Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Tuesday, 16th September, 2014
Ground Floor Committee Room, Town Hall, High Street, Stockton, TS18 1AU
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Cllr Mohammed Javed(Chairman), Cllr Paul Baker, Cllr Evaline Cunningham, Cllr Elliot Kennedy, Cllr Ray McCall, Cllr Mrs Sylvia Walmsley, Cllr Norma Wilburn, Cllr Mrs Mary Womphrey,
Liz Hanley, George Irving, Rob Papworth(CESC), Dave New, Laurayne Featehrstone(RES), Peter Mennear and Kirsty Wannop(LDS)
In Attendance:
Tony Beckwith(Healthwatch), Emily Sweetman(Independent Consultant)
Apologies for absence:
Cllr Kevin Faulks and Deborah Miller
Item Description Decision
DRAFT MINUTES - 15TH APRIL 2014, 29TH APRIL 2014, 10TH JUNE 2014 AND 22ND JULY 2014.
AGREED that the minutes be approved.
AGREED that the report be noted.
AGREED that the report be noted.
AGREED that the information be noted.
AGREED that the information be noted.
AGREED that the North Tees Foundation Trust be requested to provide an update on the nursery situation at the next meeting.


Cllr Mohammed Javed declared a disclosable pecuniary interest as he was employed by Tees, Esk and Wear Valleys 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 for Tees, Esk and Wear Valleys NHS Foundation Trust and a Member on New Horizons Teesside

Cllr Evaline Cunningham declared a personal non prejudicial interest in item 4 as she was a Member of the Board of Know How North East.

Cllr Norma Wilburn declared a personal non prejudicial interest in item 4 as she was a Member of the Board of Know How North East.
Consideration was given to the minutes of the meetings held on 15th April 2014, 22nd April 2014, 10th June 2014 and 22nd July 2014.
The Committee considered a report that provided summary results of the Independent Healthwatch Evaluation of the five Tees Valley Healthwatches including Stockton-on-Tees.

The main information on the summary of results for Stockton-on-Tees Healthwatch was:-
- Established a distinct and separate identity from the former LINk organisation
- Consulting widely as the basis for a work programme
- Demonstrating a rigorous and successful process to recruit Board Members and provide them with ongoing support
- Developing effective relationships with CCGs and Trusts, at both strategic and operational levels
- Achieving a moderate level of public awareness (according to survey results)
- Extending the reach of Healthwatch into a wider constituency than had been achieved with LINks
- Engaging individual members and training volunteers.

Survey results relating to public awareness and visibility of Healthwatch Stockton were similar to results from across the Tees Valley.

It was stated that due to staffing changes and training needs of volunteers there had been delays particularly around the ‘enter and view’ aspect of Healthwatch, this was identified in the independent evaluation. In addition there was general agreement about where efforts should be concentrated over the coming months that included:-
- Help local people to have a better understanding of what Healthwatch was and done.
- Ensure a period of stability in terms of staffing
- Increase the pace of activity and output in terms of the work programme, particularly by using ‘enter and view’ where appropriate.
- Improve levels of dialogue and exchange with local authority officers as commissioners of Healthwatch and the Service Navigator project, commissioners of social care services and public health, as well as with Overview and Scrutiny.

It was noted that the evaluation occurred during a snapshot in time in march and there had been progress since then in relation to the appointment of the chair and staffing recruitment and restructure.

Members made the following points/comments:-
- whilst recognising the changes in staffing, Pioneering Care Partnership (PCP) was already an established business therefore more output should have been achieved at this point.
- Within the report the case study provided on the event for Information Volunteers did not state what it actually achieved.
- the diversity of the information volunteers was queried and it was noted that this related to the need to increase involvement of children and young people.
The Committee was provided with Healthwatch Stockton-on-Tees Annual Report. This was the first annual report of Healthwatch since operating the new arrangements from 2013/14.

The Chair of Healthwatch was in attendance and provided Members with an overview that included:-
- What Healthwatch was, what its remit was, and its vision and objectives.
- The accountability structure of Healthwatch Stockton-on-Tees, how it was funded, its resources and governance.
- The key achievements, activities so far, challenges and its volunteers.
- Priorities for 2014/15.

It was recognised the need to increase public engagement, and increase links with neighbouring local Healthwatches and Healthwatch England

It was noted that Healthwatch has a broad range of responsibilities, and a complex role particularly due to its seat on the Health and Wellbeing Board.

