Agenda and draft minutes

There were no Declarations of Interest made at the meeting.

Consideration was given to the minutes of the meeting held on 22nd July, 2013.

Resolved:-  That the minutes of the meeting held on 22nd July, 2013, be approved as a correct record.

The minutes of the Rotherham Safeguarding Adults Board held on 3^rd July, 2013, were noted.

The minutes of the meeting of the Health and Wellbeing Board held on 10^th July, 2013, were noted.

The Chairman reported that there had been 2 events held recently:-

-          LGYH organised an event in Brigg for Health and Wellbeing members.  The main subject was  integration with the message that  for integration of Services to work effectively it had to be at customer level

-          A meeting of the Joint South Yorkshire-wide Health and Wellbeing Boards held in Rotherham – an opportunity for the 4 authorities to get together for the first time to share experiences and good practice across the sub-region

The Chairman also reported on the temporary re-alignment of Cabinet responsibility and that Councillor Lakin and himself would be taking over responsibility for the Health and Wellbeing Board.

The minutes of the Rotherham Learning Disability Partnership Board meeting held on 19^th July, 2013, were noted.

Consideration was given to a report presented by the Finance Manager (Adult Services), which provided a financial forecast for the Adult Services Department within the Neighbourhoods and Adult Services Directorate to the end of March, 2014, based on actual income and expenditure to the end of July, 2013. 

It was reported that the forecast for the financial year 2013/14 was an overspend of £1.886M against an approved net revenue budget of £72.558M. The main budget pressures relate to slippage on a number of budget savings targets including continuing health care funding and implementing the review of in house residential care.  

The latest year end forecast showed a number of underlying budget pressures which were being offset by a number of forecast underspends:-

Adults General Management and Training

·         A slight underspend based on estimated charges 

Older People

·         A forecast overspend on In-House Residential Care due to slippage on implementation of budget savings target and recurrent budget pressure on Part III income

·         Recurrent budget pressures in Direct Payments

·         Underspend on In House Transport. 

·         Forecast underspend on Enabling Care and Sitting Service, Community Mental Health, Carers’ Services and slippage on the recruitment to vacant posts within Assessment and Care Management

·         Overspend on independent sector Home Care due to an increase in demand since April, 2013

·         Overspend on independent residential and nursing care due to an additional 10 admissions in July.  Additional income from property charges was reducing the overall overspend

·         Forecast savings on in-house day care due to vacant posts and moratorium on non-pay budgets

·         Overall underspend on Rothercare due to slippage in Service Review including options for replacement of alarms

Learning Disabilities

·         A forecast overspend on independent sector Residential Care budgets due to 3 new admissions in July and shortfall on Continuing Health Care income

·         Forecast overspend on Day Care due to slippage on implementation of Day Care Review including increase in fees and charges plus recurrent budget pressure on transport

·         Forecast overspend in independent sector Home Care due to increase in demand and slippage in meeting budget savings

·         High cost placements including transitions from Children’s Services in independent Day Care resulting in forecast overspend

·         High cost Community Support placements resulting in forecast overspend

·         Slippage on developing Supported Living Schemes including additional funding from Health and efficiency savings on Service Level Agreements for Advice and Information and Client Support Services was reducing the overall over spend.

Mental Health

·         Projected overspend on Residential Care budget offset by an underspend in Community Support Services

·         Budget pressure on Direct Payments and minor overspends on employees’ budgets due to lower staff turnover and additional overtime

Physical and Sensory Disabilities

·         Continued pressure on Independent Sector Domiciliary Care due to an increase in demand

·         Further increase in demand for Direct Payments

·         Underspend on Community Support as clients were redirected to Direct Payments and underspend on Residential and Nursing Care due to slippage in developing alternatives to residential provision

·         Reduction in contract with independent sector Day Care provider

·         Underspend on equipment and minor adaptations

·         Forecast savings on contracts with  ...  view the full minutes text for item 27.

Resolved:-  That, under Section 100A(4) of the Local Government Act 1972, the press and public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in Paragraph 3 of Part 1 of Schedule 12A to the Local Government Act, 1972 (as amended March, 2006) (involves information relating to finance and business affairs).

Resolved:-  That, under Section 100A(4) of the Local Government Act 1972, the press and public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in those paragraphs, indicated below, of Part 1 of Schedule 12A to the Local Government Act 1972 (as amended March 2006).

Claire Smith, Operational Commissioner, submitted a proposal for the reconfiguration/merge of the homeless provision in order to achieve significant savings and create an efficient/effective delivery process for the provision of housing for single homeless and young people currently provided by Action Housing and Support funded through Supporting People.

The report also contained a summary of the current provision of housing for single homeless and young people.

The changes to the reconfiguration of Service would require significant data analysis in order to alleviate any concerns relating to the quality of provision or the mixing of 2 different client groups into 1 Service.

Resolved:  That, subject to the agreement of the Cabinet Member for Safe and Attractive Neighbourhoods, the proposals to reconfigure/merge the homeless provision be approved. 

(Exempt under Paragraph 3 of the Act – information relating to the financial or business affairs of any particular individual (including the Council))

Michaela Cox, Service Manager, submitted a proposal to offer services to people with complex mental health issues over 65 years through the existing End to End process Teams within Neighbourhoods and Adult Services.

The financial details and risks and uncertainties associated with the proposal were set out in the report submitted.

Resolved:-  (1)  That the proposals contained within the report for the reconfiguration/integration of Service be approved. 

(2)  That a briefing note be supplied to the Cabinet Member for distribution to all Elected Members on the integration of Service.

(Exempt under Paragraph 3 of the Act – information relating to the financial or business affairs of any particular individual (including the Council))

Mel Daniels, Operational Commissioner, submitted a report on the findings of the contract review for Sense Day and Community Provision.

The Service was currently commissioned through both block and spot arrangements.  The review had offered greater clarity and had allowed a series of actions, based on the findings, to ensure value for money was being achieved.

Resolved:-  (1)  That further clarification be sought from the provider on the actual services being provided to individuals including the number of hours supported per week in the day centre/community and the exact ratio of staff to Service user.

(2)  That contract negotiations be commenced.

(3)  That consideration be given to the alignment of budgets across Learning Disability and Physical Disability Sensory Impairment Services to match the actual usage across the client groups.

(Exempt under Paragraph 3 of the Act – information relating to the financial or business affairs of any particular individual (including the Council))