Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Tuesday, 3rd December, 2013
Time:
05.00 p.m.
Place:
Conference Room 2, Municipla Buildings, Chirch Road, Stockton
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Peter Kelly (Chairman) Councillor Jim Beall, Sarah Bowman, Emma Champley, Liz Hanley, Sean McEneany, Simon Willson
Officers:
Michael Henderson (LD)
Apologies for absence:
Hilary Hall, Karen Hawkins and Jayne Herring
Item Description Decision
Public
AHW
18/13
DECLARATIONS OF INTEREST
 
AHW
19/13
MINUTES OF THE MEETING HELD ON 28 OCTOBER 2013
 
AHW
20/13
INTEGRATION FUND UPDATE
RESOLVED that the information be noted
AHW
21/13
COMMISSIONING INTENTIONS
RESOLVED that the report and discussion be noted.
AHW
22/13
OLDER PEOPLE'S CARE HOME COMMISSIONING
RESOLVED that the strategic intent be approved subject to further discussion with the Clinical Commissioning Group.
AHW
23/13
UPDATE ON PREVENTION PROJECT (ADULT SOCIAL CARE)
RESOLVED that the information be noted.
AHW
24/13
WORKING ARRANGEMENTS BETWEEN THE HEALTH AND WELLBEING BOARD AND SAFEGUARDING ADULTS COMMITTEE
RESOLVED that the draft statement be noted and be presented to the Health and Wellbeing Board for approval.
AHW
25/13
PLANNED REVIEW AND CONSULTATION - OVERWEIGHT AND OBESITY
RESOLVED that:

1. the programme of work described in the report and above be approved.

2. the group acts as project sponsor and mandates the work.

3. The group would receive final commissioning
recommendations and provides a steer for Public Health to secure appropriate provision of obesity services.
AHW
26/13
EXCLUSION OF PUBLIC
RESOLVED that the public be excluded from the meeting for the following items of business on the grounds that they involved the likely disclosure of exempt information as defined in Paragraph 3 of Part 1 of Schedule 12A of the Local Government Act 1972
Confidential
AHW
27/13
SPECIALIST WEIGHT MANAGEMENT SERVICE
  • Report
  • |
    Impact Assessment
RESOLVED that the actions be noted and supported.

Preamble

ItemPreamble
AHW
18/13
There were no declarations of interest.
AHW
19/13
The minutes of the meeting held on 28 October 2013 were confirmed as a correct record.
AHW
20/13
The Group received a report that provided information regarding the Integration Transformation Fund (ITF) including background and current guidance, timescales, indicative allocations and initial governance arrangements.

It was explained that there were six National Conditions that must be met in order for the pooled money to be accessed. These were:

• Plans to be jointly agreed by Councils and Clinical Commissioning Groups CCGs, with engagement of providers and sign off by the Health & Wellbeing Board.

• Protection for social care services (not social care spending)

• Provision of seven day services in health and social care to support hospital discharges and prevent unnecessary admissions at weekends.

• Better data sharing between health and social care using the NHS number.

• A joint approach to assessments and care planning with an accountable professional for integrated packages of care.

• Agreement on the impact of changes in the acute sector.

The fund would be allocated to local areas where it would form a pooled budget, jointly governed by the CCG and local authority. In order to access this fund, CCGs and local authorities must jointly agree plans for how the money would be spent, and the plans must meet certain requirements.

Strategic and operational planning by the CCG must take place within the context of a ‘unit of planning' that would be the North of Tees. Whilst an oversight /partnership group across the North of Tees would ensure that there was strategic alignment of plans across that footprint and would encourage the sharing of best practice. This Group would be responsible for the development of local plans for recommendation to the Health and Wellbeing Board.
It was explained that the Health and Wellbeing Board was required to submit a completed planning template for Stockton by 15 February 2014. The Plan had to provide specific information and identify:

• How the six National Conditions will be met.
• The expected outcomes and performance measures for the planned changes.
• How the pooled budget will be spent.
• Contingency plans if planned improvements are not achieved; and
• Key risks and plans to mitigate those risks.

A draft template was provided to Members.

Members were informed that the CCG was required to submit draft five year plans through its Health & Wellbeing Boards (including a two year operational plan that covered the ITF) by 4 April 2014.

The Group noted that funding allocations had not yet been confirmed and CCG allocations were expected to be issued later in December.

Members noted that the Health and Wellbeing Board would receive notification of its share of the pooled fund for 2014/15 and 2015/16. The allocation letter would also specify the amount that was included in the pay for performance element of the funding. The performance measures had not been agreed but were likely to focus on delayed discharges from hospital, emergency admissions, effectiveness of reablement services, admissions to residential and nursing care and patient / user experienced

Locally the CCG had commenced public engagement, as part of Call to
Action which included a public meeting using a market
place process to understand the views of local people on the following key areas:

• Long term Conditions
• Maternity care
• Children and young people
• Urgent care
• Frail and Elderly including End of Life
• Mental health, Learning Difficulties and Dementia

In addition, Catalyst, via Healthwatch, had been commissioned to
undertake a series of meetings/focus groups with 20 different local and voluntary groups to ensure that views were gathered from all parts of the community.

