Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Wednesday, 30th May, 2018
Time:
2.00pm
Place:
Jim Cooke Conference Suite, Stockton Central Library, Stockton on Tees, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Mrs Ann McCoy(Chairman), Cllr Sonia Bailey, Cllr Kevin Faulks, Cllr Lynn Hall, Cllr Di Hewitt, Sarah Bowman - Abouna, Fiona Adamson, Elspeth Devanney (Substitute for Dominic Gardner),Steve Rose, Andrea Jones (Substitute for Ali Wilson)
Officers:
Nigel Hart, Rachel Batey, James O'Donnell, Karen Hawkins, Graeme Niven,
Apologies for absence:
Cllr Jim Beall, Karen Grundy, Barry Coppinger, Sheila Lister, Julie Gillon, Ali Wilson, Martin Gray, Saleem Hassan, Ann Workman
Item Description Decision
Public
HWB
1/18
DECLARATIONS OF INTEREST
 
HWB
2/18
MINUTES OF THE MEETING THE MEETING HELD ON 28 MARCH 2018
 
HWB
3/18
CCG OPERATIONAL AND FINANCIAL PLANS - PRESENTATION
RESOLVED that the Plans and discussion be noted/actioned, as appropriate.
HWB
4/18
DOMESTIC ABUSE
RESOLVED that the report and discussion be noted/actioned as appropriate.
HWB
5/18
PERFORMANCE REPORT - MAY 2018
RESOLVED that the report be noted and consideration be given to some of the issues of concern raised being discussed at the Board's planned development day.
HWB
6/18
MEMBERS' UPDATES
 
HWB
7/18
FORWARD PLAN
 

Preamble

ItemPreamble
HWB
1/18
Steve Rose declared a personal, non prejudicial interest in item 4 ' CCG Operational and Financial Plans, as his organization provided some services commissioned by the CCG.
HWB
2/18
The minutes of the meeting held on 28 March 2018 were confirmed as a correct record subject to Dominic Gardner being added to the list of those present.
HWB
3/18
Members received presentations relating to the Hartlepool and Stockton on Tees Clinical Commissioning Group's Financial and Operational Plans 2018/19.

Financial Plans discussion:

- It was noted that if the financial plans were not balanced and sound, the CCG could be placed in special measures, or legal direction.

- The Plans looked to identify real efficiencies, rather than transferring costs to other agencies.

- Members agreed that, though challenging, investment in early interventions, across the whole system, was a key aspect of reducing demand on health services. The emerging refreshed Joint Health and Wellbeing Strategy would reflect this.

- It was agreed that it was important for organizations to work together, strategically, to support people at home, rather than thenm going into hospital.

- It was noted that a Group of five CCGs from Durham to the Tees Valley, were working together to strategically commission e.g. cutting down on duplication and driving efficiencies in management.

- It was noted that the allocation funding formula did take into account deprivation, however, there was a heavier weighting based on age, which had resulted in a shift of resources around the system. The North East had lost out in this.

- It was noted that providers of hearing services in the community had to meet certain quality standards and were regulated through an NHS contract. This had increased access for the public and reduced the demand on hospitals.

- The public had responded to over the counter prescribing very positively.

Operational Plans discussion

- It was important for plans to be brought together, across health and social care.

-The CCG worked across a number of local authority areas, Health and Wellbeing Boards and Joint Health and Wellbeing Strategies. The CCG had mapped out how its plans fitted with the Council's Strategy, which was currently being refreshed in Stockton.

- It was envisaged that in future years, there would be joint plans presented to the Board, as integration progressed.

- It was suggested that though some single contracts operated across a number of local authority areas, commissioning by individual local authorities could impact on particular pathways.

- It was important that, moving forward, the Board was satisfied that plans were aligned and took into account health and social care considerations in an integrated way. It was noted that the work being undertaken through the Boards recent and planned development days was looking to bring strategies together and what the Board's shared priorities were for the coming 5 years.

- Members noted that the CCG's work had been allocated to different portfolios, each of which had a clinical lead beneath the clinical leads were commissioning leads, whose role included looking at best practice nationally and internationally.

- There was a discussion relating to the availability of sanitary products in schools and it was explained that public health was looking at this in detail.

- Partnership, Commissioning Groups and Integration Board had provided an opportunity to share plans and commissioning intentions, between the CCG and the Council.
HWB
4/18
The Board considered a report that provided:

- a draft response to the Government's consultation on 'Transforming the Response to Domestic Abuse'

- an update on the Domestic Abuse (DA) Strategy 2017 - 2022, referencing the Domestic Abuse Action Plans for 2017/18 and 2018/19.

Discussion on Consultation responses:

- Members noted the large amount of work that was going on in schools around healthy relationships and it was suggested that it would be useful to provide a presentation at a School Governors' briefing.

- It was noted that training opportunities for staff was currently being mapped.

- It was agreed that the Board should receive 6 monthly updates on the Domestic Abuse Action Plan.

- Members noted that refuge provision in Stockton was provided by the specialist commissioned service, Harbour. There were some concerns around the impact that welfare reform may have on incidents of DA requiring the refuge service.

- MARAC process had changed and these changes were to be reviewed after 6 months, part of this review would look at the attendance by agencies.

- Reference was made to stalking and harassment and, it was explained that work to fill any gaps in this regard was taking place.
HWB
5/18
Members received a performance update on key indicators from the performance monitoring framework for the Joint Health and Wellbeing Strategy delivery plan, as at May 2018.

Key issues and discussion:

- Breastfeeding initiation rates had reduced significantly since 2014/15. It was suggested that the peer support programme, that had operated previously, should be looked at again.

- Statistically the Borough was significantly lower than the national average for smoking prevalence. Also, more people going into the stop smoking service were quitting.

- Hospital admissions, for alcohol related conditions, continued to increase and this was an area of focus for partners. A report relating to alcohol would be provided at the Board's June meeting.

-Under 18 conceptions were reducing, though this improvement was not closing the gap with the national average. It was noted that the Children and Young People's Partnership had recently endorsed a risk and resilience approach that would cut across a number of issues and would look to empower young people to make informed choices and build their resilience.

- It was suggested that consideration be given to some of the issues, raised in the performance report, being discussed at the Board's planned Development Day.

- The Board raised concerns about the life expectancy of people with learning disabilities, compared to the population as a whole. Members were aware of the complexities associated with this issue. It was noted that it was an ambition for the GP Federation, for each practice to identify a key worker for every patient they had with a learning disability. The Federation was also looking to create special GP clinics, for people with learning disabilities, that acknowledged their specific needs and were designed to be quieter and less threatening than what traditional GP clinics may appeared to be.
HWB
6/18
Members were given the opportunity of providing an update:

- Members received an update on Roseberry Park and noted that TEWV was expecting a CQC Inspection soon.
HWB
7/18
Members considered the Board's Forward Plan.

It was suggested that the recently appointed Chief Executive of the Butterwick Hospice should be invited to a future meeting to outline the Charity's strategic plan.

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