Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Thursday, 12th September, 2013
Time:
4.00pm
Place:
Ground Floor Committee Room, Town Hall, High Street, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Peter Kelly (Chairman) and

Councillor Jim Beall, Sarah Bowman, Emma Champley, Hilary Hall, Liz Hanley, Karen Hawkins, Jayne Herring, Sean McEneany, Simon Willson
Officers:
Michael Henderson (LD) and Zoe Greaves (PH).
Item Description Decision
Public
AHW
1/13
DECLARATIONS OF INTEREST
 
AHW
2/13
TERMS OF REFERENCE AND RULES OF PROCEDURE
RESOLVED that the Terms of Reference and Rules of Procedure be noted and the minor amendments be made.
AHW
3/13
HEALTH AND SOCIAL CARE ITEGRATION TRANSFORMATION FUND WORKING
RESOLVED that:-

1. the detail in the statement be noted.

2. the Integration Transformation Fund be a standing item on the group's agenda and an update report be produced for the next meeting.

3. consideration be given as to whether this issue should be presented to the Children and Young People's Health and Wellbeing Group.
AHW
4/13
COMMISSIONING INTENTIONS
RESOLVED that:

1. the proposed process and principles outlined above, and in the report, be approved.

2. the members of the Group implement the process and principles in their organisations.

3. the process and principles be discussed at the September joint HWB / Health and Wellbeing Partnership meeting.

4. Commissioning intentions of member organisations be presented to the Group's next meeting.

5. details of the contracts described above be submitted to the next meeting for consideration.
AHW
5/13
DOMESTIC ABUSE SERVICE - PROCUREMENT
RESOLVED that the information be noted.
AHW
6/13
IDENTIFICATION AND SPEND ON NON-RECURRENT FUNDS
RESOLVED that the information be noted.
AHW
7/13
NATIONAL HOUSING FEDERATION - LINKING HOUSING, HEALTH AND SOCIAL CARE IN THE NORTH EAST
RESOLVED that further information about the pilot be sought

Preamble

ItemPreamble
AHW
1/13
There were no declarations of interest
AHW
2/13
Members were provided with the Terms of Reference and Rules of Procedure for the Group, as agreed by the Health and Wellbeing Board, at its meeting held on 24 July 2013.

During consideration the Group asked for a number of minor amendments to be made that would more accurately reflect the job titles and organisations who were members of the Group.
AHW
3/13
Members were provided with a statement on the health and social care integration Transformation Fund issued by the Local Government Association and NHS England.

It was explained that a 3.8 billion pooled budget had been made available, nationally, to ensure closer integration between health and social care.

The Group was informed that the ITF would come into effect for 2015/16, however, it was considered important that two year plans for 2014/15 and 2015/16 should be in place by March 2014. Given this it was important that discussions between the Council and Clinical Commissioning Group (CCG) began soon.

Members noted that the ITF could be aligned with the ‘a call to action' processes and it was explained that the CCG and NHS would be meeting soon to agree how consultation on ‘call to action' would be carried out. There may be more clarity after this meeting.

It was explained that 1 billion of the funding in 2015/16 would be performance related, however, details of the performance scheme were not known at this time. The earlier information was available the more strategic plans could be.

It was not clear how funding would be allocated in terms of the two local authorities covered by Hartlepool and Stockton CCG.

The Group noted that the plans would be signed off by the Health and Wellbeing Board and would then go through an assurance process involving NHS England

Members noted the outline timetable for developing the pooled budget plans by March 2014. It was envisaged that some intensive work would be necessary during January and February to bring the plans together.

It was suggested that this issue be a standing item on the Group's agenda and Karen Hawkins and Liz Hanley provide an update to the next meeting.

It was suggested that consideration be given to whether it was necessary to take this issue to the Children and Young People's Health and Wellbeing Commissioning Group.
AHW
4/13
Members considered a report on the proposed process, by which commissioning intentions could be discussed to inform commissioning rounds for 2014/15.

The process would involve the Group in taking an overview of how commissioning intentions, specific to adults, would deliver on the priorities in the Joint Health and Wellbeing Strategy (JHWS). It would also act as a forum for discussion on joint commissioning intentions.

The proposed process for discussing and agreeing commissioning intentions was provided to the Group:

• Group member organisations propose commissioning intentions to the October meeting for discussion and endorsement / amendment. It was suggested that partner organisations share their proposed commissioning intentions with each other prior to the October meeting, to enable discussion re: synergies across organisations.

• The Health and Wellbeing Board (HWB) discusses and agrees the proposed commissioning intentions, together with those proposed by this Group at its following meeting. The HWB would be asked to consider these intentions in light of their agreed strategic priorities.

• If agreed, the commissioning intentions would be incorporated into commissioning plans for the year 2014/15.

• The work programmes for each Group member organisation would be built around the agreed commissioning intentions, flowing from the strategic priorities agreed by the Group and the HWB.

To facilitate the discussions, the following principles were suggested for agreeing commissioning intentions.

• The priorities for commissioning in 2014/15 should flow directly from the agreed priorities in the JHWS delivery plan.

• The commissioning intentions should be based on the content of the Joint Strategic Needs Assessment (JSNA). The commissioning intentions would therefore propose evidence-based interventions to address the areas of greatest need in the population.

• Joint commissioning intentions and pooled budgets would be considered where possible; to facilitate joined-up planning, aligned outcomes and more integrated pathways of care. The Group would be responsible for making decisions regarding joint commissioning.
Members agreed the process detailed in the report, and above, and were asked to bring details of their organisation's Commissioning Intentions to the Group's October meeting. It would be important to collectively understand the needs of Adults in the Borough. Liz Hanley indicated that she would provide some helpful information that may assist.

Commissioning needed to avoid duplication, address priorities and fill any gaps.

It was agreed that the Group look at a couple of contracts in detail as this might reveal some opportunities. It was suggested that the Falls contract and the Specialist Weight Management contract be considered.

Reference was made to Specialist Commissioning and it was noted that this was undertaken by NHS England Area Team.

It was noted that the NHS England Area Team would provide a list of contacts, for specialist commissioning, to the Public Health Team.
AHW
5/13
The Group was informed of a commissioning process that would be taking place for a new Domestic Abuse Service. It was anticipated that the new service would be in place for 1 April 2014. The commissioning would be in line with NICE guidance.

This was a complex area and, in commissioning the service, it would be important to understand what pressures domestic abuse placed on the NHS, Social Care and other services and its links to alcohol, drug abuse etc.

It was noted that there would be meetings with Tees-wide commissioners to discuss specifications, performance, sharing good practice etc.
The specification would include programmes for affected children, the victim and perpetrators.

It was suggested that the service specification be circulated to the Group.
AHW
6/13
The Group noted that it was intended to submit a paper to the Health and Wellbeing Board (HWB) relating to the allocation of some non-recurrent funds available within the Public Health Grant.

The intention was not to go through a bidding process but to just identify priorities.

It was suggested that it may be possible to identify a single process for dealing with non-recurring monies across member organisations.
AHW
7/13
The Chairman agreed that this matter could be considered as an urgent item, as an initial response was needed soon and the Group would not meet again until late October.

The Group noted that the National Housing Federation had approached the Council with regard to it being involved in a pilot project relating to health and wellbeing commissioning priorities. No additional funding would be available.

It was agreed that more information about the project and the potential benefits was needed before a decision on whether to be involved was required.

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