Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Partnership Minutes

Date:
Tuesday, 5th July, 2016
Time:
1.30pm
Place:
Room F009, Wolfson Research Institute, Queens Campus, University Boulevard, Thornaby, TS17 6BH
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Peter Kelly (Chairman),

Steve Rose, Jane Smith, Jane King, Andrew Copland, Emma Champley, Peter Acheson, Natasha Judge, Steve Pett, Mick Hickey, Dave Turton, Mandy Mackinnon
Officers:
Michael Henderson, Peter Mennear
In Attendance:
Steve Giles (Virgin Care) Jacky Booth (TVPHSS)
Apologies for absence:
Jim Beall, Julie Allan, Graham Clinghan, Jane Humphreys, Steve Hume, Reuben Kench, Neil Russell, Julie Parkes, Dave Pickard, Liz Hanley
Item Description Decision
Public
AHP
19/16
DECLARATIONS OF INTEREST
 
AHP
20/16
MINUTES OF THE MEETING HELD ON 3 MAY 2016
 
AHP
21/16
ACTION TRACKER
 
AHP
22/16
MINUTES OF THE LEARNING DISABILITY PARTNERSHIP BOARD
 
AHP
23/16
ACCESS TO SERVICES FOR PEOPLE WITH LEARNING DISABILITIES AND/OR AUTISM
RESOLVED that the report be noted and the issue relating to safe place scheme be raised with the Adults Commissioning Team.
AHP
24/16
SAFE AND WELL VISITS - CLEVELAND FIRE BRIGADE
RESOLVED that the progress be supported and discussion be noted/actioned where appropriate.
AHP
25/16
TACKLING ALCOHOL RELATED HARM IN STOCKTON ON TEES
RESOLVED that the Statement of Intent be noted and approved and members champion the recommended commitments within it.
AHP
26/16
SEXUAL HEALTH SERVICES
RESOLVED that the report and discussion be noted.
AHP
27/16
FORWARD PLAN
 
AHP
28/16
CHAIR'S FINAL PARTNERSHIP MEETING
 
1.30pm/3.30pm

Preamble

ItemPreamble
AHP
19/16
There were no declarations of interest.
AHP
20/16
The minutes of the meeting held on 3rd May 2016 were confirmed subject to Jane King being added to the list of members present.
AHP
21/16
Members considered its Action Tracker and noted that :

- Communication Campaign Domestic Abuse Actions had been completed.

- Work relating to the Green Infrastructure Plan continued.

- Health of Homeless - report was due to the Partnership's September meeting.

- a report on progress regarding alcohol brief intervention training would come back to a future meeting

- discussion at HWB on diabetes and there had been some additional work identified for the Public Health Team to undertake.

- smoking cessation - it was noted that there had not been a national campaign organised for the plain packaging regulations and none was anticipated. It was explained that the tobacco industry had lodged an appeal against the plain packaging directive

- Smokers who had previously accessed cessation services, but failed to quit, were now contacted to attempt to re-engage them.

- getting messages to young people via events ran by Tees Active, engaging with providers of youth employment initiatives and seeking views about future smoking services were being progressed.
AHP
22/16
This item had not been included in some of the agenda packs provided to members. The minutes would be provided to the Partnership's next available meeting.
AHP
23/16
The Partnership received a report that had been prepared by the Council's Adult Services and Health Select Committee relating to Access to Services for People with Learning Disabilities and/or Autism.

It was explained that the Committee had wanted to see how accessible universal and community services were for people in society that had traditionally faced a number of barriers when accessing key services.

A specific issue that the Committee looked at was the uptake of GP-led health checks for people with learning disabilities. The Committee found that there needed to be greater ownership of the task of both delivering and monitoring health checks for people with learning disabilities. The Committee made some recommendations around this issue.

Members spoke to a wide range of other public services in order to see how they provided services to this client group. The Committee found some good individual examples but there needed to be greater consistency across the board, including relevant training.

It was noted that an action plan was being developed and would be reported to the Select Committee in September. There had been some positive feedback from the CCG in terms of the recommendations that it could influence.

It was explained that there was a great deal of discussion around the Health Checks with the CCG and GP Federation and there was a eagerness to improve the situation.

- safe place scheme - some organisations had tried to be involved but had not been taken up, including Catalyst. This would be taken up with the Adults Commissioning Team.
AHP
24/16
Members received a presentation that referred to work that had been undertaken by a Task and Finish Group established by this Partnership to develop a section of Cleveland Fire Brigade's current Safe and Well Visits that would advise/assist individuals in a number of health and wellbeing areas including:

- dementia
- loneliness and isolation
- winter warmth
- flu vaccination
- smoking
- alcohol
- vulnerability

The Partnership was provided with a draft copy of a document that fire officers would use when undertaking visits. It was likely that this document would form the basis for visits throughout the Brigade area, not just in Stockton.

