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26 August, 2016 Dear Councillor, HEALTH SCRUTINY COMMITTEE 4.00 PM ON TUESDAY 6 SEPTEMBER 2016 ESPERANCE ROOM, CIVIC CENTRE, CANNOCK You are invited to attend this meeting for consideration of the matters itemised in the following Agenda. Yours sincerely, T. McGovern, Managing Director To: Councillors:

Freeman, Miss M.A. (Chairman) Sutton, Mrs. H.M. (Vice-Chairman)

Allt, Mrs. A. Cartwright, Mrs. S.M. Cooper, Miss J. Dudson, Miss M.J. Hardman, W.M.A. Johnson, J.P.

Johnson, T.B. Martin, Mrs. C.E. Pearson, A.R. Smith, C.D. Woodhead, P.E.

Staffordshire County Council Co-opted Member: Councillor Mrs. D. Todd

Independent Co-opted Member: Elizabeth Learoyd, Advocacy Manager Healthwatch Staffordshire

Observers: (Observers are invited to attend to speak at the Chairman’s discretion and / or answer questions relating to their Portfolio.)

Davis, Mrs. M.A. (Health and Wellbeing Portfolio Leader)

Mitchell, Mrs. C. (Culture and Sport Portfolio Leader)

P.T.O.

A G E N D A

PART 1

1. Apologies 2. Declarations of Interests of Members in Contracts and Other Matters and

Restriction on Voting by Members

(i) To declare any personal, pecuniary or disclosable pecuniary interests in accordance with the Code of Conduct and any possible contraventions under Section 106 of the Local Government Finance Act 1992.

(ii) To receive any Party Whip declarations.

3. Minutes

To approve the Minutes of the meeting held on 26 July, 2016 (enclosed).

4. Quarter 1 Performance Report 2016-17 – More and Better Health Priority Delivery

Plan To receive the latest performance information (Item 4.1 – 4.3).

5. Inspiring Healthy Lifestyles (WLCT) – Target and Promotion of, and Engagement

with Activities and Services To receive a presentation from a representative of Inspiring Healthy Lifestyles.

6. Provision of Free Leisure Activities for Ex-Service Personnel - Discussion

An Inspiring Healthy Lifestyles Representative will be in attendance to discuss this item.

7. Healthwatch Staffordshire – Update

To receive an update on the work of Healthwatch Staffordshire

8. Staffordshire County Council’s Healthy Staffordshire Select Committee – Update

To receive an update from the Chairman on the work undertaken by Staffordshire County Council’s Healthy Staffordshire Select Committee. Please find attached for discussion the All Age Disability – Independent Futures report previously circulated to Members and also discussed at Staffordshire County Council. (Item 8.1 – 8.10).

9. Health Accountability Sessions

To receive a verbal update from the Head of Environmental Health.

10. Work Programme Update To receive an update on the Committee’s Work Programme.

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Health Scrutiny Committee 26/07/16 1

CANNOCK CHASE COUNCIL

MINUTES OF THE MEETING OF THE

HEALTH SCRUTINY COMMITTEE

HELD ON TUESDAY 26 JULY, 2016 AT 4:00 P.M.

IN THE CIVIC CENTRE, BEECROFT ROAD, CANNOCK

PART 1 PRESENT: Councillors:

Freeman, Miss. M.A. (Chairman) Sutton, Mrs. H.M. (Vice-Chairman)

Allt, Mrs. A. Cartwright, Mrs. S.M. Cooper, Miss. J. Dudson, Miss. M.J. Johnson, J.P.

Martin, Mrs. C.E. Pearson, A.R. Smith, C.D. Woodhead, P.E.

Also present:

• Staffordshire County Council Co-opted Member Councillor Mrs. D. Todd

• Independent Co-opted Member: Elizabeth Learoyd, Advocacy Manager, Healthwatch Staffordshire

Observing:

• Councillor Mrs. M.A. Davis, Health and Wellbeing Portfolio Leader.

• Councillor Mrs. C. Mitchell, Culture and Sport Portfolio Leader 1. Apologies

Apologies for absence were received from Councillors W.M.A. Hardman and T.B. Johnson.

