Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 18th October, 2016
Time:
16:00
Place:
Conference Room 2, Municipal Buildings, Church Road, Stockton-on-Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Lisa Grainge(In the Chair), Cllr Sonia Bailey, Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Lynn Hall, Cllr Stefan Houghton and Cllr Allan Mitchell.
Officers:
Liz Hanley, Sean McEneany, Sarah Bowman-Abouna (CESC), Peter Mennear, Gayle Nertney (DCE)
In Attendance:
Cllr Jim Beall.
Apologies for absence:
Cllr Mohammed Javed and Cllr Mrs Sylvia Walmsley.
Item Description Decision
Public
ASH
45/16
DECLARATIONS OF INTEREST
 
ASH
46/16
OVERVIEW OF ADULT SERVICES
AGREED that the report be noted
ASH
47/16
OVERVIEW OF PUBLIC HEALTH SERVICES
AGREED that the report be noted.
ASH
48/16
WORK PROGRAMME
 
4.00 pm to 6.00 pm

Preamble

ItemPreamble
ASH
45/16
There were no declarations of interests made.
ASH
46/16
Members received a report from the Assistant Director of Adult Services. Key achievements were discussed including the service being delivered within budget in the 2015-16 financial year, despite the growth in demand.

Key challenges were detailed within the report, as well as emerging issues, and possible areas for in depth review.

A summary of the annual Local Account Report was circulated to members, which will be published in the November issue of the Stockton News.

The continuing work of the service was discussed within the report. Members were advised that a Principal Social Worker had been appointed and would start on 1 November 2016.

External reviews included a Peer Review of personalisation in December 2015, and Adult Services contributed to a Care Quality Commission Thematic Review of the Integrated Care of Older People.

Key challenges were detailed within the report, as well as emerging issues, and possible areas for in depth review.

Cllr Beall discussed the summary sheet that was distributed, and highlighted that there were no delayed discharges in Stockton-on-Tees relating to social care.

Members enquired on the ICT integration, and their concern that differing IT systems were used between hospitals and the local authority, resulting in a lack of communication and information not being shared. It was discussed that improvements had been made, including the introduction of the Information Sharing Agreement, and the use of NHS numbers as a common identifier which was seen as a big step. It was hoped that Improvements would continue to be made through the Better Care Fund but it was recognised that progress was slower than foreseen. The review of Caldicott Guidance was referenced and it was acknowledged that public information on personal information sharing would be beneficial.

Following the report that there were no delayed transfers due to social care, Members asked how the team was coping with the demand to carry out assessments after discharge, and were advised that assessments were a combination of assessments in hospital, home visits whilst patients were in hospital, and follow up visits at home. Through the Better Care Fund, there was a specific group working to ensure that the practices were safe, as well as ensuring that care costs for people discharged at an earlier stage of the recovery process were not inappropriately being picked up by adult social care. It was advised that it was very rare that somebody was not offered a care package that was not suitable for their needs, however it may not be their first choice. If this offer were declined, then any delay should be recorded as personal choice, and not attributable to social care.

The NHS has proposed to introduce a new model of discharge from hospital called Discharge to Assess. This would see assessments take place following the transfer from hospital settings. It was noted that the Local Authority would only support this model if it could be implemented safely, and that Adult Services were monitoring this closely.

Members commented that they were looking forward to the work with the Social Enterprise pilot to provide Home Care services (Five Lamps).

The CQC Inspections Outcomes for Quarter 2 were distributed amongst members.

All those with ratings of Requires Improvement or Inadequate had plans in place and were being monitored.

Direct Health and Wellburn House had received Inadequate ratings in their last inspections. Both had now been re-inspected and it was hoped that their rating would improve, as significant work had been undertaken to address issues of concern.

The Rosedale Centre was rated as Requires Improvement. All issues had been addressed and there would be a further inspection carried out between November 2016 and January 2017.

It was agreed that where possible, future reports would state the provider's current rating as well as the previous rating, now that all services had been inspected within the current Regulator Framework.
ASH
47/16
Members received a report from the Interim Director of Public Health, discussing the key points. In the last year, Public Health Services had delivered a programme of service reviews to ensure value for money whilst securing health and wellbeing outcomes.

Members were advised that there were five mandated Public Health functions that the Council were required to deliver under the Health and Social Care Act 2012, which were:

- Community Sexual Health Services
- NHS Health Checks
- The National Child Measurement Programme for Children in Reception and Yr6
- Ensuring arrangements are in place to protect the health of the population
- Providing Public Health support for the local CCG

As well as the above functions, the team had also recently taken on responsibility from NHS England for other areas with mandatory elements including:

- Oral Health Improvement
- Drug and alcohol
- Children and young people: 0-19 services

Public Health also carried out non-mandatory functions, which were also inter-related with the mandated elements of the service provision. This year had maintained focus on health inequalities, with important activity for the team being:

- Drug and alcohol treatment
- Tobacco Control
- Oral health in children
- Diet and obesity
- Sexual health
- Mental health including self harm and suicide
- Warm homes
- Risk taking behaviours

The Cabinet Member outlined that the Council would continue to target support on the most vulnerable, and highlighted the policy of 'proportionate universalism'. The Child Oral Health Programme was highlighted as an example of that.

The Health and Wellbeing Board continued to consider opportunities for integration; it had agreed that in Stockton, opportunities for integration would be assessed each time a service area was discussed, on a case by case basis. The first areas to be explored would be SEN and Older People.

Members queried whether the Health Visitor-led Healthchecks would be continued when they were no longer a mandated service in April 2017. It was noted that the Government was seeking views on what the service could look like in the future. The service was taking the opportunity to review the effectiveness of the current approach and there may be scope for a more locally developed service in the future, but agreed that these healthchecks were key for many families.

School nursing was also being reviewed. Members noted that school nurses were good at identifying mental health issues and children value this.
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48/16
The Work Programme was noted.

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