Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
Minutes of the
Enfield Learning Disability
Partnership Board
21st August 2017
This Meeting’s Big Issues Were
1/ Charging Policy 2/ Building Community Capacity
2/ Membership of the Board
Page | 1
Present -
People Who Were There
Niel Niehorster Co-Chair - London Borough of Enfield Head of
Integrated Learning Disability Services
Richard Armstrong Autism and Learning Disability Councillor
Sheila Barry Specialist Participant
Bill Barry Peer Advocate
Louise Collins Deputy Learning Disability and Autism Councillor
Jane Richards Carer2Carer network
Surojit Walawalker (Wally)
Family Carers Champion - Parent Carer and CAPE Chair
Wendy Berry Family Carers Champion - Parent Carer/ CAPE
Bernadette Reigar Parent Carer/ (CAPE)
Naomi Gilder Autism and Learning Disability Councillor, Co Chair
Stephen Smith Autism and Learning Disability Councillor
Elizabeth Taoushanis Autism and Learning Disability Councillor
Sue Wilkinson Advocacy Support, EDA Advocacy Project
Victor Chanaryn Autism and Learning Disability Councillor
Jay Bansal Autism and Learning Disability Councillor
Lesley Walls Specialist Participant – Voluntary Sector
Priscilla Surfraz Acting Manager, Community Nurses
Geoff Lambrick London Borough of Enfield, Service Manager
Assessment and Care Management, Chair
Cllr Ekechi Councillor
Chris O’Donnell Facilitator - Person Centred Planning Coordinator
Paulette Blackwood Acute Liaison Nurse, North Middlesex Hospital.
Page | 2
Shirley-Anne Wheeler London Borough of Enfield Service Manager Equals
Employment
Danny Newland Carers Centre – For Pamela Burke
Sarah McLean SEND Project Manager
Apologies –
People who could not be there
Kellie Scott Autism and Learning Disability Councillor, Co-Chair
Stephen Young Peer Advocate, Formont User Forum
Cllr Christiana During Councillor
Ineta Miskinyte Service Development Manager LBE
Cllr Elaine Hayward Councillor
Katherine O’Donnell Clinical Director Enfield, Barnet Enfield and Haringey Mental Health Trust.
Josephine Carroll Central and North West London NHS Foundation Trust
Tamara McNamara Acute Liaison Nurse, Barnet and Chase farm Hospital
Deanna Rogers Specialist Participant, Voluntary Sector. Champion for Hate Crime
Soobhash Ramphul Acting Manager, Community Nurses
Cllr Sarah Doyle Councillor
Pamela Burke Chief Executive, Enfield Carers Centre
Margaret Denney Autism and Learning Disability Councillor
Guests
Doug Wilson Head of Strategy & Commissioning (presenting)
Page | 3
Chris went through a presentation about the
‘Think Local Act Personal’ Community Capacity Project
Page | 4
Page | 5
Page | 6
The group had these comments on the presentation
There had been a forum called ‘Developing Personalised Outcomes’.
This included family Carers and senior council officers, focused on implementing personalisation.
As personalisation is now standard practice, this group has now
stopped meeting.
Carers have asked council officers about a new forum to replace
this.
Carers felt that a Community Capacity Project was not what
they were seeking at this point.
They also thought it was unlikely to achieve savings. There are
many examples of good practice around Community Capacity already running in Enfield.
Members thought we could learn very little from membership,
apart from some information sharing.
Action – Chris to join the ‘Building Community Capacity’ mailing list and keep the board informed of anything that might be interesting the future
?
Page | 7
Doug Wilson then gave this presentation on the Care
Charging Consultation
Page | 8
Page | 9
Page | 10
Page | 11
The board had these questions about the presentation
Page | 12
Question: Members asked about Council Tax Income. The
Adult Social Care Precept went to fund adult social care services, but
there was also a 1.9% general increase. Did any of this also go to
adult social care?
Answer: No. Most of this extra income went to Children’s
Services.
Question: Of the money that came into Adult Social Care, how
is it spent?
Answer: On Services. About 1/3 went to Learning Disability
Services. Learning Disability and Elderly services are the biggest
areas of growth.
Question: The Independent Living Fund has now closed, and
the money has been transferred to Local Authorities. Has
this been included as extra income?
Answer: No. The ILF money has come to the council, but so has the
cost of the services people had been buying with it. Additionally,
the government built a 5% reduction in the transfer, so the
council is worse off as a result.
Page | 13
Question: In terms of accountability, who was it that made this
proposal?
Answer: It came from the Income Assessment Team.
Members noted their disappointment that no one from this team
was available to come to the board.
Carers also referred to the slide that mentioned 271 people not paying
any care charge. This is because they will have been assessed as
not being required to pay a charge.
One carer asked how most people in Enfield would react if
their Council Tax went up by £100 a month? That is effectively what is
proposed for some of the poorest people in the borough.
There were group discussions and workshops about the
proposal.
These will be sent in as part of the consultation.
These will be sent out separately.
Page | 14
The Board then went through
the new Work Plan
The board were pleased to see the Learning Disabilities and Autism Council adding Equalities and Inclusion to their work
Plan.
Wally pointed out that it can be very difficult to meaningfully include people with profound and multiple learning disabilities.
Wally has experience of this over many years.
Action – Sue and Wally to arrange to meet and discuss ideas for
including people with profound and multiple disabilities in the A&LD council.
Sue said there will be an election for new representatives from
STARS coming up.
Action – The Equalities and Inclusion plan will include the Lesbian,
Gay, bisexual and transgender + community.