2. Declarations of Interests of Members in Contracts and Other Matters and

Restrictions on Voting by Members No declarations of interests in addition to those already confirmed by Members in the Register of Members Interests were made.

3. Minutes

Page 31, Minute 51. Mental Health and Wellbeing Provision in the District A Member referred to the invitation concerning Mental Health Services which was forwarded to Staffordshire County Council to attend a Committee meeting. She advised that at some point later this year the Royal Wolverhampton Hospitals NHS

Health Scrutiny Committee 26/07/16 2

Trust would be considering mental health provision. She asked if the Committee had previously liaised with the South Staffordshire and Shropshire Healthcare NHS Foundation Trust regarding the services they provided. Steve Shilvock, Head of Environmental Health could not recall the Committee having been involved with the Trust, however he indicated that he could provide the Committee with a briefing note on the services provided by the Trust for the meeting scheduled for 18 October, 2016. The Chairman and Members agreed that this should also be incorporated for discussion. Page 32, Minute 54. Work Programme – Defibrillator A Member expressed her concern and reiterated that more people needed to be trained in order to use the defibrillator, particularly late in the evening if meetings were taking place. She also asked if the equipment was checked on a regular basis and if the machine had operating instructions should someone need to use it. The Head of Environmental Health advised Members that the defibrillator was located in the telephone room just behind reception, regular checks were undertaken and a number of people were trained on using it. He explained that if there was a need to use it out of normal office hours, the Caretakers were available and were trained. He would however check on out of hours arrangements for access to and use of the defibrillator. Page 32, Minute 54. Work Programme – Arthritis Care Group – Royal Wolverhampton Hospitals NHS Trust (RWNHS) The Member indicated that despite writing to the RWNHS Trust she had not received any further communication. She advised that she would contact the Arthritis Care Group and report back to the Committee. Page 33, Minute 54. Work Programme – Presentation by Dr. Huda – Chair of Cannock Chase CCG Members expressed concern that Dr. Huda had still not attended a meeting of the Health Scrutiny Committee and again suggested that if he could not accommodate any of the dates in the Calendar, an additional meeting could be arranged and alternative location to suit him. The Head of Environmental Health advised that he would again contact Dr. Huda to ascertain his availability to attend a meeting of the Committee. RESOLVED: That the Minutes of the meeting held on 19 April, 2016 be approved as a correct record.

Health Scrutiny Committee 26/07/16 3

4. Confirmation of Representative to Staffordshire County Council’s Healthy Staffordshire Select Committee RESOLVED: That Councillor Miss. M.A. Freeman was confirmed at the Annual Council meeting held on 25 May, 2016 as this Council’s representative to Staffordshire County Council’s Healthy Staffordshire Select Committee for the 2016-17 Municipal Year.

5. Confirmation of the Nominated Member from Staffordshire County Council’s

Healthy Staffordshire Select Committee RESOLVED: That Councillor Mrs. D. Todd was confirmed as the nominated Member to the Council’s Health Scrutiny Committee for the 2016-17 Municipal Year.

6. Confirmation of appointment of Independent Co-opted Member

RESOLVED: That Elizabeth Learoyd, Advocacy Manager, Healthwatch Staffordshire was confirmed as the Co-opted Member to the Council’s Health Scrutiny Committee for the 2016-17 Municipal Year. Elizabeth Learoyd introduced herself to Members of the Committee and provided background information of her role as Advocacy Manager of Healthwatch Staffordshire.

7. End of Year Performance Report 2015-16 – Better Health Outcomes Priority

Delivery Plan Report of Head of Governance (Item 4.1 – 4.15) including Appendix. That the performance information relating to the Better Health Outcomes Priority Delivery Plan as detailed at Appendix 1 of the report be noted.