The information from this and responses via questionnaires would be used, alongside other information, already collected from Council public engagement and consultation processes, to inform the plans.

The Board would receive regular updates on ITF progress.

During consideration non-recurrent funding and how this was being allocated to NHS Services and Council Services was discussed. Any issues in this regard could be considered by the Board.
AHW
21/13
The Group received a report that set out the approach for the development of Market Position Statements for the Council.

It was explained that the principle of developing Market Position Statements (MPS) was agreed with NEPO and the Adult Social Care Category Board of the North East ADASS. The approach was:

• Firstly to develop a MPS focusing on residential and nursing care for older people, people with mental health problems, people with learning disabilities and people with physical disabilities.

• Subsequently to develop a MPS relating to independent living services, specialist services and for services required for people with learning disabilities.

The first of these MPS documents (Care Homes) had been endorsed by Adult Care
Management Team on 30 April 2013. Work had commenced on the second of the two
documents.

During discussion on the approach to develop a MPS for the Council it was
agreed that examples of best practice be reviewed.

Several examples of best practice MPS documents were provided by the Adult
Services Lead. The Group was provided with a copy of the MPS for Central
Bedfordshire, which was considered to be the most appropriate in format, readability
and content.

It was proposed that an over-arching MPS be developed along a similar format to that
of the Central Bedfordshire document. The work that had already been undertaken
would also be incorporated into this single MPS.

The new document would be branded and produced as a professional document,
which, once approved, would be published on the Council's web site. It was anticipated
that the document would be ready for approval by the Adult Board in March 2014 for
publication in April 2014.

Once the over-arching document had been produced, gaps in information, intelligence
and the market would be more clearly understood and this would lead onto further
detailed work. For example it had been agreed that a more detailed understanding of
need and the market was needed for housing.

It was noted that this would sit well with the duty in the Care Bill to develop the market.

A section could be included in the MPS relating to the Integration Transformation Fund and joint commissioning with the Clinical Commissioning Group.

The importance of aligning commissioning intentions was discussed and it was agreed that this needed to be a focus for next year.
AHW
22/13
The Group considered a report that summarised the Council's strategic intent with respect to commissioning care home services for older people from 1 October 2014.

Strategic options would be reviewed with the aim of ensuring that sufficient care home capacity was available to address the needs of the older people in Stockton. This would include nursing services, subject to agreement from the Clinical Commissioning Group.

It was agree that Clinical Commissioning Group sign up to the strategy would be needed and a discussion outside the meeting should take place to ensure agreement of all parties.
AHW
23/13
The Group was provided with a report that provided a progress update on an Adult Social Care prevention programme.

The Group noted that the Prevention project had been agreed following a submission to the Local Government Association (LGA) in December 2011/Jan 2012.

The LGA made 20,000 available to support this project. The initial plan to recruit an officer to undertake the lead role in October 2012 was unsuccessful and since that point a revised plan had focussed on using existing skills across AST, BuSI and Public Health.

In October 2013, the project had progressed to the following point:

• SBC was in open discussion with health of accessing key data sets to support phase 1;

• Public Health had identified a lead officer who would be committing dedicated time from the 11 November 2013 to support this project;

• A sample list of clients had been identified and would be used to pull all SBC data together in the first instance.
AHW
24/13
The Group was provided with a draft statement of principles regarding working arrangements between the Health and Wellbeing Board and the Safeguarding Vulnerable Adults Committee.
AHW
25/13
The Group considered a report that provided an overview of the process to be undertaken regarding a review of services that were commissioned by the Local Authority to prevent and provide early intervention regarding overweight and obesity. It also provided a summary of the steps to be taken to consult with the public and stakeholders about how the needs of the population were best met.

The Stockton on Tees Obesity Review would use Prince2 project management methodology to complete a programme of work. This project would:

• Identify the current & future impact of obesity on people living in the borough of Stockton on Tees.

• Improve and expand the detail and quality of information in the Joint Strategic Needs Assessment, reflecting greater preventative information, current themes and practice and provide information from a public consultation which was currently a gap.

• Recommend commissioning actions for the prevention & treatment of obesity through review of existing services, review of the national and local evidence and through evidence gathered by public consultation.

• Identify and propose commissioning options that would result in the provision of fit for purpose non specialist obesity pathway that fully aligns with specialist provision provided by commissioning colleagues within the NHS. These options may include, but were not limited to;
unilateral commissioning;
joint commissioning;
market testing;
procurement;
service / pathway development;

• Ensure that the pathway commissioned by Public Health was fully and seamlessly aligned with other tiers and commissioned services
• Ensure a contract and approved service specification were in place with a provider organisation delivering from the 1st April 2015
• Evidence that commissioning actions had made a contribution to fulfilling the commitment made within the Joint Health & Wellbeing Strategy 2012-2018 to:
• Improve the rates of childhood obesity
• Reduce levels of obesity
AHW
27/13
The Group received a report that summarised actions taken in relation to the specialist Weight Management Service, provided by South Tees Hospitals NHS Foundation Trust.

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