Issue - meetings

Report of the Cabinet Member for Health and Adult Social Care seeking approval to consult on two interlinked proposals for an Integrated Service for crisis response, rehabilitation, reablement and hospital discharge, attached.

DECISION MADE: (Ref: 15/16 15107)

On consideration of the report of the Cabinet Member for Health and Adult Social Care and having received representations from a Member of the Council, Cabinet agreed the following:

(i)  To approve that within the consultations the preferred Option is Option 4 which will deliver an integrated service.

(ii)  To approve a formal consultation with relevant staff in the City Council and Solent NHS Trust on Phase One.

(iii)  To delegate authority to the Acting Director of Adult Social Care and Head of Legal and Democratic Services, following consultation with the lead Cabinet Member for Health and Adult Social Care to do anything necessary to give effect to the Phase One proposals incorporating any changes resulting from the staff consultation.

(iv)  Subsequent to consultation, and as a part of the actions in (iii) to facilitate integrated working between Health and Social Care, to approve establishing a Section 113/Section 75 agreement under the National Health Service Act 2006 as appropriate.

(v)  To approve a formal consultation with relevant staff (City Council and Solent NHS Trust), with stakeholders and with service users, carers and family members on proposals for Phase Two, including the potential preferred Option - a reconfiguration of rehab and reablement beds to achieve the most appropriate balance of bed based and domiciliary care to support the integrated service model.

(vi)  To note that there is an indicative net saving in the region of £210,000 to £825,380 to be realised by 2020 if Phase Two of the re-design of services is taken forward. This saving is associated with a predicted reduction in hospital admissions and permanent admissions to residential and nursing homes by investing more into reablement and domiciliary care, and is predicated on re-investment of some of the resources freed up by Phase Two.

(vii)  To note, subsequent to consultation, the final recommended proposal in respect of Phase Two, will be brought back to a Cabinet meeting in 2016 for approval and agreement to implement.