Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Monday, 28th October, 2013
Time:
3.00pm
Place:
Jim Cooke Conference Suite, Stockton Central Library, The Square, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Emma Champley, Councillor Jim Beall, Sarah Bowman, Liz Hanley, Karen Hawkins, Sean McEneany, Simon Willson
Officers:
Michael Henderson (LD)
Apologies for absence:
Peter Kelly, Hilary Hall and Jayne Herring
Item Description Decision
Public
AHW
8/13
APPOINTMENT OF CHAIRMAN
RESOLVED that, in the absence of the Chairman, Emma Champley take the Chair.
AHW
9/13
DECLARATIONS OF INTEREST
 
AHW
10/13
MINUTES OF THE MEETING HELD ON 12 SEPTEMBER 2013
 
AHW
11/13
INTEGRATION FUND UPDATE
RESOLVED that the information be noted and a further update be presented to the Group's next meeting.
AHW
12/13
SOUTH TEES CCG CONSULTATION ON SERVICES FOR THE ELDERLY AND VULNERABLE
RESOLVED that the consultation documentation be noted.
AHW
13/13
NON RECURRENT FUNDING
RESOLVED that an options paper be presented to a future meeting of the Group.
AHW
14/13
FALLS SERVICE
RESOLVED that the information and discussion be noted.
AHW
15/13
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.
Confidential
AHW
16/13
SPECIALIST WEIGHT MANAGEMENT SERVICE
  • Appendix
  • |
    Report
RESOLVED that the information be noted and the Group receive a report on this matter at a future meeting.
AHW
17/13
COMMISSIONING INTENTIONS UPDATE
  • Commissioning Intentions
RESOLVED that further reports on Commissioning Intentions be brought to the Group in December/January.

Preamble

ItemPreamble
AHW
9/13
There were no declarations of interest.
AHW
10/13
The minutes of the meeting held on 12 September 2013 were confirmed as a correct record.
AHW
11/13
Members were provided with a brief update on the Integration Transformation Fund.

Noted that discussions were on going to agree a process and timetable for the alignment of plans and how the ITF would be taken forward.
AHW
12/13
The Group noted that NHS South Tees CCG had issued a consultation/questionnaire seeking views on the future of health and social care in South Tees.

It was considered that the services involved were unlikely to be accessed by Stockton residents.
AHW
13/13
The Group was informed that the Health and Wellbeing Board had recently agreed to allocate 500,000 of non recurrent funding, to be targeted at the following areas:-

- early years intervention
- ill health prevention, relating to adults.

The funding was to be broadly split 50/50, with specific details of the spend and targeted areas to be determined by the relevant Commissioning Group, within the context of health inequalities, linked to deprivation.

The Group identified smoking cessation as an area to target and discussed this within the context of:

- mental health
- pregnancy
- welfare.

The Group agreed that care would need to be taken not to duplicate any work being undertaken by the CCG.

It was suggested that an options paper be developed for consideration by the Group at a future meeting.
AHW
14/13
The Commissioning Group received a paper that outlined the Community Integrated Assessment Team (CIAT) service, available in Stockton on Tees and the commissioning considerations surrounding the service. The paper provided an example of the need for collaborative understanding and agreement between commissioners across health and social care.

Members were informed that the CIAT service had three key aims:

• Care and treatment for those people in crisis in the community setting (set up)

• Supporting rapid discharge from hospital care or ambulatory care (step down)

• Rehabilitating the patient to the optimum level of independence

It was explained that the service was primarily commissioned by the Clinical Commissioning Group (CCG) but also comprised a Falls element, commissioned by Stockton on Tees Public Health. In addition, there were fundamental links with social care provision as patients, who required continuing care, often had complex health needs and disabilities related to long term conditions.

The Group considered the information presented to it and, in particular, discussed how the different elements of the service might be commissioned in the future. It was agreed that integration of prevention, acute and social care may be an option.

It was noted that the falls element of the service would need to be reviewed in 2014. The review would be in depth and would need to fully consider the future ntentions of the CCG.
AHW
16/13
The Group considered a report relating to the current tier 3 obesity treatment service, available in Stockton on Tees, and the commissioning considerations surrounding the service. It was provided as an example of the need for collaborative understanding and agreement between commissioners regarding pathways spanning prevention and clinical treatment.

Details of the components of the service and the multi-disciplinary team that delivered them were provided.

It was explained that the current tier 3 provision in Stockton was via a Public Health commissioned service. This was a historical commissioning arrangement whereby Stockton, Middlesbrough and Redcar and Cleveland Councils jointly commissioned from South Tees Hospital Foundation Trust.

The service contract was due to expire at the end of May 2014 and was being reviewed.

The Group noted the complexities associated with this matter and was informed of the some of the review work being undertaken in this area. A report on the outcomes of this work would be reported to a future meeting.
AHW
17/13
The Group was provided with an initial outline of the Public Health Department's Commissioning intentions for 2014/15 relating to contract arrangements held within the Public Health for the following services:-

-Smoking Cessation
-Weight Management and Obesity
-Adult Early Intervention
-Children & Young People's Early Intervention
-Sexual Health
-Mental Health
-Drugs
-Alcohol

It was explained that the report would be updated to include a financial appendix.

Members noted that the CCG was due to finalise commissioning intentions in November, so it was likely that draft details could come to the Group's December meeting.

Adult social care intentions were tied up with a major Council review. A market position statement was being prepared and this was identified as being the most suitable document to be presented to the Group in terms of detailing future social care commissioning plans.

It was hoped that some synergies could be identified when all intentions were presented to the Group.

The Group would receive reports in due course to establish the merits of each project and all partners were requested to consider their own contributions to each so that a composite package of support could be considered.

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