8. Health Scrutiny Committee Work Programme 2016-17

Report of Head of Governance (Item 5.1 – 5.5) plus Appendices. The Head of Environmental Health presented the report and proposed work programme for 2016-17. The Chairman advised the Committee that there would be a focus upon issues within Health Scrutiny, and any emergency items would be accommodated when there was a need. Adult Disabled Adaptations A Member made reference to a local resident with a planned disabled adaptation

Health Scrutiny Committee 26/07/16 4

which had not taken place. He expressed concern that this was just one resident, and was keen to know how many more were being affected due to financial cutbacks. The Head of Environmental Health advised that as part of the work programme he would provide a briefing note to Members of the Committee concerning adult disabled adaptations. He reported that the Committee had similar concerns with regard to disabled adaptations for children back in 2014, where there was a backlog and delays in referring children’s cases. He advised however that this issue appeared to be resolved. He indicated that he would discuss this matter with the County Council’s team and provide information at a future meeting. Better Care Fund A Member referred to the contributions from Clinical Commissioning Group (CCG) partners and asked how this would impact on social care activities and if this was being considered through the County Council. The Head of Environmental Health would liaise with the Health Scrutiny Manager at the County Council and provide a report back to the Committee. The Chairman indicated that she had attended the first Better Care Fund meeting where discussions had take place between the County and the CCG. She advised Members that she and Staffordshire County Council’s Co-opted Member Councillor Mrs. D. Todd would report back to the Committee following the next meeting. Both agreed it may benefit the Committee if a request was made for County Councillor Alan White, Cabinet Member for Health, Care and Wellbeing to attend a future meeting. Whilst Members were in agreement with an invite being extended to County Councillor Alan White, a request was also made that Dr. Huda, Andy Donald, Accountable Officer for Stafford and Surround CCG and Cannock Chase CCG and Paul Simpson, Director of Finance/Deputy Chief Executive also be invited to the same meeting. Royal Wolverhampton Hospitals Trust (RWNHS) A Member asked if the University Hospitals of North Midlands (UHNM) could be linked in the work programme with the RWNHS Trust concerning services. The Head of Environmental Health would endeavour to try and link both the RWNHS Trust and UHNM in with the work programme. Elizabeth Learoyd, Advocacy Manager, Healthwatch Staffordshire reported that she would be liaising with all of the hospitals on various issues including timing of appointments which appeared to be a problem for some patients. A Member indicated that it had been reported in the local press that the bus service provided by RWNHS Trust would cease, however she had been made aware that it would continue but the bus would be replaced by something smaller.

Health Scrutiny Committee 26/07/16 5

Wigan Leisure and Culture Trust (Inspiring Healthy Lifestyles) Activities A Member referred to the decision of (Inspiring Healthy Lifestyles) Wigan Leisure to offer ex-service personnel free use of the leisure centres, and asked if the Council could contact the local British Legion to promote the offer and encourage greater take-up. Mike Edmonds, Head of Commissioning advised Members that he would raise this with Inspiring Healthy Lifestyles at the next Contract meeting and it was also possible to request a report/attendance to hear how they promoted activities and initiatives across the District including the offer to resident ex-service personnel. In respect of culture and sport, a Member indicated that Inspiring Healthy Lifestyles was considering the opening of its facilities over some of the bank holidays throughout the year. Members also discussed accessibility for those with disabilities and how this was being tackled, health referrals and a recent food hygiene project. The Head of Environmental Health would add food hygiene to the work programme and prepare a report for a future meeting. Having discussed the proposed Work Programme and taking into account the discussion from Members of the Committee, the following should also be included:

• Food Hygiene Service and Safer Food Project – report;

• Adult disabled adaptations – briefing note;

• Better Care Fund – invite to external invitees as detailed above and report back on contributions from CCG partners;

• Inspiring Healthy Lifestyles – report/attendance concerning the promotion of activities and initiatives across the District including the use of leisure services by resident ex-service personnel.

• Royal Wolverhampton Hospitals NHS Trust - linking of University Hospitals of North Midlands (UHNM) to the work programme when looking at services provided;

• Mental Health and Wellbeing – briefing note on the services provided by South Staffordshire and Shropshire Healthcare NHS Foundation Trust.

RESOLVED That the Work Programme attached at Appendix 2 of the report for 2016-17, be agreed.

CHAIRMAN The meeting concluded at 4.50 p.m.

