Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Tuesday, 24th March, 2015
Time:
2.00PM
Place:
Conference Room 2, Municipal Buildings, Church Road, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Sarah Bowman-Abouna, Emma Champley, Liz Hanley, Sean McEneany, Simon Willson, Jayne Herring
Officers:
Gemma Mann, Jenny Cowell, Aishah Waithe, Zoe Greaves(PH), Jenna McDonald, Daniel Childs(LDS)
Apologies for absence:
Peter Kelly(Chairman), Cllr Jim Beall, Karen Hawkins, Margaret Waggott
Item Description Decision
Public
AHW
61/14
DECLARATIONS OF INTEREST
There were no Declarations of Interest.
AHW
62/14
MINUTES OF THE MEETING HELD ON 17TH FEBRUARY 2015
RESOLVED that the minutes be approved as a correct record.
AHW
63/14
MINUTES OF CHILDREN'S JOINT COMMISSIONING GROUP AND PARTNERSHIPS
RESOLVED that the minutes be noted.
AHW
64/14
A WAY OUT - COMMISSIONING OPTIONS
RESOLVED that:

1. The report be considered at the Children and Young People's Health and Wellbeing Joint Commissioning Group

2. Option C be approved
AHW
65/14
DOMESTIC ABUSE
RESOLVED that:

1. The information be noted

2. The Group receive information on waiting times for service users accessing programmes
AHW
66/14
HEALTHY HEART CHECK UPDATE
RESOLVED that the item be deferred to the June meeting.
AHW
67/14
FORWARD PLAN
RESOLVED that the forward plan be noted.

Preamble

ItemPreamble
AHW
62/14
The minutes of the meeting held on 17th February 2015 were signed by the Chairman as a correct record subject to a minor amendment.

It was highlighted that at the meeting held on 17th February 2015, Members were informed that the Section 75 Pool Budget Arrangement was to be led by the Clinical Commissioning Group(CCG) however the Group heard that this was no longer the case as the arrangement would now be led by Stockton Borough Council and Hartlepool Council.
AHW
63/14
The Group were presented with minutes of the following meetings:

- Children and Young People's Health and Wellbeing Joint Commissioning Group - 19 January 2015

- Adults Health and Wellbeing Partnership - 3 February 2015

- Children and Young People's Health and Wellbeing Partnership - 23 February 2015
AHW
64/14
Members were provided with a report on A Way Out - Commissioning options for vulnerable women.

The report outlined the potential commissioning process options for A Way Out and also presented the outcomes of from the Women's Engagement and Recovery Programme.

It was highlighted that A Way Out were a Stockton based outreach and prevention charity that specialised in engaging vulnerable and hard to reach women and young people.

The Group were informed that in 2013 Barefoot Research published findings from research into the adult sex market across Teesside. Some of the key findings from the study revealed that:

- The age profile of women involved in survival sex work tend to be within the age range of 26-35

- Many women involved in survival sex work were first sexually exploited when under the age of 16 years

Discussions took place around the Women's Engagement and Recovery Programme which offered street based and outreach, prison in reach and centre based activities designed to engage and support women engaged in survival based sex work or who are at risk of sexual exploitation. The Group heard that the programme supported 40,000 people per year including women exiting sex work and those with drug addictions.

It was highlighted that non-recurrent grant funding for the programme currently supported:

- A full time complex needs case worker providing case work and advocacy

- Development and delivery of Social Inclusion and Therapeutic Activities including a Recovery Therapy Group and a Self Esteem Programme

- Life skills and Social Inclusion courses/activities

- Volunteer programmes

- Added capacity to service evening outreach and drop-ins

There had been many positive outcomes of having a Caseworker in post which were highlighted as follows:

- Support throughout court processes
- Children returned to their families
- Mental Health counselling
- Securing employment

Members were presented with a Complex Needs Caseworker Case Study which revealed a success story as a result of the programme.

It was heard that if the 40,000 of funding ceased, reductions would be made in staff and Social Inclusion services.

The Commissioning Group were presented with three options based on the work-to-date as follows:

Option A: To cease non recurrent funding for the Women's Engagement and Recovery Programme, and to not fund further work post May 2015.

Option B: To grant fund case work to continue to support clients who have the greatest need, through a full time case worker post (approximate cost 25,000) until April 2016 while scoping work takes place with commissioning group partners for an April 2016 start

Option C: To grant fund the Women's Engagement and Recovery Programme at its current level (40,000) with the service required to work towards additional outcomes to improve Public Health Outcomes for clients, with a focus on the most complex clients until April 2016

Discussions which took place can be summarised as follows:

- The Group agreed that it was important to identify people at risk and not only those already in the system/accessing services

- In relation to Option C, questions were raised around the confidence which A Way Out had in a clear set of service users being achieved. In response, it was heard that although a lot of work would be required, this could be achieved.

- If basic needs of women were not being met, it would be difficult to make priorities

- Members asked whether it would be possible to provide a debt advice service in addition to other existing services as many people encountered financial difficulties due to lifestyle issues, choices and behaviour. The Group were informed that debt advice was provided to those in need.
AHW
65/14
The Group were presented with a report that detailed high level performance data relating to the Harbour service that commenced on 1 April 2014.

It was highlighted that Harbour developed a new data and performance management system to respond to the requirements of the new contract. Work had taken place since 1 April 2014 to train staff in the new system and embed it within the organisation. Due to the process and data quality assessments for the first two quarters of the year, the Commissioning Group was provided with Q3 data only.

The Q3 Data revealed information such as:

- 30% of referrals to the service were made by social care, 28% self referral 18% Police referral, 24% by others including Health visitors, housing providers and mental health services etc

- 81% of service users identified themselves as White British, 11% undisclosed or unrecorded and 11% of people from BME background

- The principal age range referred to Harbour continued to be between the ages of 18 and 35 years

- There was a total of 334 active cases in Q3. 78 of the 334 cases were identified as family units

- 26 Children were identified as a child in need, 54 children had a child protection plan

- The Majority of referrals to Harbour were from Mandale & Victoria, Newton, Hardwick and Parkfield & Oxbridge

- The refuge throughput was 240% exceeding the target of 150%

- 71% of the perpetrators completed the programme

- 14 service users had re-presented to the service within 3 months of discharge and 23 within 6 months

- A second programme was offered running in Q3 due to a high demand of the 27 week perpetrators programme
AHW
67/14
The Group considered the Forward plan and suggested the following amendments:

- Healthy Heart Check update to be scheduled for the meeting on 24th June 2015

- Independent Living Services to be scheduled for the meeting on 24th June 2015

- 5 Year Forward Plan - Targets to be scheduled for the meeting on 28th July 2015

- Sexual Health to be scheduled for the meeting on 28th July 2015

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