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From YouTube: Budget Decision Session - Executive Member for Health and Adult Social Care, 13 January 2021
Description
AGENDA (To view individual agenda items click on the links below)
1. Declarations of Interest 00:00:24
2. Minutes 00:00:35
3. Public Participation 00:00:44
4. Financial Strategy 2021/22 to 2025/26 00:06:59
For full agenda, attendance details and supporting documents visit:
https://democracy.york.gov.uk/ieListDocuments.aspx?CId=740&MId=12613
B
Good
morning,
everyone
welcome
to
the
budget
decision
session
for
myself,
the
executive
member
for
health
and
adult
social
care,
counselor
carol
ronsiman
on
wednesday,
the
13th
of
january
2021,
I'd
like
to
start
by
saying.
I
have
no
particular
declarations
of
interest
that
relate
to
this
meeting
other
than
those
declared
in
my
declarations.
B
C
Thank
you
chair
and
thank
you
for
giving
me
the
opportunity
to
speak
at
this
meeting,
because
I
realized
that
the
issues
around
adequate
funding
for
health
and
adult
social
care
are
very
long-standing
and
deeply
challenging.
But
I'd
like
to
raise
a
few
points
of
concern
and
ask
some
questions
if
I'm
here
so.
Firstly,
I
just
wanted
to
ask
why
now
for
some
of
these
cuts?
C
So
are
these
cuts
designed
to
improve
services,
or
are
they
a
consequence
of
budget
requirements,
because
it
does
not
naturally
follow
that
savings
necessarily
equate
to
improvements
year
on
year?
We're
asking
health
and
care
staff
to
up
their
productivity
to
work
differently
to
do
more
with
less
and
it's
just
not
sustainable.
C
Can
the
member
also
talk
me
through
which
proposals
are
the
highest
risk
both
to
residents
and
in
terms
of
actually
realizing
the
savings,
because
in
previous
years,
we've
seen
multi-million
pound
overspends
in
adult
social
care
and
if
the
same
continues
next
year,
which
savings
will
not
be
met,
and
I
supposed
to
put
it
another
way?
Are
there
any
any
high
priorities
for
you
amongst
these
servings?
Which
ones
do
you
really
want
to
realize?
C
The
next
concern
I
wanted
to
raise
is
that
a
few
of
the
just
suggested
savings.
They
rely
on
the
care
market
to
negotiate
agreed
cost
of
care
placements
with
us,
and
coronavirus
has
really
laid
bare
some
of
the
fragilities
at
the
heart
of
the
care
sector,
with
the
operating
model
that
relies
on
high
occupancy
rates
being
broken
at
the
moment.
So
many
of
the
savings
we
suggest
can
be
made
within
the
budget.
C
So
do
we
run
the
risk
of
losing
any
good
will
from
private
providers
as
we
use
this
opportunity
to
seek
financial
serving
in
the
short
term
when
it
comes
to
renegotiating
agreed
cost
of
care
contracts
in
future
years,
because
we
won't
have
the
capacity
to
take
this
on
in-house
and
we'll
have
to
rely
on
the
market
not
to
take
advantage
of
that
fact,
and
can
I
also
ask
for
some
clarification
on
what
exactly
is
the
increase
in
the
independence
sector?
That's
included
within
the
savings
proposals.
C
What
will
the
independent
sector
be
doing
more,
rather
than
us?
Less
of
and
finally,
how
do
we
square
the
cut
of
33
000
pounds
to
restructure
the
public
health
team
with
the
results
of
the
budget
consultation
which
saw
73
of
respondents
and
listing
it
as
the
highest
priority
for
local
people
to
prioritize
our
public
health
response
to
the
pandemic,
including
support
for
mental
health,
and
thank
you
for
allowing
me
to
ask
many
questions
there
this
morning
carol.
B
D
I've
previously
spoken
about
my
own
experience
and
understanding
of
everyday
emotional
financial
struggles
facing
carers,
particularly
unpaid
carers.
An
action
to
support
the
hundreds
of
unpaid
amped
care
and
paid
carers
who
have
given
so
much
during
this
pandemic
were
supported
unanimously
unanimously
at
last.
Full
council.
D
The
scale
and
the
seriousness
of
the
rise
in
depression
and
other
serious
mental
health
issues
over
the
last
year
is
extremely
worrying.
With
many
experiencing
bereavement,
anxiety
and
isolation,
it's
clear
that
there'll
be
long-term
mental
health
impacts
for
so
many
long
long
after
the
pandemic
is
finished.
I'm
happy
to
see
this
recognized
in
the
budget
proposal
and
I'm
sure
the
investment
will
be
able
to
provide
direct
help
to
people
struggling
here
in
the
city,
whilst
investment
and
overall
improvement
of
mental
health
provision
and
support
locally
is,
of
course,
important.
D
Although
I'm
not
very
optimistic
that
that
will
happen
so
really
pleased
that
the
administration
has
been
able
to
step
in
and
pick
up.
Some
of
these
issues
quite
quickly
and
hopefully
help
people
in
the
city
recover
from
the
pandemic
in
all
respects.
