Agenda item

This report sets out motions received for this meeting. 

 

Motion A – proposed by Councillor Perfect and supported by Councillor Joy:

 

‘The Council notes that Medway Council’s statutory role in health is on improving public health, reducing health inequalities, and integrating care services. Established under the Health and Social Care Act 2012, the Council works through its Health and Wellbeing Board to assess local needs via the Joint Strategic Needs Assessment (JSNA) and set strategy, while the Director of Public Health produces an independent annual report on population health.

 

The Council notes the significant change and pressure currently within the local healthcare system including within the Medway NHS Foundation Trust and the Kent and Medway Integrated Care Board (ICB). The Council regrets another change in leadership at Medway NHS Foundation Trust (the Trust) and is concerned about the emerging financial crisis at the Kent and Medway ICB. These changes directly impact the Council's ability to ensure its social care services can be delivered alongside a strongly performing healthcare system, as well as ensuring it can focus on improving public health and reducing health inequalities.

 

The Council notes that Adult Social Care has the most pressure of any division within the Council, with the most recent Round 3 Revenue Budget Monitoring showing a pressure of around £12m, and the fact that Adult Social Care shows growing demand every year, it being widely accepted that additional pressure on the system is created by other parts of the healthcare system failing.

 

The Council resolves to write to the Secretary of State for Health and Social Care to raise concerns regarding the way in which challenges within the current healthcare system could impact on the Council’s ability to provide public services and meet its statutory duties laid out above.’

 

Councillor Mrs Turpin, supported by Councillor Pearce, proposed the following amendment:

 

‘The Council notes that Medway Council’s statutory role in health is on improving public health, reducing health inequalities, and integrating care services. Established under the Health and Social Care Act 2012, the Council works through its Health and Wellbeing Board to assess local needs via the Joint Strategic Needs Assessment (JSNA) and set strategy, while the Director of Public Health produces an independent annual report on population health.

 

The Council notes the significant change and pressure currently within the local healthcare system including within the Medway NHS Foundation Trust and the Kent and Medway Integrated Care Board (ICB). The Council regrets another change in leadership at Medway NHS Foundation Trust (the Trust) and is concerned about the emerging financial crisis at the Kent and Medway ICB. These changes directly impact the Council's ability to ensure its social care services can be delivered alongside a strongly performing healthcare system, as well as ensuring it can focus on improving public health and reducing health inequalities.

 

The Council notes that Adult Social Care has the most pressure of any division within the Council, with the most recent Round 3 Revenue Budget Monitoring showing a pressure of around £12m, and the fact that Adult Social Care shows growing demand every year, it being widely accepted that additional pressure on the system is created by other parts of the healthcare system failing.

 

The Council resolves to

 

1. Write to the Secretary of State for Health and Social Care to raise concerns regarding the way in which challenges within the current healthcare system could impact on the Council’s ability to provide public services and meet its statutory duties laid out above and therefore care for our adult population.

 

2. Request a formal written response from the Department of Health and Social Care within 8 weeks, specifically addressing: - a long term financial strategy for local authorities to ensure they are able to meet the needs of an aging population with increasing complex health needs. - The financial position of the Kent and Medway Integrated Care Board (ICB); - Leadership stability at Medway NHS Foundation Trust; - The impact of NHS pressures on local authority Adult Social Care demand.

 

3. Establish a cross-party task group to review Adult Social Care pressures to enable focused engagement with partners to discuss, understand and work to resolve current areas that are overwhelmed or in danger of becoming overwhelmed and report back to Health and Adult Social Care Overview and Scrutiny Committee within 9 months with: Recommendations to meet demand; Opportunities for improved integration with NHS services.’

 

Amended motion reads:

 

‘The Council notes that Medway Council’s statutory role in health is on improving public health, reducing health inequalities, and integrating care services. Established under the Health and Social Care Act 2012, the Council works through its Health and Wellbeing Board to assess local needs via the Joint Strategic Needs Assessment (JSNA) and set strategy, while the Director of Public Health produces an independent annual report on population health.

