Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Wednesday, 22nd October, 2014
Time:
11.00AM
Place:
Conference Room 2, Muni Buildings, Church Road, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Peter Kelly(Chairman), Cllr Jim Beall, Emma Champley, Liz Hanley, Sean McEneany, Hilary Hall, Karen Hawkins, Jayne Herring
Officers:
David Morton, Michael Rowntree (PH), Margaret Waggott, Jenna McDonald (LD)
Apologies for absence:
Sarah Bowman, Simon Willson
Item Description Decision
Public
AHW
28/14
DECLARATIONS OF INTEREST
 
AHW
29/14
MINUTES OF MEETING HELD ON 4 SEPTEMBER 2014
 
AHW
30/14
SUCCESSFUL COMPLETION FROM DRUG MISUSE
RESOLVED that :

1. the report be noted.

2. it be noted that PHOF Indicator 2,15, Number of drug users that left drug treatment successfully (free of drug(s) of dependence) who did not then re-present to treatment again within 6 months as a proportion of the total number in treatment had been proposed as the "National Indicator" together with a yet to be determined "locally selected indicator" as part of the Health Premium Incentive Pilot 2014/15

3. it be noted that the calculating period for successful completions from drug treatment had passed, therefore SBC was no longer able to influence this numerically.
AHW
31/14
COMMISSIONING INTENTIONS
RESOLVED that the report be noted.
AHW
32/14
HALCYON CENTRE
AGREED that the information be noted.
AHW
33/14
FORWARD PLAN
AGREED that the information be noted.
AHW
34/14
EXCLUSION OF PUBLIC
RESOLVED that under Section 100A(4) of the Local Government Act 1972 the pubic be excluded from the meeting for the following items of business on the grounds that they involved the likely disclosure of of exempt information as defined in paragraph 3 of part 1 of Schedule 12A of the Act.
Confidential
AHW
35/14
OUTCOME OF FAMILY WEIGHT MANAGEMENT SERVICE TENDER
  • Report
AGREED that the information be noted.

Preamble

ItemPreamble
AHW
28/14
There were no declarations of interest.
AHW
29/14
The minutes of the meeting held on 4th September 2014 were confirmed as a correct record.
AHW
30/14
Members received a report that provided an update on Successful Completions of Drug Misuse and Health Premium Incentive.

Background information for the report was noted by Members as follows:

- The Department of Health (DOH) had announced an additional 5 million which had been allocated for the Health Premium Incentive pilot scheme for local authorities that demonstrated improvements on two public health indicators

- Members were informed that the DOH was proposing the use of a national indicator and a locally selected indicator that a Technical consultation document was released for on 9th September 2014 and was due to end on 23rd October 2014.

- It was heard that the Department of Health was proposing to use a combined success rate for opiate and non-opiate successful treatment completions.

- The drugs recovery indicator had been chosen as it provided a litmus test of local authority's capacity to improve the chances of recovery for some of the most vulnerable people in our society.

Members noted the financial implications of the report as follows:

The health premium would reward progress rather than the attainment of a set target. When rewarding payments, all indicators both national and local would have been weighted exactly the same. For the year 2015/16 this would mean:

- If SBC made progress on both indicators they would receive the maximum reward for the authority
- If only one out of the two indicators were progressed by SBC, payment would have only been received for the one indicator
- Failure to meet any of the indicators would result in SBC not receiving any payment

It was highlighted that where SBC could demonstrate that an improvement had been made by the end of March 2015 they would receive a share of the total available incentive

The Group discussed the following points based on Local Forecast:

- The current baseline was 9.2% for successful completions from drug treatment

- In order for SBC to have achieved a completion rate of 11.2% they would have required 152 successful completions

- 161 successful completions were estimated over the calculating period with 9 having represented

- There was a possibility that the progress required to trigger the health premium for the drugs indicator may have been met with careful management of the representation rate

- It was important that not only were those exiting treatment successfully rewarded but also entered into a structured programme of recovery with regular contact. Many factors such as relationship breakdowns and bereavement could have caused a turn.
AHW
31/14
The Group were provided with a report and a presentation on Commissioning Intentions.

It was highlighted that the Public Health Department had contracts with various providers across the NHS, private sector and voluntary and community sector

Members were presented with detailed information on the following areas:

- Smoking Cessation
- Weight Management and Obesity
- Adult Early Intervention
- Children and Young People's Early Intervention
- Sexual Health
- Mental Health
- Drugs and Alcohol
- Injury Prevention
- Domestic Abuse
- Warm Homes, healthy People

The following information was noted by the Group:

- A new smoking cessation service had been issued for tender. The outcome of the tender process would be known by December 2014. It was highlighted that the contract would be joint between Hartlepool Borough Council and SBC with SBC identified as the lead commissioner.

