Stockton-on-Tees Borough Council

Big plans, bright future

Children and Young People's Health and Wellbeing Commissioning Group Minutes

Date:
Wednesday, 11th November, 2015
Time:
10.00am
Place:
Conference Room 1, Municipal Buildings, Church Road, TS18 1LD
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Peter Kelly(Chairman), Cllr Mrs Ann McCoy, Jane Smith (Substitute for Sarah Bowman), Jo Heaney (Substitute for Louise Okello)
Officers:
Michael Henderson (LD), Dave Smith (PH)
Apologies for absence:
Martin Gray, Diane McConnell, Louise Okello, Shaun McLurg, Emma Champley
Item Description Decision
Public
CHW
17/15
DECLARATIONS OF INTEREST
 
CHW
18/15
MINUTES OF THE MEETING HELD ON 1ST SEPTEMBER 2015
 
CHW
19/15
BREASTFEEDING UPDATE
RESOLVED that:

1. Option 3 - decommission/redesign/ Potentially procure be approved and the provider of the current Breastfeeding Coordination and Support Service be advised accordingly.

2. market test to evaluate and understand what costs might be expected.

3. the future model should look to retain the cohort of volunteers and consider current restrictions, which may be preventing other volunteers coming forward.

CHW
20/15
FORWARD PLAN
 
10am/ 11.30am

Preamble

ItemPreamble
CHW
17/15
There were no declarations of interest.
CHW
18/15
Members confirmed the minutes of the meeting held on 1st September 2015.

Members noted that the HNA and Transformation Plan would be going to Cabinet early in the New Year just to make Cabinet aware of the wider issues around mental health, with reference to the overarching mental health strategy. January/February most likely dates.
CHW
19/15
The Commissioning Group considered a report that outlined commissioning arrangements for the provision of Breastfeeding Coordination and Support Services and presents an appraisal of options for future commissioning of breastfeeding.

Members noted that there was reliable evidence to show that breastfeeding was a major contributor to public health and had an important role in reducing health inequalities. Current UK policy was to promote exclusive breastfeeding for the first 6 months.

Details of current service provision was provided;

- Breastfeeding Coordination and Support Service (BCSS)
- Volunteer Peer Support
- Breastfeeding Training
- Breastfeeding Welcome Scheme

It was explained that the BCSS contract had entered its final year and a review of the service had therefore been undertaken. The annual value of the contract was 48k.

The review's findings included:

- BCSS could not demonstrate any clear impact on breastfeeding initiation.

- Peer support was having limited to no impact on continuation of breastfeeding in the first few critical days when practical support was required.

- Training was good but there was a recognition that further training was needed around mixed and artificial feeding.

- Breastfeeding education was good but had no impact on women's breastfeeding choice, as their decision had already been made prior to consulting with a health professional.

Following the completion of the service review three clear options were identified:

1. to retain the service unchanged.

2. decommission the service and not to provide anything in its place.

3. to decommission the service and provide a more targeted/effective service ensuring fit and alignment with 0 -5 Healthy Child Programme services, potentially through procurement.

These options had been appraised using seven criteria and details of the results were provided. Option 3 had been identified as the preferred option, with a very strong degree of confidence and fitness of purpose.

Members discussed the information and options and this discussion could be summarised as follows:

- decisions whether to breastfeed were often driven by cultural background.

- breastfeeding support during the first two or three days, following delivery, was critical. A professional was needed at this stage via a midwife or health visitor, with volunteers assisting later.

- Breastfeeding support should be part of midwives and health visitors' core training.

- option 3 was favoured by the Group and:

- it was felt this would provide an opportunity to reshape services that were more effective and sensitive to local needs, and recognised the value and input of volunteers

- it was considered that there was an opportunity to use children's centres in a future model. Still engaging trained volunteers but aligning with children's centres.

- use of children's centres would help targeting in disadvantaged areas though an element of assertive outreach and links with midwives may need to be developed.
CHW
20/15
Members considered and noted the forward plan.

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