Stockton-on-Tees Borough Council

Big plans, bright future

Adult Social Care and Health Select Committee Minutes

Date:
Tuesday, 12th February, 2019
Time:
4.00pm
Place:
Jim Cooke Conference Suite, Stockton Central library, Church Road, Stockton, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Evaline Cunningham(Vice-Chairman), Cllr Kevin Faulks, Cllr Lynn Hall, Cllr Mohammed Javed, Cllr Lauriane Povey, Cllr Mrs Sylvia Walmsley, Cllr Barry Woodhouse
Officers:
Emma Champley (AS&T ), Rob Papworth, Mandy Mackinnon (AS), Peter Mennear, Marianne Sleeman (DCE)
In Attendance:
Jasdeep Ladhar (Lanehouse Dental Practice), Naveed Majid, Pauline Fletcher (NHS England)
Apologies for absence:
Cllr Lisa Grainge (Chairman), Cllr John Gardner
Item Description Decision
Public
ASH
74/18
EVACUATION PROCEDURE
 
ASH
75/18
DECLARATIONS OF INTEREST
 
ASH
76/18
SKINNER STREET / LANEHOUSE ROAD DENTAL PRACTICE

AGREED:

1. That the information be noted and the merger be supported.

2. NHS would report the outcome of the Stakeholder Engagement and updates on access to local dental services, including the progress of the procurement of new services in Billingham.

ASH
77/18
MONITORING THE IMPACT OF PREVIOUSLY AGREED RECOMMENDATIONS

AGREED:

That the Action Plan be agreed
ASH
78/18
WELL LED PROGRAMME
AGREED:

1. The information be noted
ASH
79/18
TEESWIDE SAFEGUARDING ADULTS BOARD
AGREED:

1. The Annual Report be noted

2. The information requested be provided to Committee
ASH
80/18
MINUTES OF THE HEALTH AND WELLBEING BOARD
AGREED:

That the minutes of the Health and Wellbeing Board were noted.
ASH
81/18
WORK PROGRAMME
AGREED:

The Work Programme be noted.
ASH
82/18
CHAIR'S UPDATE
 
4pm - 5.30pm

Preamble

ItemPreamble
ASH
74/18
The Evacuation Procedure was noted.
ASH
75/18
Cllr Barry Woodhouse declared a non-prejudicial interest regarding item 4, Skinner Street/Lanehouse Road Dental Practice as his son owned a Dental Practice.
ASH
76/18
Members received information regarding the proposed merger of Skinner Street / Lanehouse Road Dental Practice from Jasdeep Ladhar which included the advantages the merger would bring:


- Longer opening hours.

- Same day emergency appointments.

- Larger support staff.

- Choice of Dentist.

- Improved parking facilities.

- A survey was sent to all active patients; feedback was positive.

- An open evening was held on 29.11.18 which was received well.

- There had been difficulties in recruiting to Skinner Street

Pauline Fletcher, Primary Care Commissioning Manager (Dental) NHS England Confirmed that the proposal would be looked at from a contract perspective with consideration given to:

- Both practices are small contracts.

- A larger practice would benefit from robustness.

- There was challenges to maintaining two contracts.

- The provider was asked to undertake Stakeholder Engagement.

- Once engagement has been completed, NHS England would make the decision.


The main issues discussed were as follows:

• Whilst there was no dedicated parking at Lanehouse Road Practice, unrestricted parking was a positive.

• The issue with recruiting Dentists to service the practice could lead to a reduction in patients.

• Contract value was also an issue in recruitment, other positions in Teesside were able to offer more financial incentive, also private practices were recruiting.

• There was a query in relation to a patient stating to a ward councillor that they were not able to receive follow up care at Lanehouse Road, following their initial care at Skinner Street. Mr Ladhar stated that this should not be the case and would investigate further. Details of the Practice would be provided to the relevant ward councillor to explore further. Both practices use the same software so patient records would be synced therefore patients should not be missed.

• Should the 2 practices merge, would the combined units assist with recruitment and retention?

• Discussion took place regarding vulnerable people who would be reluctant to travel further and the capacity for other practices to take on new patients who do not wish to move to Lanehouse Road.