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ITEM NO. 4.1

Better Health Outcomes PDP Quarter 1 Performance 2016-17

Strategic Objective

Increasing access to physically active and healthy lifestyles

Action & Progress Update Outcomes Q1 Rating Q2

Rating

Q3

Rating

Q4

Rating

To develop and provide a new community AGP, 7v7 grass pitch and changing pavilion at

Bradbury Lane, Hednesford

Work continues on this project with the following actions being completed during Quarter 1

2016-17.

• Tenders have been evaluated for the contractor to build the Pavilion / Changing rooms

• Agreement has been reached with Sport England to award the Pavilion build contract

and to proceed with the project

• Contract Award Letter issued to Pavilion Contractor

• Letter of Intent agreed and issued to Contractor

• Pre-Start Meeting with AGP Pavilion and AGP Pitch contractors

• Arrangements to remove excess soil from site and to submit the discharge of conditions

application on Bradbury Lane Pavilion during Quarter 2

The project is on schedule for the contractors to start on site during Quarter 2 and to complete

by the end of the calendar year.

Informal discussions are being progressed in order to so secure a facility operator (Quarter 2)

To complete construction on site - (AGP – Quarter 3) and Changing Pavilion (Quarter 4)

To provide new sport and

recreation facilities in the

local community

Better jobs and skills More and better housing

Cleaner and safer environments

Better health outcomes

Customers

ITEM NO. 4.2

Action & Progress Update Outcomes Q1 Rating Q2

Rating

Q3

Rating

Q4

Rating

To develop and provide a new community multi sport and recreation hub facility at the

former stadium site

To open new Multi-Use Games Area (Quarter 1 2016-17). – The new MUGA was completed and

opened ahead of schedule in March 2016

To complete topographical survey and Landscape design works (Quarter 1 2016-17) – The

topographical survey was completed and the Landscape Architect appointed in April 2016.

To appoint contractors with responsibility for the remaining works in Phase 1. (Quarter 1 2016-

17)

A Landscape architect was appointed to develop a final design for the scheme and to support

updated/revised planning application and tender for main contractor. Development of the final

design has led to a slight delay in the appointment of the main contractor which is now

scheduled for Quarter 2. It is not envisaged that this will impact on the start on site date by the

end of Quarter 2

To commence work on the remaining elements in Phase 1. (Quarter 2 2016-17)

To provide new and

improved sport and

recreation facilities in the

local community

To continue with the re-development of Hednesford Park

To complete the works on the Pavilion (Quarter 1 2016-17) – Works on the pavilion were

completed and all snagging items identified in May 2016

To commence the letting of the new Pavilion café (Quarter 1 2016-17). The new café was let

and opened by Inspiring Healthy Lifestyles in June 2016

To complete works on the skate park (Quarter 1 2016-17) – Works were completed on the

skate park in June 2016.

Other HLF capital works to be completed are the Entrance Feature and Lighting .

To provide new and

improved sport and

recreation facilities in the

local community

ITEM NO. 4.3

Strategic Objective

Working with our partners to reduce health inequalities in the District Action + Progress Update Outcomes Q1

Rating

Q2

Rating

Q3

Rating

Q4

Rating

To progress Active after Cancer/ Active Living Referral Scheme (Year 2) in

partnership with WLCT and NHS

The Activity Referral Scheme/MacMillan After Cancer Scheme has an annual

target of 450 referrals. Currently, the Trust is on track to achieve this target by

the end of 2016-17. (Target Q1 = 112 Actual Q1 =123)

To support the recovery of

individuals from ill health and to

improve their health and well

being

To promote concessionary membership scheme to areas of

inactivity/deprived wards etc

There is an annual target to increase the number of concessionary cardholders

by 1% (42) and Inspiring healthy Lifestyles are on track to achieve this increase

by the end of 2016-17.

Start of year 4,225 End of Q1 4,359

Making services more accessible

to those on low incomes and

those aged over 65

Summary of Progress in Delivering Projects/Actions:

No Rating

Project completed Project on target Project Timeline/scope/target date requires attention. Alterations considered by leadership team

Project aborted/ closed

5

50%

4

40%

1

10%

0

0%

0

0%

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Local Members’ Interest

N/A

Healthy Staffordshire Select Committee – 8th August 2016

All Age Disability - Independent Futures

Recommendation/s 1. Members scrutinise the proposal to reconfigure the operational structure and

management of Independent Futures in order to achieve the vision set out in the All Age Disability Strategy prior to a Cabinet decision.

