Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Monday, 26th November, 2012
Time:
4.00 p.m.
Place:
Ground Floor Committee Room, Town Hall, Stockton on Tees, TS18 1AU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Mohammed Javed (Chairman), Cllr Evaline Cunningham, Cllr Elliot Kennedy, Cllr Ray McCall, Cllr Norma Wilburn, Cllr Mrs Mary Womphrey.
Officers:
Julie Nixon, Stephen Shaw (DNS); Fiona McKie, Peter Mennear (LD).
In Attendance:
Dr Boleslaw Posmyk, Dr Paul Williams (CCG). Richard Amir, Deborah Miller (Parent Governor Representative); James Newton (Stockton LINk).
Apologies for absence:
were submitted on behalf of Cllr Baker, Cllr Faulks, Cllr Mrs Walmsley.
Item Description Decision
Public
ASH
54/12
DECLARATIONS OF INTEREST
 
ASH
55/12
MINUTES FOR SIGNATURE - 26TH SEPTEMBER 2012
AGREED that the minutes be signed as a correct record.
ASH
56/12
DRAFT MINUTES - 15TH OCTOBER 2012
AGREED that the draft minutes be approved.
ASH
57/12
DEVELOPMENT OF HARTLEPOOL AND STOCKTON-ON-TEES NHS CLINICAL COMMISSIONING GROUP


AGREED that the update be noted and further updates be received as appropriate.
ASH
58/12
EFFICIENCY, IMPROVEMENT AND TRANSFORMATION (EIT) REVIEW OF MENTAL HEALTH ADULT SOCIAL CARE SERVICES
AGREED that:-

1. The progress to date in the mental health review of services be noted.

2. The results of the stage one consultation be presented on 10th December 2012.
ASH
59/12
WORK PROGRAMME
AGREED that the work programme be noted.
ASH
60/12
CHAIR'S UPDATE
AGREED that the Chair's update be noted.
4.00pm - 6.15pm

Preamble

ItemPreamble
ASH
54/12
Cllr Mohammed Javed declared a personal interest as he was employed by Tees, Esk and Wear Valley NHS Foundation Trust.

Cllr Ray McCall declared a personal interest as he was an Associate Hospital Manager and Governor for Tees, Esk and Wear Valley NHS Foundation Trust and was a Board Member of New Horizons.
ASH
55/12
The Chairman signed the minutes of the meeting held on 26th September, 2012.
ASH
56/12
Consideration was given to the draft minutes held on 15th October 2012.
ASH
57/12
Members were requested to consider the latest update on progress of the Hartlepool & Stockton-on-Tees Clinical Commissioning Group (CCG). Dr Boleslaw Posmyk, Chair of Stockton and Hartlepool CCG and Dr Paul Williams Stockton CCG Lead provided a presentation.

As part of the NHS reform process, commissioning of local health services would in future be led primarily by locally based, GP-led Clinical Commissioning Groups.

The GP-led CCG had around 40 member practices with a broad range of skills and experience and a strong clinical focus. Stockton and Hartlepool CCG had been meeting with other neighbouring CCGs to discuss good practice.

The CCG wanted to have meaningful engagement with the community. Each locality would be holding an annual meeting to inform the community of its intentions and priorities for the forthcoming year. This would be part of continuing consultation with various groups to enable intelligent commissioning decisions to be made.

Discussions were held on the CCG's priorities such as ensuring the best start for children, mental and social health needs, alcohol problems, the ageing population, and safeguarding.

The CCG were learning from providers to improve performance and quality of provision. The CCG were also looking at how the PCT had operated to ensure a smooth transition.

Members raised the following issues:

- the gap between private and NHS healthcare
- Healthchecks
- the need for effective targeting of screening campaigns and health checks
- involvement of Practice Managers in the CCG governance
- the funding available to the CCG
- the role of health champions

It was reported that there were now home screening tests for colon cancer. In the new year screening for COPD would be introduced.

Members discussed the involvement of Practice Managers in the commissioning process, as Members wanted reassurance that the process was GP-led. It was reported that although Practice Managers were involved in the process, there was a clinical majority on the governing body, including consultant and nurse representation.

Discussion was held on waiting times for repeat prescriptions and appointments. It was reported that some GP's were taking part in the ‘Doctors 1st' phone triage pilot.
ASH
58/12
Members were provided with an update on progress against the mental health review. The review covers the mental health social care services the Council provides to meet the assessed needs of adults with mental health issues. A baseline report was presented to members in July 2012.

The services included within this review were:

1. Day services at 70 Norton Road;
2. Ware Street Resource Centre (providing residential placements for mental health assessment, rehabilitation, respite and out of hours namely an evening and weekend service;
3. Link Workers and Community Support Workers, and;
4. Two staff who support carers and service users respectively.

Stockton Borough Council was responsible for social care services to those with complex and specialist needs. These services were part of the Integrated Mental Health Service which was managed by Tees Esk and Wear Valleys NHS Foundation Trust who were providers of specialist mental health services although these were not within the scope of this review. Only those people who met the FACS social care criteria (either critical or substantial) were eligible for services within Stockton Borough Council.

The first stage of the consultation was to ask people what they thought of current services, what was good, what requires improvement and what was missing from service provision. This consultation commenced on 22nd October 2012 until Friday 16th November 2012. To complement the completion of questionnaires five drop in sessions were arranged in various venues around the borough. A number of focus groups had also been facilitated by the carer and service user support staff and two staff focus groups including trade unions had been jointly facilitated by the Head of Adult Services in CESC and the Head of Housing (Independent Review Officer).

The results from the first stage of the consultation would be reported to the meeting on 10th December 2012 with a view to confirming proposals for future service delivery that would then go forward to the second stage of consultation in early 2013.

Members commented that the current model of services appeared to be both traditional and costly. It was felt that the review needed to establish a clear vision of what services should be provided to meet the assessed needs of the service users.

It was reported that there was currently a low take up of personal budgets, and the consultation results would need to be analysed to understand responses to the questions on personal budgets.
ASH
59/12
The next meeting would be held on Monday 10th December 2012.
ASH
60/12
An update on the new hospital project as part of the Momentum proposals would be provided at the meeting on 14 January 2013.

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