Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 10th January, 2017
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(Chairman), Cllr Lisa Grainge(Vice-Chairman), Cllr Sonia Bailey, Cllr Evaline Cunningham, Cllr Kevin Faulks, Cllr Lynn Hall, Cllr Allan Mitchell.
Officers:
Natalie Shaw(Adult Social Care) Ann Baxter (Teeswide Safeguarding Adult Board), Julie Gillon, Lynne Taylor(North Tees and Hartlepool NHS Foundation Trust), Peter Mennear and Kirsty Wannop(DCE)
Apologies for absence:
Cllr John Gardner, Cllr Mrs Sylvia Walmsley
Item Description Decision
Public
ASH
72/16
DECLARATIONS OF INTEREST
 
ASH
73/16
MONITORING THE IMPACT OF PREVIOUSLY AGREED RECOMMENDATIONS
AGREED that the action plan be approved.
ASH
74/16
ANNUAL REPORT OF THE TEESWIDE SAFEGUARDING ADULTS BOARD 2015-16
AGREED that the report be noted and the information requested be supplied.
ASH
75/16
QUARTERLY CQC INSPECTIONS UPDATE
AGREED that the information be noted and further information requested be supplied.
ASH
76/16
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST - CLINICAL SERVICES STRATEGY UPDATE
AGREED that:-

1. The information be noted.
2. The local policy in relation to Consultant to Consultant referrals be clarified with the CCG.
ASH
77/16
MINUTES OF THE HEALTH AND WELLBEING BOARD
The minutes of the Health and Wellbeing Board held on 30th November 2016 were noted.
ASH
78/16
CHAIR'S UPDATE
 
ASH
79/16
WORK PROGRAMME
 
4.30pm/5.45pm

Preamble

ItemPreamble
ASH
72/16
There were no interests declared.
ASH
73/16
The Committee considered the action plan setting out how the agreed recommendations from the review of Deprivation of Liberty Safeguards (DoLS) would be implemented and target dates for completion.

Members questioned whether the backlog of clients in the care of Managing Authorities without a DoLS assessment had now been completed through the managed approach. It was stated that this had now been cleared and the service's next focussed piece of work would be on community based clients. There was however significant continuing activity due to new clients entering the process and the renewal process upon the expiry of each existing DoL authorisation.

The DoLS Administration Team had found the review to be a positive experience and welcomed the opportunity to highlight their work.
ASH
74/16
The Committee was presented with the Teeswide Safeguarding Adults Board annual report for 2015/16 from the Chair of the Board. The key areas covered included:-
- Structure
- Membership
- Overview of 2015/16
- Strategic Aims 1 - 5.
- Details of the five sub-groups and their work.
- Looking forward.

The Tees-wide Board was an innovative approach to the requirements of the Care Act, and Stockton Council representatives were regular attendees. There had been positive feedback from the public and web hits were increasing.

Specific challenges across Tees included the withdrawal of nursing homes from the market, reduction in availability of care beds, the numbers of DoL authorisations, and a rise in reported Domestic Abuse.

Awareness of the Teeswide Safeguarding Adults Board and its work need to be raised and this could be done through Councillors talking to people in their wards. Other work had been done to raise awareness including radio adverts and stalls at hospitals for example.

Members noted the few references to fuel poverty and thought this may have been higher due to feedback they had received. It was noted that the Fire Brigade had been proactive in undertaking home visits, and their general engagement with the Board was better than what occurred elsewhere.

The Financial and Material Abuse category included scams, and it was agreed that more work could be done with Trading Standards.

Members noted the comparatively low attendance rate from the named CCG representative and this was recognised and had been addressed.

Members requested further information on the numbers of concerns that resulted in an Enquiry taking place for the Stockton area, and what the main themes were.
ASH
75/16
The Committee considered its quarterly round-up of recently published CQC reports.

The CQC was the national inspectorate for registered health and adult care services. Inspection reports were regularly produced and these were published on a weekly basis.
The CQC assesses and rates services as being ‘Outstanding', ‘Good', ‘Requires Improvement', or ‘Inadequate'. Where providers were found to be in need of improvement or inadequate, the CQC make recommendations for improvement and / or enforcement action. Specific actions taken in each case could be found in the relevant inspection report.

Where inspections were relevant to the Borough, a summary of the outcome was circulated to all Members each week. If a report was negative, an update from Adult Services was included which summarises the position in relation to service provision and any actions taken at that time.

The update report detailed the inspection reports received from October to December 2016 inclusive. There was a total of 10 report published.

Members requested an update on Direct Health and Hadrian Park.
ASH
76/16
Members received a presentation that provided an update on the Clinical Services Strategy. The main information provided included:-

- Looking to the future
- Sustainability and Transformation Plan - Place-based/Locality Planning
- Impact on clinical services during the next 10 years.
- Demand was growing.
- Health demographics.
- Forecast population increases.
- Clinical services evaluated against key drivers.
- Core services from a clinical perspective.
- Strategic priorities.
- Service Reviews.
- Emerging blueprint from the Sustainability and Transformation plan and Better Health Programme.
- Integrated urgent care model out of hospital services.
- Urgent and Emergency care.
- Community Service Model looking ahead.
- Outpatient transformation.
- Better Health Programme areas highlighted for possible earlier transformation.
- Clinical and quality priorities.
- Information management and technology.
- Clinical services strategy.

The primary focus of the Strategy was services for the frail elderly, long term conditions, and palliative care. The Hospital at Home Project was rolled out in 2016 and cared for over 400 patients across the patch with respiratory conditions, and has been key in preventing a high number of avoidable admissions.

The Trust provided an update on the new Urgent Care service. Physical works at the North Tees site had begun. Consideration was being given as to how consultant nurses could be used in this model as they had been used previously to great effect. Initial triage in the Urgent Care Service would be clinically- led.

Members queried the impact of the lack of a new hospital, and quality of environment, on the recruitment of medical staff and trainees. It was noted that this was potentially an issue; the pause in hospital project had necessitated a review of the estates and clinical strategy. The Trust was not in the worst position regionally in relation to recruitment, and feedback from medical trainees on quality of placements placed the Trust within the top 10% nationally.

Due to the move of medical trainees out of Stockton and Durham University, the Trust was engaged with Newcastle University to ensure future trainees were encouraged to come to the area. The Trust also had links with Sunderland and Teesside to ensure a good supply of nursing staff.

At the meeting in November, the Committee had queried the time-to-CT scan data in relation to suspected stroke cases, in response to media reports. The Trust reported that there had been issues in the figures with data quality which had been resolved. There was now also stroke outreach into A and E to ensure that relevant cases were quickly identified.

Each case in the relevant time span had been clinically reviewed and no adverse outcomes had been identified. A report on this issue had been requested at the previous meeting and this would be provided.

Members discussed consultant to consultant referrals and whether the local policy enabled this without having to refer back to the G.P..

ASH
78/16
The Chair had nothing to update.
ASH
79/16
The Committee noted its work programme.

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