Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Monday, 28th April, 2014
Time:
2.00pm
Place:
Conference Room, Education Centre, Junction Road, Norton, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Councillor Jim Beall (Chairman,

Cllr Ann McCoy, Alan Foster, Cllr Ken Lupton, Barry Coppinger, Peter Kelly, Ali Wilson, Tony Beckwith, Audrey Pickstock.
Officers:
Sarah Bowman, Victoria Cooling, Zoe Greaves (PH), Glyn Roberts (CESC), Margaret Waggott, Nigel Hart (LD)
In Attendance:
Kirsty Kitching (CCG)
Apologies for absence:
Cllr David Harrington, Jane Humphreys, Cllr Steve Walmsley & Dr Paul Williams
Item Description Decision
Public
HWB
1/14
DECLARATIONS OF INTEREST
 
HWB
2/14
MINUTES OF THE BOARD MEETINGS HELD ON 12 FEBRUARY 2014 AND 26 MARCH 2014
 
HWB
3/14
MINUTES OF COMMISSIONING GROUPS
ADULTS - 27 JANUARY 2014
CHILDREN AND YOUNG PEOPLE - 29 JANUARY 2014
CHILDREN AND YOUNG PEOPLE - 28 JANUARY 2014

 
HWB
4/14
PEER REVIEW OF SAFEGUARDING ADULTS ARRANGEMENTS - OUTCOMES
RESOLVED that the content of the Peer Review Team be noted and a summary of the stakeholder details considered by the Peer Review be provided to Healthwatch for information.
HWB
5/14
BETTER CARE FUND
RESOLVED that:-

1. the proposed governance and project management arrangements in respect of the Better Care Fund be approved.

2. the risk sharing and contingency arrangements for the Better Care Fund be noted.
HWB
6/14
EVERYONE COUNTS - PLANNING FOR PATIENTS 2014/15 - 18/19
RESOLVED that:-

1. the content of the presentation on both the CCG's 2 year operational and 5 year strategic plan be noted.

2. copies of the presentation be forwarded to each member for more detailed consideration.
HWB
7/14
DEVELOPMENT SESSION
RESOLVED that the content of the presentation be noted and a further report on the findings be presented to the Board including ward level data in respect of reasons for admissions and length of stay in order that a more focussed campaign on the reduction of avoidable hospital admissions could be orchestrated.
HWB
8/14
A CALL TO ACTION
RESOLVED that the update on the Call to Action Feedback Event be noted.
HWB
9/14
FORWARD PLAN
RESOLVED that the Forward Plan be noted and items be scheduled as follows:-

-Draft Pharmaceutical Needs Assessment-Sept 2014
-Final Pharmaceutical Needs Assessment-Jan 2015
-HWB Structure-June 2014
HWB
10/14
CHAIRMAN'S UPDATE
RESOLVED that the update be noted.
2PM /4PM

Preamble

ItemPreamble
HWB
1/14
Cllr Ken Lupton declared a personal/non prejudicial interest as he was a non executive Director serving on North Tees and Hartlepool NHS Trust Board.

Cllr Jim Beall declared a personal/non prejudicial interest in respect of the item entitled ‘Call to Action Feedback Event' as he was Chairman of the Eastern Ravens Trust who were represented at the event.
HWB
2/14
The minutes of the meetings held on 12 February and 26th March 2014 were approved and signed by the Chairman.
HWB
3/14
The minutes of the meetings of the Adults Commissioning Group held on 27th January 2014 and the Children & Young People Commissioning Group held on 29th January and 28th February 2014 were noted.

28th February 2014

It was explained that Min CHW 86/13 - School Nursing Immunisations should have had ‘North Tees & Hartlepool NHS Foundation Trust' identified as provider of 1 year contract in respect of school immunisation.

Matters raised

-Min 80/13- Children & Young People Commissioning Group held on 29th January 2014

Further discussions to establish the rationale and implications behind the proposal to brand the Early Help Strategy as a LSCB document would take place between the Chairs of this Board and the LSCB.

Min 86/13- Children & Young People Commissioning Group held on 28th February 2014

The Board noted and discussed the implications of the Health & Social Care Act legislation on responsibility for commissioning immunisations which had now resulted in NHS England commissioning the North Tees & Hartlepool NHS Foundation Trust to provide immunisations in schools for 2014/15.. An update report on 2014/15 immunisation programme, including plans in places to increase uptake where needed, would be reported to this Board in due course.

-Min 87/13- Children & Young People Commissioning Group held on 28th February 2014

Clarification was required on what was intended by the requirement for changes to the new Health Visiting Commissioning arrangements to be reported to the LSCB before transfer and the Director of Public Health would address this matter with the Children & Young People Commissioning Group and report back to the Board.
HWB
4/14
The Board was provided with the final report following a Peer Review of the Council's Adult Safeguarding arrangements. Both strengths and areas for consideration were identified for the following, with overall a very positive assessment having been received:-

-Vision, Strategy and Leadership;
-Outcomes for Individuals;
-People's Experience of Safeguarding;
-Service Delivery and Effective Practice;
-Working Together, Partnerships;
-Commissioning.

