Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Wednesday, 28th February, 2018
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:
Cllr Jim Beall, Sarah Bowman - Abouna, Emma Champley (SBC)
Officers:
Michael Henderson, Ruby Poppleton, Karen Shaw, Mandy Mackinnon (SBC)
Apologies for absence:
Ann Workman (SBC), Paula Swindale (CCG) (contributed to discussion on each item via telephone)
Item Description Decision
Public
AHW
50/17
APPOINTMENT OF CHAIR FOR THE MEETING
RESOLVED that Sarah Bowman Abouna Chair the meeting.
AHW
51/17
DECLARATIONS OF INTEREST
 
AHW
52/17
MINUTES OF THE MEETING HELD ON 24 JANUARY 2018
 
AHW
53/17
VCSE STOP SMOKING EXPRESSION OF INTEREST
RESOLVED that the pilot and next steps, described above, and in the report be agreed.
AHW
54/17
BCF DELIVERY GROUP - UPDATE
RESOLVED that the update report be noted.
AHW
55/17
REVIEW OF FUNDING FOR STOCKTON SHOPMOBILITY
RESOLVED that:

1. the Shopmobility service be funded by up to 27,000, for a period of 18 months.

2. the Council offers appropriate support to Shopmobility to assist it in moving to a position of self-funding.
AHW
56/17
REVIEW OF FUNDING FOR TEESSIDE AND DISTRICT SOCIETY FOR THE BLIND
RESOLVED that The Group funding of 4000 per annum be approved, to be reviewed annually.
AHW
57/17
FORWARD PLAN
RESOLVED that the Forward Plan be updated and consideration be given to providing an overview of advocacy services that were available.
AHW
58/17
EXCLUSION OF PUBLIC
RESOLVED that under Section 100A($) of the Local Government Act 1972 the public be excluded from the meeting for the following item of business on the grounds that it involved the likely disclosure of exempt information as defined in paragraph 3 of Part 1 of Schedule 12A of the Act.
Confidential
AHW
59/17
EARLY INTERVENTION DELIVERY MODEL UPDATE
  • Report (44K/bytes)
RESOLVED that the proposals detailed in the report be approved

Preamble

ItemPreamble
AHW
51/17
There were no declarations of interest.
AHW
52/17
The minutes of the meeting held on 24th January 2018 were confirmed as a correct record.
AHW
53/17
Members received a report that provided an update on the VCSE stop smoking service expressions of interest.

It was explained that Middlesbrough and Stockton Mind had expressed an interest in providing the service. It was suggested that one of the reasons there had been limited interest was because the model was 'payment by results ', which was new to the VCSE. Also, the timescales involved with the expressions of interest were very short.

Members noted the proposed next steps:

- Stockton & Hartlepool Stop Smoking service would provide stop smoking advisor training to MIND, including arranging shadowing specialist stop smoking services and staff competence test.

- The service would be expected to start on 1st April 2018 for a 12 months pilot.

- Service development meetings would be arranged with MIND and specialist stop smoking advisors on a monthly basis to learn from the pilot and evaluate the model.

An update would be provided to the Commissioning Group in July/August.

Funding for the pilot would be a maximum of 15,000.

Discussion:

Members recognised that payment by result was a high risk venture for VCSE organisations and it was suggested that thought be given to some kind of sharing of risk or graduated move to such a model.

- depending on outcomes of the pilot there may be scope to use current stop smoking services to fulfil a support and training role for VCSE organisations.

- members recognized the value of VCSE organisations in terms of being able to reach target groups such as people with mental health issues, pregnant women, people living in area of deprivation.

- there would be links with the 0 -19 service
AHW
54/17
The Board was provided with an overview of the discussions that had taken place at the 9 February 2018 Better Care Fund (BCF) Delivery Group meeting.

There was discussion about additional community beds, commissioned through iBCF, which were not being fully utilized. It was agreed that consideration of this matter should take place at the A and E Board.

- reference was made to the admissions to Care and Nursing Homes metric and it was agreed that further information on this should come to the Commissioning Group at an appropriate point.

- It was explained that a workshop/development day had been arranged for Monday 5th March, with all partners, to discuss BCF workstreams, plans and metrics. It was agreed that plans on a page and performance metrics would be reported to this group.

- It was agreed that a more strategic approach to frailty, across the system, needed to be developed.
AHW
55/17
Members received a report relating to Stockton Shopmobility.

Members noted that Shopmobility received core funding from the Council, but this funding had been decreased over the last two years with a view to the service becoming self-sustainable.

A number of options were presented to the Commissioning Group, relating to future arrangements.

Members agreed that the service needed to quickly move to a position where it was self-sustainable, without the need for Council funding. The Council could help it in achieving this by providing a package of communications and business support.

The Group discussed the options and agreed that the service be maintained at current levels, for 18 months, by providing funding of up to 27,000. During this time Shopmobility should move to a self-funding position.
AHW
56/17
Members considered a report relating to Funding for Teesside and District Society for the Blind.

Following a review of the service, two proposals had been formulated and members were asked to consider them.

The Commissioning Group agreed that the Teesside and District Society for the Blind added value, in terms of providing support, increasing confidence and skills, and reducing social isolation for people suffering from visual impairment.

It was agreed that it was important that residents of the Borough were able to access the services.

It was suggested that there may be options in terms of linking the service with the Council's Volunteer Strategy to help increase the society's volunteer base.
AHW
57/17
Members considered the Forward Plan and agreed the following appear:

- Care Home Market (Martin Skipsey) - April 2018
- Commissioning Intentions - March/April 2018
- Alcohol CQUIN and Alcohol Strategy (CCG and Public Health) - April

The provider, and contract end date, for NHS Complaints Advocacy, to be advised to the Group.

Consideration to be given to an overview of Advocacy across the system being provided.
AHW
59/17
Members received a report relating to the Early Intervention Delivery Model.

The Group was reminded that, in November 2017, it had approved:

(a) the process of identifying current provision; gaps in service and risk factors, which lead to a need for social care.

(b) an ambition to develop a more co-ordinated, robust, early intervention model that can identify and provide low level support to people at risk of developing social care needs and/or a health problem.

Members considered the proposals in the report and noted that the suggested model would involve additional funding of 90K per annum.

Development of the model had considered work undertaken by care coordinators, and further discussion in this regard would take place.

The Cabinet Member for Adults Social Care and Health would be kept updated during the commissioning process.

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