Agenda item

(a)      Health & Social Care in Westminster and the NWL STP

To be moved by Councillor Barrie Taylor and seconded by Councillor Adam Hug:

This Council notes the current critical state of health and social care services for Westminster residents and the respective Authorities plans to deal with ‘Winter Pressures’ and proposals aimed at tackling:

·       Accident and Emergency / Mental Health waiting times / admissions and home discharges

·       The £35m social care deficit identified in the NW London STP

This council believes there is a clear need for improved government investment in NHS and Adult Social care funding in Westminster.  For its part, Westminster Council resolves to assist the process by focusing on issues within its own remit :

·        Take steps to lobby government to provide extra funding in the upcoming budget, in order to tackle the immense shortfall in social care - as identified by the STP

·        Introduce a dedicated year-on-year increase in Adult Social Care spend for Westminster residents, using the government’s Social Care Precept rules and ask Officers to include funding proposals in the budget report to Cabinet (20.2.17).

·        Dedicate CIL and Section 106 funds, particularly from health and social care development sites, to help develop the infrastructure for health and social care integration in Westminster and officers report thereon to the relevant Cabinet Member.

·        Press the government to provide Imperial Trust with up front capital at this stage - to be realised by future sales of NHS property locally (e.g. Samaritan Hospital)

·        Promote the development of Health and Wellbeing Centres, the retention of local GP practices and NHS plans to improve levels of GPs primary care services

·        Support Tri-borough partners Hammersmith and Fulham in their concerns about downgrading of A&E provision in West London.

·        In conjunction with the NHS & local Care Agencies, introduce & publish an Annual Winter Pressures each September to explain actions to overcome yearly pressures

·        Review consultation procedures for Westminster only residents to submit views and opinions on all NHS and Social care plans

·        In view of the arbitrary midyear cuts to Public Health budgets, to ensure Public Health proposals are open to public accountability in Westminster.

12.1    Both the Majority and Minority Parties had selected for debate the Notice of Motion – Adult Social Care which was moved by Councillor Barrie Taylor and seconded by Councillor Adam Hug.

            Councillor Rachael Robathan moved and it was seconded by Councillor Heather Acton that notice of motion be amended as follows:

That the Notice of Motion to be moved by Councillor Barrie Taylor and seconded by        Councillor Adam Hug be amended by the deletion of the words struck through and the addition of the words underlined, as set out below:

            This Council notes the significant pressures facing health and social care services for Westminster residents and endorses the Authorities plans to address these as set out in Westminster's Health & Wellbeing Strategy as part of the STP for NW London. It notes the

            This Council notes the current critical state of health and social care services for Westminster residents and the respective Authorities plans to deal with “Winter Pressures” and proposals aimed at tackling:

·           Accident and Emergency / Mental Health waiting times / admissions and home discharges

·           The £35m social care deficit identified in the NW London STP

            This council believes there is a clear need for improved government investment in NHS and Adult Social care funding in Westminster. For its part, Westminster Council resolves to assist the process by focusing on issues within its own remit:

·           Take steps to lobby government to provide extra funding in the upcoming budget, in order to tackle the immense shortfall in social care - as identified by the STP.

·           Use the social care precept, if approved by the Council on 1 March 2017, introduced by the government, to benefit spending on Adult Social Care for Westminster vulnerable residents.

Introduce a dedicated year-on-year increase in Adult Social Care spend for Westminster residents, using the government’s Social Care Precept rules and ask Officers to include funding proposals in the budget report to Cabinet (20.2.17).

·           Dedicate CIL and Section 106 funds, particularly from health and social care development sites, to help develop the infrastructure for health and social care integration in Westminster and asks officers to report thereon to the relevant Cabinet Member.

·           Press the government to provide Imperial Trust with up front capital at this stage - to be realised by future sales of NHS property locally (e.g. Samaritan Hospital)

·           Promote the development of Health and Wellbeing Centres, the retention of local GP     practices and NHS plans to improve levels of GPs primary care services

Support Tri-borough partners Hammersmith and Fulham in their concerns about             downgrading of A&E provision in West London.

In conjunction with the NHS and local Care Agencies, introduce & publish an Annual Winter             Pressures each September to explain actions to overcome yearly pressures.

·           Ensure all consultations on health and care involve as many groups, communities and individuals as possible in Westminster, as was done for the Health & Wellbeing Strategy, to allow people to understand how changes will affect their own services.

·           Review consultation procedures for Westminster only residents to submit views and    opinions on all NHS and Social care plans.

Welcome the clear format of the Council's annual Public Health Report, which is widely distributed and also available on the Council's website, and sets out Westminster's Public Health priorities and proposals

After debate, to which Councillor Barrie Taylor replied, the Lord Mayor put the amendment moved by Councillor Rachael Robathan and seconded by Councillor Heather Acton to the vote and on a show of hands declared the amendment ADOPTED.

The Lord Mayor then put the motion, as amended, to the vote and on a show of hands declared the motion, as amended, ADOPTED.

RESOLVED:

This Council notes the significant pressures facing health and social care services for Westminster residents and endorses the Authorities plans to address these as set out in Westminster's Health & Wellbeing Strategy as part of the STP for NW London. It notes the proposals aimed at tackling:

·           Accident and Emergency / Mental Health waiting times / admissions and home discharges

·           The £35m social care deficit identified in the NW London STP

            This council believes there is a clear need for improved government investment in NHS and Adult Social care funding in Westminster. For its part, Westminster Council resolves to assist the process by focusing on issues within its own remit:

·           Take steps to lobby government to provide extra funding in the upcoming budget, in order to tackle the immense shortfall in social care - as identified by the STP

·           Use the social care precept, if approved by the Council on 1 March 2017, to benefit spending on Adult Social Care for Westminster vulnerable residents.

·           Dedicate CIL and Section 106 funds, particularly from health and social care development sites, to help develop the infrastructure for health and social care integration in Westminster and asks officers to report thereon to the relevant Cabinet Member.

·           Press the government to provide Imperial Trust with up front capital at this stage - to be realised by future sales of NHS property locally (e.g. Samaritan Hospital)

·         Promote the development of Health and Wellbeing Centres, the retention of local GP      practices and NHS plans to improve levels of GPs primary care services

·           Ensure all consultations on health and care involve as many groups, communities and individuals as possible in Westminster, as was done for the Health & Wellbeing Strategy, to allow people to understand how changes will affect their own services.

Welcome the clear format of the Council's annual Public Health Report, which is widely distributed and also available on the Council's website, and sets out Westminster's Public Health priorities and proposals.