- A new Family Weight management Service had been commissioned following a review and consultation process regarding overweight and obesity. Members heard that the service would have replaced the current Health Trainer and Child Weight management Service and was due to commence on 1st April 2015.

- Current provision in relation to Adult Early Intervention was mainly provided via what were previously known as enhanced services to GP practice contracts. Services were currently managed within separate contacts, however is was proposed that by commissioning all early intervention services under one contract would improve coverage and increase value for money within the primary care provision

- A review was currently on going within the Falls Service which was provided by North Tees & Hartlepool NHS Trust

- Updates had been provided to the Children and Young People Health and Wellbeing Commissioning Group regarding the review of the school nursing service in the context of the Healthy Child Programme

- It was agreed that SBC would be the lead Authority for procurement of Sexual Health

- There were no plans in place to make amendments to the current service provision for Mental health which were, CRUSE Bereavement Services and Mental Health Training and Suicide Prevention

- New drug and alcohol contracts for adults and young people were put in place from 1st January 2014. A response was awaited from the Area Team regarding extending the contract to April 2016 in order to enable a full review of the service and commissioning options to take place

- The current provision in place with partners for injury prevention was due to be assessed in 2015/16

- A new support service was available via Harbour for those experiencing and perpetrating domestic abuse as well as support for children affected by domestic abuse

- The plans for older people's care home services were out to consultation at the time of the meeting

Members were provided with a presentation on Commissioning intentions in Adult Social Care. The presentation included information on the following areas:

- Joint Commissioning
- EIT Reviews
- Better Care Fund(BCF)
- Big Ticket & Care Act

The following points were highlighted:

- SBC/the CCG commissioned care homes which provided personal care and nursing care

- Winterbourne view planning has been successful for known clients, however difficulties continued in relation to specialist commissioned cases

- An advocacy review was in progress at the time of the meeting

- Personal budgets and personal health budgets could be used to identify opportunities for joint commissioning

- An EIT recommendation was made for services for people with autism, as it was highlighted that people with Autism currently used external services: a pilot service had commenced for people making the transition to adult services this year

- The BCF created an opportunity to work in a more integrated way when offering services

- Plans had been developed for a multi-disciplinary scheme within the BCF. One of the most difficult parts of the process was understanding the remits of the different organisations

- Members heard that it was important to have close working relationships with the falls service which linked to care home services

- The Group identified an opportunity to bring the Social Enterprise Sector into the design of services which would particularly benefit those in isolation
AHW
32/14
The Chairman explained that he agreed to this item being considered by the group due to its urgent nature. He explained that he did not consider that consideration could be deferred to the next meeting.

Key points and emerging issues were highlighted to Members as follows:

- Numbers of referrals for the Halcyon centre had increased significantly

- The current budget for the centre was 1.5million

- Not only did clients attending the Halcyon Centre require 1 to 1 staffing but in some cases, 2 and 3 to 1 staff to address their personal care needs.

- The Centre accommodated 90 people a week across a 5 day basis. It was highlighted that there were currently 49 people on the waiting list

- Members of staff at the Centre did not receive a high level of mental health training, , but the number of people with mental health problems referred to the Centre was increasing.

Members of the Group were informed that the Halcyon Centre may require additional funding in the near future. The Director of Public Health agreed that a discussion was to take place outside of the meeting regarding funding options and approaches for the future.
AHW
33/14
The group were presented with a Forward Plan and discussed items which were to be scheduled for future meetings, Items included:


- Care Homes
- Commissioning Workstream
- BCF - Joint Commissioning
- Readmissions/ Admissions audit findings
- Final refresh 5 year CCP

Members made the following suggestions towards the Forward Plan:

- Advocacy to be discussed as part of the Draft Commissioning Intentions item for the meeting on 25th November 2014
- Research project with the University of Durham based on Weight Management in Pharmacies to be scheduled as an item for the meeting on 25th November 2014
- Falls item to be scheduled for the meeting on 18th December 2014
AHW
35/14
The Group was presented with a report which identified the outcome of the tender process for the Family Weight Management Service.

Two tenders were received to provide a Family Weight Management Service within the Borough. Members heard that the evaluation of the tender was based on 20% Price and 80% Quality.

It was highlighted that there was no stand of period for the tender which was public and viewable at the time of the meeting.

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