Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Thursday, 25th September, 2014
Time:
2.00pm
Place:
Jim Cooke Conference Suite, Stockton Central Library, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Jim Beall(Chairman), Steve Rose, Cllr Tracey Stott, Tony Beckwith, Jane Humphreys, Peter Kelly, Alan Foster, Audrey Pickstock, Paul Williams, Ali Wilson
Officers:
Emma Champley, Jo Heaney (PH); Margaret Waggott, Michael Henderson (LD)
Apologies for absence:
Cllr Mrs Ann McCoy, Cllr David Harrington, Cllr Ken Lupton, Cllr Steve Walmsley, Martin Barkley, Barry Coppinger
Item Description Decision
Public
HWB
52/14
DECLARATIONS OF INTEREST
 
HWB
53/14
MINUTES OF THE BOARD MEETING HELD ON 28TH AUGUST 2014
 
HWB
54/14
DEVELOPMENT SESSION - SELF HARM
RESOLVED that the presentation and discussion be noted.
HWB
55/14
DRAFT PHARMACEUTICAL NEEDS ASSESSMENT
RESOLVED that the draft Pharmaceutical Needs Assessment be approved for formal consultation.
HWB
56/14
NHS ENGLAND-ORGANISATIONAL ALIGNMENT & CAPABILITY PROGRAMME-PRESENTATION
RESOLVED that the briefing be noted and a suitable letter, as described above, be sent to the Chief Executive of NHS England.
HWB
57/14
BIRCHTREE PRACTICE
RESOLVED that:

1. the Board agrees that a joint review and locally led consultation was the most appropriate approach to the Service.

2. the matters raised be be taken up by NHS England's Area Team representative, particularly with regard to the proposed extension of the contract.
HWB
58/14
DEPARTMENT OF HEALTH-LOCAL AUTHORITY PUBLIC HEALTH ALLOCATIONS
HEALTH PREMIUM INCENTIVE SCHEME 2014/15-CONSULTATION

RESOLVED that the information be received and any comments be fed to the Director of Public Health.
HWB
59/14
DEVELOPMENT SESSION - FRESH
RESOLVED that:

1. the presentation and discussion be noted.

2. the Board signs up to the vision described above.

3. Fresh Annual Report be circulated to the Board.
HWB
60/14
FORWARD PLAN
RESOLVED that the Forward Plan be approved.
HWB
61/14
CHAIRMAN'S UPDATE
RESOLVED that the update be noted and the suggested referral be agreed.
2pm /4.20pm

Preamble

ItemPreamble
HWB
52/14
There were no declarations of interest.
HWB
53/14
The minutes of the meeting held on 28th August 2014 were agreed subject to the following amendments.

Minute entitled Urgent Care Strategy to be amended to reflect that GP capacity was the issue of concern, rather than resources.

Minute entitled Chairman's update to be amended to indicate that the review of the walk-in element of Stockton Health Centre (Tithebarn) was seperate to any review of access to GP services.
HWB
54/14
Members received a presentation on Self Harm and noted:

- the national and local context.
- risk factors
- details from the local Audit
- Services and Interventions
- Challenges and what was in development

Members discussed the presentation and noted/agreed that:

- incidents of self harm in young people were increasing, whereas Adult self harm was reducing. The reasons for this needed to be understood.

- the Suicide Prevention Team, based in TEWV, no longer provided the Local Audit Service that had produced important up-to-date information about suicides, at time of death, rather than at registration.

- children presenting with Self Harm at hospital were seen by a specialist.

- there was a significant amount of work being undertaken and it was important that available funding had to be maximised.

- there was a clear national agenda promoting the importance of people's mental and emotional health.
HWB
55/14
Members considered a report that presented the draft Pharmaceutical Needs Assessment (PNA) for Stockton on Tees Borough.

Members noted that the draft PNA set out the population need and current service provision regarding pharmacy services in Stockton Borough. It made recommendations to inform the decision-making process of NHS England, regarding the provision, commissioning and development of pharmacy services according to population need.

A formal 60 day statutory consultation would be undertaken, commencing at the beginning of October 2014

Key themes of the draft PNA for Stockton were:

• There were no gaps in service provision that could not be addressed through existing contracts and infrastructure, as the range of service provision was currently well spread geographically.

• There were no areas in the Borough where consultation highlighted a current need for a new pharmacy.

• The future need for and the nature of service provision in Port Clarence may need further consideration, due to the community's geographical isolation.

• There may be areas where improvements or better access could be considered through additional pharmaceutical services or locally contracted services.

• The impact of new housing developments in the Borough within the lifetime of the PNA (the next three years), had been considered.

• The majority of respondents were happy with the quality and accessibility of pharmacy services.

• Pharmacies provided a range of services and information / signposting; awareness of this range of services was low and work was recommended to better communicate regarding these services to stakeholders.

• Analysis was underway to understand whether additional services were needed in some pharmacies e.g. some elements of sexual health services; and / or whether awareness of existing services was low.
HWB
56/14
Members received a briefing on the realignment of NHS England.

