Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Wednesday, 24th January, 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) (SBC), Cllr Jim Beall (SBC), Emma Champley (SBC), Sarah Bowman Abouna (SBC), Paula Swindale, (CCG)
Officers:
Nigel Hart, Karen Shaw (SBC), Karen Hawkins (CCG)
In Attendance:
Martin Skipsey, Lisa Tague (SBC
Apologies for absence:
Kate Birkenhead (NHSE), Liz Hanley (SBC)
Item Description Decision
Public
AHW
43/17
DECLARATIONS OF INTEREST
 
AHW
44/17
MINUTES OF THE MEETING HELD ON 18 DECEMBER 2017
 
AHW
45/17
CARE CO-COORDINATOR SERVICE - EVALUATION BY THE CCG - DECEMBER 2017
RESOLVED that:-

1. The report be noted.

2. Approval be given to continue beyond the pilot period to develop a future model of support which benefits health and social care.

3. The future model be specific to learning in Hartlepool and Stockton- on-Tees uniquely and also supports a ‘hub' MDT, person-centred care and support approach within each locality.

4. LADB extend the funding for a further two years to allow the service to develop in supporting the challenges of local delivery, including the STP.

5. The future work of the CCG in identifying the future need for community assets be noted.
AHW
46/17
BCF DELIVERY GROUP UPDATE - JANAUARY 2018
RESOLVED that:-

1. The update report be noted and the format used be approved for future reporting to this Group.

2. The results of the work being undertaken to understand why the BCF metrics for Reablement and care home admission were not currently being achieved be shared with both the Corporate Director of Adults & Health and the Cabinet Member.
AHW
47/17
REVIEW OF FUNDING FOR THE STROKE ASSOCIATION
RESOLVED that the Commissioning Group:

1. Note the work being undertaken by the Stroke Association's Stroke Recovery Service Stockton; and

2. Approve an extension of the contract until the end of May 2018 in order to allow the Service to be reviewed alongside other elements of the Better Care Fund's work stream on Prevention which are being reviewed at that time.
AHW
48/17
ADVOCACY HUB AND ADVOCACY SERVICE 18/19
RESOLVED that Option 3 for the future delivery of the Tees Advocacy Framework be approved.
AHW
49/17
FORWARD PLAN
RESOLVED that the Forward Plan be amended and discussion noted/actioned.

Preamble

ItemPreamble
AHW
43/17
There were no declarations of interest.
AHW
44/17
The minutes of the meeting held on 18 December 2017 were confirmed as a correct record.
AHW
45/17
Members were provided with a commissioner evaluation from NHS Hartlepool and Stockton CCG in relation to the Care Co-ordinator service provided by Hartlepool and Stockton Health (HASH) which commenced in September 2016 and was due to end 31st March 2018.The service had been funded through the Local A&E Delivery Board (LADB) who had recommended that its contract be extended further, subject to CCG ratification.

The key findings and outcomes of the 2 year pilot were summarised. This included confirmation that 4,012 patients had undertaken an assessment and received a care plan via the service from September 2016-August 2017, which had exceeded the initial target. 35 patients were also now in receipt of a personal health budget, and this was increasing each month. 852 patients had also been signposted to appropriate voluntary and community sector services as part of their care plan thus providing additional support mechanisms outside of the formal Health and Social Care services offered.

Members welcomed a clearer pathway to service delivery being established addressing both duplication and any gaps in provision and referenced the importance of inclusion within the pathway of carers, particularly that provided by informal carers. It was also acknowledged that decisions made elsewhere regarding the commissioning of community assets needed to match our future needs. The CCG would endeavour to undertake further work to identify from existing carer data any emerging themes of what community assets were required, and what referrals were being made to the VCS.
AHW
46/17
Members were provided with an update from the BCF Delivery Group and were invited to comment on the format of future updates to this Group.

Reference was made to the work being undertaken to understand why the BCF metrics for Reablement and care home admission were not currently being achieved and it was requested that the results of this work be shared with both the Corporate Director of Adults & Health and the Cabinet Member.

The Commissioning Group was happy to receive future BCF Delivery Group updates in the format provided.
AHW
47/17
Consideration was given to a review of the service received from, and funding provided, to the Stroke Association who currently received 38,000 per annum from the carers strand of the Better Care Fund to provide the Stroke Recovery Service Stockton.

The aim of the service was to provide information, emotional support and practical advice to stroke survivors, their families and carers. The current 3 year contract was due to expire on the 31st March 2018.

A full service review was last carried out in 2014 which concluded that the service was of a high quality and contributed greatly to improving the life and ability of stroke survivors to live independently and reduced the need to access health and social care services. Since this time the service had benefitted from additional resource provided by the Martin Lewis Foundation and had continued to receive satisfactory reviews with the most recent being carried out in July 2017.
AHW
48/17
Members were appraised of the current Tees Advocacy Hub and Tees Advocacy Service delivered by Redcar & Cleveland Council on behalf of both Stockton and Middlesbrough Councils. Delivery of the service fulfilled requirements introduced by the Mental Capacity Act 2005; the Mental Health Act 2007; and the Care Act 2014.

Each of the contracts were due to end on 30th April 2018 and 31st May 2018 and this Council funded the Framework whilst the Hartlepool and Stockton on Tees Clinical Commissioning Group funded the Hub.

The Commissioning Group were presented with 3 options for the future delivery of the Framework. The preferred option (3) proposed was to procure Advocacy services via a one year framework, with an option to extend for 1 x 12 months in partnership with Redcar and Cleveland Council (Middlesbrough Council once confirmed) In accordance with the Contract Procedure Rules. Redcar and Cleveland council have agreed to lead on the process. Procurement via a framework would allow for value for money to be achieved as the providers would be evaluated on quality and cost. As part of a revised framework, providers not currently on the framework could be encouraged to take part in order to increase capacity and choice. The situation would be reviewed post 30/04/19 with consideration of the planned regional approach to Advocacy on the NEPO work plan. This option supported collaborative working across commissioners, encouraged a choice of providers, and offered value for money.
AHW
49/17
Members considered the Forward Plan including items still to be scheduled. It was agreed that each of the leads be contacted to establish when their item was expected.

Reference was made to what was to be included within the Care Home Update report due in February. It was suggested that a regular Stockton Care Home Meeting be established to include AW, PS, EC, RP & MS to discuss the wider Care Home agenda, particularly given that 25% of our Care Homes required improvement. This should include consideration of domiciliary care also and would link with our existing work with providers. .The Care Home Update to this Group could then reflect these discussions.

A number of funding decisions and recommendations were expected to be made during February and a summary of these was suggested as being useful for this Group in March, along with a Briefing Note from the Integration Board.

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