Report of Cllr Alan White, Cabinet Member for Health, Care and Wellbeing

Summary What is the Select Committee being asked to do and why? 2. The Health Select Committee is being asked to note and comment upon the proposal to

and rationale for reconfiguring the operational structure and management of Independent Futures in order to achieve the vision set out in the All Age Disability Strategy.

3. The report is being presented to Cabinet on 17th August 2016; therefore the Select

Committee is being given the opportunity to note and comment upon the report prior to any cabinet decision.

Report 4. The Select Committee are advised to read attached cabinet report attached as Appendix

A. Contact Officer Name and Job Title: Nichola Glover-Edge: All Age Disability Telephone No.: 07976191407 Address/e-mail: nichola.glover-edge@staffordshire.gov.uk Appendices/Background papers Appendix A – All Age Disability Cabinet Report

ITEM NO. 8.1

Cabinet Meeting on Wednesday 17th August

2016

All Age Disability

Cllr Alan White, Cabinet Member for Health, Care and Wellbeing said, “We have a clear vision that everyone in Staffordshire, regardless of their personal challenges, can live a life that is as healthy, active and independent as possible, with support from local communities. To achieve this, we are working with families, communities and a wide range of organisations to ensure that a network of local support is in place and that people are at the centre of choosing the care that suits them. Our focus will increasingly be on early intervention and management which delays and reduces the development of care and support needs, and throughout life disabled people will experience better physical and emotional health and wellbeing as a result of our refocused approach. In order to deliver the All-Age Disability Strategy, to align with recent changes in legislation which separate children and adult social care roles, and to ensure that we operate in a way which is financially sustainable, we are changing the way in which the Independent Futures (IF) service operates. The revised delivery model will see disabled children supported through one clear pathway, with a joined-up approach based around the family from birth to independence. It will also ensure that disabled adults have one coherent pathway of support, which keeps them safe and has clear accountability. Social workers will have more time to work with people rather than paper. The critical stage of transition from child to adulthood, often the most difficult time in a disabled person’s life, will be better supported The evolution of Independent Futures will achieve better results for local people, and will deliver our shared vision to ensure that all disabled people have independent, safe and active lives.” Report Summary: In order to deliver the All-Age Disability Strategy, to improve consistent pathways of support, to align with recent changes in legislation which separate children and adult social care roles, and to ensure that we operate in a way which is financially

ITEM NO. 8.2

sustainable, we are changing the way in which the Independent Futures (IF) service operates. Recommendation(s) I recommend that: a. That Cabinet approves the reconfiguration of the operational structure and

management of Independent Futures in order to achieve the vision set out in the all Age Disability Strategy.

ITEM NO. 8.3

Cabinet – 17th August 2016

All Age Disability

Recommendations of the Cabinet Member for Health, Care and Wellbeing a. That Cabinet approves the reconfiguration of the operational structure and

management of Independent Futures (IF) in order to achieve the vision set out in the all Age Disability Strategy.

Report of the Deputy Chief Executive and Director of Families and Communities and the Director of Health and Care Reasons for Recommendations: 1. We have a clear vision that everyone in Staffordshire, regardless of their personal

challenges, can live a life that is as healthy, active and independent as possible, with support from local communities.

2. To achieve this, we are working with families, communities and a wide range of organisations to ensure that a network of local support is in place and that people are at the centre of choosing the care that suits them. Our focus will increasingly be on early intervention and management, which delays and reduces the development of care and support needs, and on supporting people to find solutions that are available through non-statutory provision that can often meet their needs in far better ways.

3. The All Age Disability Strategy, approved by Cabinet in 2013, will ensure that all

disabled people have choice and control in the way that they live, are safe and have equal access to community and learning opportunities.

4. From birth, children with a disability will be given early help to ensure they develop

independence and resilience, and throughout life disabled people will experience better physical and emotional health and wellbeing as a result of our refocused approach.

