Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Tuesday, 18th September, 2018
Time:
3.00 pm
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, Sarah Bowman - Abouna (SBC), Paula Swindale (CCG)
Officers:
Michael Henderson, Kerry Anderson, Louise Deer, Rob Papworth, Karen Shaw (SBC), Karen Hawkins, Rebecca Thomas (CCG)
Apologies for absence:
Emma Champley (SBC)
Item Description Decision
Public
AHW
27/18
DECLARATIONS OF INTEREST
 
AHW
28/18
MINUTES OF THE MEETING HELD ON 26 JULY 2018
 
AHW
29/18
REVIEW OF FUNDING FOR THE STROKE ASSOCIATION
RESOLVED that the decision to directly award the Stroke Recovery Service contract to the Stroke Association, until 31 March 2020 be endorsed.
AHW
30/18
ADULTS EARLY INTERVENTION MODEL UPDATE
RESOLVED that the update be noted.
AHW
31/18
BCF DELIVERY GROUP UPDATE
RESOLVED that the update be noted and the Transformation of Community Health Dementia Services be reported to the Health and Wellbeing Board, when appropriate.
AHW
32/18
NEW MODELS OF CARE
RESOLVED that the presentation and discussion be noted.
AHW
33/18
FORWARD PLAN
 

Preamble

ItemPreamble
AHW
27/18
There were no declarations of interest.
AHW
28/18
The minutes of the meeting held on 26 July 2018.
AHW
29/18
Members considered a report relating to funding for the Stroke Association.

Members were reminded that the Stroke Association received 38,000 per annum, from the Council to provide the Stroke Recovery Service Stockton. The existing funding was due to end on 31st March 2019.

At its meeting, held on 29th March, the Group had approved an extension of funding to the Stroke Association, to provide the Stroke Recovery Service, until 31st March 2019. The Group also agreed to allow time for a joint piece of work to be undertaken by the CCG and SBC to get greater clarity around the acute stroke pathway and to investigate possible overlaps with other commissioned services. This review had been completed and details of its findings were provided.

The review had recommended the continuation of the current Community Stroke Services, including the Stroke Recovery Service which was provided by the Stroke Association.

In view of the outcomes of the review, a decision had been taken to directly award a contract to the Stroke Association until 31 March 2020.

The Board agreed it was sensible to extend the contract to 2020 as, by that time, there could be more clarity around the strategic direction of the Better Care Fund and integration.
AHW
30/18
Consideration was given to a report that provided an update on progress relating to the early intervention model.

It was explained that the existing social prescribing model continued to be enhanced, to provide a co-ordinated means of accessing community assets, to improve health. In particular, this meant strengthening links between health and social care professionals and the VCSE and improving access to VCSE support for residents.

The new structures, within Adults Services, provided opportunities to promote and deliver early intervention, for adult social care. Adults Services, Integrated Strategy and Public Health were developing early intervention systems and pathways.

Work going forward included exploring the development of a means to anticipate and reduce care needs, via risk identification and risk stratification, with colleagues across the system. This would support the delivery of an early intervention model within adult services, by anticipating care needs of individuals and being able to provide support sooner.

Members agreed that it was important that links were in place with the Better Care Fund and its early help agenda. Further discussions, outside the meeting, would be undertaken in this regard.

Members agreed that the use of data would be key in making good interventions, as early as possible.
AHW
31/18
The Group considered a report that provided an overview of discussions that had taken place at the September 2018 Better Care Fund Delivery Group meeting.

Issues considered at the Delivery Group meeting, included:

- A business case relating to the role of the Dementia Advisors.

- Activity associated with World Alzheimer's Day.

- Transformation of Community Health Dementia Services, which would look to standardize the offer of community dementia mental health services across the CCG area. Members noted the significant investment the Council had put into Dementia Services, within its area. It was noted that the transformation work would look at the needs of the population and commission on that basis, it would not take account of local authority or any other funding already in place. It was agreed that the transformation work should be considered by the Health and Wellbeing Board.

- the Community Integrated Intermediate Care project and the analysis of data gathered from the recent mapping exercise.

- the bringing together of the trusted assessor and continuing healthcare models.

- the work of the Home Safe Sooner Steering Group.

-Work being undertaken in each work stream within BCF.
AHW
32/18
The Group received a presentation relating to Primary Care sustainability and the wider transformation agenda.

The presentation described the national and local issues creating sustainability pressures on primary care.

Details of how the CCG was supporting primary care was provided, and this included:

- engagement events.

- primary care development and provision of services such as care coordinators.

- GP Resilience Programme.

- Workforce development including recruitment and retention.

- high impact actions, such as online consultations, reducing DNA.

- Education and Training.

- Time for Care Programme

The presentation also gave details of how primary care would be developed, with services being provided at GP and practice level, through to locality and county level. Core principles supporting the development would be :

- hub working.

- developing teams and standardizing business functions.

- sharing resources.

- understanding needs of the population.

- collaboration and integration

A proposed new models of care governance structure was detailed for the Group. It was noted that some of the Groups were not in place as yet.

The presentation considered the need for GPs to work collaboratively and across the wider system, taking on additional work to deliver primary and community care, in a different way.

Discussion:

- it was important that services wrapped around communities.

- There were some elements of primary care that had reservations around the proposed new ways of working but it was envisaged that the benefits of working in collaboration would become more apparent to them.

- it was noted that the Health and Wellbeing Board would be a key forum around the strategic thinking and development of the new models of care.
AHW
33/18
Members considered the Forward Plan and agreed a number of amendments.

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