Older Peoples Partnership Board

Orchard Park Community Centre, Cambridge CB4 2EZ

30 Nov 2015
Minutes
Present
CB Charlotte Black
TC Tracey Cassidy
SC Sally Cleghorn
CC Cllr Sandra Crawford
GC Gloria Culyer
FD Frances Dewhurst
PD Peter Durrant
JE Jenny Egbe
LF Lisa Faulkner
PG Pat Gay
SG Sarah Gove
RJ Rita Jones
DM Diarmid MacKenzie
BM Beth McCabe
RM Ruth McCallum
MM Margaret Moffat
SL Sue Last
LO Lynne OBrien
BP Barry Payne
AS Anne Streather
FW Frances Swann
AT Ann Tait
CT Charlotte Taylor
BW Brian Walker
JW Jane Wisely

Service Director, Older Peoples Services, CCC

Supported Housing Manager, South Cambs DC
Admin Officer, Cambridgeshire Alliance
Adults Committee, Member for Cherry Hinton
Chair of Board, Chief Executive, Age UK Cambridgeshire,
Director, Cambridgeshire Hearing Help
Independent older person
Independent older person
Strategy Manager, Cambridgeshire County Council
Independent older person
Fenland District Council
Services Manager, Alzheimers Society
Independent older person
Development Officer, Cambridgeshire Alliance
CEO, Care Network
Independent older person
Ass Director Comms & Public Engagement, CCG
Service Development Manager (Older People), CCC
Independent older person
Chief Executive, Cam Sight
Supported Housing Manager, Cambridge City Council
Independent older person
Strategic Development Manager, CCC
Chair, Cambridgeshire Older People Enterprise (COPE)
Head of Leisure & Health, Hunts District Council

1. Welcome and apologies

Apologies: Helen Brown, Arnold Fertig, Andra Grosbois, Kate Hales, Enid
Wheatley.

2. Update from the Older Peoples Team

The presentation was circulated.
There are still a lot of changes to come. The proposals have not yet
been ratified by the Council.
The majority of savings will come from the Children, Families and Adults
budget because this is the largest expenditure.
Most of the budget is for people who need care. The challenge is what
can be done to reduce the cost of care.
2016/17 budget there will be 3m less available.
The delivery of services needs to change i.e. will not wait until someone
reaches crisis point.
Social care needs to be more aligned with NHS/ Health services e.g.
community services, GPs.
Aims to protect the Re-ablement Service.
CB talked about the acceptance of an element of risk. Suggested this
could be more person-centred.
The effective implementation of Transforming Lives could reduce costs.
The recent government announcement on Council Tax is still being
considered.
Are committed to working with UnitingCare on integrated pathways.
Q&A
PD unless CCC works with older people at a grass roots level it wont work
CB emphasised that a lot of time had been spent discussing this with UC
AS felt that assessments could be more timely and delivered in a more
person-centred way.
CB the idea that if an assessment has already been done it could be
accepted has been discussed.
PG raised the possibility of delegating functions to the 263 Parish Councils in
Cambridgeshire.
a/ There is potential for grass roots to be the focus for certain aspects
of social care. There is a need for a quickly turned round research project on
this, done in 8 weeks. PG cited the examples of Buckinghamshire and
Torbay.
b/ Older People over 75 have very different needs from the recently
retired. There is no handbook for them. She has given her paper on this 4th
Age group to Sunny Singh, Adult Social Care.
CB Local discussions on Transforming Lives have shown that social work
teams need to be more patch-based. Then they would be in a position to
approach the Parish Councils. CB added that she would value a practical
discussion on this.

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BP could members work together on PGs suggestions?

CB would be keen to see this happen
Action: BM agreed to take this forward.
GC asked
a/ Will the governments recent proposal on Council Tax be ring-fenced
for adult social care?
CB - still working on the practical implications.
b/ how are discussions with UnitingCare and integrated pathways on
joint commissioning progressing?
CB - the County Council is not ready to put everything into that but should be
working on shared commissioning.
TC - housing related support has had reductions
LO - some changes have been made to accommodation based services.
There has been a reduction in hard-wired alarm services.
Action: LO will check and send information to BM for circulation.
3. Independent Older Peoples feedback
Board agreed that most of the discussion will be during the Building Resilient
Communities item.
PD was encouraged by the pre-meeting. He suggested independent members
should communicate between board meetings.
BP and PD commented that they had had no feedback from the meeting with
SS.
Action: CB will take this back.
CB has had feedback from the Early Help meeting which will feed into changes
on the Contact Centre and plans for the Early Help Team. They should be
working more closely together.
4. Break
5. Building Resilient Communities Strategy
The Strategy and discussion paper were circulated before the meeting.
The strategy is about how to work better with local people and services
because that is how people prefer to receive care and services.
It is aligned with Transforming Lives.
Community Navigators the Council is still consulting on a new
Navigator contract.

