Issue - meetings

Meeting: 10/04/2024 - Cabinet (Item 518)

North Devon Link Service (Call in of Cabinet Decision 491 of 13 March 2024)

In accordance with the Scrutiny Procedure Rules, the Chair of the Health and Adult Care Scrutiny Committee (Councillor Randall Johnson) invoked the call-in procedure in relation to the decision of the Cabinet (Minute *491 refers) relating to the North Devon Link Centre.

 

The grounds for the call-in were that there was insufficient information provided to ensure service users’ future support. Scrutiny had not been given the opportunity to receive evidence and additional information to ensure service users will be provided with a person-based support.

 

The Health and Adult Care Scrutiny Committee considered this matter at its meetings on 21st March 2024 and RESOLVED that.

 

(i) the Committee expresses that it is satisfied with the decision of Cabinet but places on record its concerns and the need for further assurance relating to:

 

·               the application and transition of the process as set out for people affected by the closure of link services, as soon as possible;

 

·               the development of community-based solutions to meet the identified needs;

 

·               how any gaps that have emerged have been addressed (noting that flexible resourcing was pledged);

 

·               the emerging long-term pattern of community-based mental health support as a result of this process;

 

·               and that Scrutiny would like to hear the direct experience of people as part of the reporting back; and

 

(ii) that an update is provided to the Health and Adult Care Scrutiny Committee in 6 months.

 

Recommendation

 

That the Cabinet note the recommendation of the Scrutiny Committee and its intention to monitor the position and further notes that the original decision of the Cabinet was implemented with immediate effect following the conclusion of the call-in process.

Additional documents:

Decision:

RESOLVED that the recommendation of the Scrutiny Committee and its intention to monitor the position be noted and it be further noted that the original decision of the Cabinet had been implemented with immediate effect following the conclusion of the call-in process.

Minutes:

Councillors Biederman, Leaver and Whitton attended in accordance with Standing Order 25(2) and spoke to this item).

 

The Cabinet noted that in accordance with the Scrutiny Procedure Rules, the Chair of the Health and Adult Care Scrutiny Committee (Councillor Randall Johnson) invoked the call-in procedure in relation to the decision of the Cabinet (Minute *491 refers) relating to the North Devon Link Centre.

 

The grounds for the call-in were that there was insufficient information provided to ensure service users’ future support. Scrutiny had not been given the opportunity to receive evidence and additional information to ensure service users will be provided with a person-based support.

 

The Health and Adult Care Scrutiny Committee considered this matter at its meeting on 21st March 2024 (Minute *165) and RESOLVED that.

 

(i) the Committee expresses that it is satisfied with the decision of Cabinet but places on record its concerns and the need for further assurance relating to:

 

·               the application and transition of the process as set out for people affected by the closure of link services, as soon as possible;

 

·               the development of community-based solutions to meet the identified needs;

 

·               how any gaps that have emerged have been addressed (noting that flexible resourcing was pledged);

 

·               the emerging long-term pattern of community-based mental health support as a result of this process;

 

·               and that Scrutiny would like to hear the direct experience of people as part of the reporting back; and

 

(ii) that an update is provided to the Health and Adult Care Scrutiny Committee in 6 months.

 

It was MOVED by Councillor McInnes, SECONDED by Councillor Hart, and

 

RESOLVED that the recommendation of the Scrutiny Committee and its intention to monitor the position be noted and it be further noted that the original decision of the Cabinet had been implemented with immediate effect following the conclusion of the call-in process.


Meeting: 13/03/2024 - Cabinet (Item 491)

491 North Devon Link Service pdf icon PDF 346 KB

Report of the Director of Integrated Adult Social Care, (IASC/24/05) on proposals for the North Devon Link Service, attached.

 

An impact Assessment is also attached for the attention of Members at the meeting and is available on the web at the following link -  North Devon Link Mental Health and Wellbeing Service (Update) - Impact Assessment.

Additional documents:

Decision:

RESOLVED that in noting the public consultation undertaken by the CouncilandDevonPartnershipNHSTrust and feedback therefrom;

 

(a) the NorthDevonLinkServiceDrop-inservicesthatrunfromtheLinkCentres inBarnstaple,BidefordandIlfracombe, be closed;

 

(b) that the closureincludes ceasingtheshort-termenablingsupportto thoseservice users inreceiptofCare Act2014 eligibleservices, and to note that the Council and DevonPartnershipTrustwillassistthosepeopleto accessalternative equivalent support; and

 

(c) that the Council work withDevonPartnershipNHSTrustandtheDevonMental HealthAllianceto support all serviceusers in their transition to alternativecommunitysupportovera periodof3 months minimum.

Minutes:

(Councillors Crabb, Leaver and Whitton attended in accordance with Standing Order 25(2) and spoke to this item).

 

The Cabinet considered the Report of the Director of Integrated Adult Social Care, (IASC/24/05) on proposals for the North Devon Link Service, circulated prior to the meeting in accordance with regulation 7(4) of the Local Authorities (Executive Arrangements) (Meetings and Access to Information) (England) Regulations 2012.

 

The North Devon Link Service was established in 1992 to provide a range of social, leisure, support, guidance and educational opportunities for adults with mental health issues that did not require specialist NHS care. The service was delivered in Barnstaple, Bideford and Ilfracombe, based in buildings owned by the Council. It was noted that the Council did not commission any equivalent services elsewhere in Devon. It was funded by the Council and managed by Devon Partnership NHS Trust (DPT) at a cost of £485,000 per year. The Council owned the buildings, but it was the service which was subject to consultation.

 

The Report highlighted that in 2022, national Community Mental Health Framework funding was used to establish the Devon Mental Health Alliance which had been working with local partners to develop services. As a result, local people in North Devon could access mental health support services in ways they could not previously, through GP practices and the wider primary care team. These services were developing in both reach and number. The Council acknowledged the strength of feeling on this matter, but the service was commissioned to meet social care needs, not to provide support for mental health needs that were too complex to be managed in primary care.

 

The consultation took place in February 2023, and the full details of this was outlined in Section 5 of the Report. Following feedback from service users and their representatives, a further consultation ran from 6th November to 6th December 2023 to provide more information and expand on the consultation already undertaken. The results, themes and analysis were contained therein.

 

The Devon Mental Health Alliance (DHMA) was a partnership between six voluntary, community and social enterprise (VCSE) organisations dedicated to providing support for people experiencing challenges in their mental health.  The Alliance worked in partnership with Devon Partnership NHS Trust to develop good connectivity. It provided support to 1500 people each year, and staff were visiting the Link Centres to listen to service users about their needs in order to inform the offer in North Devon. Appendix 1 gave further details on the support offered by the Alliance.

 

Each GP surgery, as part of a Primary Care Network, had a Mental Health Multi Agency Team (MAT) which could offer support in the first instance and refer people to Devon Mental Health Alliance or other community-based services. These services were not available at the time the Link Service started.

 

The successful transfer of the Holsworthy Link service to Holsworthy Youth and Community Hub, a community-led centre which offered a wide range of community support, helped inform the proposals.

 

The table in  ...  view the full minutes text for item 491