Despite
all
the
challenges
that
the
council
is
facing,
thank
you.
B
E
Thank
you
chair,
so
just
to
give
some
of
the
overarching
budget
context.
These
budget
proposals
have
been
prepared
in
the
in
the
context
of
an
unprecedented
financial
challenge
and
uncertainty.
Due
to
the
pandemic,
that's
seen
increased
demand
for
services
and
support,
particularly
in
this
portfolio,
alongside
reductions
in
income
across
all
council
services.
E
The
key
assumption
in
the
report
is
a
proposed
council
tax
increase
of
1.99
plus
a
3
adult
social
care
precept,
and
that
funding
will
be
ring
fenced
to
adult
social
care
services.
We've
identified
pressures
of
just
over
12
million,
so
that
leaves
us
with
a
budget
gap
of
just
under
8
million
to
be
found
from
budget
savings.
E
Just
in
relation
to
something
that
one
of
the
public,
the
public
speaker
said
around
the
33
000
public
health
saving.
I
would
just
also
draw
your
attention
to
the
the
net
nil
position
on
public
health,
because
for
for
the
total
of
183k
of
public
health
savings
that
are
included,
there
is
183k
of
growth
as
well.
So
I'm
sure
sharon
may
wish
to
comment
on
that
later
in
terms
of
the
overall
balance
of
budgeting
public
health
services.
E
So
then,
it
would
just
be
to
point
out
that
the
annexes
to
the
report
outlined
the
detailed
proposals
for
this
portfolio
for
growth,
savings
and
capital,
and
they
also
include
a
summary
of
the
consultation
responses
that
have
been
received
today.
The
consultation
exercise
is
ongoing
and
is
open
for
residents
to
comment
up
to
the
31st
of
january
and
so
I'll
leave
it
there
and
hand
on
to
amanda.
F
Morning,
everyone
thanks
councillor
hunterman
and
thanks
debbie,
as
one
of
the
public
speakers
said
this.
This
is
a
challenging
time
to
be
looking
at
budget
savings,
not
least
because
of
the
long-term
challenges
in
relation
to
adult
social
care
funding,
but
also
because
kovid
has
absolutely
added
to
to
those
challenges
and
increased
demand
in
this
area.
Significantly,
one
of
the
questions
was
are
all
of
these
savings
necessary
and
do
all
of
these
savings
need
to
be
met
this
year?
F
We're
also,
though,
in
a
slightly
different
position
in
the
we
can
now
as
part
of
a
people
directorate,
look
to
maximize
some
of
the
opportunities
that
we
have
around.
How
can
we
work
differently
together
to
offer
services
to
people
who
who
may
be
in
need
of
long-term
provision
that
that
might
be
more
seamless
in
terms
of
transition
from
children's
services
into
adult
services
might
also
be
a
different
way
of
delivering
services.
F
The
other
area
that
a
number
of
the
savings
relate
to
is
around
market
management
and
looking
at
how
we
procure
services
and
how
we
buy
services
differently
and
thinking
about
how
can
we
do
that
on
a
different
and
potentially
bigger
footprint?
How
can
we
work
with
partners
differently
so
that
we
get
more
economies
of
scale
and
hope
that
we
can
achieve
that
through
through
working
differently,
with
with
some
of
our
partner
agencies
and
and
some
other
of
our
neighbours
potentially?
F
G
Yes,
chair
and
so
the
proposals
in
the
budget
for
public
health
are
really
around
how
we
can
realize
savings
by
restructuring
some
of
the
service
areas
in
public
health
and
to
be
able
to
reinvest
that
funding
into
other
priorities.
So
the
government
has
maintained
the
public
health
grant
allocation
and
for
next
year,
but
has
not
increased
it.
We
have
a
range
of
public
health
priorities
that
have
emerged,
particularly
as
a
result
of
the
long-term
impacts
of
the
pandemic
and,
and
so
as
debbie
has
already
indicated.
B
H
H
We
regularly
liaise
with
the
care
quality
commission
and
with
providers
and
in
the
adult
social
care
commissioning
and
contract
team.
We
have
very
active
relationships
with
all
providers
in
the
past
that
meant
going
and
visiting
providers
such
as
care
homes
and
home
care
services
and
seeing
how
they
are
at
the
front
line
we're
doing
that
remotely
now,
but
the
relationships
are
strong
and
we're
able
to
obtain
good
intelligence
and
information
around
what's
happening.
That's
not
to
be
complacent.
B
B
A
Thank
you.
Yes.
Over
the
past
couple
of
years,
we've
developed
an
approach
to
technology
which
is
becoming
much
more
embedded
and
integrated
as
as
business
as
usual,
so
that,
when
we're
now
having
conversations
with
people
in
the
care
and
support
system,
one
of
the
first
things
which
we
do
is
talk
about
the
different
kinds
of
things
which
will
help
people
lead
the
best
kind
of
life
rather
than
talk
about
services.