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Q&A
PD felt there was no reciprocal debate between the Council and older people.
GC clarified that independent board members had met beforehand and
discussed the strategy.
BP - independent members need feedback when they have taken part in a
consultation.
PD said Histon and Somersham are already implementing some of the ideas.
CC asked for feedback on how Transforming Lives was working.
LF said there had been an independent evaluation of the Community
Navigators programme.
Action: RM will send BM the evaluation for circulation.
Action: BM will circulate Sunny Singhs presentation on Community
Navigators.
FD Cambridgeshire Hearing Help has over 100 volunteers. She would like to
see a developed analysis of who the volunteers are as mentioned in the
strategy paper. Volunteers are valuable for providing local information.
LF welcomed offers of support. She assured the Board they do spend time
speaking to voluntary organisations. It may be that contact should be more
formalised.
RM supported FDs remarks
a/ accepting risks e.g. working at weekends. Care Network has 200
volunteers.
b/ She has the impression that traditional volunteers are not so numerous.
Volunteers could come from working people or those who have more support
needs.
BM a/ has there been any co-production on producing the strategy?
b/ the strategy is at a high level. Would like to see more concrete examples
of how it could be done.
JE how would the County Council pull these different organisations together?
PD should be looking into the possibility of uniting different organisations.
LF - that is coming.
MM there is some risk to volunteers in independent visiting.
DM gave the example of a village Pastoral Care group which is too small to be
on the radar but which could nevertheless be a model for ways of working.
LF said the strategy is not about formal volunteering. She summarised her
response to the various points raised:
Communications Department is working on local support.
Work on volunteers will reveal where the gaps are.
A volunteer strategy should hopefully cover some of these points.

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On co-production she has been talking to partners.

GC summarised that the Older Peoples Partnership Board and individual

organisations within it would be interested in working with LF on this strategy.
6. 2016 meeting planning
The Board discussed having themed meetings in 2016. In addition to Housing
and Volunteering members suggested Safeguarding, Mental Health, Isolation,
looking at earlier models of community work.
DM GPs are key to peoples welfare. BM reminded the Board that she has
worked to ensure a representative from health attends the Board to bridge the
gap.
GC proposed:
1/ housing
2/ loneliness
3/ safeguarding and mental health
The first two themes could incorporate other suggested themes.
The Board agreed.
Action: BM to follow up
7. Transforming Lives Tier 3
CT gave a brief summary of Tier 3.
Tier 3 is about ongoing support for those who need it
Integrated working is key.
Aim to really listen to what people say they want, having the right
conversation at the right time.
It is based on peoples strengths.
Q&A
PD queried whether strengths included people with dementia, those in poverty
or on medication.
CT acknowledged it would be more of a challenge for some than for others,
but the focus remains on listening and working with the individual.
Early work shows that those who have a care package frequently come back
to social workers about issues other than their care package.
BM asked about people at home alone, about carers and those who are selffunded
CT Early Help and changes at the Contact Centre aim to connect as many as
possible to the care they need.
CC had been asked how to access an advocate.
CT explained that this is currently under consultation.
Action: BM to re-send the Advocacy presentation

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JE asked how people will access Transforming Lives. Will an individual have a
key worker to help them manage the connection between the different tiers?
CT Contact Centre workers will be trained to have exploratory conversations
with callers. They are working with partners to develop link people.
They will use the website, fliers, Early Help system.
GC thanked CT. She suggested members might like to review the strategy at
the next pre-meeting.
8. Adult Social Care Forum
BM reminded all about the Community Navigator workshop on Dec 9th.
BM asked if she should take the concern about lack of feedback to the ASCF.
BP thought it would have helped if the three speakers had been present
together as there had been some overlap and questions were repeated.
Action: BM and GC to discuss how this could be managed.
9. Action Log and next meeting planning
Andrea Grosbois sent the following remarks on the report of her presentation
on Sept 7.
3.1 - there are around 150 organisations who provide services to older people (not
200)
OneCall - can call out emergency community services if needed
Home's Best - if we do nothing the number of people being admitted to hospital will
increase by a third in the 65+ age group over the next 5years.
The phrase "the closures are based on NICE guidance" is inaccurate and should not
be included in the minutes.
There being no further remarks the Minutes from Sept 7 were accepted.
TC, South Cambs Supported Housing Manager, is unable to attend the next
meeting on 7 March. Therefore the Board agreed that the March meeting
theme would be loneliness.
BM on behalf of Lynda Martin, reminded members that the budget proposals
for the Library Service came out last week and asked people to comment on
the Library Review when it happens.
Action: BM will circulate.
Next meeting:
Monday 7 March 2016 10:30 12:30, Ely Library, The Cloisters, Ely CB7 4ZH
Please note that there will be a pre-meeting for independent members which
will start at 10am.

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