Hampshire County Council
Councillors:
78
Wards:
76
Committees:
49
Meetings (2025):
165
Meetings (2024):
156
Meeting
Health and Adult Social Care Select Committee - Hampshire
Meeting Times
Scheduled Time
Start:
Wednesday, 19th June 2024
10:00 AM
Wednesday, 19th June 2024
10:00 AM
End:
Wednesday, 19th June 2024
2:00 PM
Wednesday, 19th June 2024
2:00 PM
Meeting Status
Status:
Confirmed
Confirmed
Date:
19 Jun 2024
19 Jun 2024
Location:
Ashburton Hall - HCC
Ashburton Hall - HCC
Meeting Attendees
Secretary
David Seabrooke
Expected
Independent Group Spokesperson
Co-opted Member
Councillor Cynthia Garton
Eastleigh Borough Council
Apologies
Council Staff
Sillince, Lieneke
Adult Social Care
Expected
Liberal Democrats Spokesperson
Liberal Democrats Deputy
Councillor Adrian Collett
Not required
Liberal Democrats Deputy
Councillor Dominic Hiscock
Apologies
Agenda
1
APOLOGIES FOR ABSENCE
To receive any apologies for absence.
Minutes
Apologies were received from Councillor Tonia Craig (HCC) and Councillor Cynthia Garton (EBC)
2
DECLARATIONS OF INTEREST
All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to Part 3 Paragraph 1.5 of the County Council's Members’ Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Personal Interest in a matter being considered at the meeting should consider, having regard to Part 5, Paragraph 4 of the Code, whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.
Minutes
Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Non-Pecuniary interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.
3
MINUTES OF PREVIOUS MEETING
To confirm the minutes of the meeting held on 21 May 2024.
Attachments:
- Document Minutes of Previous Meeting 11 Jun 2024
Minutes
The minutes from the previous meeting on 21 May 2024 were approved.
4
CHAIRMAN'S ANNOUNCEMENTS
To receive any announcements the Chairman may wish to make.
Minutes
The Chairman welcomed Councillors Peter Latham, Stephen Reid and Patricia Stallard to the Committee as new Members.
It was confirmed that the Working Group had agreed a report of its findings, which would be provided at an additional HASC meeting on Tuesday 17 September that will consider the SP25 proposals.
The Chairman also thanked the current Director of Adults’ Health and Care ahead of his retirement from Hampshire County Council.
It was confirmed that the Working Group had agreed a report of its findings, which would be provided at an additional HASC meeting on Tuesday 17 September that will consider the SP25 proposals.
The Chairman also thanked the current Director of Adults’ Health and Care ahead of his retirement from Hampshire County Council.
5
DEPUTATIONS
To receive any deputations notified under Standing Order 12
Minutes
There were no deputations for the meeting.
6
Hospital Whole System Discharge Performance 2023/24
To consider a presentation by representatives from Hampshire County Council Adult’s Health and Care, Hampshire and Isle of Wight Integrated Care Board and Frimley Integrated Care Board, alongside the draft report to Cabinet, regarding whole system hospital discharge performance in 2023/2024.
Attachments:
- Document Cover report Hospital whole system discharge performance 23 24 11 Jun 2024
- Document Health and Social Care System Resilience Cabinet Report 11 Jun 2024
- Document Hospital Whole system discharge performance 23 24 presentation 11 Jun 2024
Minutes
The Select Committee received a presentation (item 6 in the minute book), from representatives from Hampshire County Council Adult’s Health and Care, Hampshire and Isle of Wight Integrated Care Board and Frimley Integrated Care Board, which provided an overview of key activities undertaken across the Health and Social Care system in 2023/24 to maintain system resilience in the discharge of Hampshire residents from hospital settings. A draft report had also been prepared for Cabinet on 8 July.
The Committee was taken through the methodologies around discharging residents and shared learning as a result of it. National Pathways were also highlighted, the majority of which in Hampshire were Pathway 1 and examples were shared of the various Pathways and the impacts of these. The presentation also covered opportunities to improve as well as examples of successes.
During questions of the officers, Members learned the following:
· Support from GP’s following discharge from hospital remained an area of focus.
· There were four short-term bedded facilities (Clarence Unit, Forest
Court, Willow Court and Ticehurst) that were tactically situated across
Hampshire to enable people to ‘step-down’ from the different Acute settings for bed-based recovery in a nursing led setting. Flow Coordinators help assess and allocate beds depending on the patient's location and availability. Some placements were declined for reasons unknown to the County Council (i.e staffing), resulting in some patients being placed further away from home.
