Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Thursday, 19th April, 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:
Ann Workman(Chairman), Sarah Bowman - Abouna (SBC), Paula Swindale (CCG)
Officers:
Michael Henderson, Martin Skipsey, Louise Deer, Mandy Mackinnon (SBC); Andy Copland (CCG)
Apologies for absence:
Cllr Jim Beall, Emma Champley (SBC)
Item Description Decision
Public
AHW
1/18
DECLARATIONS OF INTEREST
 
AHW
2/18
MINUTES OF THE MEETING HELD ON 29 MARCH 2018
 
AHW
3/18
ALCOHOL PRESENTATION
RESOLVED that, subject to agreement by its Chair, a version of the presentation be provided to the Health and Wellbeing Board for consideration.
AHW
4/18
BCF DELIVERY GROUP UPDATE
RESOLVED that the update be noted
AHW
5/18
PREVENTION IN SOCIAL CARE CONTRACTS PROGRESS REPORT
RESOLVED that :

1. the report and discussion be noted and actioned as appropriate and the proposed approach be endorsed.

2.delivery of the approach be supported by the Group, via members' work and influence with providers and partner organisations.
AHW
6/18
FORWARD PLAN
RESOLVED that the Forward Plan be amended appropriately.
AHW
7/18
EXCLUSION OF PUBLIC
RESOLVED that under Section 100A of the Local Government Acr 1972 the public be excluded from the meeting during consideration of the appendix associated with this report 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.
AHW
8/18
CARE HOMES
RESOLVED that:

1. the current risk diagnostic tool and the current position be noted.

2. ongoing work to improve quality of care be noted.

3. further reports be provided on a quarterly basis.

Preamble

ItemPreamble
AHW
1/18
There were no declarations of interest.
AHW
2/18
The minutes of the meeting held on 29 March 2018 were confirmed as a correct record.
AHW
3/18
Members received a presentation on the impact of alcohol misuse on services and noted that work to establish a multi agency alcohol strategy had stalled.

In developing a strategy members recognized that there may be an element of trade off between licensing legislation, the local economy, public health and health services.

It was suggested that the development of a strategy may benefit from being led by someone involved in planning the local economy.

The Group agreed that it would be beneficial for the presentation to be provided to the Health and Wellbeing Board with a view to providing impetus to the development of a clear and consistent policy on alcohol across all agencies.
AHW
4/18
The Group received a verbal update of discussion undertaken at the 17 April 2018 BCF Delivery Group.

Areas discussed by the Delivery Group included:

- Sign off of data relating to Delayed Transfers of Care
- Integrated Intermediate Care Commissioning Model
- Dementia schemes/stocktake
- Care Homes
- Frailty
AHW
5/18
Members considered a report that summarised the work to-date on promoting prevention activity in SBC adult social care teams, services and contracts, in line with the focus of the new Adults' Strategy on early intervention and prevention; and the Joint Health and Wellbeing Strategy.

It was explained that the proposed approach would focus on teams providing information and brief interventions around smoking and alcohol in the first year of activity, to help ensure the work was realistic and manageable.

It was proposed that work with contracted providers would focus on flu, smoking and alcohol messages and brief interventions in 2018/19 to reflect the work done with Council services, with scope to cover diet / physical activity, mental health and wellbeing and oral health, as work progressed. The work in 2018/19 would also be supported by the offer of the Better Health at Work Award to providers, as significant employees of the local population.

The aim was to ensure clear, consistent, evidence based approaches, clear referral pathways and follow up processes and ways of capturing and feeding back activity to providers.

Members noted that NHS England had released a small amount of funding, regionally, to place pharmacists in care homes and there may be an opportunity to trial something in Stockton. The CCG would liaise with Council Officers who were working to improve the quality of medicines management in care homes.

It was explained that the CCG was currently looking at the Care Coordinators scheme and it was suggested that there would be an opportunity to include some key public health messages in the contract. Timescales around this were tight and further consideration would take place outside the meeting.
AHW
6/18
Members considered the Group's Forward Plan:

Healtwatch contract - to be rescheduled.

Opportunities for Joint Commissioning - June 2018

STEPS Navigator - November 2018

Stroke Association to be moved forward to September 2018

High Level Frailty - to be scheduled.
AHW
8/18
It was explained that the Council contracted with 34 care homes for older people, on behalf of itself and the Hartlepool and Stockton Clinical Commissioning Group (CCG) under a Section 75 Agreement. Contracts were managed by a team of Officers within the Strategic Procurement function.

The team used a risk based approach to contract management, focusing resources and activity on care homes that posed the greatest risk of poor care. To assist this process the team used a risk diagnostic tool that identified key risk factors and intelligence in real time to identify those homes at risk. The tool provided the basis for detailed action plans to be generated in partnership with individual care homes to improve care.

The Council and other partners provide a substantial amount of other support to care homes alongside day to day contract management, all aimed at improving quality of care. Details of this was provided to the Group.

Members received an exempt schedule that had been created using the risk diagnostic tool which clearly identified hot spots, where intervention may be required. It was envisaged that health data would be included in the process, in the future. Consideration was also being undertaken to include financial sustainability, as a risk factor.

It was agreed that it would be useful to undertake an audit of all the support available to care homes. The CCG indicated that it would provide support information, from a Health point of view and public health would have similar information. It was suggested that once compiled relevant information should be fed into the Care Home Provider forums.

It was agreed that update reports be provided to the Group on a quarterly basis.

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