Issue - meetings

Kent and Medway Adult Learning Disability and Autism Collaborative Options

Meeting: 14/12/2021 - Cabinet (Item 5)

5 Kent and Medway Adult Learning Disability and Autism Collaborative Options PDF 279 KB

Additional documents:

Minutes:

Background:

This report set out proposals to improve health and social care outcomes for adults with learning disability and autistic people across Kent. This would be achieved by a new NHS Provider and Council ‘Collaborative Agreement’ and a new ‘Section 75 Agreement’ to implement a ‘Whole System Model’. The report proposed that the Cabinet agree to Medway joining this collaborative agreement.

Appendix 1 to the report set out Kent’s Learning Disability and Autism whole system approach. A diversity Impact assessment had been completed and was attached at Appendix 2 to the report.

The report had previously been considered by the Health and Adult Social Care Overview and Scrutiny Committee on 9 December and its comments were set out in an addendum report within Supplementary Agenda No.2. The addendum report also set out revised recommendations to Cabinet to reflect the recommendations made by the Committee.

Decision number:	Decision:

135/2021	The Cabinet agreed Option 2, as set out in paragraphs 3.4 to 3.5 of the report, as this would secure the Council’s place as an equal partner in key decisions with the NHS, which affect how healthcare services and support for Medway’s residents with a learning disability and autistic residents were planned, delivered and held accountable.
136/2021	The Cabinet agreed to ensure that Medway has an equal voice in decision making and service delivery; suitable performance monitoring arrangements are put in place and if the outcomes for Medway residents with learning disabilities and/or autism are not improved to re-consider the model.
	The Cabinet noted that a progress report on the new arrangements, including outcomes, would be reported to the Health and Adult Social Care Overview and Scrutiny 6 months after the start of the new arrangements and a briefing paper after 3 months.

Reasons:

Option 2 will secure the Council’s place as an equal partner in key decisions with the NHS, which affect how healthcare services and support for Medway’s residents with a learning disability and autistic residents are planned, delivered and held accountable.

By negotiating equality in the director post and governance and by undertaking strong commissioning and oversight to the progress of this area of work we feel confident we can provide the Council with a level of assurance that Medway residents will have equality in offer and that quality and innovation is championed.

The model ensures that the Council can apply its broader strategic leadership role and its experience and knowledge across Council Members and officers, in developing solutions with the NHS and other partners including experts by experience that raise the life chances, wellbeing and quality of life of Medway’s autistic residents and residents with a learning disability.