Adult Social Care & Health Scrutiny Committee
Tuesday, 15th January, 2019 6.00 pm

Venue: Committee Room 2, Town Hall. View directions

Contact: Jonathan Vali  (0161 474 3201)

Webcast: View the webcast

No. Item


Councillors who require a substitute to be appointed should inform Democratic Services by 4.00pm on Thursday, 10 January 2019 (Councillors who wish to arrange their own substitute should inform Democratic Services of their substitute prior to the commencement of the meeting).

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Minutes pdf icon PDF 71 KB

To approve as a correct record and sign the Minutes of the meeting held on 27 November 2018.

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Declarations of Interest

Councillors and officers to declare any interests which they have in any of the items on the agenda for the meeting.

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To consider call-in items (if any).


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Active Community Strategy Consultation including Walking & Cycling Strategy pdf icon PDF 93 KB

To consider a report of the Director of Public Health.


This report paper presents The Active Communities Strategy (ACS) which has recently been developed to promote physical activity in Stockport. There are a number of supporting plans to the ACS. This report also presents the recently revised Walking and Cycling Plan. 


The intention is to consult widely on these two specific strategies/ plans before they are finalised and presented to Cabinet for endorsement.


The Scrutiny Committee is asked to consider and comment on the proposed approaches.


Officer contact: Dr Donna Sager, 0161-474-3928,

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25th Public Health Annual Report pdf icon PDF 57 KB

To consider a report of the Director of Public Health.


The Annual Public Health Report (APHR) is an independent professional report which the Council is statutorily required to commission from its Director of Public Health. This report is a joint report of Dr Steve Watkins (Director at the time of commissioning) and Dr Donna Sager (appointed as Director in September 2018).


The new material in this report focuses on the following issues:-


     Transport and health

     Loneliness and social isolation in older people


     Health Protection update

     Have improvements in mortality slowed down?


The Scrutiny Committee is invited to comment on the draft report prior to submission to the Cabinet.


Officer contact: Dr Donna Sager, 0161 474 3928,

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Medium Term Financial Plan Cabinet Response: Out Budget Choices for 2019/20 pdf icon PDF 77 KB

To consider a joint report of the Cabinet Member for Health and the Cabinet Member for Adult Social Care.


The Cabinet has developed a four year medium term strategy based around five cross-cutting themes. These frame the choices the Council need to make about its budget both next year and in future years, the five themes are:


        Getting the most out of our spending;

        Improving Customer Experience;

        Making sure we have the right property in the right places;

        Sharing services with other organisations;

        An organisation fit for the future.


A suite of proposals have been developed by Cabinet which forms the first phase of this programme for 19/20. Scrutiny has since received a series of updates on the development of these proposals. This report forms the latest update and in line with the update provided to committees in November, particular includes consideration of proposals for 2019/20, prior to Cabinet decision-making in February.


The Scrutiny Committee is invited to comment upon the proposals appended to this report.


Officer contact: Holly Rae, 0161 474 3014,

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Annual Residential/Nursing and Home Care Fee Setting pdf icon PDF 119 KB

To consider a report of the Borough Treasurer.


The report outlines the 2019/20 fee setting proposals for the most significant areas of externally commissioned services within Adult Social Care. The following services are included within the scope of this report.


           Residential and Nursing Care Homes

           Homecare provision offered within an individual’s home

           Day Care services

           Learning Disability Services


The report is designed to be considered in the context of budget setting proposals and describes the proposed fees for 2019/20. This will allow for implementation at the start of the financial year and will provide financial certainty to the market, supporting care providers with their cash flow, as well as supporting the process for assessment of client contributions. It will also prevent internal inefficiency caused by the need to make back payments as well as conforming to good commissioning, procurement practices and will meet both policy and legislative requirements.


The Scrutiny Committee is asked to provide comment on the approach and proposed fee increases for 2019/20 ahead of this paper being presented to Cabinet for approval in February 2019.


