Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Monday, 9th January, 2012
Time:
04.00 p.m.
Place:
Lecture Hall, Stockton Library, Stockton on Tees, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Mohammed Javed (Chairman), Cllr Paul Baker, Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Elliot Kennedy, Cllr Ray McCall, Cllr Norma Wilburn, Cllr Mrs Mary Womphrey
Officers:
Martin Tart, Liz Hanley, Ian Ramshaw (CESC); Julie Nixon, Stephen Shaw (DNS); Fiona McKie, Peter Mennear (LD); Lesley King (PPP).
In Attendance:
James Newton (LINk).
Apologies for absence:
were submitted on behalf of Cllr Sylvia Walmsley.
Item Description Decision
Public
ASH
1/11
EVACUATION PROCEDURE
The evacuation procedure was noted.
ASH
2/11
DECLARATIONS OF INTEREST
 
ASH
3/11
MINUTES FOR SIGNING-17TH OCTOBER 2011
AGREED that the minutes were signed by the Chairman as a correct record.
ASH
4/11
DRAFT MINUTES - 28TH NOVEMBER 2011
AGREED that the minutes be approved.
ASH
5/11
LOCAL HEALTHWATCH
- TO CONSIDER THE CONSULTATION IN RELATION TO SETTING UP A LOCAL HEALTHWATCH FOR STOCKTON BOROUGH

AGREED that:-

1. the Committee's views be included in the consultation response;

2. An update on the commissioning of Local HealthWatch be provided in approximately 6 months time.
ASH
6/11
EFFICIENCY, IMPROVEMENT AND TRANSFORMATION (EIT) REVIEW OF MENTAL HEALTH AND LEARNING DISABILITY SERVICES
- TO CONSIDER AN UPDATE ON THE DEVELOPMENT OF OPTIONS FOR THE FUTURE DELIVERY OF LEARNING DISABILITY SERVICES
- TO CONSIDER THE PROJECT PLAN FOR THE REVIEW

AGREED that the report and presentations be noted, and that the options be further considered at the meeting of 20 February.
ASH
7/11
TEES VALLEY JOINT HEALTH SCRUTINY COMMITTEE - UPDATE
AGREED that the update be noted.
ASH
8/11
WORK PROGRAMME

AGREED that the Work Programme be noted.
ASH
9/11
CHAIR'S UPDATE
AGREED that the Chair's update be noted.
4 -6 pm

Preamble

ItemPreamble
ASH
2/11
Cllr Javed declared a personal/non prejudicial interest further to being employed by Tees, Esk and Wear Valley NHS Foundation Trust.

Cllr McCall declared a personal/non prejudicial interest further to being a board member of the Tees, Esk and Wear Valley NHS Foundation Trust and a board member of New Horizons.
ASH
3/11
The minutes of the meeting held on 17th October, 2011 were signed by the Chairman as a correct record.
ASH
4/11
Consideration was given to the draft minutes of the meeting held on 28th November, 2011.
ASH
5/11
The Committee were requested to consider an update in relation to the setting up of Local HealthWatch in Stockton Borough, and also the information in relation to the current consultation, and submit views to the consultation as appropriate.

A letter had recently been received from the Department of Health that confirmed that the deadline for the establishment of Local HealthWatch organisations had been extended to April 2013. At present the LINks contract was due to expire in October 2012. However, it was anticipated that discussions would need to be held with the LINk regarding extending the contract until April 2013.

As part of the commissioning process, the Council was currently undertaking a consultation in order to gain views on how HealthWatch should operate in Stockton Borough. This consultation would end on 17 January 2012.

Lesley King was in attendance at the meeting to provide further detail on the consultation and on how HealthWatch should operate in Stockton Borough.

The Committee recognised that the responsibilities for the new HealthWatch function could not automatically transfer to the LINk. However, Members were keen to ensure that the experience gained through Stockton LINk, built up over several years, and the levels of community engagement that had been achieved were not lost.