 

The Council notes the significant change and pressure currently within the local healthcare system including within the Medway NHS Foundation Trust and the Kent and Medway Integrated Care Board (ICB). The Council regrets another change in leadership at Medway NHS Foundation Trust (the Trust) and is concerned about the emerging financial crisis at the Kent and Medway ICB. These changes directly impact the Council's ability to ensure its social care services can be delivered alongside a strongly performing healthcare system, as well as ensuring it can focus on improving public health and reducing health inequalities.

 

The Council notes that Adult Social Care has the most pressure of any division within the Council, with the most recent Round 3 Revenue Budget Monitoring showing a pressure of around £12m, and the fact that Adult Social Care shows growing demand every year, it being widely accepted that additional pressure on the system is created by other parts of the healthcare system failing.

 

The Council resolves to

 

1.    Write to the Secretary of State for Health and Social Care to raise concerns regarding the way in which challenges within the current healthcare system could impact on the Council’s ability to provide public services and meet its statutory duties laid out above and therefore care for our adult population.

 

2.    Request a formal written response from the Department of Health and Social Care within 8 weeks, specifically addressing: - a long term financial strategy for local authorities to ensure they are able to meet the needs of an aging population with increasing complex health needs. - The financial position of the Kent and Medway Integrated Care Board (ICB); - Leadership stability at Medway NHS Foundation Trust; - The impact of NHS pressures on local authority Adult Social Care demand.

 

3.    Establish a cross-party task group to review Adult Social Care pressures to enable focused engagement with partners to discuss, understand and work to resolve current areas that are overwhelmed or in danger of becoming overwhelmed and report back to Health and Adult Social Care Overview and Scrutiny Committee within 9 months with: Recommendations to meet demand; Opportunities for improved integration with NHS services.’

 

Upon being put to the vote, the amendment was lost.

Councillor Murray, supported by Councillor McDonald, proposed the following amendment:

 

‘The Council notes that Medway Council’s statutory role in health is on improving public health, reducing health inequalities, and integrating care services. Established under the Health and Social Care Act 2012, the Council works through its Health and Wellbeing Board to assess local needs via the Joint Strategic Needs Assessment (JSNA) and set strategy, while the Director of Public Health produces an independent annual report on population health.

 

The Council notes the significant change and pressure currently within the local healthcare system including within the Medway NHS Foundation Trust and the Kent and Medway Integrated Care Board (ICB). The Council regrets another change inleadership at Medway NHS Foundation Trust (the Trust) and is concerned about theemerging financial crisis at the Kent and Medway ICB. These changes directlyimpact the Council's ability to ensure its social care services can be deliveredalongside a strongly performing healthcare system, as well as ensuring it can focuson improving public health and reducing health inequalities.

This includes the appointment of the fifth CEO at Medway Foundation Trust in the last 7 years and a major restructuring at Kent and Medway ICB who are mandated by the Government to reduce staffing costs by 50%. These changes have the potential to impact delivery of social care services whilst continuing to promote the prevention of poor health and reduce health inequalities.

 

The Council notes that Adult Social Care has the most pressure of any division within the Council, with the most recent Round 3 Revenue Budget Monitoring showing a pressure of around £12m, and the fact that Adult Social Care shows growing demand every year, it being widely accepted that additional pressure on the system is created by other parts of the healthcare system failing.

The Council continues to face challenges in financing Adult Social Care after a legacy of underfunding and rising demand despite recent local investment, increased staffing and a restructuring that has achieved innovative ways of working and embedded cost avoidance strategies. The Council welcomes the Casey Commission with a renewed mandate to come forward with a more sustainable national model for funding Adult Social Care and recognises the efforts and determination of staff to improve services and find more efficient ways of working whilst acknowledging that challenges elsewhere in the Health and Care system are creating new pressures on Adult Social care.

 

The Council resolves to write to the Secretary of State for Health and Social Care to raise concerns regarding the way in which challenges within the current healthcare system could impact on the Council’s ability to provide public services and meet its statutory duties.’

 

Amended motion reads:

 

‘The Council notes that Medway Council’s statutory role in health is on improving public health, reducing health inequalities, and integrating care services. Established under the Health and Social Care Act 2012, the Council works through its Health and Wellbeing Board to assess local needs via the Joint Strategic Needs Assessment (JSNA) and set strategy, while the Director of Public Health produces an independent annual report on population health.

