Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Monday, 23rd April, 2012
Time:
4.00 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:
Sean McEneany (CESC); Julie Nixon, Stephen Shaw (DNS); Fiona McKie, Peter Mennear (LD).
In Attendance:
Khalid Azam (NHS Tees); Dr Paul Williams (North Tees CCG); James Newton (LINk).
Apologies for absence:
was submitted on behalf of Cllr Sylvia Walmsley.
Item Description Decision
Public
ASH
1/12
DECLARATIONS OF INTEREST
 
ASH
2/12
DRAFT MINUTES - 6TH MARCH AND 26TH MARCH 2012
AGREED that the draft minutes be agreed as a correct record.
ASH
3/12
HARTLEPOOL AND STOCKTON-ON-TEES CLINICAL COMMISSIONING GROUP UPDATE
AGREED that the Clear and Credible Plan be noted by the Committee and further updates be received as appropriate.
ASH
4/12
EFFICIENCY, IMPROVEMENT AND TRANSFORMATION (EIT) OF LEARNING DISABILITY SERVICES
AGREED that:-

1. The report to Cabinet on 17th May, 2012 be agreed by the Committee.

2. A further meeting be held to discuss the detail of the consultation plan and appropriate materials.
ASH
5/12
CONSULTATION ON THE FUTURE USE OF LUSTRUM VALE OLDER PEOPLE'S MENTAL HEALTH UNIT
AGREED that the Adult Service and Health Select Committee's final response to the consultation be approved and submitted to full Council for endorsement on 2nd May 2012.
ASH
6/12
UPDATE ON REGIONAL AND TEES VALLEY JOINT HEALTH SCRUTINY
AGREED that the update be noted.
ASH
7/12
WORK PROGRAMME
AGREED that the Work Programme be noted.
ASH
8/12
CHAIR'S UPDATE
None

Preamble

ItemPreamble
ASH
1/12
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 member of the Council of Governors for Tees, Esk and Wear Valley NHS Foundation Trust.

Cllr McCall declared a personal/non prejudicial interest further to being an Associate Hospital Manager for Tees, Esk and Wear Valley NHS Foundation Trust.
ASH
2/12
Consideration was given to the draft minutes of the meetings held on 6th March and 26th March 2012.
ASH
3/12
Members were requested to consider the update on progress from representatives of the Hartlepool & Stockton-on-Tees Clinical Commissioning Group (CCG), and the final version of its Clear and Credible Plan.

As part of the NHS reform process, commissioning of local health services would be led primarily by locally based, GP-led Clinical Commissioning Groups with a target date of April 2013.

In advance of that date, local CCGs exist in shadow form. As part of the authorisation process CCGs must submit a Clear and Credible Plan to the national NHS Commissioning Board. This plan should demonstrate the early commissioning intentions of the CCG. At the meeting of 28 November the Committee were updated by the shadow ‘North Tees CCG' on the consultation process that was taking place in order to inform the development of a local plan.

Since the meeting it had been confirmed that there would be a single CCG for north of the Tees, but this would also retain a locality focus for both areas. The aim was to become a fully authorised single body CCG in October 2012 covering both populations. Until this time, the NHS Tees Board had delegated authority to both local Pathfinder Committees to discharge its duties. They had developed processes to ensure the delivery of commissioning initiatives within their respective locality area.

From 1st April 2012 a single shadow CCG Board would be in place focusing on the localities in preparation for full authorisation.'

Dr Paul Williams and Khalid Azam were in attendance to provide Members with the final draft of the CCG's Plan.

Members held discussion on location of services within the community, commissioning support organisations, outcome based commissioning, the choose and book system and how this was publicised and implemented by individual GP practices.
ASH
4/12
Members were provided with an update on the EIT Review of Learning Disability Services and were requested to consider an interim report to Cabinet to consider the consultation plan. The report to Cabinet was attached for Members consideration and was due to go to Cabinet on 17th May 2012.

Stockton Helps All had been commissioned to undertake appropriate consultation sessions with service users. A number of public consultation events had also been organised as well as sessions with other partner organisations. Members requested that they be able to consider a full consultation plan and also consider the consultation material in more detail prior to sessions beginning.
ASH
5/12
As a statutory consultee, the Adult Services and Health Select Committee had considered the consultation on the proposed changes to older people's mental health (OPMH) services.

The consultation on the proposed changes to older people's mental health (OPMH) services and the future use of Lustrum Vale in-patient unit had been running from 8 February to 9 May 2012.

The Committee regarded the proposals as constituting a substantial variation to local health services and therefore under the Council's Constitution, the Committee's consultation response needed to be endorsed by Council.

In addition to responding to the specific issues raised in the consultation the Committee had considered whether:

- as a statutory body, the Scrutiny Committee has been properly consulted;
- in developing the proposals for service changes, the health body concerned has taken into account the public interest through appropriate patient and public involvement and consultation;
- a proposal for change was in the interests of the local health service.

The Committee had met on 6th March, 2012 and held discussions with NHS Tees, Tees, Esk and Wear Valleys (TEWV) NHS Foundation Trust, and North Tees and Hartlepool NHS Foundation Trust.

The Committee had sought views from the shadow Health and Wellbeing Board, and the North Tees CCG in order to ensure that they were appropriately involved in the consultation and commissioning process. Stockton LINk were also invited to contribute to the discussions.

All Members had been made aware of the consultation proposals and invited to submit comments either in their own right or to the Committee.

Members considered their final response which would be submitted to Council on 2 May, 2012 for endorsement.
ASH
6/12
Members were provided with an update on the Regional Health Scrutiny Committee and Tees Valley Joint Health Scrutiny Committee.

On 15 February the Regional Health Scrutiny Committee met to discuss the following:
- the proposals for changes to emergency and urgent care ambulance provision across the north east;
- an update on the regional roll-out of NHS 111 service (non-emergency calls);
- an update on the regional review of eligibility for patient transport services.

The Committee also met on 16th April to discuss:-

- a progress report on the implementation of the recommendations across the region from the review of the health needs of ex-service personnel
- an update from the ambulance service (NEAS) on its consultation on its changes to emergency and urgent services
- the NEAS Quality Account


The minutes of the meeting of the Tees Valley Joint Health Scrutiny Committee on 27th February were provided for Members information.

There was also a meeting on 26th March to assess progress in setting up Health and Wellbeing Boards across the Tees Valley area and senior representation from all five local authorities were in attendance. A further meeting had been held on 23 April to consider the impact of winter on the local NHS including co-ordination of winter resilience arrangements and transition to the new NHS system, and transport for the Baysdale Unit.
ASH
7/12
The next meeting was due to be held on 28th May, 2012 and consideration would be given to arranging another meeting in advance of the consultation for the learning disability review.

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