Archived decisions

67. DECLARATION OF INTEREST

Members were mindful that, where they believed they

had a personal or personal prejudicial interest in any

matter to be considered at the meeting, they should

normally at the time of the debate declare their interest,

and having regard to the circumstances described in

paragraphs 9, 10, 11 and 12 of the County Council's

Code of Conduct, consider whether to leave the

meeting whilst the matter was discussed save for

exercising any right to speak in accordance with

Paragraph 12 of the Code.

There were no declarations of interest.

68. MINUTES

The Minutes of the Committee held on 30 July 2008 were confirmed as a correct record and signed by the Chairman.

Arising thereon:

a. Minute No. 59b - Brothels

The Chairman reported that the presentation on this item had been deferred following the recent sad death of one of the Women's Institute presenters, Shirley Landels. It was agreed that the Women's Institute be approached with a view to a presentation at the next meeting.

b. Minute No 59c - Dementia Strategy National Consultation

The Chairman thanked Councillors Dowden and Kimber for their input into this and confirmed that a response had been submitted to the Department of Health in September .

c. Minute No. 63 - Joint Health and Social Care Needs Assessment

The Chairman reported that the Needs Assessment had now been published and that copies of the Executive summary were available. The Director of Public Health confirmed that the report was going to The Cabinet in November.

69. CHAIRMAN'S COMMUNICATIONS

a. Local Involvement Networks (LINks)

The Chairman welcomed Amanda Hames, LINk Officer for Hampshire and Jo Bell Contracts and Performance manager for Health Advocacy Partnership, the LINk host.

.

b. Budget and Performance Briefing

The Chairman reminded members that the Committee's budget and performance briefing had been arranged for 9am - 11am on 13 November 2008. She urged all Members to attend

70. MENTAL HEALTH ANNUAL PERFORMANCE-

NATIONAL SERVICE FRAMEWORK; MENTAL

HEALTH ACT AND NATIONAL USER SURVEY

The Director of Adult Services presented a report (Item

5 in the Minute Book) summarising the findings of:

· the Autumn Monitoring of the Mental Health National Service Framework 2007 showing progress and actions to address targets requiring improvement. - Details were given about the outcomes and the work being undertaken on remedies for areas of improvement. This would be replaced next year with a new ten year programme ("New Horizons"). Following discussion Members requested additional information about the outcome of the advocacy review and about vulnerable peoples access to services via the contact centre.

· the use of the Mental Health Act 1983 in 2007/08 including work undertaken by Approved Social Workers in relation to assessments under the Act and the County Council's use of Guardianship. - Details were given of the appointment and work of the Approved Social Workers and the powers of Guardianship. Following discussion Members requested additional information regarding the use of the Mental Health Act compared nationally and clarification about the public safety arrangements, particularly where this still involves police stations

· The National Patient Survey 2008 results for

Hampshire Partnership NHS Trust with

comparison to the previous year's survey

and aspects to be worked on this year. -

since last year work on improving the

numbers of people receiving copies of their

care plan had resulted in an 11% increase in

the rating. This year a decision had been

made to concentrate work on areas where

they had scored in the bottom 20%

nationally; other aspects of care planning

and access to psychological therapy. In

terms of care planning they would be

working on enabling service users to have

more say in their review and make the

content more meaningful for them. Members

requested information about what was

happening with regards Surrey and Borders

Partnership NHS Trust. It was agreed that

the 2009 report should include both

Hampshire and Surrey and Borders

Partnership NHS Trusts results.

71. INDEPENDENT MENTAL CAPACITY ADVOCACY

SERVICE - FIRST TWELVE MONTHS

The Director of Adult Services presented a report (Item

4 in the Minute Book) summarising:

· The background to the Independent Mental Capacity Advocacy Service.

· Performance and outcomes of the first year of the Service in Hampshire, including national comparisons and areas for development.

· Expansion of the Service for the Development of Liberty Safeguards.

There had been no referrals for care reviews.

Members expressed their concern regarding the low

level of referrals regarding all powers under the Act

and, in particular, the low level of health use of the

Act.

It was agreed that the Chairman would write to the

Primary Care Trust to encourage greater attention to

the Act amongst all health professional groups.

Questions were asked about the impact on the armed

forces, no information was currently available and the

Director agreed to try and obtain relevant information

It was agreed that there should be a further update

about the service in 12 months time.

72. LEAD SCRUTINER

Councillor Mrs. Porter withdrew the item she had

requested on Safer Neighbourhood Schemes and it

was agreed to continue with the current Member

areas of interest.