The Council's strength in being able to focus its future financial expenditure via its Medium Term Financial Plan was strongly cited within the feedback. An Action Plan was now being formulated to develop the Council's response to the areas for consideration identified.

Reference was made to the involvement of external stakeholders within the review as it was important to ensure than the views of a representative number of users were taken into account. It was noted that information on more than 30 external stakeholders was provided to the Peer Review Team, and whilst they had attended a number of case conferences alongside clients, they had not taken up the opportunity to have follow up meetings with clients. It was requested that a summary of the stakeholder details considered by the Peer Review be provided to Healthwatch.
HWB
5/14
Further to the Board's sign off, at its last meeting, of the Better Care Fund Plan, consideration was given to the proposed governance and project management arrangements in respect of the Fund, along with the agreed risk sharing and contingency arrangements between this Council and the Hartlepool & Stockton Clinical Commissioning Group.

Work was underway to integrate BCF work streams within already established existing work streams and it was noted that BCF would require a huge cultural shift with lots of changes to ways of working for staff.

Ministerial feedback on the BCF would be reported to this Board as soon as it was received, and was expected to include some areas initially identified as ‘amber' when assessed by the Local Area Team.

Further consideration was necessary as to how users and carers could now be engaged so that they were fully informed of the implications of the BCF and initial discussions would therefore take place between Public Health and Healthwatch.
HWB
6/14
Further to presentation to this Board in January of the NHS planning requirements set out within the document entitled Everyone Counts-Planning for Patients 2014/15-2018/19, consideration was given to a presentation on progress made with regard to delivery of both the CCG's 2 year plan, along with its draft 5 year strategic plan, prior to submission to NHS England.

The vision behind each strategy was set out with the key drivers for change summarised as follows:-

-Legislation and Government policy
-Cost and demand pressures across the whole system of care
-Ageing population with people living longer
-More people living with chronic long term health conditions
-Services often variable and not always well coordinated
-Overreliance on hospitals and residential care
-Not enough focus on prevention and early intervention
-Inability to meet above challenges in isolation
-Need to work more collaboratively to create the right environment, trusted relationships and leadership
-GP practices were seen as the mainstay of the local system of care
-The importance of patient and public feedback-A Call to Action

The process for the development and commissioning of service change plans was presented, along with an explanation of how the vision of the CCG's plans would affect local people.

The Board noted and welcomed the future Commissioning intentions in respect of the frail & elderly; urgent care, cancer, medicine optimisation, health & wellbeing including long term conditions; and mental health conditions affecting all and the Governance structure of all involved in delivering this vision.

It was noted that the 5 year strategic plan was required to be submitted to NHS England by 20th June 2014.
HWB
7/14
Consideration was given to a presentation on the findings of the actual number of hospital admissions for the Hartlepool & Stockton Clinical Commissioning Group, which currently totalled 2712.3 admissions per 100,000 population for the period 2012/13. The CCG planned to reduce this rate by 8.5% over the next 5 years.

It was noted that most emergency admissions occurred at North Tees and the most popular day for admissions was a Monday with the most pressure placed on A&E between the hours of 4-6pm.

The Board noted the CCG's plans to reduce avoidable admissions associated with both ambulatory care and acute conditions and noted plans to ask the North Tees & Hartlepool Hospital Foundation to undertake an audit of readmissions, admissions and ambulatory care attendances which was hoped to provide findings to explain:-

-What caused the admission, readmission or ambulatory attendance;
-Are there any gaps in service provision?;
-Was there any intervention that might have prevented the admission or attendance?

The Board welcomed the audit and requested a further report on the findings in due course, and were particularly interested in ward level data regards reasons for admission and length of stay in order for plans to reduce avoidable admissions to be more focussed.
HWB
8/14
Consideration was given to feedback on the Call to Action Feedback Event held on 11th March 2014 organised by Catalyst to engage groups with links and experience in engagement who were ‘hard to reach' or ‘seldom heard'.

Over 70 participants took part in the event and contributed suggestions as to how engagement could be improved upon. These comments were currently being assessed with a view to setting out plans as to how the CCG would respond to the suggestions received.
HWB
9/14
The Board considered the draft Forward Plan.

HWB
10/14
The Chairman raised the Boards attention to the fact that this week was Multiple Sclerosis Week and encouraged all to actively promote the current ‘Treat Me Right Campaign.

The Board also discussed the various alerts, publications and conference/seminar opportunities presented to Board members and the Chair encouraged the sharing of information between members/partner organisations in order to assist the learning and development of the Board as a whole.

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