Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Tuesday, 6th March, 2012
1.00 p.m.
Ground Floor Committee Room, Town Hall, High Street, Stockton on Tees, TS18 1AU
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Cllr Mohammed Javed (Chairman), Cllr Michael Clark (vice Cllr Baker), Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Elliot Kennedy, Cllr Norma Wilburn, Cllr Mrs Mary Womphrey.
Anthony Duffy, Fiona McKie, Peter Mennear (LD).
In Attendance:
David Brown (Tees Esk and Wear Valley NHS Foundation Trust); John Stamp (NHS Tees); Cath Siddle, Carley Ogden (North Tees and Hartlepool NHS Foundation Trust).
Apologies for absence:
were submitted on behalf of Cllr Paul Baker, Cllr Ray McCall, Cllr Sylvia Walmsley. James Newton (LINk).
Item Description Decision
The evacuation procedure was noted.
AGREED that the draft minutes were agreed as a correct record.
AGREED that:-

1. A response to the consultation on behalf of this Committee be formulated and agreed at a future meeting of the Committee;

2. The proposed changes to the use of Lustrum Vale and associated services be considered a substantial variation to local services and therefore the Committee’s response be referred to full Council for final endorsement.


Cllr Javed declared a personal/non prejudicial interest further to being employed by Tees, Esk and Wear Valley NHS Foundation Trust.
Consideration was given to the minutes of the meeting held on 6th February, 2012.
Members were requested to consider the information provided in relation to the consultation on the future use of the Lustrum Vale Older People’s Mental Health Unit.

In July 2011 Members were informed that the Lustrum Vale Older People’s Mental Health Unit on Durham Road was going to be temporarily closed. This was due to a fall in bed occupancy and in-patients were instead admitted to Roseberry Park in Middlesbrough. The service was provided by the local mental health trust, Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV).

At the time it was recognised that when proposals for the future permanent use of the unit were drawn up, there would need to be a period of public consultation. NHS Tees and TEWV were now proposing that the unit should be permanently closed, services be provided in the community or at Roseberry Park for those who require in-patient services, and that the building be put to alternative use. The period of public consultation had begun on 8th February and would continue until 9th May 2012.

The Committee was being consulted alongside a range of local stakeholders. In formulating a response it was recommended that the Committee consider the formal consultation questions which were as follows:

1. ‘What do we need to consider in permanently transferring services previously provided at Lustrum Vale, Stockton-on-Tees to Roseberry Park, Middlesbrough?
2. How can we support patients, carers, families and friends to access the service at Roseberry Park?
3. How can we ensure that we make best use of the Lustrum Vale facility going forward?
4. Do you have any concerns or suggestions about this proposal?’

In addition, Health Overview and Scrutiny Committees had a particular role in statutory consultations on significant variations to local services. They were to determine:

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

It was not the Committee’s role to undertake its own consultation process but to respond as a statutory consultee, and be assured that the wider patient and public involvement had been undertaken effectively.

The following Officers were in attendance to provide information and evidence to Members:-

John Stamp, Mental Health and Learning Disability Lead Commissioner, NHS Tees
David Brown, Director of Operations (Tees), Tees Esk and Wear Valleys NHS FT
Cath Siddle, Deputy Director of Nursing, North Tees and Hartlepool NHS FT
Carley Ogden, Dementia Specialist Nurse, North Tees and Hartlepool NHS FT

Separately, input was being sought from the shadow North Tees Clinical Commissioning Group in order to ensure that the proposals were in line with the early commissioning intentions of the GP-led group, and the shadow Health and Wellbeing Board.

Members were provided with a presentation from David Brown which highlighted the consultation process and history behind the closure of Lustrum Vale. Increasing numbers of people were being able to be treated in the community and since July 2011 any patients needing in-patient care had been admitted to Roseberry Park. Positive feedback had been received from both service users and carers. It was reported that there had been investment into other services such as community teams, care home liaison service, acute liaison service and increased medical support for community teams.

Members wished to know whether there had been any comments from Stockton patients with regards to problems with travelling. It was reported that there had been no complaints at present but questions would be asked as part of the consultation process. It was also stated that TEWV would be supporting families to find solutions to any problems that may arise.

Members queried the future use of the building of Lustrum Vale if it were to close. It was reported that the proposal being put forward as part of the consultation was to use the building for an adult rehabilitation unit.

Cath Siddle provided information from the perspective of the care provided at the North Tees and Hartlepool Trust. North Tees NHS Trust had raised concerns about the impact of the closure of Lustrum Vale when the temporary closure occurred, and has since done work to better understand how many patients in its acute services have dementia and other challenging conditions. However, it was felt that as the year had unfolded since the closure of Lustrum Vale that the nursing staff had been very positive and had found themselves in a much better place to deal with the demanding and challenging needs of dementia patients.

There had been improved opportunities to provided shared care with Tees Esk and Wear, including a specialist Doctor and extra liaison nurses who had joined acute team which Nursing Staff were very positive about. Overall, she felt that the Nursing staff were positive about the changes and they felt that the service had improved. Members felt that the consultation process could be an opportunity to ‘spread the word’ about the close working with the acute Trust and mental health Trust.

Members noted that although the projections are for the numbers of older people with mental health conditions to increase, it felt that these proposals are proportionate to the current situation. If the situation changes, then it may be necessary to increase the in-patient provision and this would be kept under review. Preventative and community care were seen as being key to maintaining the current situation.

Members agreed that the proposals constituted a significant variation to local services. The Council’s Constitution states that the Committee’s response to statutory consultations must be endorsed by Council, and it was proposed to use the Council meeting of 2nd May 2012 for this purpose. Therefore the Committee’s formal response to the consultation would need to be finalised in advance of that meeting.

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