 

The Council notes the significant change and pressure currently within the local healthcare system including within the Medway NHS Foundation Trust and the Kent and Medway Integrated Care Board (ICB). This includes the appointment of the fifth CEO at Medway Foundation Trust in the last 7 years and a major restructuring at Kent and Medway ICB who are mandated by the Government to reduce staffing costs by 50%. These changes have the potential to impact delivery of social care services whilst continuing to promote the prevention of poor health and reduce health inequalities.

 

The Council continues to face challenges in financing Adult Social Care after a legacy of underfunding and rising demand despite recent local investment, increased staffing and a restructuring that has achieved innovative ways of working and embedded cost avoidance strategies. The Council welcomes the Casey Commission with a renewed mandate to come forward with a more sustainable national model for funding Adult Social Care and recognises the efforts and determination of staff to improve services and find more efficient ways of working whilst acknowledging that challenges elsewhere in the Health and Care system are creating new pressures on Adult Social care.

 

The Council resolves to write to the Secretary of State for Health and Social Care to raise concerns regarding the way in which challenges within the current healthcare system could impact on the Council’s ability to provide public services and meet its statutory duties.’

 

Upon being put to the vote, the amendment was agreed.

Decision:

Upon being put to the vote, the substantive motion was carried.

The Council notes that Medway Council’s statutory role in health is on improving public health, reducing health inequalities, and integrating care services. Established under the Health and Social Care Act 2012, the Council works through its Health and Wellbeing Board to assess local needs via the Joint Strategic Needs Assessment (JSNA) and set strategy, while the Director of Public Health produces an independent annual report on population health.

 

The Council notes the significant change and pressure currently within the local healthcare system including within the Medway NHS Foundation Trust and the Kent and Medway Integrated Care Board (ICB). This includes the appointment of the fifth CEO at Medway Foundation Trust in the last 7 years and a major restructuring at Kent and Medway ICB who are mandated by the Government to reduce staffing costs by 50%. These changes have the potential to impact delivery of social care services whilst continuing to promote the prevention of poor health and reduce health inequalities.

 

The Council continues to face challenges in financing Adult Social Care after a legacy of underfunding and rising demand despite recent local investment, increased staffing and a restructuring that has achieved innovative ways of working and embedded cost avoidance strategies. The Council welcomes the Casey Commission with a renewed mandate to come forward with a more sustainable national model for funding Adult Social Care and recognises the efforts and determination of staff to improve services and find more efficient ways of working whilst acknowledging that challenges elsewhere in the Health and Care system are creating new pressures on Adult Social care.

 

The Council resolves to write to the Secretary of State for Health and Social Care to raise concerns regarding the way in which challenges within the current healthcare system could impact on the Council’s ability to provide public services and meet its statutory duties.

 

Motion B – proposed by Councillor Maple and supported by Councillor Perfect:

 

‘Civility in Public Life and the Legacy of Jo Cox

 

This Council notes:

 

• The murders of Jo Cox MP on 16 June 2016 and Sir David Amess MP on 15 October 2021.

 

• That the 10th anniversary of Jo Cox’s murder will take place on 16 June 2026.

 

• That abuse and intimidation remain ongoing issues for elected representatives, including local councillors, with research finding that 72% of councillors have experienced abuse or intimidation in the last 12 months.

 

This Council believes:

 

• That, as Jo Cox said in her maiden speech, “the truth is that we have more in common than that which divides us.”

 

• That abuse and intimidation should have no place in our politics, local or national.

 

• That we should follow the example of Jo Cox, who embraced cross?party working and modelled high standards of respect and civility in public life.

 

This Council resolves:

 

• To mark the 10th anniversary of Jo Cox’s murder by encouraging Members to work with their local communities to organise and promote Great Get Together events.

 

• Continue to support efforts to increase civility and reduce abuse in politics, including through the LGA’s Debate Not Hate campaign.’

 

Decision:

 

Upon being put to the vote the motion was agreed.