Agenda and minutes

21.1     The decisions made by the Lead Member on 16^th August 2021 were agreed as a correct record subject to the addition of a note that Cllr Ungar submitted representations.

Disclosure by all Members present of personal interests in matters on the agenda, the nature of any interest and whether the Members regard the interest as prejudicial under the terms of the Code of Conduct.

22.1     There were no disclosures of interest.

Notification of any items which the Lead Member considers urgent and proposes to take at the appropriate part of the agenda.

23.1     There were no urgent items.

24.1     The Lead Member considered a report seeking agreement to consult with independent sector care providers and amend the Terms and Conditions for the Framework Contract following the outcome of the consultation.

24.2     The Lead Member RESOLVED to:

1. Agree to consult with independent sector care providers from October-December 2021 in respect of amendments to the terms and conditions for the Residential and Nursing Care Framework Contract Agreement as set out in paragraph 2.1-2.7; and

2. Delegate authority to the Director of Adult Social Care to amend the terms and conditions, following consultation with care providers, and take all necessary actions to give effect to their implementation by March 2022.          

Reason

24.3     Clear, concise and current terms and conditions are a key element to a positive contractual relationship with the Councils’ independent sector providers of residential and nursing care; as well as ensuring the delivery of high quality, safe and effective personalised services.

24.4     The proposed amendments to the current terms and conditions are necessary to reflect recent changes in legislation and best practice as well as incorporating the collective lessons learnt throughout the Covid-19 pandemic.

25.1     The Lead Member considered a report seeking agreement to make permanent changes to the service model for the Council’s Directly Provided Learning Disability Day Services, following a comprehensive consultation process.

25.2     The Lead Member RESOLVED to:

1.  Agree to the permanent change to Service Model for Directly Provided Learning Disability Day Services with effect from 18th October 2021, specifically to provide:

•       the service across three sessions per day, rather than as whole days.

•       the service in ‘support bubbles’ of up to 15 clients.

•       sessions based in the community that are independent of the building-based service;

2.  Delegate authority to the Director of Adult Social Care to take all necessary actions to give effect to the implementation of the revised model of delivery;

3. note the summary of the outcome of the staff consultation (Appendix 1);

4. note the summary of the stakeholder consultation (Appendix 2);

5. note the report by POhWER, an independent advocacy service, as part of the consultation process (Appendix 3); and

6. note the summary of the Equality Impact Assessment (Appendix 4).

Reason

25.3     Making the current changes to the service model for the Council’s Directly Provided  Learning Disability Day Services permanent will improve the service offered to clients and parent carers by providing a broader range of options, hours of delivery and locations.  Whilst the vast majority of clients, parent carers and staff are supportive of the service model which has effectively been in place for over a year, support will be provided to those who find this change challenging.

26.1     The Lead Member considered a report seeking approval for the proposed service model changes for the new specialist sexual health service that will launch 1st October 2022.

26.2     The Lead Member RESOLVED to:

1. Approve the proposed changes for the new service model for the specialist sexual health service set out in paragraph 2.6 that will launch on 1^st October 2022 following a procurement process;
2. Delegate authority to the Director of Public Health to take all necessary actions to give effect to the implementation of the revised model of delivery;
3. Note the summary of the Equality Impact Assessment (Appendix 1); and
4. Note the consultation comments on proposed changes to the new specialist sexual health service model (Appendix 2)

Reason

26.3    The proposed changes to the new service model builds on accepted innovations and developments within the specialist sexual health service. This includes the increasing use of online service provision and changes to the way patients access services due to the impact of COVID-19 restrictions. The new service model will increase access for residents in all parts of the county with sufficient mitigation through outreach teams and working with other services to develop clear pathways and a simple service to cater for disadvantaged groups.