73 ACCESS TO ALCOHOL SERVICES

The Chief Executive presented a report updating on

the progress made with recommendations 6, 11, 13,

15, 16 19, 22 and 25 of the Alcohol Review Panel's

report (Item 9 in the Minute Book). The Director of

Public Health said that all was progressing well with the

implementation of the Alcohol Partnership Board ten

point plan. On the question of duel diagnosis

(Recommendation 25) a project team had been

established to deliver a joint commissioning strategy for

dual diagnosis by April 2009 and it was noted that more

funding was available for substance misuse than

alcohol misuse. It was agreed that the Committee

should receive a further update on the position on dual

diagnosis at its meting in April 2009 and a copy of the

revised workforce substance misuse Health and Safety

policy when it was completed.

74. ROAD SAFETY

The Director of the Environment presented a report

advising the Committee on casualty targets, the most

recent trends in accident data in 2008 and the latest

developments in the main programmes and initiatives

for road safety education, training, publicity and

engineering. (Item 7 in the Minute Book). Details were

given on:

· Progress towards casualty targets.

· Driver education including Pass Plus, Business Driving and the Older Driver Skills Scheme.

· Carriageway surface treatment programme.

· The Village 30 scheme.

· Safer Roads Partnership Driver Awareness Scheme.

· Working with Hampshire Fire and Rescue Service.

There had been a number of significant developments

recently in the delivery of programmes and initiatives to

improve road safety in Hampshire. These initiatives were delivering good results and it was encouraging to note that the trends so far in the records of injury accidents reported to the Police in 2008 had shown a significant reduction. In the spirit of partnership working members requested that the Minutes of the Casualty Reduction Partnership be shared with Road Safety Councils on a routine basis.

75. SUBSTANCE MISUSE STRATEGY REVIEW

The Director of Adult Services reported that the Executive Member for Adult Social Care had recently resolved to go out to consultation on a strategic review of substances misuse services in Hampshire. The review had been prompted by a significant reduction in drugs funding over the next three years and the need to rationalise and consolidate the current commissioning arrangements and provide a robust commissioning strategy for both drugs and alcohol. Members requested a further update about the review in January 2009

76. CURRENT SCRUTINY REVIEW

The Chairman reported that, with agreement, the proposed review on Housing independence for people with disabilities and older adults had been put aside and that following the publication of The Audit Commission report "Don't Stop me now - Preparing for an ageing population" the Committee may wish to consider various aspects of the report for review. It was agreed this was an appropriate way forward and that the Chairman should agree with the officers which aspects of the report to carry out a review on, if members wished to look at particular issues they should contact the Chairman.

RESOLVED:

That the Chairman and officers look at what aspects of

The Audit Commission report "Don't Stop me now - Preparing for an aging population were appropriate to carry out a review on and report back to the next meeting of the Committee

77. CONTRACTS

The Director of Adult Services outlined the work that had been taking place to review the block contracts procedure including looking at procurement for the third (voluntary) sector. The Department was now well placed to support personalisation.

78. COMMITTEE'S WORK PROGRAMME

The Chief Executive presented the Committee's Work

Programme (Item 12 in the Minute Book).

RESOLVED:

That the Committee's Work Programme be approved

subject to the issues raised at this meeting.

A representative from Hampshire Women's Institute be invited to attend the next meeting of the Committee

The Director of Adult Services to provide to the April 2009 meeting of the Committee on the outcome of the review of mental health advocacy and to circulate a copy of the report to the Learning Disability Partnership Board on peoples access to services via the contact centre.

The Director of Adult Services to provide additional information regarding the use of the Mental Health Act compared nationally and clarification about public safety arrangements for circulation to Members before the next meeting.

The Director of Adult Services that the 2009 Mental Health services report includes information from both Hampshire and Surrey and Borders Partnership NHS Trusts

The Director of Adult Services investigates the possibility of gaining information about the armed forces and presents a further report on the Service in 12 months time to include deprivation of liberty safeguards.

The Chairman to write to the Primary Care Trust to encourage greater health use of the Act.

The Committee receives an update on the position with dual diagnosis in April 2009 and a copy of the workforce substance misuse Health and Safety policy when completed.

The Chairman recommend to the Executive Member for the Environment that Casualty Reduction Partnership minutes be routinely shared with local Road Safety Councils.

The Director of Adult Services reports on progress with the substance misuse review in January 2009.

That the Chairman and officers look at what aspects of The Audit Commission report "Don't Stop me now - Preparing for an ageing population were appropriate to carry out a review on and report back to the next meeting of the Committee

The Scrutiny Officer to update the work programme to reflect the Committee's discussions and decisions.