Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 8th September, 2015
Time:
16.00
Place:
Jim Cooke Conference Suite, Stockton Central Library, Stockton on Tees, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Mohammed Javed (Chair); Cllr Sonia Bailey, Cllr Michael Clark, Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Lynn Hall and Cllr Tracey Stott, and Deborah Miller.
Officers:
L Featherstone (R); L Hanley (CESC) P J Mennear, P K Bell (LD).
In Attendance:
T Beckwith (Chair of Healthwatch Stockton on Tees)
Apologies for absence:
Cllr Stefan Houghton and Cllr Mick Moore.
Item Description Decision
Public
ASH
17/15
EVACUATION PROCEDURE
The evacuation procedure was noted.
ASH
18/15
DECLARATIONS OF INTEREST
There were no interests declared.
ASH
19/15
MINUTES FOR SIGNATURE - 16 JUNE 2015
The minutes of the meeting held on 16th June 2015 were signed by the Chair.
ASH
20/15
DRAFT MINUTES - 28 JULY 2015
AGREED that the minutes be approved.
ASH
21/15
ANNUAL REPORT OF HEALTHWATCH STOCKTON-ON-TEES 2014-15
AGREED that:-

1. The Annual Report of Healthwatch Stockton be noted.

2. Members comments be noted.
ASH
22/15
HEALTHWATCH STOCKTON-ON-TEES ENTER AND VIEW REPORT
AGREED that:-

1 The Healthwatch Enter and View Report for Roseville be noted.

2. Members comments be noted and information requested be provided.
ASH
23/15
SCRUTINY REVIEW OF ACCESS TO SERVICES BY PEOPLE WITH LEARNING DISABILITIES
AGREED that the update on the Scrutiny Review of Access to services by people with learning disabilities be noted.
ASH
24/15
UPDATE ON REGIONAL AND TEES VALLEY JOINT HEALTH SCRUTINY
AGREED that the update on Regional and Tees Valley Joint Health Scrutiny be noted.
ASH
25/15
WORK PROGRAMME
AGREED that the Work Programme 2015/16 be noted.
ASH
26/15
CHAIR'S UPDATE
The Chair reported that he would email Members with some events that they might like to attend.
16.00 - 18.00

Preamble

ItemPreamble
ASH
20/15
Consideration was given to the draft minutes of the meeting held on 28th July 2015.
ASH
21/15
Consideration was given to a report that provided Members with the Annual Report of Healthwatch Stockton-on-Tees.

Local Healthwatch were required to produce an annual report setting out their aims and achievements.

Healthwatch Stockton-on-Tees had produced its second annual report since it began operating under the new arrangements in 2013-14, and this was attached for Members consideration.

Tony Beckwith (Chair of Healthwatch Stockton on Tees) was in attendance at the meeting and detailed the Annual Report. Healthwatch would try to ensure a spread of health and care experience amongst its Board membership.

Mr Beckwith noted that Healthwatch had previously supported scrutiny investigations by gathering feedback and would do in future when resources allowed. He had also personally taken part in the recent review of child sexual exploitation.

Members were then given the opportunity to ask questions and make comment on the Annual Report and these could be summarised as follows:-

- Members suggested that work on hospital discharge could look at what equipment such as wheelchairs patients are allowed to take upon admission to hospital.

- There is still a low take up with regard to breastfeeding and there is a bottle culture on the maternity wards.

- Does Healthwatch get involved in individual complaints?

- Do you have any figures for complaints?

- Can the Chair of Healthwatch give Members the full details of the staffing costs for Healthwatch?

The Chair of Healthwatch responded with the following:-

- Healthwatch sends a member of staff to meeting to encourage breastfeeding but actually on the ward there may not be midwives and nurses avalable to help mothers to breast feed properly. The issue is so important it should be raised at the Health and Wellbeing Board. Stockton has recently come out very badly in terms of baby development.

- Healthwatch considers any complaints about services at each Board meeting, which meets every 6 weeks and considers approximately 12 complaints each time. This is primarily to inform its work as Healthwatch does not offer ongoing support to make complaints, but does provide a signposting role.

It was recognised that some people do not want to complain directly to the same organisation that provided their care and treatment.

- People should not feel disenfranchised by making a complaint

- The full details of staffing costs can be brought back to a future meeting.