A
And
some
of
these
are
things
which
are
different
types
of
technology,
things
which
we
can
use
to
both
adapt
people's
environment
so
that
the
environment.
We
don't
need
to
send
as
many
people
in
to
ensure
their
kind
of
safety
and
care
needs,
but
also
things
which
enable
people
to
get
out
in
the
community.
A
You
know,
loneliness
isolation,
those
kinds
of
things.
So
it's
a
mixture
really
of
things
which
are
quite
often
some
phone
app-based
type
of
of
technology,
which
creates
that
connectedness
and
enables
people
to
feel
safe,
but
also
around
technology
in
people's
homes
as
well,
which
enables
people
to
be
more
independent
from
relying
on
calls
from
from
services,
and
that
goes
across
all
age
groups
as
well,
particularly
strong
in
the
work
around
preparation
for
for
adulthood,
but
also
people
with
really
complex
needs
who
are
living
in
independent
living
schemes
and
those
kind
of
areas.
A
We've
run
a
number
of
pilots
over
the
last
year
to
try
and
work
out
some
of
the
best
kits
that
we've
currently
got,
and
we've
got
some
really
really
good
support
from
our
colleagues
in
the
ict
department.
We've
got
a
dedicated
project
team
to
help
us
work
out
the
best
way
to
deploy
that
as
we
work
with
people
and,
as
I
said,
it's
now
embedded
in
the
methodology
which
we
use
in
terms
of
reviewing
people's
support.
B
H
H
The
goal
of
the
better
care
fund
is
around
integration
and
seamless
services
and
prevention
and
building
resilience
so
that
people
can
live
their
own
lives
without
needing
to
be
dependent
on
services,
so
sort
of
building
on
what
michael
was
saying
a
lot
of
the
work
we
do.
There
is
absolutely
in
partnership
and
building
joint
plans
together
so
that
we
can
wrap
services
around
people
where
they
need
them
and
then
get
out
of
their
lives,
so
they're
living
more
independently.
B
E
Yeah,
so
we've
had
787
responses
to
the
when
we
published
the
report,
so
that
was
until
their
third
of
january
and
the
majority
of
people.
So
44
of
respondents
agreed
that
to
balance
the
budget
and
accelerate
recovery,
they
would
want
us
to
increase
council
tax
rather
than
provide
fewer
services,
and
37
of
people
did
support
the
highest
level
of
increase.
E
In
particular,
what
was
encouraging
was
that
55
percent
of
the
respondents
did
support,
taking
the
full
social
care
precept
of
three
percent,
which
I
think
is
encouraging,
given
that
that
funding
is
ring
fenced
to
adult
social
care
and
the
in
terms
of
the
priorities,
the
largest
priority
for
residents
is
to
prioritize
our
public
health
response
to
the
pandemic,
including
support
for
mental
health.
So
again
that
was
encouraging
responses
really
and
coincides,
you
know,
corresponds
with
what
is
in
the
budget
proposal.
B
F
We're
doing
a
a
range
of
different
things.
We
are
trying
to
make
savings
where,
as
I
said
before,
where
we
can
look
to
manage
the
market
differently
or
procure
differently
over
a
bigger
footprint
or
with
with
our
partners.
So
we
get
some
economies
of
scale,
but
most
of
the
the
proposals
that
are
presented
are
about
looking
at.
How
do
we
work
differently?
So
pippa
talked
a
lot
about.
How
do
we
create
services
that
build
resilience
in
people
that
mean
we
don't
have
to
be
part
of
their
lives?
F
I
trained
as
a
social
worker
and
and
kind
of
behind
the
philosophy
of
social
workers
of
a
profession.
Is
that
you're
almost
trying
to
do
yourself
out
of
a
job?
What
you're
trying
to
do
is
intervene
in
people's
lives
for
the
shortest
period
possible
so
that
they
can
live
the
best
life
possible
and
that's
what
we're
trying
to
do
with
the
number
of
the
projects
that
we've
got
outlined
and
the
number
of
proposals
we've
got
outlined
around.
F
How
can
we
have
that
conversation
with
people
about
what
does
your
best
life
look
like,
and
what
can
we
do?
That
means
that
you're
integrated
into
your
community
and
into
those
services
that
naturally
wrap
around
you
to
help
you
live
that
best
life.
So
one
of
the
examples
that
some
of
you
will
have
heard
me
talk
about
before
are
some
of
the
great
programs
that
are
happening
for
young
adults
with
learning
disabilities
that
are
around
things
like
volunteer
schemes.
F
So
one
that
I
like
a
lot
is
a
scheme
called
gig
buddies,
which
is
about
supporting
adults
with
learning
disabilities
to
befriend
people.
Who've
got
similar
taste
in
music
to
them
so
that
they
can
go
along
to
gigs
together.
Now,
that's
a
great
way
to
to
do
something
that
you
really
want
to
do
that
isn't
dependent
on
a
service
it's
about
creating
lifelong
resilient
relationships
in
communities,
rather
than
it
being
a
formal
terror
that
goes
along
with
you.
So
it's
different
approaches
to
delivering
better
outcomes.