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Meeting Pack Derry City and Strabane District Council Dear Member of Health and Community Committee You are hereby summoned to attend the Monthly Meeting of the Health and Community Committee to be held in the Council Chamber - Strabane Council Offices, on Thursday 15 September 2016 at 4.00 pm Yours faithfully John Kelpie Chief Executive AGENDA 1 Notice and Summons of Meeting 2 Apologies 3 Declarations of Members' Interests Open for Decision 4 Deputations (Pages 1 - 26) Western Health & Social Care Trust: Learning Disability Services – Capitation Share 5 Chairperson's Business 6 Confirmation of the Open Minutes of the Health and Community Committee held on Thursday 7 July 2016 (Pages 27 - 44) 7 Matters Arising 8 Clondermott Sports & Community Shared Space Programme (Pages 45 - 46) 9 Clady Hall Lease Agreement with Clady Cross Community Development Association (Pages 47 - 58) 10 Establishment of Community Development and Leisure Working Group (Pages 59 - 60) 11 Storage Accommodation for Strabane Community Rescue Equipment (Pages 61 - 62) 12 Service Level Agreement with Department of Justice - Enforcement Powers for Storage and Display of Fireworks (Pages 63 - 96) 13 Service Level Agreement with Fermanagh & Omagh District Council - Tobacco Control Services (Pages 97 - 122) 14 Compassionate Cities International Summit (Pages 123 - 126) Open for Information 15 Advice Services Support Programme 2016-2019 (Pages 127 - 128) 16 Social Investment Fund: Community Premises Support Programme Update (Pages 129 - 130) 17 Disability Sports NI Spirit of 2012 Get out Get Active Project Update (Pages 131 - 132) 18 Drinking Water Report for NI: Derry City & Strabane District Council Area (Pages 133 - 162) 19 Street Trading Licence Applications (Pages 163 - 174) 20 Entertainment Licence Applications (Pages 175 - 178) 21 Renewal of Approved Place Status for Registration of Civil Marriages or Civil Partnerships (Pages 179 - 182) 22 Correspondence (Pages 183 - 188) 7 September 2016 Learning Disability Services – Capitation Share Page 1 Briefing 15th September 2016 Agenda Item 4 Overview l Context Page 2 l Next Steps 2000/01 l “ the inherently underfunded nature of the Programme was first identified in 1996 as a deficit of some £4.4 million.” Page 3 WHSSB Learning Disability Report (2000/1) Context : --20002000 --20052005 l A concentrated Resettlement Programme was implemented in the Western area between 2000 – 2005. Given that other Trusts were not at the same stage in their resettlement plans, investment that would have been attributed to the above programme, was invested in community services in other Trusts. This may have resulted in a Page 4 different funding position between Trusts l During this period, parents/carers and Trust representatives met with the Western Board to highlight funding variances and the lack of investment in the West. l As a result of these meetings, the Western Board developed a 3 year plan to further enhance the community infrastructure. 2004 The fourth report of the Capitation Formula Review Group revised significantly the percentage attributable to Learning Disability with the West from Page 5 18.25% to 19.51% (there has been no change to the capitation formula since this report was issued, however, annual updates were made for population etc.) It should be noted that the Capitation formula is a statistical exercise which gives an estimate of the share of funding to Trusts and across Programmes of Care. 2007/08 l 1 April 2007 the WHSCT was established. The merger included the former Foyle and Sperrin Lakeland Trusts which had provided LD services Page 6 across the West. l From this time service planning changed to reflect the change in structures 2009 (April) l The 4 local health and social services Boards were dissolved and the new Regional Health and Social Care Board was formed. l Page 7 Since the creation of the new Board, the Western Trust has received its fair allocation of resources, year on year, for LD services based on capitation. l Every pound of investment in LD has been spent in Learning Disability services. 