Background 5. Independent Futures (IF) was created in 2013 to provide an integrated ‘whole life’

approach to care and support for children and young people with Special Educational Needs and/or Disabilities (SEND) and adults with a Learning Disability and / or Autistic Spectrum Conditions.

6. The current IF Structure was established in accordance with the All Age Disability

Strategy requirements of improving outcomes, increasing resilience and independence at all ages as outlined in the 2013 – 2018 Strategy for disabled people in Staffordshire ‘Living My Life, My Way’.

Local Members Interest

N/A N/A

ITEM NO. 8.4

7. The rationale at that time for bringing Children’s and Adults Disability social work

services together was to create a seamless, holistic All Age assessment and brokerage social work service that enabled the following:- a. For citizens to experience a person-centred assessment which considered all

areas of support. This was to particularly benefit young people with a lifelong disability who, at the time, experienced separate assessments in children’s and adults’ services;

b. To enable citizens to be central to the development of a lifelong plan of support

that’s right for them and enables them to achieve their goals; c. For citizens to have increased choice and control with regards to the support

they receive and a personal budget to back up their choices; d. To enhance and address the perceived problems in transition for young people

into adulthood. 8. IF has achieved improvements to services over the last three years. However the

national context is evolving and there remain potential to improve he experience for children and young people in transition, and to further develop a culture, practice and processes that promote greater independence, operational efficiency and better outcomes.

9. The reasons for these changes are:

10. Workforce. Whilst nationally there remains a commitment to ensuring that transition and relationships between Children’s and Adults' services works well, the legislative differences means that it can be challenging to recruit and retain a generic workforce that can manage those dual aspects effectively. The new operational arrangements will improve recruitment and retention and ensure that social workers have an in-depth understanding of legislation as it applies to children and adults.

11. Changing landscape. Children’s and Adults services need to be delivered with a focus on implementing good system wide pathways and need to be less reliant upon structure in order to deliver better outcomes.

12. Efficient delivery. The new operational arrangements will address issues around

leadership and management, budget management and accountability, social work practice and performance, and will allow for a better grip and financial stability and more effective commissioning and delivery.

13. Budget. The current budget for All Age Disability is split as follows:-

Adult Assessment and Care Management – Gross 78 million

Children’s Assessment and Care Management – Gross 22 million

In-house provision -Gross 10 million

ITEM NO. 8.5

The services currently have pressures relating to the National Living Wage, Children’s Placement costs and young people in transition.

Proposals 14. Establishment of a brokerage team across adults’ social care. This will be a

specialist team, based in Care Commissioning, dedicated to finding and negotiating care packages in the market. It will free social workers to concentrate on assessment and improve value for money. It will also give commissioners the insight and intelligence to approach and shape the market place. The Brokerage Team will free up social workers, who currently carry out this function outside of their professional skills and training. Refocusing social workers activities on care will improve performance against key target areas and will help address practice issues.

15. Operational management of children's social work assessment, occupational

therapy and SEND assessment service will be integrated into Families First, which supports the children’s transformation programme. This will support disabled children through one clear pathway, with a joined-up approach based around the family from birth to independence.

16. Creation of a transitions team. Based in Adult Social Work and Safeguarding,

this team will support the critical stage of transition from child to adulthood, often the most difficult time in a disabled person’s life. The Transitions Team will 'in-reach' into the children's social work teams and work alongside the case holders to support people from age 14, working closely with them and their formal and informal networks to support them to achieve as independent a life as possible. This approach will enable them to understand how support changes as they move in to adulthood so people are clear of about the support they may get from statutory services and to explore other support that can be provided through a combination of those formal services, voluntary sector support, informal networks and the communities in which they live.

17. Operational management of adults' social work. The adult assessment and

case management will be moved into Adult Social Work and Safeguarding . This will contribute to the adult social work reform project, which will ensure that practice promotes independence and that there is a consistent operating model and pathway across all of adult social care.

18. Operational management of adults' long term care services. Greenfield

House, Horninglow Bungalows, Hawthorn House, complex needs day services, and the supporting independence service will be managed directly by the Lead: All Age Disabilities to enable that post holder to fulfil the duty of the CQC nominated individual and develop the services in the context of the wider market.

