Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Wednesday, 30th March, 2016
Time:
11.00am
Place:
Conference Room 2, Municipal Buildings, Church Road, Stockton on Tees, TS18 1LD
 
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, Simon Willson, Sue Greaves (Vice Karen Hawkins), Jayne Herring
Officers:
Margaret Hutchinson, Kerry Anderson (Public Health), Jenna McDonald (Democratic Services)
Apologies for absence:
Karen Hawkins
Item Description Decision
Public
AHW
22/15
DECLARATIONS OF INTEREST
AGREED that the declaration be noted.
AHW
23/15
MINUTES OF THE MEETING HELD ON 25 JANUARY 2016
RESOLVED that the minutes be approved as a correct record subject to minor amendments.
AHW
24/15
COMMISSIONING OPTIONS FOR VULNERABLE WOMEN
RESOLVED that:

1. The report be noted

2. The Group approve the next steps outlined in the paper for the short term continuation of grant funding for the A Way Out Service

3. The Group approve further scoping work to identify early intervention approaches
AHW
25/15
ADULTS' ALCOHOL TREATMENT SERVICE REVIEW
RESOLVED that the 12 month extension on the Adults Alcohol Service contract be approved and any updates be reported to the Commissioning Group.
AHW
26/15
SECTION 75 PARTNERSHIP AGREEMENT
RESOLVED that consideration be given to the Section 75 Agreement, between the Council and Clinical Commissioning Group relating to care home and home care services.
AHW
27/15
DOMESTIC VIOLENCE AND ABUSE SUPPORT SERVICES REVIEW
RESOLVED that:

1. the Group noted and approved the planned review work detailed within the report.

2. an update be provided to the Group in June 2016.

AHW
28/15
DRUGS TREATMENT AND RECOVERY SERVICE
RESOLVED that the update be noted.
AHW
29/15
ACTION TRACKER
AGREED that the Action Tracker be noted.
AHW
30/15
FORWARD PLAN
RESOLVED that the work programme be noted.

Preamble

ItemPreamble
AHW
22/15
Cllr Jim Beall declared a personal non-prejudicial interest as a relative was employed by CRI.
AHW
23/15
Consideration was given to the draft minutes of the meeting held on 25 January 2016.
AHW
24/15
Members were provided with a report which outlined the next steps in commissioning intentions for services that supported vulnerable women engaged in survival sex work, and the identification of Child Sexual Exploitation (CSE) early intervention approaches.

It was noted from 2011 - 2015, A Way Out received 40,000 per year non recurrent grant funding from previous PCT monies to add capacity to the delivery of the services Women's Engagement and Recovery Programme.

Following on from the Scrutiny Review of Child Sexual Exploitation, a recommendation was made by the Children and Young People Select Committee to consider additional services to support children.
AHW
25/15
The Group was presented with an update report on the Adults Alcohol Treatment Service Review. The report provided an overview of the recent review into service performance prior to a proposed 1 year extension of the service contract.

Members heard that alcohol-related admissions locally had decreased by 1.8% compared to admissions for Q1&2 of 2014/15. Despite the decrease, it was highlighted that Stockton continued to have a higher rate of alcohol related admissions at 1,351 per 100,000 than both the North East rate and the National rate.

The Stockton on Tees Adults Alcohol Treatment Service was delivered as part of an integrated Young People Drug & Alcohol and Adults Alcohol Recovery Service contract. It was heard that the contract was awarded to Lifeline Project Ltd in January 2014 over 2.3 years with the option to extend. The annual contract value for the integrated services was 766,969.00 per annum.

It was highlighted that from January 2015 - January 2016, Lifeline worked with 918 clients, 209 of which left successfully during the period and 151 were unplanned exits or transferred to another service.

The Group was informed the current service was a hub and spoke model which had a fixed base at Skinner Street, Stockton with workers based across 21 GP practices, UNFT Hospital and hubs in Billingham, Thornaby and Roseworth. It was noted that services provided included; A clinical element, an assessment and unstructed treatment service, an open access model, wraparound interventions, an enhanced access service and work with criminal justice partners.

In December 2015, the Lifeline Alcohol Service underwent a full inspection by the Care Quality Commission (CQC) in order to assess whether the service was safe effective, caring, responsive and well led. The Group noted that whilst a rating for the review was currently awaited, auditors gave positive feedback about the service.

It was noted that the age profile of the majority of clients within the service was 30-54 years and the highest number of referrals were self-referrals and GP referrals. The Group was informed that 11.9% of people in treatment were completing their alcohol treatment, with unplanned exits. With regard to referral waiting times, it was heard that waiting times had improved in 2015/2016 with all referrals being seen within a day.
Members noted themes that emerged from Surveys which were conducted of 114 adults on caseload in addition to Qualitative interviews which were carried out with adults receiving treatment which also included their partners, families and carers.

It was noted that service safeguarding processes were audited prior to the review, against section 11 by completion of a safeguarding assurance checklist. Further actions were identified in the audit were reviewed and showed that improvements had been put in place. It was highlighted that any remaining safeguarding actions would be taken forward as part of the Young Peoples Service Development Improvement Plan.

In conclusion, the Group heard that the review of the current service model against the service specification highlighted that the service was performing well against the service specification, except from a couple of areas that required development.

The Group raised the following points/questions:

- Members were keen to understand how many young people accessed the service, in response, it was noted that around 54/55 young people (tier 3) currently used the service. The Group asked how the majority of young people were referred to the service and heard that whilst the majority of referrals in the past were through the criminal justice system, the current majority of referrals came through schools and youth services. It was highlighted that it was important to communicate with head teachers in order to raise awareness of the services and support available to young people.

- The Group asked whether the service linked in with the Domestic Abuse Service and heard that whilst work was carried out between the two services, only a low number of referrals were made. It was noted that it was important to maintain a focus on the link between the Adults Alcohol Service and the Domestic Abuse Service.

- Members raised concerns regarding the number of people under the influence of alcohol accessing Accident and Emergency Services within hospitals.

- It was asked whether the Enhanced GP Service was separately financed, it was heard that the service was separately financed and was funded by Public Health.

- Concerns were raised around the significant costs placed on health services through alcohol related harm. With regard to funding of alcohol services in the Borough, it was noted that it was important to consider future input going forward.
AHW
26/15
The Group was presented with the Section 75 Partnership Agreement.

It was noted that a current agreement was in place whereby the Local Authority set contracts with care home and home care service providers on behalf of the NHS.
AHW
27/15
The Group considered a report which provided an overview of the process to be undertaken regarding a review of the Domestic Violence and Abuse Service.

It was noted that the current Specialist Domestic Violence and Abuse Service was commissioned in 2014 following a robust procurement process. The current contract commenced 1st April 2014 and was in place until 31st March 2017 with an option to extend for 12 months. Members heard that a review was due to take place of the Domestic Abuse Service in order to inform commissioning intentions.

Members noted that in Stockton on Tees, the annual value of the contract was 341,976 and the service was funded jointly by a range of departments within the local authority.

It was highlighted that in Stockton on Tees, Harbour Support Services provided the Domestic Violence and Abuse Service.
AHW
28/15
The Group received an update on the Drugs Treatment and Recovery Service for which the current contract was due to expire in September 2016.
AHW
30/15
Members noted that the next meeting of the Adults Health and Wellbeing Joint Commissioning Group would be held on 19 April 2016.

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