LGA Governance


Agenda and minutes

Agenda and minutes

Venue: Smith Square 1&2, Ground Floor, 18 Smith Square, London, SW1P 3HZ. View directions

Contact: Alexander Saul  0207 664 3232 / Email: alexander.saul@local.gov.uk

Items
No. Item

1.

Welcome and declarations of interest

Minutes:

There were no declarations of interest.

2.

The Adult Social Care Workforce - activity in 2018/2019 pdf icon PDF 205 KB

Minutes:

Jon Sutcliffe, Senior Adviser, introduced the paper and gave a presentation on recent reporting and activity around the adult social care workforce at a national level, in particular he drew the Boards attention to the summary of activities at Appendix A of the paper Jon also highlighted the role of the LGA in working with Government and other organisations to facilitate developments at a local and regional level. He also raised  key challenges in the adult social care workforce.

 

In the discussion that followed, the following points were raised;

 

·         Jon explained that a joint lead members meeting between the Community Wellbeing Board and Resources Board lead members on broader health and social workforce issues and other local government workforce issues relating to health, including health visitors and public health, would be beneficial.

·         A view was expressed that it was important to take into account the geographical variation of housing costs and how this impacts the workforce.

·         A view was expressed that there needed to be clarity on the role of Skills for Care in approaching adult social care workforce issues.  

·         A concern was raised that the lack of progression in the care industry and the impact this has on staff retention.

·         The Chairman emphasised that it was crucial we have a clear and consistent message on the adult social care workforce.

 

 

Decision

 

The Community Wellbeing Board;

 

1. Noted the current LGA activity on the adult social care workforce;

 

2. Discussed and developed the LGA’s key messages on the adult social care workforce which need to be addressed in the care and support Green Paper; and

 

3. Agreed that Lead Members of the Community Wellbeing Board and Resources Board meet to discuss broader health and social workforce issues and other local government workforce issues relating to health, including health visitors and public health.

 

Actions

 

Officers to incorporate the Community Wellbeing Boards comments into the LGA’s key messages on the adult social care workforce.

3.

Appendix A - National activity on workforce pdf icon PDF 151 KB

4.

Care and Health Improvement Programme 2018/19 pdf icon PDF 339 KB

Additional documents:

Minutes:

Andrew Hughes, Head of Care and Health Improvement Programme, introduced the report providing a brief overview of the Care and Health Improvement Programme (CHIP) priorities for 2018//19 and an update on its activities to achieve them. In particular he highlighted the three priorities of CHIP, these being;

 

·         risks and resources;

·         care market quality and sustainability; and

·         sustainable and integrated care and health systems.

 

Andrew also highlighted work that CHIP were currently working to support areas with delayed transfer of care. He also brought Members attention to the further three years’ funding from NHS Digital to continue the Social Care Digital Innovation Programme into 2020/21. He also raised that CHIP would be engaging with Skills for Care and the LGA’s Workforce team to work towards a more integrated workforce in the care sector.

 

Decisions

 

The Community Wellbeing Board noted;

 

1. The agreed priorities for the Care and Health Improvement Programme and the

high level activities that will be delivered for 2018/19;

 

2. The programme’s recent notable achievements; and

 

3. Progress on leading activities.

 

Action

 

Officers to take forward any member feedback.

5.

Support for political leaders and reaffirming the position of Health and Wellbeing Boards pdf icon PDF 102 KB

Minutes:

Caroline Bosdet, Senior Adviser, introduced the paper detailing the progress of Health and Wellbeing Boards (HWBs) in their fifth year as well as the LGA’s political and clinical leadership offer the to support HWBs (through the Care and Health Improvement Programme.)  In particular Caroline emphasised the importance of strengthening leadership and building relationships between organisations for HWBs to progress. Caroline asked Members continue to encourage their colleagues to engage with their local HWBs.

 

The Chairman emphasised the importance of encouraging improvement in local HWBs.

 

Decision

 

The Community Wellbeing Board;

 

1. Noted the report; and

2. Agreed to champion the political leadership offer.

 

Actions

 

Officers will continue to support HWBs to re-establish their role; maximising their value as statutory bodies with legal duties, democratic accountability and their unique positioning to bring together the wider determinants of health and to set a long term vision for their local populations.

