Venue: Teams Live
Contact: Lisa Richards
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Apologies To receive apologies for absence. |
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Declarations of Interest To receive declarations of interest from Members. Minutes: There were no declartions of interest. |
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Disclosure of Party Whips To receive disclosures of prohibited party whips which a Member has been given in relation to the meeting in accordance with Section 78(3) of the Local Government Measure 2011.
(NB: Members are reminded that, under Section 78, Members having been given a prohibited party whip cannot vote on a matter before the Committee.) Minutes: There were no disclosures of party whips. |
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To authorise the Chair to sign the minutes of the last meeting as a correct record. Minutes: Documents: · Minutes of the last meeting held on 1 February 2022
Outcomes: · The Chair was authorised to sign the minutes as a correct record
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North Powys Wellbeing Programme PDF 543 KB Additional documents:
Minutes: Documents: · Report of the Portfolio Holder for Adult Services · Strategic Outline Case · Memorandum of Understanding
The Assistant Programme Director gave a presentation summarising the detailed documents which had been circulated with the agenda.
Discussion: · The Chair asked if the ambition and commitment for the project had changed in light of the pandemic. The Assistant Programme Director indicated there was ongoing dialogue with stakeholders and there was always an appetite to support the scheme. The pandemic has been challenging but it provided an opportunity to expedite some elements of the programme. There has been more focus on cultural change and new ways of working have enhanced collaborative working. A number of wellbeing providers are wanting to come on board. · The demand for services is currently outstripping supply and the Project will lead to better outcomes and help to manage demand. However, due to the pressures of work it may have been difficult for staff to engage whilst dealing with the current crisis. · It was recognised that the documents were strategic, but it would have been useful if more of the evidence gathered was apparent. The benefits of the estate are evidenced but service delivery is aspirational. It was suggested that a baseline was needed. The Committee asked to see specific outcomes of modelling and how services will change – for example, the project will be working across traditional boundaries but staff from different bodies are operating under differing terms and conditions which has proved problematic in the past. The Executive Director noted that some terms and conditions were not always competitive, and this was being kept under review. An evaluation will commence, and consultation will be one of the next stages in the process. In Social Care, the focus has been on the delivery of the model of care and a huge number of outcomes are being achieved. · Given the nature of the documents, there was a lack of tangibility and if hypothetical case studies could be provided, this would help the public visualize the proposals and appreciate what would be different and how services would work in this setting. It was suggested that following the election a working group could look in more detail, and in a more informal setting, to discuss this issue. This could provide guidance where Health and Care Committee could be involved on a formal basis. · The pandemic had been challenging. It had hoped that the programme would be at outline business case by this stage. The SOC sets out the strategic intentions and its intention was to build on the aspirations in the Programme Business Case through modelling and technical work. This will incorporate lessons learned through the pandemic and provide some robustness around assumptions underpinning previous ambitions. There is a need to engage clinically, produce a workforce model and develop service specifications. The Assistant Programme Manager appreciated the level of scrutiny and challenge but noted that the OBC will specify more clearly the proposals and models. · A significant risk is the workforce – new ... view the full minutes text for item 5. |
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WCCIS Replacement Proposal PDF 342 KB To consider a report by the Portfolio Holder for Corporate Governance, Planning and Regulatory Services. Minutes: Documents: · Report of the Portfolio Holder for Corporate Governance, Planning and Regulatory Services.
Discussion: · The Chair reported that the item had been deferred for consideration by Cabinet to allow for scrutiny. Clarity would be sought during the meeting and Members would have until Wednesday 9 March to view the document and make further comments on Teams. · The Executive Director confirmed that there were significant, ongoing challenges with the current system which was having an impact on the ability to safeguard and to recruit and retain talent. The system was unreliable and there was little confidence in it. The Head of Economy and Digital Services had been commissioned to produce an options report. · The Head of Economy and Digital Services summarised the report for Members’ benefit detailing the background and work that has been undertaken to rectify issues together with proposals for alternative options. · Members were concerned that the Authority would be breaking away from an agreement with other local authorities and the Health Board. · The national team had come to similar conclusions but appeared to be committed to progress with WCCIS · There was concern around the risk to the budget in 2023/24 and the time available if a new system was to be implemented ahead of the expiry of the current contract in the spring of 2024. · Users of the system are quite clear that its continued use is untenable whilst acknowledging the time and effort that would be required to introduce a new system · The Executive Director highlighted the risk of continuing with the current system – safeguarding, liability for the organisation in terms of reputational damage. It was also impacting upon the ability to recruit and retain staff and was having a negative affect on the wellbeing of the workforce. · The Portfolio Holder was concerned that the risk remained at the highest level despite mitigation · The Committee asked if the Health Board were aware of the contents of the report and what their response had been, and similarly, with the national working group. The BestGov report had been shared with the Chief Executive of the Health Board. Issues raised include data sharing across different systems. This would be a fundamental element of any new project but the sharing of data across different systems was possible with cloud-based technology. At a national level, there is an appetite to continue with a revised version of the current system. This was also an option under consideration by the Authority. · The Committee asked for examples of other health boards and local authorities sharing data across separate systems. This could form part of soft market testing of alternative options but was also currently possible given that some of our clients are placed in other authorities. · Legal advice regarding early exit from the contract has been obtained from Legal Services. The Committee asked if they could have sight of this information and were keen that Cabinet also be informed as part of the debate.
Outcomes: · The legal advice obtained regarding the early termination of ... view the full minutes text for item 6. |