• The Committee noted that should the merger take place, there would be no reduction in overall dental activity. It was noted that there were other dental Practices in the Stockton Town Centre area that were accepting patients should local residents choose not to transfer to Lanehouse Road from Skinner Street.

The Committee had no objections to the proposals and looked forward to future updates on access to local dental services, including the progress of the procurement of new services in Billingham.
ASH
77/18
Consideration was given to the progress of the implementation of previously agreed recommendations from the Scrutiny Review of Gambling which included:

- The recognised partnership between Citizens Advice, Infinity Partnership, Public Health, Suicide Prevention Task Force and Licensing who actively contributed to the proposed Action Plan.

- Screening had been adopted in frontline services on debt financial management which would initiate feedback.

- Secondary schools to be offered CPD on a range of issues relating to gambling.

- The Action Plan had the commitment from Gamcare who would work more closely with the Authority.

- It was considered the Action Plan wold build resilience as part of the larger plan for children and young people in Stockton


The main issues discussed were as follows:


• Whilst Schools and Academies would be offered CPD, the Local Authority was not in a position to enforce take up of the offer.

• It was suggested Public Health liaise with an identified link within schools.

• Public Health do attend Headteacher Forums, it was suggested a contact could also be made with Governing Body Forums etc. Members suggested a brief overview of the plan and detail provided to schools would be useful.

• Stockton Riverside College were already carrying out work to make students aware of gambling; could any collaboration work be done?
ASH
78/18
Members received information regarding the Well Led Leadership Programme for Registered Care Home Managers in Stockton from the Strategic Commissioning Manager, Adult Services which included:

- The Programme was a partnership with Stockton Council and NHS Leadership Academy in order to improve standards of leadership in local care homes, as a common theme in CQC inspection reports had been poor ratings for the ‘Well Led' element of the inspection.

- CQC have been active within the scheme and have offered to deliver on future sessions. Their sessions would focus on why the CQC requirements were important, and an appreciation of how Care Homes operate when their manager is not on site.

- This was the first time the Local Authority have worked with the NHS Leadership Academy on this type of training programme.

- The Programme was a four day commitment from attendees and was currently jointly funded by Stockton Borough Council and the NHS.

- Feedback has been positive from candidates, confirming good practice had been shared within different organisations.

- A certification would be presented on completion of the Programme by NHS England.

- Formal evaluation at the end of the Programme to develop next steps would be carried out. Invitations may be offered to non-Care Home providers and those providers who would benefit from the Programme.

- Phase 2 would be considered after evaluation.


The main issues discussed were as follows:

• The format for the Programme had not been used around the Country previously but could potentially be run in other areas.

• A review would take place of which Providers had signed up to the Programme to ensure the correct members of staff were engaging.

• Discussion took place around the level of compulsion that could be exacted by Stockton Borough Council, it was hoped the reputation of the Programme would eventually see the benefits sell themselves. Care Homes that had not attended to date were mainly rated as ‘Good' by the CQC.

• The qualification recognised for Care Home Managers was Level 5 Leadership in Healthcare and Management.


Ann Workman wanted to acknowledge the Strategic Commissioning Team, Adult Services had carried out around the Well Led Programme. People have shown a keen interest in the programme. Members praised the development of this innovative programme.
ASH
79/18
Members were presented with an overview from the Teeswide Safeguarding Adult Board Annual Report.

The key issues from the service were discussed as follows:

• Members questioned the low amount of completed surveys, how surveys were received i.e. by hand, post etc. The Scrutiny Officer would be informed how many surveys were actually sent out.

• Discussion took place around who reported adult abuse in Care Homes, it was suggested figures be broken down into specific referrers.

• Discussion took place around the difficulty of ownership and proving neglect under law. Each case would be looked at on an individual basis and always should be.

• In many cases it was found that people were reluctant or did not have the knowledge of how to report domestic abuse or modern day slavery.

• It was noted that the report did not contain information relating to DoLS (Deprivation of Liberty Safeguards). Members were informed the Adults Safeguarding Board would receive updates on DoLS but would report back to the Board that this should be included in future Reports.
ASH
80/18
Consideration was given to the minutes of the Health and Wellbeing Board held on 31st October and 19th December 2018 for information.
ASH
81/18
Consideration was given to the Adult Services and Health Select Committee Work Programme 2018-2019.
ASH
82/18
The Chair had nothing further to report.

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