· There were two people on site at Surrey to align the transfer of care across the County border, and the same was in place with Dorset and Wiltshire.
· Physiotherapy availability varied depending on area but effective stroke and rehabilitation was in place in many areas and national funding had been received to further help the service.
· Discharging was available at weekends, but was dependent on the availability of elements such as transport and pharmacy opening hours for required medications.
· Health of patients could fluctuate and change very quickly, meaning that some people discharged were sometimes readmitted shortly after. There was also a risk of people being in hospital for too long, affecting their mobility and confidence and therefore it was important to always try and find a balance.
· Longer-term care requirements were much harder to predict and prepare for than short-term care.
· Pathway 0 needed more research in order to understand the drivers behind it and whether similar statistics existed across all sites in Hampshire, but it was noted that some people required help with something separate to what they had been admitted for, which would affect the statistics, so it was vital to be able to assess all information available.
· Winter funding had been made available, but the spending window was very short and the higher pressures previously experienced in winter were now starting to appear all year round.
· Planning ahead was vital and a care plan was actively encouraged in the same way people planned a Will.
Members agreed that a future update would be welcomed, particular one that detailed reflections and lessons learned for taking forward.
The panel were thanked for their presentation, which was noted by the Committee.
The Committee was taken through the methodologies around discharging residents and shared learning as a result of it. National Pathways were also highlighted, the majority of which in Hampshire were Pathway 1 and examples were shared of the various Pathways and the impacts of these. The presentation also covered opportunities to improve as well as examples of successes.
During questions of the officers, Members learned the following:
· Support from GP’s following discharge from hospital remained an area of focus.
· There were four short-term bedded facilities (Clarence Unit, Forest
Court, Willow Court and Ticehurst) that were tactically situated across
Hampshire to enable people to ‘step-down’ from the different Acute settings for bed-based recovery in a nursing led setting. Flow Coordinators help assess and allocate beds depending on the patient's location and availability. Some placements were declined for reasons unknown to the County Council (i.e staffing), resulting in some patients being placed further away from home.
· There were two people on site at Surrey to align the transfer of care across the County border, and the same was in place with Dorset and Wiltshire.
· Physiotherapy availability varied depending on area but effective stroke and rehabilitation was in place in many areas and national funding had been received to further help the service.
· Discharging was available at weekends, but was dependent on the availability of elements such as transport and pharmacy opening hours for required medications.
· Health of patients could fluctuate and change very quickly, meaning that some people discharged were sometimes readmitted shortly after. There was also a risk of people being in hospital for too long, affecting their mobility and confidence and therefore it was important to always try and find a balance.
· Longer-term care requirements were much harder to predict and prepare for than short-term care.
· Pathway 0 needed more research in order to understand the drivers behind it and whether similar statistics existed across all sites in Hampshire, but it was noted that some people required help with something separate to what they had been admitted for, which would affect the statistics, so it was vital to be able to assess all information available.
· Winter funding had been made available, but the spending window was very short and the higher pressures previously experienced in winter were now starting to appear all year round.
· Planning ahead was vital and a care plan was actively encouraged in the same way people planned a Will.
Members agreed that a future update would be welcomed, particular one that detailed reflections and lessons learned for taking forward.
The panel were thanked for their presentation, which was noted by the Committee.
7
Work Programme
To consider the Work Programme of future agenda items for this Committee.
Attachments:
- Document HASC Work Programme 11 Jun 2024
Minutes
The Select Committee considered the current Work Programme (item 7 in the minute book) and agreed that it would be helpful to receive an update on the Care Home work looked at by the previous Task & Finish Group.
Members also agreed that a further update on the Hospital Whole System Discharge Performance (focussing on lessons learned) would be beneficial.
RESOLVED
The Health and Adult Social Care Select Committee discussed and agreed
potential items for the work programme to be prioritised and allocated by the Chairman of the Health and Adult Social Care Select Committee in consultation with the Director of Adult’s Health and Care.
Members also agreed that a further update on the Hospital Whole System Discharge Performance (focussing on lessons learned) would be beneficial.
RESOLVED
The Health and Adult Social Care Select Committee discussed and agreed
potential items for the work programme to be prioritised and allocated by the Chairman of the Health and Adult Social Care Select Committee in consultation with the Director of Adult’s Health and Care.
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