Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Wednesday, 24th July, 2019
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), Cllr Lisa Evans (Vice-Chair), Cllr Jacky Bright, Barbara Bright (Substitute for Julie Gillon), Cllr Luke Frost, Cllr Mrs Ann McCoy, Ann Workman, Nicola Bailey, Dominic Gardner, Katie Needham, Steve Rose,
Officers:
Michael Henderson (SBC)
In Attendance:
Karen Hawkins (CCG)
Apologies for absence:
Cllr Lynn Hall, Martin Gray, Fiona Adamson, Barry Coppinger, Julie Gillon, Sheila Lister, Saleem Hassan, Anne Sykes
Item Description Decision
Public
HWB
12/19
EVACUATION PROCEDURE
 
HWB
13/19
DECLARATIONS OF INTEREST
 
HWB
14/19
MINUTES OF THE MEETING HELD ON 26 JUNE 2019
 
HWB
15/19
PRIMARY CARE NETWORKS - PRESENTATION
RESOLVED that:

1 the presentation be noted.

2. consideration be given to linking the Board's Community Pathfinder to a PCN and an options paper be provided to the next meeting.
HWB
16/19
PROPOSALS FOR NEW CLINICAL COMMISSIONING GROUPS FOR TEES VALLEY AND DURHAM CCGS
RESOLVED that the CCG Governing Bodies be advised that the Board supports Option 4 of the proposal - Two CCGs across Tees Valley and Durham i.e. a single Tees Valley CCG and a single Durham CCG, whilst retaining a shared management structure.
HWB
17/19
MEMBERS' UPDATE
 
HWB
18/19
FORWARD PLAN
 

Preamble

ItemPreamble
HWB
12/19
Members noted evacuation procedures.
HWB
13/19
Councillor Luke Frost declared a personal/non prejudicial interest in item 6 'Proposals for New Clinical Commissioning Groups for Tees Valley and Durham as he was a Community Health Ambassador.
HWB
14/19
The minutes of the meeting held on 26th June 2019 were agreed, subject to some minor amendments.
HWB
15/19
Members received a presentation relating to Primary Care Networks (PCNs)

The presentation included details of:

- PCNs and their core characteristics.

- the strategic view of the Tees Valley Area in terms of General practices and PCNs.

- details of the 4 Stockton PCNs and how the 21 practices were split.

- information about the key deliverables PCNs had to deliver 2019/2022 and funding to support those key deliverables.

- the wider picture and the partnerships that PCNs would develop.

- next steps, including meetings with Clinical Directors, establishment of governance around whole system approach, support and build on locality work already underway.

Discussion:

- pharmacies would work in partnership with PCN.

- the PCNs would strengthen the work already underway within Stockton and provided an opportunity to create a joint agenda in the delivery of priorities.

- outside the key deliverables Clinical Directors would identify other work with input from CCGs to ensure the system worked together.

- reference was made to a situation in Thornaby where two different practices, from two different PCNs were sharing the same building. It was noted that there had been significant work with the practices involved and it was not anticipated that there would be any negative impact on patients.

- the funding for the additional staff was new money and could not be used for existing staff. It was also recurrent for the 5 years of the Investment and Evolution Framework.

- The Board recognized the significant opportunities created by the introduction of PCNs and the push towards a more systematic approach. It was suggested that there may be opportunities for the Board's Community Pathfinder Project to be linked with a PCN as a demonstration site. It was noted that the Community Pathfinder project was being developed and an options paper would be provided to the August meeting of the Board.

- it was explained that practical issues around Governance were being finalized and meetings involving the wider stakeholders would be undertaken in the coming months.
HWB
16/19
Members were reminded that, at its meeting held on 26 June 2019, the Board considered a presentation relating to Integrated Care Systems (ICS). Part of that presentation referred to proposals for the merger of CCGs in the Tees Valley and Durham and the Board requested that this matter be discussed in more detail at this meeting, so it could consider which proposal it may wish to support.

It was explained that there were, currently, five CCGs covering the Tees Valley and Durham:

• NHS Darlington CCG (patient pop. 100k)
• NHS Durham Dales, Easington and
Sedgefield CCG (patient pop. 272k)
• NHS Hartlepool and Stockton on Tees CCG
(patient pop. 300k)
• NHS North Durham CCG (patient pop.
253k)
• NHS South Tees CCG (patient pop. 293k)

It was noted that the five CCGs had had a shared Accountable Officer and Management Team, since Oct 2018, working at scale, whilst retaining strong focus on local communities. However, the NHS Long Term Plan required:

• fewer CCGs, and suggesteds 1 CCG per ICS
• the creation of ‘strategic' commissioning
organisations
• reduction in running costs by 20%
• need to focus on transforming services
across providers to provide better
outcomes for patients and to reduce
inequality

Merger could help the CCG provide the above and additional benefits.

Members noted the proposals

1. A single CCG across the ICS i.e. Cumbria and the North East

2. A single CCG across the 5-CCG collaborative: merger of Darlington CCG, Durham Dales, Easington & Sedgefield CCG; Hartlepool & Stockton-on-Tees CCG; North Durham CCG and South Tees CCG.

3. A single CCG across each Integrated Care Partnership: i.e. the southern ICP (South Tees CCG, Hartlepool and Stockton on Tees CCG and Darlington CCG) and the central ICP (Durham Dales, Easington and Sedgefield CCG, North Durham CCG, South Tyneside CCG and Sunderland CCG)

4. Two CCGs across Tees Valley and Durham i.e. a single Tees Valley CCG and a single Durham CCG, whilst retaining a shared management structure

Members considered the proposals and noted that the 20% reduction in running costs, that had to be achieved, would be ploughed back into frontline services.

It was agreed that option 4 would be the most beneficial and would allow a local focus to be retained.
HWB
17/19
Following a prevention workshop, in September, consideration would be given to bringing a report back to the Board, on outcomes.

It was noted that a report on the Annual Flu Vaccination would be presented to the September meeting with input from Public Health, NHS England and North Tees Trust. TEWV indicated that it would be able to contribute to this item also.

Members noted issues relating to West Lane Mental Health Hospital, highlighted following a CQC inspection, in June. It was noted that Board members had been forwarded a briefing note on this issue, by the Chair, detailing what steps TEWV had taken, including ward consolidation. An additional update was provided by the TEWV representative, present at the meeting. Members noted that impacts on patients would be kept to a minimum.

A brief overview of a Holiday Hunger Project was provided to the Board. It was explained that a full evaluation of the project would be available in the Autumn and could, potentially, be provided to the Board or Children and Young People's Partnership.

It was noted that a Green Paper on prevention had been issued on 22 July 2019 and a link would be provided to Board Members. Consideration of the Green Paper may be undertaken at the forthcoming Prevention Workshop.
HWB
18/19
Members considered the Board's Forward Plan.

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