5% would be a challenge.

Following the introduction the Sub-Committee was given the opportunity to ask questions about the information provided. The first question concerned the level of spend on care packages with it confirmed that the Council’s spend was the second highest in London for 18-25 year olds and higher than the national average for older adults.

As it had been confirmed that to date 120 care packages had been reviewed, it was questioned how many reviews were still to be completed. It was advised that 560 care packages had been targeted for review, which would include looking at where individuals are placed and the cost of living.  It was confirmed that 400 people were currently in supported living arrangements and were not with a registered provider. Work was underway to identify best practice in this area. It was also confirmed that possible alternative solutions delivered with  ...  view the full minutes text for item 22/21


Healthwatch Croydon Update pdf icon PDF 93 KB

The Health & Social Care Sub-Committee is asked to note the latest update provided by the Healthwatch Croydon Manager.

Additional documents:


The Sub-Committee considered an update presented by the Manager of Healthwatch Croydon, Gordon Kay, on two reports they had recently completed. This update was provided for the information of the Sub-Committee and to allow consideration of any issues that may be in need of further scrutiny.

The first report concerned the impact of the Covid-19 pandemic on the mental health of residents. There had been 115 individual responses from the public received in the development of this report and these suggested that mental health issues had increased during the pandemic including concerns around isolation. It was found that those who had family around them did better during the lockdown that those who lived on their own.

The second report looked at the performance of Croydon’s care homes under Covid-19. This report had been informed by surveys completed by residents, their family and staff. It was highlighted that there may have been less incentive for underperforming care homes to complete the survey, which needed to be considered when reviewing the outcomes in the report. As a result of the report an action plan had been created with the Council to address the issues raised.

At the conclusion of this item, the Chair thanked Mr Kay and the Healthwatch team for the work they carry out on behalf of the residents of Croydon.



Health & Social Care Sub-Committee Work Programme 2021-22 pdf icon PDF 98 KB

The Health & Social Care Sub-Committee is asked to:-

1.            Note the current position of its Work Programme for 2021-22,

2.            To consider whether there are any other items that could be added to the work programme.

Additional documents:


The Sub-Committee considered updates from health and care partners on their priorities for the year ahead. This purpose of this item was for the Sub-Committee to use the information provided to help prioritise its own work programme.

Representatives from the South London & Maudsley NHS Foundation Trust (SLaM) advised that they were working towards completing a new strategy, with the engagement process due to be launched in September 2021. The ambitious aim for the strategy was to make SLaM the best mental health care trust by 2026, which was acknowledged would be challenging. Themes covered by the strategy included working with partners in preventions to avoid hospital admissions, tackling public health issues, improving outcomes for patients, and ensuring SlaM was a sustainable organisation.

Other priorities for SLaM included building greater resilience within the organisation through focusing resources and upskilling staff. A key priority was to improve the interconnection with primary care and strengthen the relationships within Croydon University Hospital through the Clinical Assessment Unit.

Prior to the meeting Croydon Health Service NHS Trust circulated a summary of their strategic outcomes and two year objectives. These included improving health care provision and reducing health inequalities, improving how the Trust monitored and controlled data to improve healthcare, maximising the uptake of vaccinations and improving services during the recovery from the pandemic. Other priorities included a focus on supporting staff, delivering continued financial sustainability and developing leadership.

At the conclusion of the item, the Sub-Committee agreed that the priorities outlined by the health partners were in line with its own. As a next step, it was agreed that the Chair and Vice-Chair would continue to work outside of the meeting to schedule the work programme, which would be presented to the next meeting of the Sub-Committee for approval.


Feedback on the Croydon Health Service NHS Trust's Quality Account 2021 pdf icon PDF 102 KB

The Health & Social Care Sub-Committee is asked to note the comments submitted to Croydon Health Service NHS Trust on their 2021 Quality Account.



The Chair advised the meeting that the Sub-Committee had meet informally on 11 June to review the Quality Accounts for the Croydon Health Service NHS Trust. The meeting had been held informally to ensure the comments of the Sub-Committee could be taken into account within the timescales for publication.

A summary of the comments submitted by the Sub-Committee was included in the report published with the agenda for the meeting. The Chief Executive for Croydon Health Service NHS Trust, Matthew Kershaw, thanked the Sub-Committee for the time they had taken to review the Quality Accounts and confirmed that the comments submitted had been incorporated in the final version.


Exclusion of the Press and Public

The following motion is to be moved and seconded where it is proposed to exclude the press and public from the remainder of a meeting:


“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”



This motion was not required.