Officer contact: Vincent Fraga, 0161-474-4401,

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Portfolio Performance and Resources - Third Update Reports pdf icon PDF 87 KB

To consider reports of the Directors of Adult Social Care and of Public Health.


The Third Update Portfolio Performance and Resource Reports (PPRRs) for the Adult Social Care and Health Portfolios are shorter, and more data-driven, than previous reports, providing highlights and exceptions reflecting progress in delivering the portfolio priorities and budgets since the Mid-Year Report. They include forecast performance and financial data for the Portfolios, where new data is available, along with an update on the portfolio savings programmes.


The new format for the reports has been developed following consultation with the Cabinet Member for Reform & Governance and Scrutiny Committee Chairs. This is linked to proposals contained within the Support and Governance MTFP work stream (presented to Cabinet on 18 December) which include a reduction in capacity for the Policy, Performance and Reform function.  The intention is that this lighter touch report format for Quarter 3 will provide officers with the time to prioritise development of a future, less resource intensive, approach to Performance and Resources reporting and management whilst ensuring that it can continue to provide the level of oversight required for effective scrutiny and decision making.


With a reduced level of detail being provided within the reports, councillors are asked where possible to direct any questions or requests for further information in advance of the meeting via Democratic Services to enable the timely provision of additional information.


The Scrutiny Committee is asked to:

·         Consider the Third Update Portfolio Performance and Resource Reports;  

·         Comment on the new approach and format of the reports as outlined above;

·         Review the progress against delivering key projects, priority outcomes, targets and budgets for 2018/19;

·         Highlight key areas of and responsibility for taking forward corrective action to address any performance or resource issues;

·         Highlight any significant issues or changes to be fed back to the Cabinet alongside the Corporate Performance and Resource Report; and

·         Identify how areas of strong performance and good practice can be shared in other services.


Officer contact: Peter Owston / Paul Graham, 0161 474 3274 / 4674, /

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Agenda Planning pdf icon PDF 56 KB

To consider a report of the Democratic Services Manager.                                                          


The report sets out planned agenda items for the Scrutiny Committee’s next meeting and Forward Plan items that fall within the remit of the Scrutiny Committee.


The Scrutiny Committee is invited to consider the information in the report and put forward any agenda items for future meetings of the Committee.


Officer contact: Jonathan Vali,   0161 474 3186 ,


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Single Commissioning Function for Health and Care within the context of Place-based commissioning in Stockport pdf icon PDF 168 KB

To consider a joint report of the Leader of the Council and the Cabinet Member for Reform & Governance


This report reprises the purpose and objectives of a place-based approach to commissioning that have been outlined in previous Cabinet reports and updates on recent developments to deliver such an approach, working both internally within the Council and with wider partners.


Due to the pressure on health and social care this report further outlines the Cabinet’s position on the consideration and development of a new Single Commissioning Function (SCF) for health and care in Stockport.  Across Greater Manchester the ambition is for single commissioning functions for health and social care and it is the view of the Cabinet that a SCF in Stockport is key to delivering the shared ambition of the Council and wider health and care system partners. This aims to create a more sustainable health & care system driven by improved health outcomes, reduced health inequalities and less reliance on bed-based care.


The Scrutiny Committee is invited to consider the report and the recommendation being proposed for the Cabinet and to comment on them prior to submission to the Cabinet.


Officer contact: Laureen Donnan, 0161 474 3180,

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Adult Social Care Local Account 2017/18 pdf icon PDF 75 KB

To consider a report of the Director of Adult Social Care.


The Local Account forms a key part of the approach to sector led improvement in adult social care, as it is designed to tell citizens how well the Council has done in delivering adult social care against its local priorities, referencing themes from the ‘Think Local Act Personal’ framework for personalised care and support. It also informs citizens of the challenges and the work planned over the coming year.


The Local Account for 2017/18 has been produced in conjunction with Healthwatch Stockport.


The Scrutiny Committee is asked to consider and comment on the Local Account.


Officer contact: Peter Owston, 0161 474,

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