It was felt by Healthwatch that it needed to better demonstrate the work it had completed on behalf other organisations including the CCG, in addition to the priorities identified by Healthwatch itself, and associated work. Due its limited resources Healthwatch needed to be able to prioritise its work programme.

Members made the following points/comments/questions:-
- Did Healthwatch promote services that were working well? - It was stated that Healthwatch were not set up to do that but it was reported that an awards scheme was looking to be set up by Stockton Borough Council to commend care services.
- There had been difficulties in recruiting Board Members and volunteers had all positions now been taken up? - The Chair of Healthwatch confirmed all positions had now been taken up for the Board and it was looking to hold some public Board meetings from October 2014.
- It was important that Healthwatch Stockton-on-Tees worker closely with Healthwatch Hartlepool as Health Services were commissioned for both areas by the CCG.
- Healthwatch’s accountability framework needed to be clear. It was noted that the commissioning of Healthwatch was not undertaken by Children and Adults Services but by the central policy team. PCP was accountable to the Local Authority for the delivery of a Healthwatch service in Stockton-on-Tees.
-The chair noted that it was important for Healthwatch and Care Quality Commission to have a clear understanding of roles. Healthwatch confirmed that they had met with CQC to discuss this.
- Members commented on the need for Healthwatch to ensure future Annual Reports were checked for consistency and accuracies, as the latest version contained a number of errors.

Members requested that Healthwatch needed to be able to demonstrate outcomes achieved over the next year. It was noted that Healthwatch aimed to have a continuing influence on the delivery of local services.

It was reported that Healthwatch would be reviewing the content of its Annual Report for next year.

As part of its work programme of review, Healthwatch had examined discharge arrangements and would be producing a report. A Member noted that they had received comments at the hospital relating to the delays on discharge. It was re-iterated by Adult Services that these were not due to social care delays, and it was agreed to re-circulate the work the Committee did on discharge as part of its access to urgent care review, and consider Healthwatch’s report on discharge at the November meeting of the Committee.
Consideration was given to information provided for the Review of Home Care on commissioning and cost of home care. The main information provided included:-
- Key lines of enquiry for commissioning and cost of home care.
- Since 2012 there had been 3 significant tenders in relation to Home Care and approximately 10000 hours a week was provided across the Borough. A list of providers operating within the Borough was provided.
- In 2012, consultation identified four key areas that the Council should concentrate on when commissioning Home Care services these were; knowing when carers arrived at a client’s home and left, timeliness of care, dignity, and continuity of carer. These were incorporated within subsequent tenders and act as the benchmark providers deliver the work against.
- When assessing bids in 2012 during the last major tender exercise, 80% of the consideration was on quality and 20% on cost.
- SBC maintains a high level of contact with providers to highlight any issues and to support them to provide the required level of service.
- Electronic call monitoring allows for real time monitoring of calls.

In 2012 the regional average fee level was used to inform the agreed fee level. It was noted that the contract allowed for fee adjustments if necessary. A fee review is currently in progress and the outcome will be reported to the Committee in due course.

Members made the following points/comments/questions:-
- There had been changes to Human Rights legislation had this been picked up with providers? The Service Manager confirmed that there were clauses within the contract regarding changes in legislation and that any necessary further changes will be included in new tenders and in relation to the implementation of the Care Act from April 2015.
- It was queried as to what level of interest there would be amongst providers in future tenders. It was noted that there are many providers in the region and there should be interest as long as a competitive fee was offered.
The Committee considered a report that provided an update on the Regional and Tees Valley Joint Health Scrutiny Committee's. Members were provided with the following:-
- Minutes of the Tees Valley Joint Health Scrutiny Committee from 17th July 2014.
- At the Tees Valley Joint Health Scrutiny Committee meeting on 11th September it considered additional monitoring on North East Ambulance Service and future of in-patient Haematology Services at North Tees and Hartlepool NHS Foundation Trust.
- The next meeting of the Regional Joint Committee was 29th September 2014.
The Committee considered its work programme. It was requested that an additional item be considered at the meeting on 23rd September 2014 regarding the closure of the Nursery at North Tees and Hartlepool NHS Foundation Trust.
The Chair had nothing to update.

Can't find it

Can't find what you're looking for? Let us know and we'll do our best to point you in the right direction