It was noted that the visits would target people over 65 years of age using Exeter data, however, visits could be made to anyone considered vulnerable , if a referral was made. It was anticipated that the revised Safe and Well visit would begin in September and would continue to be developed.

It was noted that this initiative did not rely on any investment from organisations involved in providing health and wellbeing services, however, some of the interventions planned would require a small amount of money and a discussion on this may be necessary at some point.

Members discussed the information provided and this could be summarised as follows:-

- the Partnership was very pleased at the progress that had been made and the large scale proactive nature of the initiative.

- gathering, evaluating and sharing information would be an important aspect of the initiative and further work in this regard would continue.

- there was a discussion on improving outcomes without increasing the demand on service providers and it was hoped that the early interventions that the visits were looking to undertake would reduce the demand on providers. This initiative would not create a referral culture.

- the information sharing consent form referred to sharing with Statutory Health Care providers but it was noted that some of the organisations which were likely to receive the information would not be statutory.

- the Exeter Data available to the Fire Brigade may help in Emergency planning terms as it did point to a cohort of some of the more vulnerable residents.

- flu vaccinations would be referrals to GPs, pharmacies etc

- slip mats were considered to be effective and it was suggested that everyone over 75 should be provided with them, rather than being done by exception. Dave Turton to discuss with Mandy Mackinnon.

- the tear off contact details was thought to be a good feature and it was suggested that something be added about support for carers. Dave Turton to consider further.

- any resources implications would be discussed outside the meeting

- the Brigade was likely to see people who clearly needed major adaptation and referrals in this regard were encouraged, via First Contact. It was noted that visits that suggested poor property condition would be raised under processes the Brigade had for suspected vulnerable people.
AHP
25/16
It was explained that the Health and Wellbeing Board had committed to exploring the means to tackling alcohol harm in Stockton on Tees.

Members were provided with a ‘statement of intent', that set out the context and intended direction of travel to reduce alcohol harm locally. The statement had been approved, in principle, by representatives from some of the key stakeholders from across Stockton on Tees (Police, CCG, Stockton on Tees Borough Council - Licensing, Community Safety, Public Health).

Members were also provided with a timeline that set out the proposed process for further development of a co-ordinated and cohesive approach to tackling alcohol-related harm.
AHP
26/16
Members considered a report that provided a brief overview of the new sexual health service contract.

It was explained that the award of a 5 year contract would mean that the local population of Teesside would continue to receive high quality integrated sexual health services, ensuring all aspects of sexual health, including contraception and STI testing and treatment, were provided wherever possible from easily accessible ‘one stop' clinic locations under robust clinical governance arrangements.

The Service would continue to operate a hub from Lawson Street but would be exploring other estate options for re-locating the hub, as Lawson Street was difficult to access and far too small.

To address the lack of outreach in the past, within Stockton, Virgin Care was subcontracting Brook, a national organisation which specialised in offering sexual health services to young people.

The Partnership was provided with details of other services provided within the new contract and noted that a virtual hub was being developed which would provide a platform for improved patient access and experience. It would ensure 24 hour access to support services and information 365 days of the year. Patients would be able to book an appointment and order home testing kits.

An Out of Hours telephone service would be provided, operating from 5pm to 8am Monday to Friday.

In terms of governance arrangements fortnightly mobilisation meetings were being held with the service and Tees Valley Public Health Shared Service (TVPHSS). Quarterly updates were provided to the Contract Mobilisation Team (formerly the Sexual Health Service Review and Re-procurement Group). Members included the sexual health leads from each Local Authority, NHSE and the two local CCGs - Hartlepool & Stockton-on-Tees CCG and South Tees CCG.

Following the commencement of the new contract from 1st July 2016; quarterly meetings would take place with the Sexual Health Strategic Leads Group (LA representatives) and the Sexual Health Collaborative Commissioners Group to oversee governance of the contract.

In addition, TVPHSS would hold bi-monthly Contract Review meetings with the provider to manage the day-to-day contract.

The new 5 year contract was expected to save the 4 Local Authorities in excess of 1.4m over 5 years. Stockton's annual contribution would reduce from 1,212,152 to 1,134,751.


Discussion included:

- members supported the outreach plans and welcomed the virtual hub. It was noted that the hub was a new initiative and hadn't been used in other areas previously, however it had been rigorously tested. It was explained that one of the features provided home sampling kits and negative results would go back, directly, to patients, without any intervention.

- work was in progress to help asylum seekers and break down barriers to them accessing services.

- in Stockton the service would see over a thousand people a month. It was thought that there was a significant unmet demand and it was felt that the virtual hub would help engage with more people.
AHP
27/16
The Forward Plan was noted
AHP
28/16
It was highlighted that this would be the final Partnership meeting of Peter Kelly, who would be moving to a different role, later in the summer.

On behalf of the Partnership, Steve Rose referred to the positive manner that Peter had engaged with people across a range of agencies. The Partnership expressed its unanimous thanks to Peter and best wishes for the future.

Peter expressed his thanks and pride at how well he felt the Partnership had worked.

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