Laurayne Featherstone (Community Engagement Manager) reported that as the contract monitor she was happy with the financial costs associated with Healthwatch.

The issue of being able to register at GP Practices was discussed and this had also been looked at by Healthwatch. NHS England had reported to Healthwatch that they had contacted each practice in the area to ensure people were able to register where eligible. Healthwatch were now a member of the new Primary Care Co-commissioning Committee at the CCG.
ASH
22/15
Consideration was given to a report that provided Members with the Enter and View report of Roseville Care Home.

Local Healthwatch was empowered to undertake Enter and View visits of health and social care services to support their role.

This enabled Healthwatch to view how services were being run and gather views from staff, patients / users and carers.

It had previously been agreed by Members to consider completed Enter and View reports as and when they were produced.

Healthwatch Stockton-on-Tees had recently undertaken a visit to Roseville Care Centre in Ingleby Barwick, and the report and comments from the home were attached to the report.

Members reported that they had found the report easy to read but were disappointed with the provider's response. The Chair of Healthwatch outlined that he was content with the measures that Roseville had put in place but they would keep in touch. The Adult Services Lead noted that all issues identified by the report would be monitored by Adult Services.

The Chair of Healthwatch also reported that they had done a similar visit to a GP Practice and that they had found issues that may affect all GP Practices in the Borough so they would alert them all to the issues as Healthwatch did not have the resources to visit all GP Practices.

Future visits of services would ideally be chosen from services where Healthwatch had received concerns about a particular issue. However they hoped to undertake a spread of visits to include hospital services, and learning disability and mental health provision.

The Chair of Healthwatch also reported that the CQC carry out full reviews of health and social care services in the Borough and that they liaise with them to provide information, and attend regional meetings. Healthwatch would also link in with the Healthcare User Group based in North Tees Trust.

It was requested that references in the report to EMI be changed to dementia.
ASH
23/15
The Scrutiny Officer detailed an email from the Clinical Commissioning Group in response to a question raised at the last meeting of the Committee.

The Scrutiny Officer then distributed a pack to aid Members in the Scrutiny Review of Access to services by people with learning disabilities. Task and Finish Groups may be used during the review. It was also suggested that relevant site visits would be useful.
ASH
24/15
Members were presented with an update on the work of the Tees Valley and Regional Joint Health Scrutiny Committee.

With regard to Tees Valley Joint Health Scrutiny Committee Redcar and Cleveland Council chaired and supported the Joint Committee during 2015-16.

The last meeting of the previous Municipal Year was on 26 March and the minutes were attached to the report. The meeting covered Tees, Esk and Wear Valleys NHS Trust Quality Account, an update from NHS England, latest update from North East Ambulance Service (NEAS), and progress report following the changes to maternity and children's services in South Tees Hospitals NHS Foundation Trust.

The Committee had recently met on 24 July. Members considered the latest update from NEAS, and a work programme report. The Committee had a number of standing items to review and these were as follows:-

- Sub-regional monitoring of NEAS;
- Update from Tees, Esk and Wear Valleys Mental Health Trust, and consideration of their Quality Account;
- Annual Update from NHS England.

In respect of choosing additional topics for the current year, further information was to be circulated following the meeting including methods of delivering the reviews. Stockton's topic suggestion of reviewing Child and Adolescent Mental Health Services (CAMHS) had been included in the options.

With regard to NE Regional Health Scrutiny Committee Hartlepool BC was supporting the Committee until October. The minutes of the meeting of 24 February were attached to the report.

On 31 July, the Regional Committee met to agree its work programme and consider an update from the new Chief Executive of the North East Ambulance Service. Attached to the report was a briefing paper from the Ambulance Service that was used at both this and the Tees Valley Committee meeting.

The Committee also considered a work programme report. The Regional Committee had a number of standing items to consider and these included its regional role in monitoring the ambulance service. The items were detailed within the report.

In addition, the Committee considered topic suggestions for a review. Members agreed to examine the ‘Use of pharmacies for minor ailments and other issues'. Members recognised that planning for the review would need to take account of Member and officer capacity across the region.
ASH
25/15
Members were presented with the Work Programme 2015/16.

Members queried as to how the South Tees Foundation Trust CQC Inspection Report was being monitored.

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