Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Monday, 14th January, 2013
Time:
4.00 p.m.
Place:
Jim Cooke Conference Suite, 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 Michael Clark (vice Cllr Baker), Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Elliot Kennedy, Cllr Ray McCall, Cllr Mrs Sylvia Walmsley, Cllr Norma Wilburn, Cllr Mrs Mary Womphrey.
Officers:
Jane Humphreys, Jane King, Sean McEneany, Ian Ramshaw (CESC); Julie Nixon (DNS); Peter Mennear, Fiona McKie (LD)
In Attendance:
James Newton (LINk); J. MacLeod, N. Suresh, C. Greaves, J. Gillon, S. Piggott, L. Watson, C. Grieves (North Tees and Hartlepool Foundation Trust); Dr Paul Williams, Ali Wilson (CCG). Deborah Miller (Parent Governor).
Apologies for absence:
were submitted by Cllr Baker and Richard Amir.
Item Description Decision
Public
ASH
70/12
DECLARATIONS OF INTEREST
 
ASH
71/12
MINUTES FOR SIGNING - 26TH NOVEMBER, 2012
AGREED that the minutes were signed by the Chairman as a correct record.
ASH
72/12
DRAFT MINUTES - 10TH DECEMBER 2012
AGREED that the minutes be approved.
ASH
73/12
MOMENTUM - SERVICE TRANSFORMATION
AGREED that the presentation and comments be noted, and further reports on the service change proposals be received as appropriate.
ASH
74/12
EFFICIENCY, IMPROVEMENT AND TRANSFORMATION (EIT) REVIEW OF ADULT MENTAL HEALTH SERVICES
AGREED that the report be agreed and submitted to Cabinet, and that a further report on the consultation proposals be received on the 18th February 2013.
ASH
75/12
WORK PROGRAMME
AGREED that the Work Programme be noted and any additional future ideas for the Scrutiny Work Programme for 2013-14 be provided.
ASH
76/12
CHAIR'S UPDATE
AGREED that the update be noted.

Preamble

ItemPreamble
ASH
70/12
Cllr Mohammed Javed declared a disposable pecuniary interest as he was employed by Tees, Esk and Wear Valley NHS Foundation Trust. Cllr Javed had been granted a dispensation in this regard.

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
71/12
The minutes of the meeting held on 26th November 2012 were signed by the Chairman as a correct record.
ASH
72/12
Consideration was given to the draft minutes of the meeting held on 10th December 2012.
ASH
73/12
Members were provided with an update on the Momentum programme and received information on the next steps including the proposed approach to service transformation and the development of the new hospital.

Senior representation from North Tees and Hartlepool NHS Foundation Trust, and Hartlepool and Stockton NHS Clinical Commissioning Group were in attendance at the meeting.

A presentation was provided by Julie Gillon, Deputy Chief Executive on Momentum Pathways to Healthcare - Service Transformation. The main aspects of the presentation were as follows:

- key drivers for change
- the strategic aims, philosophy and key elements of momentum
- transforming services
- primary and community projects
- detail on the procurement phase for the new hospital
- improving transport links
- the Clear and Credible Plan 2012-2017
- strategy for the new hospital
- model of quality, financial and operational effectiveness and performance
- vision for the future of healthcare services

Members were informed that it was anticipated that the new hospital would open in 2017. Members were pleased that the transport was being prioritised and queried whether plans were still in place to provided a community facility in Stockton on Tees. This had previously been reported as being based at the Alma Centre site. It was reported that this was still within the overall Momentum strategy and would be the responsibility of the CCG following the transition from the PCT in April 2013. However responsibility for the PCT estate and property development was transferring to the new NHS Property Company, and the CCG would need to work with them to develop the site. Current property was also being assessed to ensure it was being put to optimum use before deciding on the content of the Alma site.

It was reported that many changes were taking place to provide more services within the home to patients. For example, changes to pathways for Cellutitis and DVT have enabled IV antibiotics to be given at home, rheumatology patients being given methotrexate, diabetes and asthma treatments also being provided within the home, etc. It was a challenge to change people perceptions but many were welcoming being treated within the home.

An update was provided on the progress of the Clinical Commissioning Group (CCG) by Dr Paul Williams. The CCG would work in partnership to transform services. It was stated that education of the public was paramount and that the CCG wished to engage as much as possible with the public.

It was outlined that the CCG and Trust's attendance at the meeting was part of their pre-engagement process regarding upcoming proposals to review the current arrangements for critical care and acute medicine which were currently provided on both sites. The reasons behind the need for change were outlined and included higher clinical standards, and training and recruitment issues. The proposals were subject to a review in January by the National Clinical Advisory Team and would then be put forward for consultation.

It was reported that the recruitment of specialists had been an ongoing issue for the NHS nationally as well as locally, and, for example, critical care was a relatively new speciality and training and standards had to be reviewed in line with this. It was noted that clinical leadership and ownership of the change proposals would be important.
ASH
74/12
Members were provided with the draft interim report for the review of Adult Mental Health Services prior to it being submitted to Cabinet on 7th February, 2013. The report set out the progress of the review to date, and outlined the proposed changes to services. Cabinet approval of the proposals was required before these were submitted for public consultation.

An Equality Impact Assessment had been developed during the review and this continued to inform the development of proposals.

It was proposed that more detailed plans on the approach to the second phase of consultation be considered by the Committee on the 18th February together with draft consultation documents.

Discussion as held on the need to recognise the work of the volunteers at Norton Road, to concentrate on the alternative options that could be developed as part of personal budgets, and the support that the clients may need to use them effectively.
ASH
75/12
The next meeting would be held on 18th February 2013.

Members were requested to submit any ideas for future topics for the 2013-14 Scrutiny Work Programme. Members made suggestions in relation to access to GP appointments, and walk in services.
ASH
76/12
Members were provided with an invite to the CCG Engagement Event.

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