2013 (August) RQIA carried out a review and produced a report on findings in the document ‘A Baseline Assessment and Review of Community Services Page 8 for Adults with a Learning Disability, August 2013’. As part of the recommendations from the report, the HSCB were requested to review the ‘equity of investment in community staffing across the Board area’. May 2015 In a workshop in May 2015 with Western Trust Board, the Director of Finance of the Health and Social Care Board gave a presentation on equity which highlighted that the Trust had Page 9 more than its overall capitation share of investment and there was a difference in investment across Programmes of Care in the Western LCG area. June 2015 The Trust makes a decision to allocate £350k from its additional recurring allocation as a step towards redressing the balance in Learning Disability. This funding has been Page 10 invested in Phase 1 of a Community Infrastructure Development Plan, employing an additional 9 staff. December 2015 As requested within the RQIA report, the HSC Board shared a report with the Trust which identifies a gap in funding for the West in comparison to other Page 11 Trusts. Given that this report is a ‘working document’ no agreed deficit can be confirmed at this stage without further investigation. February 2016 Consultation is launched in December 2015 by the HSC Board on the proposed changes to the NI Weighted Capitation Formula. The Trust highlights Page 12 that there is a need to review the Learning Disability component of the Capitation Formula as it was last reviewed in 2004 using 2002/03 data. April 2016 l Trust advised by HSC Board that it will receive £2.1 million for Learning Disability services in 2016/17 Page 13 l The Trust will divert additional funds for Phase 2 of the Community Infrastructure Plan employing an additional 11 staff. l This will result in a welcome significant additional investment in LD services in 2016/17. May 2016 l On the 6th May a meeting was held with parents/carers and advocates and Page 14 agreement to work in partnership. Next Steps (May 2016) l Ongoing liaison with the HSCB. l HSCB to update Learning Disability component of Capitation Formula. l Page 15 Establish a working group with families. l Trust making decisions regarding its 2016/17 demography funding l Long term plan to redress balance to be developed. Early Steps taken by the Trust for short term impact – August 2016 l Having received the information at its Trust Board in May 2015, in 2015/16 the Trust drafted a Page 16 phased investment plan for community infrastructure, based on assessed areas of highest need, and allocated an additional £383k to Adult Learning Disability services to make a start on reducing the differential. Table 1: Phase 1 Investment Community Teams £383k 2015/16 Post Total Activity Status 2.0 WTE Band 6 Social Workers £80,000 80-90 caseload Completed 8.0 WTE Band 4 Family Support £303,00 95-100 caseload 5 staff recruited nd Page 17 Workers 2 recruitment round commenced 2.0 WTE Band 5 Managers Total WTE 12 Staff £383,000 High Cost Community Cases and Young People Transitioning (2016/17) 1.8M Learning Disability - £1.8m Cost Pressures Funding 2016/17 Spending Plan Trust Lead: Rosaleen Harkin 16/17 FEITR / Detail GS1 Ref FYE TYE No £ £ Sources of Funding Community LD Cost Pressure - Alloc 001 1,800,000 1,800,000 Sub-total Sources of Funding 1,800,000 1,800,000 Applications of Funding Page 18 High Cost Cases High Cost Client 2015/16 (SS) 22,000 22,000 High Cost Client 2015/16 (SS) 23,000 23,000 High Cost Client 2015/16 (SS) 140,000 140,000 High Cost Client 2015/16 (SS) 79,597 79,597 High Cost Client 2015/16 (SS) 25,000 25,000 High Cost Client 2015/16 (NS) 60,000 60,000 High Cost Case 2016/17 (SS) 177,163 69,409 High Cost Case 2016/17 (SS) 98,464 98,464 High Cost Case 2016/17 (SS) 9,235 5,772 High Cost Case 2016/17 (SS) 228,000 142,500 High Cost Case 2016/17 (SS) 29,512 24,594 High Cost Case 2016/17 (SS) 0 10,772 High Cost Case 2016/17 (SS) 33,000 33,000 High Cost Case 2016/17 (NS) 11,993 7,268 High Cost Case 2016/17 (NS) High Cost Case 2016/17 (NS) Further Estimated Costs For Clients in 2016/17 High Cost Case 2016/17 (SS) 300,000 75,000 High Cost Case 2016/17 (SS) 104,000 104,000 High Cost Case 2016/17 (SS) 200,000 116,667 High Cost Case 2016/17 (SS) 27,000 11,250 High Cost Case 2016/17 (SS) 150,000 75,000 High Cost Case 2016/17 (NS) 350,000 175,000 High Cost Case 2016/17 (NS) 100,000 100,000 High Cost Case 2016/17 (NS) 100,000 100,000 High Cost Case 2016/17 (NS) 50,000 29,167 High Cost Case 2016/17 (NS) 188,000 78,333 High Cost Case 2016/17 (NS) 250,000 104,167 High Cost Case 2016/17 (NS) 170,000 70,833 High Cost Case 2016/17 (NS) 170,000 70,833 3,095,964 1,851,626 Young people transitioning from children’s to adult services (2016/17) 339K (TYE) 678(FYE) Facility Post Cost (TYE) Status Benbradagh 1.2 WTE Band 3 to support 4 transitioning clients £17,100 Recruitment initiated; agency staff will be deployed in the interim Maybrook 1.0 WTE Band 3 to support 1 transitioning client £9,500 Recruitment initiated; agency staff will be deployed in the interim Glenside Reconfigured staffing structure to facilitate 4 transitioning clients £6,100 Recruitment initiated; agency staff will be deployed in the interim Lisnaskea Enterprise Centre 1.
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