 

Political leaders in health, care and wellbeing will be supported to develop their engagement and relationships with the NHS through the new partnership approach.

 

Officers to bring an update paper to the Community Wellbeing Board in six months.

6.

Children and Young People's Health Update pdf icon PDF 140 KB

Minutes:

Samantha Ramanah, Adviser, introduced the paper updating the Community Wellbeing Board on current activities in relation to the LGA’s work related to children’s health issues.

 

Paul Ogden, Senior Adviser, informed members of the Community Wellbeing Board that the LGA would also be holding an event on childhood obesity on 26 September at 18 Smith Square.

 

In the discussion that followed, the following points were raised;

·         Members emphasised the implications of poor health during the first nine months of a child’s life, and that going forwards services need to give greater attention to deal with children’s issues as early in their life as possible.

·         The important link between resilience, emotional wellbeing and children’s health was emphasised by Members.

·         The emphasis on children’s mental health was welcomed by Members, and particular attention drawn to the mental health of children with special educational needs.

·         The importance of home economics and diet on children’s health was also highlighted by Members.

·         The need for support for pregnant women was also raised.

 

Recommendation

 

The Community Wellbeing Board noted the update in the report.

 

Action

 

Officers to incorporate feedback from the Community Wellbeing Board into future work.

7.

Community Wellbeing Board Achievements 2017/18 pdf icon PDF 224 KB

Minutes:

The Chairman introduced the report providing an overview of the issues and work the Board has overseen during the last year, as well as setting out key achievements in relation to the priorities of the Community Wellbeing Board in 2017/18.

 

The Chairman also shared her reflections from her time as Chairman of the Community Wellbeing Board. The following points were raised:

 

·         Funding for adult social care and public health, as well as the need for integration in the sector, had remained a constant priority.

·         That the LGA’s Adult Social Care Green Paper was an crucial piece of work and opportunity for local government to participate in developing the Government’s green paper.

·         That Sustainability and Transformation Partnerships had got off to a challenging start.

·         That it had been clear Health and Wellbeing Boards would need to have a greater leadership role in future.

·         That mental health had raised up the agenda over recent years and that it was crucial that local government continued to lend their support.

·         That the collective voice of the LGA would continue to be crucial to local government.

 

The Chairman also emphasised that local government had protected adult social care, but raised her concern that due to funding cuts this had come at great cost to other services.

 

The Chairman expressed her thanks to all Members of the Board for their work, and to all the LGA officers who support the Community Wellbeing Board.

 

In the discussion that followed, the following points were raised;

 

·         A view was expressed that the LGA adult social care green paper was an opportunity to evidence the value of localism.

·         The importance of how local government supports local care in future was also raised.

·         The need for cross party work going forwards was emphasised.

·         A view was expressed that including personal stories and case studies would be of great value to the LGA adult social care green paper.

·         A view was expressed that local government should have a greater role in community care.

·         The need for a stronger message to the public as to the importance of social care and the challenges it faces.

 

Following this discussion Alyson Morley, Senior Adviser, raised the following points;

·         Following polling the LGA found 89 per cent of Council leaders now want a resolution for Adult Social Care from national tax.

·         87 per cent of the public support more funding for Councils.

·         82 per cent of the public support this coming from a national tax.

·         Alyson emphasised that these results show a shift in public awareness of adult social care.

·         The Board were informed that the LGA was commissioning adult social care case studies.

·         The Board were informed that a consultation on the adult social care green paper would be carried out over August and September.

Members expressed their thanks to the Chairman for her work in this role over the past three years and in having built such a clear cross party consensus in the Community Wellbeing Board.

 

Decision

 

Members noted the achievements against the  ...  view the full minutes text for item 7.

8.

Update on Other Board Business pdf icon PDF 182 KB

Minutes:

The Board noted the updates in the report.

9.

Note of the last meeting pdf icon PDF 179 KB

Minutes:

The Board agreed the minutes of the last meeting.