Members noted that the changes to the NHS England structures were being undertaken for two main reasons:

- to refine structures to make sure they fitted its purpose.
- to save money - 15% was the aim.

Changes would take place at a national level and within the area team structures. There would be significant reductions in staff and particularly senior staff. Consultation was planned to start in October and changes were planned to take effect in the next financial year.

It was noted that, within the North of England Region, the Area Teams would be reduced from 9 to 4.

The Board was concerned that the considerable changes that were planned would seriously disrupt the positive working environment that existed and would have a detrimental effect on the development of projects. Members also raised the issue of NHS England's (Area Team) statutory representative on the Board and agreed that it must continue to be a senior member of staff with a sound local knowledge and understanding of the Borough's context and what its residents' and communities' needs were.

It was agreed that the Chair would write to the Chief Executive of NHS England raising the Board's concerns.

Further updates would be provided as more details emerged.
HWB
57/14
Members were provided with a report relating to the Birchtree Practice situated at Lawson Street, Stockton on Tees. It was explained that it was a GP practice which delivered essential, additional, enhanced and specialist substance misuse services to a registered list of 725 patients under an APMS contract. The contract was currently held by NHS England but was jointly funded and managed with Stockton Borough Council.

NHS England was reviewing the registered element of the contract to determine their future commissioning intentions. Stockton Borough Council would also need to review the substance misuse provision alongside NHS England to inform and determine the future of this substance misuse treatment provision or model of delivery in Stockton on Tees.

The current contract was due to expire at the end of March 2015 but a contract extension had been proposed by Stockton Borough Council to NHS England. If agreed this would extend the contract to 31 March 2016 to afford sufficient time for the review and consultation to be undertaken. A decision by NHS England regarding this proposal was still pending.

A report had been considered at the Adults Health & Wellbeing Commissioning Group on 4th September 2014 detailing further information and the next steps. The review and consultation would be completed by the end of December 2014. The Adults Health & Wellbeing Commissioning Group made a number of recommendations to the Board.

The Board agreed that a joint review was appropriate and should be led locally.

The Area Team representative indicated that she encouraged integrated working on this and would take up the concerns raised.
HWB
58/14
The Board was provided with a letter and Consultation document produced by the Department of Health/Public Health England regarding:-

-The Public Health allocations for 2015/16 for upper tier and unitary local authorities;
-Consultation-Health Premium Incentive Scheme 2014/15, which invited comments on the choice of national and local indicators in the pilot, future flexibilities, the threshold for incentive payments, and how they should be apportioned.

Board members were invited to provide any comments to the Director of Public Health.
HWB
59/14
Members received a presentation delivered by Andy Lloyd from Fresh - Smoke Free North East. Fresh was a programme set up to tackle the rates of serious illness and death caused by smoking, in the North East.

Members noted some key facts:-

- 15 people a day died from smoking related illness.

- smoking cost the region's economy a 140 million per year.

- Rich smokers and poor smokers had a similar life expectancy.

- the North East had seen the largest adult decline in smoking since Fresh had been established in 2005.

- there were now 30% fewer smokers in the region than in 2005.

- Fresh, amongst other things, encouraged collaborative working, had developed a unified strategy, had built positive public opinion, promoted evidence based arguments.

- children were three times as likely to start smoking if their parents smoked.

- the North East Partnership existed to work collectively to make smoking history for the North East.

- Fresh was involved in activity to reduce demand for tobacco and reach a tobacco-free future.

- Despite claims from the tobacco lobby about the 'nanny state' a clear majority of people in the North East believed the government was not doing enough or had got tobacco policy about right.

Members noted that Fresh was approaching all 12 Health and Wellbeing Boards in the region to ask for their sign up to the vision, which included the principle that an endgame for tobacco was possible and smoking could be made history in the North East.

The Board discussed the presentation and members raised a number of points, including:

- smoking was particularly prevalent in people with mental health issues. Fresh was encouraging the Mental Health Trust to back Stoptober

- Mass media campaigns had been hard hitting and attempted to make smoking less appealing and less acceptable.

- in Stockton there were approximately 27,000 smokers and half to a third of these would want to stop. There was lots of possibilities to help in this happen.
HWB
60/14
Members considered the current Forward Plan.
HWB
61/14
For Members' information the Chair circulated a letter from ANEC Health and Wellbeing Board Chairs' Network to the Secretary of State for Health, Jeremy Hunt MP, raising concerns about revised arrangements surrounding the Better Care Fund. A copy of Mr Hunt's response was also provided.

The Chair also circulated a joint letter from the Secretary of State for Communities and Local Government, Eric Pickles MP and the secretary of State for Education, Nicky Morgan MP, which had been sent to all Leaders of principle Council's in England and copied to all Chairs of Health and Wellbeing Boards in England. The letter referred to failures by services in Rotherham to protect and safeguard vulnerable children and asked Leaders to read Professor Jay's report and consider whether their Council had adequate measures in place to avoid such failings. The Board suggested that the matter be referred to the Children and Young People's Partnership.

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