Members wished to see that the opportunities for volunteers to participate in the work of LHW were maximised.

The Committee considered that it was important that the role of LHW in relation to its partner organisations and stakeholders was clearly defined so as to avoid perceived conflicts of interest, and to ensure that the public have confidence in LHW as a representative of local residents and service users. Members were particularly keen to emphasise the transparent nature of the Council's relationship with LHW in future arrangements, due to it being both a provider of adult and public health services, and responsible for commissioning LHW in the Borough.

Due to the LHW's future position on the Health and Wellbeing Board, Members were pleased that consideration was being given to ensuring that LHW is able to effectively demonstrate its independence from its fellow Board members as this will be important in ensuring public confidence in LHW.

Members further noted the work being undertaken to understand the work of the PCT's PALS Service as some of their functions will transfer to LHW.

In addition Members agreed to keep a ‘watching brief' on the commissioning process itself. Members were provided with a briefing paper produced by the Centre for Public Scrutiny for information.

It was reported by the LINk that they had held two consultation events in December and they would provide feedback to Lesley King as part of the consultation process.

Members held discussion on the independence of HealthWatch England and were awaiting further guidance from the Department of Health with regard to how it would operate alongside the Care Quality Commission (CQC) etc. Officers were also awaiting confirmation on the funding model for HealthWatch.
ASH
6/11
Members were provided with an update of progress in relation to the EIT review of Learning Disability Services. In the context of anticipated efficiencies alongside service improvements a business plan was in development which would lead to new approaches to commissioning and service delivery.

Members were provided with a presentation which highlighted the following areas:-

- Alternative Respite and Short Break Provision - this highlighted that short breaks enable carers to receive respite whilst at the same time enabling service users to have a positive break from their normal daily routine;

- Existing in-house day service provision - this highlighted the variety of services offered by the in-house team including work skills, life skills, health and care, and citizenship.

It was recognised that in addition to reviewing the operation of the in-house respite centre at Lanark, it was best practice to seek to develop a menu of other options for short breaks for Stockton's clients.

There was a need to examine the opportunities for increasing community based day-time activities whilst providing building based services for those who needed them. Members noted the legal requirement to provide services for those with assessed needs.

The Head of Housing provided a detailed overview of the report. Further work was being carried out across a number of areas detailed in the report. Once the options for future service delivery had been agreed by the Committee and endorsed by Cabinet it was recognised that these would be subject to consultation. It was noted that an event would need to be held for older carers during this. Members noted the sensitive issue of discussing future arrangements for clients with older carers, but also the relatively high numbers of clients who entered services following a ‘crisis' in this area.

Members were concerned about the increasing number of clients requiring services, especially as there had been an increase in clients with dementia also.
ASH
7/11
The Committee were requested to consider an update on the work of the Tees Valley Joint Health Scrutiny Committee.

The minutes of the meeting of 10th October and 21st November were provided for Members' information. The Committee's discussion and decision in relation to the issue of consultant-led orthodontic provision north of Tees was summarised in the Appendix.

At the meeting of 19 December the Committee considered seasonal flu and winter preparedness for the sub-regional NHS. The Committee also considered an overview of the development of Clinical Commissioning Groups across the Tees Valley area. Members would receive further updates on Clinical Commissioning at future meetings.
ASH
8/11
Members of the Executive Scrutiny Committee agreed the Work Programme for Select Committees at their meeting on 20th December, 2011. The next topic for consideration for the Adult Services and Health Select Committee would be Domiciliary Care.

Members were informed that the North Tees CCG, and North Tees and Hartlepool Trust's Quality Account were due to come back to the Committee on 20th February, 2012. Members were also due to receive an update on Momentum at their meeting on 6th February, 2012.
ASH
9/11
Members were informed that a letter would be circulated that detailed the emergency change in Gynaecological Services at North Tees and Hartlepool NHS Trust.

No further update on the proposed consultation into changes to Lustrum Vale Older People's Unit had been received and it was requested that the Scrutiny Officer chase the matter up.

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