Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Monday, 23rd October, 2017
Time:
2.00 p.m.
Place:
Conference Room 2, Municipal Building, Church Road, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Ann Workman(Chairman) (SBC), Cllr Jim Beall (SBC), Emma Champley (SBC), Mandy Mackinnon (substitute for Sarah Bowman Abouna) (SBC), Paula Swindale (CCG)
Officers:
Michael Henderson (SBC)
Apologies for absence:
Kate Birkenhead (NHSE), Sarah Bowman - Abouna (SBC), Liz Hanley (SBC)
Item Description Decision
Public
AHW
21/17
DECLARATIONS OF INTEREST
 
AHW
22/17
MINUTES OF THE MEETING HELD ON 26 SEPTEMBER 2017
 
AHW
23/17
HEALTH INITIATIVE BIDS
RESOLVED that the report and discussion be noted.
AHW
24/17
HEALTH MESSAGES IN ADULT SOCIAL CARE CONTRACTS
RESOLVED that the work to include key messages and brief interventions in adult social care contracts, be approved, with a progress report provided to this Group in six months.
AHW
25/17
BIRCHTREE SERVICE - VERBAL UPDATE
RESOLVED that the update be noted.
AHW
26/17
NEW CORPORATE OPERATING MODEL AT STOCKTON ON TEES BOROUGH COUNCIL
RESOLVED that the update be noted and relevant operating diagrams be circulated.
AHW
27/17
FORWARD PLAN
RESOLVED that the Forward Plan be amended and discussion noted/actioned.

Preamble

ItemPreamble
AHW
21/17
Councillor Beall declared a personal non prejudicial interest in item 4 'Health Initiatives' as he served on the Board of Eastern Ravens Trust which was referred to in the report.
AHW
22/17
The minutes of the meeting held on 26 September 2017 were confirmed as a correct record.
AHW
23/17
Members considered a report that provided the Group with details of the Voluntary and Community Sector Enterprise (VCSE) commissioning process and awarded projects and associated funding, for 2017/18. An update on the 2016/17 Health Initiatives projects and proposed extensions was also provided.

Members noted the key priority areas for the 2017/18 initiatives, which included:

- contributing to the reduction and prevention of childhood obesity.

- Promoting self management of conditions, such as diabetes, chronic respiratory disease and cardiovascular disease.

- supporting people with learning disabilities to maintain a community based lifestyle.

- reducing the occurrence and impact of Domestic Abuse.

The total amount of funding allocated was 372,761.76p

Members were aware that, following evaluation , it was likely that a number of the initiatives would come back for recurring funding but this would become more difficult as resources became more scarce.

Discussion;

- it was accepted that the initiatives could test and identify approaches that worked and consideration could then be given to mainstreaming.

- members noted some schemes' links with the Better Care Fund but agreed that this did not provide an automatic route to BCF monies.

- decision around BCF needed to be closer to the Health and Wellbeing Board and this would be discussed further, at a forthcoming BCF focused event.

- it was important to ensure that initiatives were not being double funded, or that there were too many similar schemes. It was felt that the new corporate operating model would assist with this and provide oversight across a range of schemes.

- specific reference was made to the reducing domestic abuse priority and the fact that no bid had come forward in this area. It was suggested that bids may have been submitted if more context had been provided and an indication of the type of scheme that was being looked for. More preparation, across partners, would help in this regard.
AHW
24/17
The Group received a report that outlined proposals to include key prevention messages and some brief interventions in contracts for adult social care providers.

It was proposed that key messages and brief interventions in adult social care contracts be developed by Public Health and focus on: smoking, alcohol, diet / physical activity and mental wellbeing. For example, it was proposed that information be given on the risks of alcohol consumption and smoking, with a brief intervention delivered for each (‘Have a Word' approach for alcohol which includes the Audit C tool; and brief intervention for smoking) and onward referral to further support as appropriate.

It was noted that the Public Health team would work with social care and procurement colleagues to develop the focus of this work for the next 12 months as it may not be possible to implement the approach for all four themes in this time period.

The work would need to define specific, realistic objectives and requirements in contracts including monitoring of outcomes; also development of onward referral pathways to support services.

In a separate but related piece of work, SBC Public Health would be funding a fixed-term (2 year) Health and Wellbeing Change Agent post which would provide support to SBC social care teams (rather than contracted provider) in embedding key prevention messages and brief interventions in their practice. This work may help to inform the development of the work with contracted providers.

The work would also support existing work to embed and maximise prevention opportunities in these key areas, across all Public Health contracts and through the work the Public health team was leading with the NHS e.g. work with the CCG and North Tees and Hartlepool NHS Foundation Trust, to embed these opportunities in key contracts and ways of working.

It was suggested that more work needed to be done at a Council Corporate level to encourage prevention messages through the workforce.
AHW
25/17
Members received an update on the Birchtree Service which involved the provision of medical care to people involved in substance misuse.

It was agreed that this was a complex contractual area and dialogue needed to begin early in 2018. Paula Swindale indicated that she would raise this with Sue Greaves.
AHW
26/17
Members were advised of the new corporate operating system within Adults and Health and how that model might need to be reflected in this Groups membership.

It was suggested that a member of the procurement team be asked to attend future meetings of the Group.

Members discussed the Better care Fund and it was noted that much more scrutiny of this would be coming to this Group. Further detail in this regard would be provided to a future meeting.

It was agreed that new operating model diagrams would be circulated.
AHW
27/17
Members considered the forward Plan and agreed a number of amendments.

During discussion it was highlighted that the Care Home Training and Education Programme had been identified as one of the finalists in
the Academic Health Science Network in the 'Best Innovation Programme' category.

It was considered that this was an exciting model and there were opportunities to expand the programme e.g. to include public health messages to reach domiciliary care staff. Further discussion in this regard would be undertaken.

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