Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Partnership Minutes

Date:
Tuesday, 6th February, 2018
Time:
9.30 a.m.
Place:
Jim Cooke Conference Suite, Stockton Central Libraray, Stockton on Tees, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Ann Workman,

Cllr Jim Beall, Dave Turton, Emma Champley, Steve Pett (Sub for Julie Parkes), Jane Edmends, Alan McDermott, Steve Rose, Paul Whittingham (Sub for Paula Swindale), Christine Cooke
Officers:
James O'Donnell, Tanja Braun, Gemma Mann, Paul Taylor, Kirsty Wannop
In Attendance:
Catherine Monaghan, Belinda Peckett, Julie Auffret,
Apologies for absence:
Julie Parkes, Paula Swindale, Sharon Barnett, Chawla Girish, Graham Clinghan, Dominic Gardner, Margaret Waggott
Item Description Decision
Public
AHP
39/17
DECLARATIONS OF INTEREST
 
AHP
40/17
HOSPITAL AT HOME
RESOLVED that the presentation and discussion be noted /actioned as appropriate.
AHP
41/17
HWB DEVELOPMENT DAY FEEDBACK
RESOLVED that the update be noted
AHP
42/17
JSNA - SEXUAL HEALTH , ENVIRONMENT
RESOLVED that:

1.the discussion be noted /actioned as appropriate.

2. the topic templates be approved for uploading to the live web site.
AHP
43/17
BSF UPDATE
RESOLVED that the update be noted and further updates be provided, for information, on a quarterly basis.
AHP
44/17
LEARNING DISABILITIES PARTNERSHIP - MINUTES
RESOLVED that the minutes and related discussion be noted/actioned as appropriate.
AHP
45/17
HEALTH PROTECTION REPORT
RESOLVED that the report and discussion be noted/actioned as appropriate.
AHP
46/17
FORWARD PLAN
 

Preamble

ItemPreamble
AHP
39/17
There were no declarations of interest.
AHP
40/17
Members received a presentation regarding the Hospital at Home initiative.

The presentation provided :

Background to the service
Patients journeys
key performance indicators
added value
where next
patient experience

Hospital at Home delivered care at home for patients with exacerbations of COPD. The trust provided a full package of care to those referred.

Members noted the positive experiences reported by patients, their confidence in the service and preference over a hospital admission.

It was noted that there was potential to extend the model to frail elderly, nursing and care homes, heart failure.

Discussion:

- it was suggested that this presentation should be delivered to the STP Prevention Board.

-the vast majority of cases of COPD were linked to smoking, so any work the partnership could do to reduce this would impact significantly on the number of incidents.

- Patients' assessments considered if social care referrals were required.

- the trust worked with Carers of patients with COPD to help them understand the condition and manage it
.

- there was an increasing number of people accessing personal budgets and the Hospital@Home Team received training around Integrated Personal Budgets.

- Members discussed the clinical benefits versus financial issues associated with the initiative.

- it would be important to strengthen links with social care, care homes etc.

- reference was made to the early intervention work on loneliness and isolation and how there should be links with this work and Hospital @Home. Links with fuel poverty had been established.






AHP
41/17
Members received a report that detailed outcomes and next steps following a development day held by the Health and Wellbeing Board in December.

The session was set in the context of ‘Think Community, not services'. Its aim was to develop the ability of the Board to create a shared understanding and commitment to the Board's strategic priorities over the next five years.

Attendees agreed that more open discussion about how Board issues sat with their organisation's current priorities and pressures would further develop trust among Board members and their ability to work together on key priorities.

Board members also discussed where barriers to achieving aims may exist and how these could be overcome. The main outcome was an agreement that the Board's agenda should have fewer items, with a focus on a smaller number of shared priorities and a limited section for ‘business' items e.g. items that come to the Board more as a matter of process rather than to ask Board members to work together to problem-solve.

Details of the next steps were provided:

•The Director of Adults and Health, Director of Public Health and Consultant in Public Health would work further with Change and Transformation to use the outcomes of the session to help frame the Strategy and its priorities.

•The development of the Strategy would continue through this work, with consultation and engagement across a range of stakeholders. The refreshed Strategy would set out key strategic issues where the Board could have most impact, working together across the health and wellbeing system.

A further Board development session would be arranged when appropriate.
AHP
42/17
Members received JSNA templates which had been completed for :

Sexual Health
Environment

As well as highlighting any potential gaps in the information, conclusions and strategic direction contained in the JSNA topics, members were asked to consider how their organisations, individually and/ or collectively could support any plans/activity identified.

Sexual Health - Discussion

- it was considered that there were opportunities for partners to assist in raising awareness of prevention and screening services. and there could be further consideration of this.

- the North Tees Hospital offered to assist with providing information that might help to target certain groups.

- current spend on topics would be aligned to strategic action plans.

- period poverty was dealt with under the poverty JSNA topic.

Environment - Discussion

- it was pointed out that air pollution regulations, coming into force in 2020, meant that partners needed to

- members discussed the impact that the built environment could have on people's mental and physical health. Further discussion around this would take place outside the meeting.
AHP
43/17
Members were provided with a high level update on BCF and were asked to identify what information they would like to see going forward.

A high level update would be provided quarterly to the Partnership, for information.
AHP
44/17
Members considered the minutes of the Learning Disability Partnership Board held on 6 December 2017.

Members noted that public health and NHS England were developing a plan to improve screening rates and it was agreed that a strand of that should relate to people with learning disabilities.

It was noted that the minutes referred to the implementation of an Accountable Care Partnership across health and social care. It was explained that Stockton Borough Council had not signed up to such a Partnership.

Reference was made to the recent decision made by the CCG relating to Respite Care and Short Break Opportunities for people with learning disabilities and their carers. It was queried what the next steps in this process would be and an update would be sought on where discussions would take place.
AHP
45/17
Members received a Health Protection Report that had previously been considered by the Health and Wellbeing Board.

Discussion:

- on key statistics, and where it would be helpful, the England Average would be included in future reports.

- consideration would be given to providing comparators based on similar areas to Stockton.

- it was agreed that public health would work with partners to improve uptake of flu vaccination.
AHP
46/17
Members considered the Forward Plan.

Winter Planning

Reflecting on what has happened over last year.

It was noted that Catalyst had appointed Sara Dalton, as Health and Wellbeing Programme Manager.

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