Venue: Teams Live
Contact: Lisa Richards
To receive apologies for absence.
Declarations of Interest
To receive declarations of interest from Members.
County Councillor D Rowlands declared a personal interest in item 5, North Powys Wellbeing Project.
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.)
There were no disclosures of party whips.
To authorise the Chair to sign the minutes of the last meeting as a correct record.
· Minutes of the last meeting held on 11 September 2020
· The Chair was authorised to sign the minutes of the last meeting as a correct record
To consider the report of the Portfolio Holder for Adult Services and the Programme Business Case.
· Report of the Portfolio Holder for Adult Services
· Programme Business Case
· The Portfolio Holder highlighted the imaginative and needs led project which was being co-designed to enable services to be delivered differently and more effectively
· The Lead for the North Powys Wellbeing Programme gave a detailed presentation on the Wellbeing Programme and outlined the vision and aims of the multiagency wellbeing campus.
· Indicative costs were between £64M and £83M
· Members raised a question in relation to adequate car parking at the site – further analysis will be undertaken, and other land may be used. The preferred site is located close to an existing car park and is conveniently located for public transport. The aim is not to increase car use but to develop ‘walkable towns’.
· Part of the site is designated as being on the flood plain – this area would be the school playing field and the built area was not at risk
· Several locations had been considered and the preferred site chosen. The Portfolio Holder noted that the existing school was in urgent need of refurbishment or replacement which was an added advantage for the site.
· The need for public engagement throughout the project was noted
· A question was raised regarding a similar facility for the south of the County. From a social care perspective, the Model of Care is pan-Powys. There is a very well-developed rural model based around Brecon Hospital and this has provided learning opportunities for the North Powys proposal. In the shorter term, efforts are being concentrated on the North Powys Programme.
· Members raised concerns regarding safeguarding – whilst the structural design could ensure separate entrances etc, communities and people will control the risks. The Corporate Director agreed that this issue and provision of outreach services would be discussed further with the Health Board.
· There were also proposals for housing to be developed on the site – this would likely take the form of flats
· The Chair asked whether the level of funding required would be available – informal conversations have been on going and the Programme has been encouraged to bring the business case together. Further conversations will take place in November and a final decision should be known in the new year.
· It is expected that the programme will be complete by late 2025 or early 2026
· There are many aspects of the model of care which will be delivered regardless of funding
· The project was well received, and the report noted
· The Corporate Director, Childrens and Adults would have further discussions around safeguarding issues
To consider the report of the ICJ Programme Manager.
· Improving the Cancer Journey in Powys
· The Programme Manager summarised proposals to improve the cancer journey for residents in Powys through the three year programme
· The Programme is funded by McMillan and the Manager hosted by the Health Board – it is a partnership of McMillan, Powys Teaching Health Board and Powys County Council
· A successful pilot had been run in Glasgow and the Scottish Government was now rolling the programme out across more rural areas
· When a resident is diagnosed with cancer, the Programme will ensure an holistic needs assessment is carried out to identify what support is required at what time. A key worker would be nominated to undertake the assessment and co-ordinate the support needed. They would also seek to empower the individual.
· The programme consists of three parts
o Firstly to create links with a variety of organisations both inside the County and further afield
o Stage two will develop pilots to determine what model would be most effective within Powys. This is both an opportunity and a challenge as there is no programme to work to – this will develop as the work progresses
o Stage three will develop a business case to take forward the most appropriate model
· The Chair was concerned that the data being used was dated 2017 but this was what was available from Public Health Wales
· The Welsh Cancer Intelligence service shows that there are 12 providers of services
· Whilst end of life care is not within the scope of the project, comments made by Members regarding the lack of provision would be forwarded to the appropriate body
· The Committee asked what was to be scrutinized – the briefing was to provide information to introduce the programme to Members with scrutiny of plans for development taking place at a later date
· The Programme Manager liaises with a number of services within the Council including, Housing, Social Care, Leisure and Libraries – there was limited contact with Education as the programme is aimed at the 18+ age group
· Revenues and Benefits have assisted cancer patients in claiming £700K of benefits
· The pilots will be either geographic or by provision – a decision will be made in the next few weeks
· It was noted that the Key Worker may not be a clinician and Members asked what training that person may have. There was evidence that previous surveys were very process driven. England had been driven by targets which detracted from the individual. However, it had not yet been decided who would be best placed to provide the Key Worker role.
· Funding of £571K had been provided by McMillan to support the project but other grants could be accessed
· The report was welcomed
· Scrutiny of pilot projects would be considered at a future date
To consider the report of the Portfolio Holders for Adult Social Care and Corporate Governance, Housing and Public Protection.
· Report of the Portfolio Holders for Adult Services and Corporate Governance, Housing and Public Protection
· Impact Assessment
· The Committee had previously considered the transfer of Neuadd Maldwyn for Extra Care Housing and the agreement of Cabinet had been obtained
· Funding was available from the Welsh Government during the current year and it was hoped that the project could be signed off as soon as planning consent had been obtained
· The Committee asked what would happen to the asset should there be difficulties in the future – the Authority was well versed in the transfer of assets and any agreement would specify the function of the property for a lengthy period of time. The Authority would have the right to clawback the asset if this was not fulfilled.
· Members thought that it may be more expensive to convert an existing building, particularly one that was Grade 2 listed, than build a new facility – a new build would likely be cheaper but the location of Neuadd Maldwyn had clear benefits as it was on a level site, was close to the centre of town and was easily accessible
· The scheme was valued at £11M – the Authority would be contributing the building to the project with a Social Housing Grant of £5M, Integrated Care Grant of £2.5M and the remainder £4.866M being provided by Clwyd Alan
· A letter had been circulated to Members from Accessibility Powys questioning the age restriction of 60+ for the units which would prevent younger, disabled people taking up residence. The Head of Commissioning informed the Committee that there were two projects in Welshpool which were providing 10 apartments for younger people with disabilities. Although the project had been delayed due to the pandemic, it was expected that the first residents would be moving in in January 2021. Another opportunity at Chalfont exists for a further three apartments to be provided for younger residents with disabilities.
· Chalfont has been used as a shelter for those fleeing from domestic violence and the Committee was assured that alternative, more suitable provision had been made and that the service had not been withdrawn
· A further question regarding the wording around risk in the Impact Assessment was noted – the wording was part of a corporate template and had not been added by the service
· The Committee support the proposals to transfer Neuadd Maldwyn to ClwydAlan for the purpose of provision of Extra Care Housing
To note the dates for future meetings and the proposed work programme:
· 2 November 2020, 10 am
o Safe Accommodation for Children with Complex Needs
o Child Exploitation Strategy
· 10 December 2020, 2pm
o Early Help Strategy
o 16+ Accommodation
· 20 January 2021
· 28 January 2021
The following dates and topics were noted:
2 November 2020, 10 am
· Safe Accommodation for Children with Complex Needs
· Child Exploitation Strategy
· Feedback from the CIW Performance Evaluation Inspection and Improvement Conference
10 December 2020, 2pm
· Early Help Strategy
· 16+ Accommodation
20 January 2021
28 January 2021
The Working Groups would consider the budget in mid-December.
Members were concerned that a forward work programme needed to be formulated whilst recognising the workload within the service was increasing again due to the pandemic.
· The Corporate Director, Chair of Committee and Lead Members of both working groups would meet to discuss a forward work programme whilst recognising that non-essential work has been delayed