Minutes:
The Committee considered a report of the Director of Adults
and Communities which provided information and sought comment on the Framework
for Integrated Personalised Care, which was intended to supersede the Health
and Social Care Protocol (2014). A copy
of the report marked ‘Agenda Item 11’, is filed with these minutes.
Arising from discussion the following points arose:
(i)
In response to a query regarding the proposed
governance arrangements and the process for taking decisions quickly for the
benefit of service users, the Director confirmed that overall governance
arrangements for Leicestershire would be through the Health and Wellbeing Board
whose membership included both NHS and County Council representatives. This
would therefore provide for decision making to be coordinated between local
partner organisations. The Board was also supported by a sub-group, whose
membership included key service provider representatives, which took account of
decisions made by the Health and Wellbeing Board to ensure these were fed into
operational practices. Once the Framework was approved and came into effect it
was thought unlikely there would be any disruptions or barriers to how health
and care services were delivered to individual service users.
(ii)
The new Framework would build on existing
practices and it was expected to improve service delivery outcomes for service
users. In terms of how these outcomes would be monitored, the Director advised
that bi-weekly meetings already took place between health and care partners
across LLR under existing arrangements and these would continue under the new
Framework. Members noted that such meetings provided an opportunity for
individual cases to be reviewed and care responsibilities and costs apportioned
to the appropriate organisation(s).
(iii)
Members noted that a shared care form would be
generated for Multi-Disciplinary Team (MDT) staff to consider how to apportion
responsibilities and costs between Health and Adult Social Care, and that the
Adult Social Care Management System had a funding mechanism built in to support
that process. The Director highlighted
that staff across the MDTs would work to ensure that services were coordinated
effectively so that service users that were entitled to free public healthcare
were not charged for healthcare related tasks. This element would also be
picked up as part of the service user review process and had been built into
delivery and customer expectations service models which would require staff to
ask questions to ensure the service being received was efficient and at the
level expected.
(iv)
The way costs were budgeted for and apportioned
between Health and Care depended on the level of service required. For example,
if a person’s social care needs could be met by the Council with two calls a
day but there were additional health related elements that required a third
call these may be included onto the Council’s system for an invoice to be
issued to charge the relevant NHS Clinical Commissioning Group for the third
call. In other cases, it may be that the
level of service provided was required to be shared equally between both
organisations and therefore costs were apportioned in an equal way.
(v)
Members were assured that staff would continue
to receive appropriate training and be assessed for competency for any task
they were required to undertake. Currently there were two levels of training
that staff in the social care workforce could receive. Training at the first
level was provided to all staff members undertaking a role in social care and
designed for those carrying out generic tasks. Training at the second level was
an enhanced level of training that was designed around individual service user
needs to enable staff to carry out specific tasks to support those needs.
RESOLVED:
(a)
That the update on the work undertaken to review
the existing Health and Social Care Protocol (2014) and proposals to supersede
it with a new Framework for Integrated Personalised Care be noted.
(b) That the Director be requested to give consideration to the comments now raised.
Supporting documents: