Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Tuesday, 26th June, 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, Paula Swindale
Officers:
Michael Henderson, Jenny Collier, Mandy Mackinnon, Louise Deer (SBC); Gavin Swankie (CCG)
Apologies for absence:
Ann Workman(SBC),
Item Description Decision
Public
AHW
14/18
DECLARATIONS OF INTEREST
 
AHW
15/18
MINUTES OF THE MEETINGS HELD ON 19 APRIL 2018 AND 23 MAY 2018
 
AHW
16/18
INTERMEDIATE CARE
RESOLVED that the presentation and discussion be noted/ actioned as appropriate.
AHW
17/18
ADVOCACY OVERVIEW
RESOLVED that the overview and discussion be noted and actioned as appropriate.
AHW
18/18
STOCKTON NAVIGATOR
RESOLVED that the re-commissioning of the SSNP, as a separate, discrete service be approved.
AHW
19/18
BCF UPDATE
RESOLVED that the report and discussion be noted/actioned as appropriate.
AHW
20/18
FORWARD PLAN AND FREQUENCY
RESOLVED that the Forward Plan be updated as discussed and the frequency of meetings be moved to six weekly

Preamble

ItemPreamble
AHW
14/18
There were no declarations of interest.
AHW
15/18
The minutes of the meetings held on 19 April and 23 May 2018 were confirmed as a correct record.
AHW
16/18
The Group received a presentation that provided an update around intermediate care. Members noted the progress made to date, the challenges and next steps towards reducing duplication and stays in hospital.

Discussion:

- members recognized the considerable complexities associated with this area of work.

- Public Health would be able to assist with identifying need, not just demand. There was potential links with work Public Health was undertaking around social isolation and community asset building. It was agreed that it was vital that people had support after the short period of intermediate care.

- the CCG, Local Authority and Acute Trust had participated in the national audit, for intermediate care. The report was due in the Autumn and was likely to pick up on some of the issues around demographic need.

- indications from NHS England suggested that BCF would be extended a further year, to 2020

- a Health and Social Care Green Paper was anticipated in the Autumn.

- the Group sought assurances that engagement with stakeholders would include carers and carers' groups. It was noted that the model would be built from the ground up and carers would be a fundamental part of that process.

- members discussed governance and it was noted that a report would be provided to the Health and Wellbeing Board and it was agreed that thought should be given to whether a report would be helpful at Cabinet. Further consideration of this would be undertaken outside the meeting.
AHW
17/18
Members considered a report that provided an overview on the current position regarding Advocacy Services commissioned by the Local Authority.

Discussion:

- it was accepted that, in terms of the SDAIS contract, it was difficult to separate spend on purely advocacy services, from the wider contract, for the provision of an Advice and Information Service.

- reference was made to NEPO plans around a regional commissioned advocacy service for adults. It was noted that the Council could be included in the development of such a service model but there would be no compulsion to commission. Further details of what was being proposed in this regard would be requested and feedback provided.

- the CCG would consider if there were any other advocacy services that should be included in the table provided to the Group.
AHW
18/18
Members considered a report relating to the Stockton Service Navigator Project (SSNP).

It was explained that it had previously been agreed that the SSNP would be brought in-house as part of the expansion of FirstSteps. Following further evaluation of the service it was suggested that it should be re-commissioned as a separate discrete service, at this time.

Discussion:

- Further discussion, between public health and the CCG, would be undertaken around referral sources and outcomes.

- it would be important to ensure monitoring arrangements for any future contract were robust.
AHW
19/18
The Group received an overview of discussion that had taken place at the 7th June 2018 Better Care Fund Delivery Group meeting.

Areas discussed by the Delivery Group included:

- the review of welfare services
- the dementia workstream.
- business case for the better health, better wealth project.
- Warm Homes , Healthy People regarding funding for 2018/19.
- the Staying Out Project.
- BCF Performance metrics
- Integrated Intermediate Care workstream

It was noted that Stockton had a 96% recorded prevalence rate for diagnosing dementia, which was one of the highest rates in the Country. It was suggested that this statistic should be highlighted with the Council's Communications Team. A case study could be provided and this may be of interest to local media organizations and encourage an article on some of the services available to residents.
AHW
20/18
Members considered the Forward Plan and agreed some amendments. It was also agreed to move the frequency of meetings to six weekly, diaries allowing.

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