Transport
Action - Chris to send out transport policy
Page | 15
Carers.
There needs to be more clarity about the role of CAPE and the Carers Centre.
Action – Sarah McClean, Niel, Wendy and Jane to meet to discuss a
sustainable pathway for carers.
Action –Sarah McLean will contact One-to-One, who are doing some
work around transition (Jane to provide contact details).
Although there have been no PBS sessions with carers for some
time, EILDS would like to resume when the practitioners have
capacity. CAPE will be kept informed.
Autism
Sarah Davis has now left the A&LD council. Faye Medcalf will take
over.
Lesley said that funding for the Autism group has still not been
agreed.
The board noted that Autism work stream would cease unless funding is agreed.
Action – Chris to follow up Autism funding with Ineta
Page | 16
Health.
Richard has coordinated a health survey. He will take it to the next
Health Sub Group.
The board suggested that the health sub group add a priority about
continuing health care.
Action – Chris to add Continuing Heath Care to the work plan
ToRToR
Chris then talked through the Terms of Reference from 2015.
The board suggested some corrections to the language used in the
Tor, to make it more Easy Read.
The board discussed membership, and made some changes to
who will be invited to future meetings.
Page | 17
Question: Carers asked if they could choose which Councillors to
invite.
Answer: No. Individual councillors are nominated to attend different
meetings by the whole council.
ToRToR
Action – Chris will send out an updated Terms of Reference
Page | 18
Current Financial Situation
(-)£3.8M At the end of July EILDS was projecting an over spend of about £3.8 m.
(+)£1.155M
However savings of £1.155m have been identified to be achieved in this financial year.
=(-)£2.5M This leaves about a £2.5m over spend.
It is hoped some one-off moneys and grant moneys will be used
to reduce this figure.
Page | 19
Last Minutes were agreed
Outcomes from February 2017
Who Will do What By When Outcome
Chris Send information on how the new funding for the Autism work stream will be spent.
31st July Deferred until funding is agreed
A&LD Representatives
Make sure support for people with profound and multiple learning disabilities is discussed at their next meeting.
24th May Discussed in minutes
Pamela Feedback to the board on her discussions with Rupa about the next steps for PBS sessions with families.
21st August Discussed in minutes
Pamela Feedback to the board on the progress of the work with the Clinical Commissioning Group to offer carers training on the Continuing Healthcare Process
21st August Defer to next meeting. Danny does offer support to individuals. Carers have a lot of experience to offer as well.
Chris Send information on the ‘Access hubs’ where people can make on the day appointments.
16th June This was done
Chris Provide information on the transitions groups to Elizabeth so that she can arrange to attend
16th June This was done
Chris Produce a top level work plan for 2017 – 19 and circulate with these minutes. Champions can then add specific outcomes before the next meeting.
16th June This was done
Page | 20
Chris Will update the board on the options for paying expenses.
21st August Chris is still following up options through the council. The A&LD council could also pay expenses, but we would need to top up their budget – or set an amount and A&LD Council will invoice annually.
A&LD Representatives
Discuss options for paid work and feedback at the next board
21st August Representatives are happy to attend as volunteers, provided expenses are paid. There may also be paid work as part of their function on the board, for example, escorting members with complex needs to the board.
Ineta Look into a sector wide arrangement where acute hospitals reimburse support costs for people whose behaviour can be challenging when in acute hospital.
21st August deferred
Chris Chase up Library’s after Fusion project has finished.
Via work plan report August 2017
Unfortunately, Chris had to cancel this meeting due to family illness. He will reconvene before the next board.
Page | 21
Any Other Business
Many Blue badge holders are still not aware they are not allowed to park
in personal disabled parking bays.
Carers would like to be involved in consultations at an earlier stage.
If this was agreed it would have to be offered to all groups.
The carers centre could coordinate.
There are still issues about at what stage carers would be involved.
There are now specific CHC nurses in hospitals to do assessments
before people are discharged.
The next Big Issue will be the Voluntary and Community Services Restructure. This had been deferred from the august
meeting due to availability of speakers and to make space for the charging consultation.
Page | 22
Summary of Actions
Who Will do What By When
Chris Join the ‘Building Community Capacity’ mailing list and keep the board informed of anything that might be interesting the future
18/09/17
Sue and Wally Arrange to meet and discuss ideas for including people with profound and multiple disabilities in the A&LD council.
Feedback at
next meeting
Chris Update the Equalities and Inclusion plan to include the Lesbian, Gay, Bisexual and Transgender + communities.
18/09/17
Chris Send out transport policy With next
agenda on 30th
October
Sarah McClean, Niel, Wendy and Jane
Meet to discuss a sustainable pathway for carers Feedback at
next meeting
Sarah McLean Contact One-to-One, who are doing some work around transition (Jane to provide contact details).
Feedback at
next meeting
Chris Follow up Autism funding with Ineta Feedback at
next meeting
Chris Add Continuing Heath Care to the health work plan 18/09/17
Chris Send out an updated Terms of Reference with these minutes.
With next
agenda on 30th
October
Pamela Feedback to the board on the progress of the work with the Clinical Commissioning Group to offer carers training on the Continuing Healthcare Process
Feedback at
next meeting
Chris Update the board on the options for paying expenses. Feedback at
next meeting
Page | 23
Chris Chase up Library’s after Fusion project has finished. Feedback at
next meeting
Page | 24
The ‘Big Issues’ for our meeting on
August 21st 2017 will be….
Meetings for the next year
November 20th
Restructure of Voluntary and Community Sector