Management of change 19. The proposal is to introduce the new operational management arrangements from

1 September 2016. Note that the operational management changes in themselves will not affect the service received by citizens.

ITEM NO. 8.6

20. The management of Independent Futures and the frontline workforce have all

acknowledged a need for change. 21. The above plan will be implemented on a cost neutral basis. Following

reconfiguration there will be rationalization of management structures, which will ensure efficient operation.

Benefits 22. The reconfiguration will result in social workers being better equipped and have

more time to spend with citizens which will result in a better understanding of needs in order to source the most appropriate care and support for individuals leading to improved independence and better outcomes.

23. This proposal will also enable Staffordshire County Council to comply with recent

legislative changes. 24. The proposed new arrangements will improve performance and increase

confidence in the delivery of efficiencies. 25. In addition to the savings identified, the work of the transitions team should lower

the level of need when a child turns 18. On average a residential placement for a child is £3,200 pw. Many of these placements will cost around 30% less in adulthood. The saving however is often delayed as the individual maybe nearer 19 before the reduced cost of care is implemented. With proper transition, the package of care can be enacted at 18 rather than delayed. In addition, with effective transition, the package of care should be at a lower level than would otherwise been needed.

26. By removing brokerage from the social work remit will ensure a more consistent

and equitable person centred approach to explore the market to get the best outcomes at best value this will enable social workers to focus on assessments, reviews and care, and should help realise savings.

Summary

27. Our desire to achieve the best possible results for disabled people of all ages and

the changing social care landscape means that we cannot stand still. The evolution of Independent Futures will achieve better results for local people, and will deliver our shared vision to ensure that all disabled people have lives that are healthy, active and independent as possible.

List of Background Documents: All Age Disability Strategy Report Commissioner: Nichola Glover-Edge Job Title: County Commissioner for All Age Disability and Wellbeing

ITEM NO. 8.7

Telephone No: 01785 895186 Email: nichola.glover-edge@staffordshire.gov.uk

ITEM NO. 8.8

Summary of Community Impact Assessment (including a Health Impact Assessment if applicable) for All Age Disability.

Impact Assessment

SCC’s Priority Outcomes & Impact Areas

Impact Provide brief detail of impact

Prosperity, knowledge, skills, aspirations

Positive People with a learning disability (LD) and/or autism to lead active lives in the community and improve their life chances.

Living safely Positive People will be enabled to live independently where appropriate in local accommodation and provide support to live safely in their own homes just as other citizens expect to.

Supporting vulnerable people Positive The change will ensure people with a LD and/or autism have the same opportunities as anyone else to live satisfying and valued lives, and to be treated with dignity and respect. The change will ensure a strong emphasis on personalisation.

Supporting healthier living Positive The change will ensure that people with a LD and/or autism have better health

Highways and transport networks

Neutral No direct impact.

Learning, education and culture Positive The programme will engage education providers and the Transitions Team to support life-long learning.

Children and young people Positive The change aims to improve the life chances of people with a LD and/or autism including children and young people.

Citizens and decision making, improved community involvement

Positive The change aims to deliver a shift in power to individuals with an emphasis on personalisation and giving greater control to service users, their families and carers.

Physical environment including climate change

Neutral No direct impact.

ITEM NO. 8.9

Maximisation of use of community property portfolio

Positive No direct impact

Equalities Impact Impact Provide brief detail of impact

Age Positive The change will improve the life chances of all people with a LD and/or autism. The programme focuses on people with a LD and/or autism

Disability Positive

Ethnicity Neutral No impact identified as part of the analysis conducted. Gender Neutral

Religion / Belief Neutral

Sexuality Neutral

Impact / Implications

Resource and value for money (in consultation with finance representatives)

.The change will give greater confidence in achieving the MTFS savings already identified, and additional benefits as highlighted in the report

Risks identified and mitigation offered (see corporate risk register categorisation)

Culture of Staff

Trade Union relations

Managing the transition

Leadership and direction

Key stakeholders have been engaged on the changes and people are in agreement with the proposal.

Legal imperative to change if applicable (in consultation with legal representative)

None directly arising.

Report Commissioner: Nichola Glover-Edge

ITEM NO. 8.10