Stockton-on-Tees Borough Council

Big plans, bright future

Adults' Health and Wellbeing Commissioning Group Minutes

Date:
Tuesday, 25th March, 2014
Time:
2.00PM
Place:
ConferenceRoom 2, Municipal Buildings, Church Road, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
P Kelly(Chairman), Cllr Jim Beall, Emma Champley, Liz Hanley, Sean McEneany, Simon Willson, Hilary Hall, Jayne Herring, Paula Swindale (substitute for Karen Hawkins)
Officers:
Victoria Cooling, Claire Spence (PH), Michael Henderson (LD)
Apologies for absence:
Sarah Bowman, Karen Hawkins
Item Description Decision
Public
AHW
35/13
DECLARATIONS OF INTEREST
 
AHW
36/13
MINUTES OF THE MEETNG HELD ON 27 JANUARY 2014
 
AHW
37/13
DOMESTIC ABUSE STRATEGY 2014 - 2017 AND ACTION PLAN 2014 - 2015
RESOLVED that the draft Strategy and Action Plan be received and the Group's discussion noted.
AHW
38/13
NHS ENGLAND - LOCAL IMPLEMENTATION COMMISSIONING INTENTIONS
RESOLVED that the report and discussion be noted.
AHW
39/13
ALCOHOL NURSE SPECIALIST FUNDING
RESOLVED that the update be noted.
AHW
40/13
WEIGHT MANAGEMENT - CONSULTATION AND REVIEW UPDATE
RESOLVED that:

1. the report be noted and updated programme approved.

2. recommendations, from the Lite4Life Service Review be noted.
AHW
41/13
NON RECURRENT HEALTH AND WELLBEING FUNDS - VERBAL UPDATE
RESOLVED that the update be noted
AHW
42/13
CARERS' TENDER - VERBAL UPDATE
RESOLVED that the update be noted.
2PM/4PM

Preamble

ItemPreamble
AHW
35/13
Councillor Beall declared a personal/ non prejudicial interest in the item entitled Carers' Tender, as he was Chairman of Eastern Ravens Trust.
AHW
36/13
The minutes of the meeting held on 27 January 2014 were confirmed as a correct record.
AHW
37/13
Members were provided with the opportunity of commenting on the draft Domestic Abuse Strategy for 2014/17 and to review the accompanying draft Action Plan for 2014/15.

In particular members were asked to comment on:

- vision statement
- measures of success
- the Domestic Abuse

Members noted the considerable consultation that had been undertaken in the Development of the Strategy and Action Plan.

Members discussed the vision and it was suggested that it should perhaps read as follows: 'Domestic abuse is socially unacceptable, there's no excuse. Everyone deserves to, and should, live without fear of it.'

Members noted some of the potential success measures that had already been suggested:

The Group suggested a number of potential measures that could be monitored:

- Age Breakdown and type of abuse.
- adults with disabilities suffering abuse

It was agreed that repeat incidents/victim data was an important indicator and would help identify if actions were being effective. The recording of data and methods of collection would also need to be monitored to ensure that it was robust and that the data remained consistent.

It was pointed out that this was a partnership strategy and partners would need to commit to collecting and tracking appropriate data as this would be a key part of the Action Plan.

It was agreed that members consider potential measures further and provide any further feedback directly to Emma Champley.

It was suggested that GP could be key in terms of the success of the strategy, as people were likely to discuss issues with their GP who could provide advice.
AHW
38/13
The Group received a report that provided detail about the NHS England - Durham, Darlington and Tees Area Team's public health commissioning intentions for 14/15.

Members noted that the National Public Health Commissioning Intentions 2014/15 document, published by NHS England had previously been considered by the Group. This report provided an indication of local commissioning intentions.

The Group was provided with a list of the services, for adults, that the Team was required to commission as part of its Section 7a Agreement with the Secretary of State for Health. It was explained that there was little room for flexibility in this regard, however, local implementation needed to be achieved through joint work with partners, including local authorities, CCGs, Public Health England and providers.

The Group noted the main operational activities of the Team and in particular discussed work to understand the barriers and obstacles to the take up of screening and immunisation opportunities, within challenged communities

It was explained that NHS did not have a data analysis team within it, so other officers were performing this function. The Area Team was looking to produce a robust data set that it could share with partners and target particular areas where necessary. It was agreed that data by ward, practice, borough, super output area would be extremely helpful.

The Area Team was also working towards a more systematic capturing of patient feedback.

It was noted that the work of this Group would touch on services commissioned by the Area Team e.g. BCF and Learning Disabilities. It would be important that links between relevant officers at the Council and Area Team took account of this.

It was agreed that many of the services commissioned by the Area Team would help towards reducing Emergency Admissions, as required by BCF, and, therefore, all commissioners had an interest in ensuring that those services were successful. Collaborative working was extremely important e.g. ward councillors could have an effective role in promoting the uptake of seasonal flu immunisation. The Council's workforce were in regular contact with residents too, so could promote health services.
AHW
39/13
The Group was provided with an update on the position relating to the Alcohol Nurse Specialist.

It was noted that, for 2014/15, the Council would commission the existing service model and Alcohol Nurse Specialist. The Council had worked with the CCG to develop CQUIN indicators for inclusion in the contract that would compliment and stretch the delivery of the existing Alcohol Nurse Specialist service extending into community services delivery.

Delivery of the service would continue to be monitored by the Council. The CQUIN indicators would be monitored through the CCG Clinical Quality Reference Group (CQRG) and attainment against CQUIN scheme would be reviewed in year.

The CCG was committed in 14/15 to incentivise stretch through the inclusion of the CQUIN scheme, however this would be included as a core quality requirement in future years negotiations, without the monies attached to a CQUIN scheme.

A review would need to be undertaken by the Council, supported by the CCG to determine the effectiveness of the CQUIN scheme and to ensure this was delivering the expected outcomes. This would then enable the Council to determine the commissioning intention for the Alcohol Nurse Specialist role in 15/16
AHW
40/13
The Group considered a paper relating to the Council's Healthy Weight Services. The paper described the process for reviewing the current services; consultation with the public and stakeholders, to identify need; engagement with providers and, finally, procurement/ award of a contract. It was intended that a new service would commence 1 April 2015.

It was highlighted that the consultation would inform the type of service, including the balance between treatment and prevention.

Members noted the link between the healthy weight service and the School Nursing service and the importance of driving down rates of childhood obesity. This issue would be specifically raised at the Market Engagement Event in terms of potential contract incentives.

The Group was provided with recommendations coming from a review of existing Lite 4 Life Adult Weight Management Review.
AHW
41/13
The Group was provided with a verbal update relating to non recurrent Health and Wellbeing Funds.

It was explained that the Council and CCG would be making available 630k with the Council's Public Health contributing 300k. The funding would go to the voluntary sector for programmes relating to:

- Smoking Cessation

- Mental Health incorporating public mental health, awareness of low
level anxiety and depression and access to IAPT services and early
identification of dementia.

- Social Isolation in older people and preventing emergency
admissions (clearly linking this to BCF activity).

- Healthy weight promotional activities for families

The fund would be managed by Catalyst and all of the programmes would be underpinned by an ethos of access to screening. Catalyst was holding an event with providers in early May to talk about the programmes.
AHW
42/13
The Group was provided with a verbal update on the Carers' Tenders.

It was noted that a 3 year contract, starting 1st April had been awarded to Sanctuary Supported Living

The Young Carers Tender had not been awarded and the existing contract had been extended to 1st October.

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