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Health and Social Security Scrutiny Panel
Record of Meeting
Date: 9th November 2017
Present | Deputy R. Renouf , Chairman Deputy T. McDonald Senator S. Ferguson Deputy J. Hilton |
Apologies | Deputy G. Southern |
Absent |
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In attendance | Ms S. Duhamel, Director for Employment and Social Security [Item 1] Mr C. Dunne, Director of Adult Services, Health and Social Services [Item 1] Miss K. Boydens , Scrutiny Officer Mr T. Leveridge, Scrutiny Officer Mr A. Harris , Scrutiny Officer [Item 3] |
Ref Back | Agenda matter | Action |
| 1. Records of Meetings The Panel noted and approved the records of its meetings held on 11th, 25th and 26th of October. The Chairman signed the records accordingly. Minor amendments were requested on the record dated 19th October. The Officer explained that the record would be amended and included on the next agenda for approval. |
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30/10/17 Item 1 517/36 | 2. Long-Term Care Scheme The Panel received officials from the departments of Social Security and Health and Social Services. The Panel discussed issues relating to the Long-Term Care Scheme (LTC Scheme) following a meeting with Les Amis on 30th October 2017. The Panel asked the officials to explain the assessment process and the use of a deflator for registered group homes. The officials explained the uniqueness of Les Amis and in particular advised that the services offered by Les Amis varied from providing care in group homes to supporting clients with their own tenancies. The Director of Adult Services explained that clients living in group homes were assessed on an individual basis but a percentage (deflator) was removed from the overall budget. If a client had to leave a group home, a reassessment of the remaining clients' living situation should be undertaken. The Director made clear that the reassessment would be undertaken on their living situation only and not on their care needs. The officials highlighted a specific instance where a reassessment had not been undertaken which had impacted on Les Amis. The officials explained that, aside from this example, the Scheme was working effectively. |
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| The Director of Adult Services explained that the Health Department had previously also provided support to clients in group homes, however had changed the business model to ensure clients were provided with individual packages in the community. The Director of Adult Services also explained that if a client exceeded the LTC level 4 (maximum level under the LTC Scheme) the Health Department would "top up" their benefit. Furthermore, it was advised that the deflator was only applied to the "top-up" supplied by the Health Department. The "top up" budget was a separate budget to the LTC fund and was held and managed within the Health Department. The Panel discussed younger adults in particular who received the LTC benefit. It was calculated that they were left with approximately £35 per week for social and associated activities. The Panel questioned whether this was an adequate amount and whether different amounts should be applied to different age categories. The officials explained that this was a political decision. A brief discussion followed regarding the cost of living in carers when an individual was being supported at home. The Panel questioned whether the co-payment would need to increase to reflect the increase in costs such as water and electricity. The Director of Employment and Social Security explained that this was being explored by the Department. The Panel thanked the officials for their time. The Panel resolved to write to Les Amis to seek further information on the issues raised during the meeting. | KB |
19/10/17 Item 4 517/37 | 3. Redesign of Health and Social Services Governance Model The Panel noted a final draft of its report and a press release. Subject to minor amendments, the Panel agreed that the report would be published on Friday 10th November 2017. | AH |
19/10/17 Item 5 | 4. Living on Low Income: Proposition The Panel noted its draft Proposition and was advised that the manpower and financial implications had been discussed with Treasury Officials. The Officer explained that the draft was due to be discussed with the Greffier of the States. The Panel was advised that a new draft would be circulated for final approval pending the discussion with the Greffier. It agreed that it would draft a press release to accompany the Proposition. | KB/RR |
19/10/17 Item 6 511/2/2 | 5. Future Hospital Review Panel The Panel noted that progress was being made in relation to the review. It noted that the Review Panel would question Ministers on the plans for the Future Hospital during public hearings on 10th, 13th and 16th November. |
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19/10/17 Item 7 511/2/3 | 6. Care of Children in Jersey Review Panel The Panel noted that the Review Panel had met on 8th November to discuss the Council of Ministers' progress on implementing the Care Inquiry's recommendations. It noted that the Review Panel had agreed to question the Chief Minister on progress at regular intervals until the end |
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| of the term. The Panel also noted that the Review Panel was due to meet the Care Commissioner during the week commencing 13th November. |
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19/10/17 Item 8 511/2/4 | 7. Brexit Review Panel The Panel noted that the Review Panel had met with officials from a range of departments. During the meeting officials had provided a general overview of what the departments were doing to mitigate the impact of the UK's exit from the EU on the Island. |
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| 8. Quarterly Hearing with the Minister for Social Security: Question Plan The Panel discussed possible question areas in preparation for the Quarterly Hearing with the Minister on 23rd November. The Panel agreed that the final question plan would be approved via email. |
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| 9. Health Cover for UK/EU students The Panel noted a submission from a member of the public regarding health cover for UK and EU students. The Panel was advised that the Education and Home Affairs Scrutiny Panel was already looking into this issue and that no further action was required. |
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| 10. Consideration of Future Reviews The Panel noted that proposals for a new organ donation scheme were due to be lodged in 2018. It resolved to write to the Minister for Health and Social Services seeking information on the scheme prior to any legislation being lodged. | TL |
| 11. Future Meetings The Panel noted that its next scheduled meeting would take place on 23rd November 2017 at 9:30a.m in the Le Capelain room, States Building. |
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