Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Wednesday, 23rd November, 2016
Time:
10.00am
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 (Chair), Cllr Jim Beall, Emma Champley, Liz Hanley, Sean McEneany (SBC), Sue Greaves (Sub for Karen Hawkins) (CCG)
Officers:
Jenna McDonald
In Attendance:
Andy Copeland, (CCG) George Irvine, Liz Boal (SBC)
Apologies for absence:
Karen Hawkins (CCG)
Item Description Decision
Public
AHW
23/16
DECLARATIONS OF INTEREST
RESOLVED that the declaration of interest be noted.
AHW
24/16
MINUTES OF THE MEETING HELD ON 24 OCTOBER 2016
RESOLVED that the minutes be approved.
AHW
25/16
STOCKTON NAVIGATOR PROJECT
RESOLVED that:

1. The SSNP Generic Service would continue for a year.

2. The SSNP Asylum Seeker and Refugee Service would be discontinued due to duplication of service within the Adriane project.

3. Work be carried out to explore how public health elements and key messages for the asylum seekers and refugee population could be delivered.

4. Loneliness and Isolation be considered by the Adults Health and Wellbeing Partnership.
AHW
26/16
CCG COMMISSIONING PLANS
RESOLVED that the item be deferred.
AHW
27/16
CCG DELEGATED CO COMMISSIONING
RESOLVED that the information be noted.
AHW
28/16
COMMISSIONING INTENTIONS PUBLIC HEALTH
RESOLVED that the draft intentions be noted and considered in the context of other Commissioner's intentions.
AHW
29/16
FORWARD PLAN
RESOLVED that the Plan and changes be noted.
AHW
30/16
EXCLUSION OF PUBLIC
RESOLVED that the Public be excluded from the following items of business on the grounds that they involve the likely disclosure of exempt information, as defined in paragraph 3 of the Local Government Act 1972.
Confidential
AHW
31/16
CARER SUPPORT UPDATE
RESOLVED that :

1. further consideration be given to interim options following the end of the current Carers' Support contract, on 31 March 2017.

2. the incorporation of the Better Care Fund (BCF) Dementia Strand supported Carers' contracts, within the scope of services for a future Stockton-on-Tees model of Carer support, be endorsed

3. further work on the development of the Carers' Hub as part of future commissioned service arrangements be noted and endorsed.

4. it was considered that one off funding would help the coproduction to be completed in a shorter timescale than would have been possible. However, it was agreed that clarification of the CCG's view and the approval process around the funding, be sought.
AHW
32/16
COMMUNITY PHARMACY WEIGHT MANAGEMENT SERVICE
RESOLVED that, owing to under-performance and under-utilisation, commissioning of the service should cease.

Preamble

ItemPreamble
AHW
23/16
Councillor Jim Beall declared an interest as Chair of Eastern Ravens Trust.
AHW
24/16
Consideration was given to the minutes of the meeting held on 24 October 2016.
AHW
25/16
Members considered a report on the Stockton Service Navigator Project (SSNP) Review 2016. Key points were highlighted as follows:

- The project was funded by SBC, Public Health and provided by Pioneering Care Partnership (PCP).

- The SSNP was included in the local Health Watch contract that was commissioned by the Community Engagement Team from April 2013 for two years and extended for a further one year. It was explained that the contract would expire in March 2017.

- The service offered one to one support to people over the age of 16 living in Stockton-on-Tees who required support to access local services outside the medical model with the element of social prescribing.

- The service offered service users up to four one to one appointments to enable individual to access to a range of activities and support based on their needs and aimed to help improve their health and wellbeing and also reduce the demand for primary, acute and adult services.

- Members heard that in 2014, a stakeholder engagement report was conducted to help understand what was available for asylum seekers across the borough and understand their needs. The report highlighted the lack of local information about what support was available resulting in lack of knowledge to navigate services that would benefit individuals.

- Joint funding between SBC Community Safety and Public Health was identified to support the asylum seeking and refugee community.

- It was noted that there were two services; the SSNP Generic service and the SSNP Asylum Seeker and Refugee service. The two services were based on the same model of delivery but targeted different populations.

Key elements of both SSNP services include:

- One to one consultations to identify concerns, needs and areas for support

- Provision of information and signposting to appropriate sources of information and services

- Follow up with clients to maintain motivation

- Make contact within the community, including social groups and activities

- Established appropriate referral pathway and provide ‘handholding support as identified through the one to one consultations.

Members raised the following points/questions:

- It was asked whether the Adriane project was Stockton Specific. In response, it was noted that the project was Tees wide however would have a footprint within Stockton and would work alongside the Stockton Baptist Tabernacle.

- With regard to the impacts on health of loneliness and isolation, it was asked whether work could be carried out in the future around developing strategies for tackling loneliness and isolation across all age groups.
AHW
27/16
The Group received a presentation which provided an update on Delegated Commissioning.

Key points were highlighted as follows:

- Delegated Commissioning enabled the CCG to fully commission and develop primary care in addition to enabling the CCG to direct resources to those areas most in need.

- Delegated Commissioning enabled the CCG to develop bespoke quality improvement schemes that were linked to priority areas for the CCG and also helped in driving forward transformation in primary care.

- It was noted that the CCG were focusing on improving IT Infrastructure and premises.

- It was explained that Delegated Commissioning would help the CCG to develop bespoke quality improvement schemes linked to priority areas.

- With regard to GP contracts, the Group was made aware of a potential national voluntary contract for GPs and also potential changes in the Quality and Outcomes Framework. It was noted that when the changes were made, it would create the opportunity for the CCG to negotiate with practice in Stockton and Hartlepool in order to determine local work and outcomes.

- With regard to local hubs, it was noted that there could be future opportunities to join up hubs.
AHW
28/16
Members received a report on Public Health Draft Commissioning Intentions 2017/18.

The Group noted that there were 9 priorities which included:

- Mental Health
- Alcohol
- Obesity
- Smoking Cessation
- Domestic Abuse
- Early Intervention - Adults
- Early Intervention - CYP
- Drug Misuse Prevention and Treatment
- Sexual Health

It was explained that as young people often transition to adult services, reference was also made to the services commissioned for children and young people by Public Health within the report. The Group noted that the information was presented on the basis that there would be over lap with the priorities of other commissioners.
AHW
29/16
The Group noted the Forward Plan.

The following items were added to the list of items to be scheduled:

- Alcohol Priority
- Smoking Priority
- Domestic Abuse Priority
- GP Shared Care
AHW
31/16
Members considered a report relating the Carers' Support contract and future commissioning models.
AHW
32/16
The Group noted a report on the Community Pharmacy Weight Management Service.

The purpose of the Community Pharmacy Weight Management service was to provide additional provision within tier 2 for adults to support weight-loss within the community.

Following an evaluation of the effectiveness of the service, performance reports indicated that the service was underperforming and underutilised.

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