|Councillor Ken Lupton declared a personal/non prejudicial interest as he was a non executive director serving on the North Tees and Hartlepool NHS Foundation Trust.|
Councillor Mohammed Javed declared a personal/non prejudicial interest as he was employed by the Tees, Esk and Wear Valleys Foundation Trust
Councillor Ann McCoy declared a personal/non prejudicial interest as she served on the Board of the Tees, Esk and Wear Valleys NHS Foundation Trust.
Councillor Jim Beall declared a personal/non prejudicial interest as he served on the Board of Governors of the North Tees and Hartlepool NHS Foundation Trust.
|The minutes of the Board meeting held on 24 July 2013 were noted and would be presented to the Board's next meeting for approval.|
|The minutes of the Partnership meeting held on 9 July 2013 were noted and would be presented to the Partnership's next meeting for approval.|
|The minutes of the Children and Young People's Health and Wellbeing Commissioning Group were noted.|
|Members were provided with the current draft version of the 2012/13 Local Account for Adult Social Care and were asked to provide comments.|
The document was briefly discussed and it was indicated that members could feedback, outside the meeting to Simon Willson or Jane Humphreys, by Friday 4 October 2013.
|Members were provided with a report relating to the delivery of accident prevention.|
It was explained that accidents accounted for 12.5% of emergency admissions nationally, with an estimated cost of £150 billion each year.
Members were provided with some contextual information:
- accidents were strongly linked to social deprivation.
- Under 5s were most likely to be unintentionally injured in the
- locally hospital admissions for children under 18 were 170 (per 100,000) against a national average of 124.
Members were provided with details of the local structure for reducing accidents and noted a number of interventions that the Royal Society for the Prevention of Accidents had highlighted as successful.
Members considered a way forward in terms of a strategic and co-ordinated approach to the prevention of accidents and unintentional injury.
It was suggested that a Task and Finish Group be established to take this matter forward. The Group would look to identify issues, gaps in service, links with other strategies etc. Members briefly discussed some of the groups currently involved in accident /injury prevention and it was suggested that these, and other groups that members could identify, could help with the Task and Finish Group's work.
|Consideration was given to a draft Health Protection Plan for the Borough.|
It was explained that the Director of Public Health was responsible for producing a Health Protection Plan for the Borough. The Plan was an assurance framework to outline the plans and resources in place to support Health Protection.
Members noted a summary of the Plan which identified what it attempted to ensure was in place across the Borough:
- effective immunisation arrangements were in place across Stockton.
- effective screening arrangements were in place across Stockton Borough.
- effective health protection arrangements were in place across Stockton Borough to protect the public from infectious diseases and environmental hazards.
Members were pointed to a number of case studies which detailed what the response would be to certain scenarios.
It was noted that a specific reference to schools would be included in the plan and members were asked to provide any comments they might have, to the Director of Public Health, in the next few days.
|Members considered a briefing report that outlined the recommended process for maintaining and developing the Joint Strategic Needs Assessment (JSNA) in order to make it an integrated way of working in helping to improve local health and wellbeing.|
It was agreed that the effectiveness of the JSNA, for supporting continuous improvement in the population's health and wellbeing required a process for maintenance and development. Members noted the minimum processes that needed to be in place and the practical support for the whole process, including:
- arranging sessions for topic leads
- publishing an updated topic guide
- agreeing 'triggers' for appropriate maintenance of JSNA
- ensuring continuous development of the JSNA.
Members viewed a demonstration of the JSNA web site.
Members discussed the JSNA and a number of issues were raised, these included:
- using the JSNA to identify who was responsible for commissioning - though the Joint Health and Wellbeing Strategy would include this information.
- the inclusion of an additional trigger relating to a request from Healthwatch being made.
- the inclusion of a time trigger. It was suggested that topic leads review section if they had not been updated for a 12 month period.
- suggested that there should be scope for meetings of clusters of topic leads.
|Members received a presentation that provided an update on the delivery plan for the Joint Stockton Health and Wellbeing Strategy and outlined a draft performance monitoring framework for the delivery plan.|
It was explained that an update report would be forwarded to all members after the meeting.
|Consideration was given to a report that provided members with a summary of non-recurrent funds available within the Public Health Grant.|
It was explained that there was £500,000 of non recurrent funding available and it was suggested that this be used in areas of identified need. Specifically, it was suggested that the resources be targeted and shared between the priorities of giving every child the best start in life and/or addressing ill health within the context of health inequalities linked to deprivation.
It was noted that the Health and Wellbeing Board would be meeting immediately following this meeting to agree one or two priority areas.
Members were asked to consider proposals and provide views to help inform the Board's decision. The following views/comments were made:-
- there was general support for the proposal to target priority areas taking account of health inequalities and deprivation.
- There were concerns that targeting Wards could mean that some children in other parts of the Borough would be missed and there were pockets of deprivation in Wards not necessarily considered to be deprived as a whole.
- it was envisaged that the initiative would make a difference to a targeted group and the opportunity would be taken to redesign a service; the benefits of the initiative could be rolled out to the rest of the Borough.
- a successful initiative could free up resources in other areas.
- any initiative would focus on an early intervention to prevent problems arising for people in the future; outcomes may not be apparent for a number of years.
- it was noted that the Board's two Commissioning Groups would look at the fine detail of the initiatives, once the principles had been determined. The Groups could also pick up the concerns related to clusters of need.
- £500k was not a great deal of money when considered in the context of the overall challenges in the proposed area, so the expenditure must be targeted.
- children under 3 years was extremely important area but ill health in Adults must be considered too, as interventions could make a great difference to those people and their families.
|Members were provided with a draft of the Director of Public Health's Annual Report.|
The report provided a strategic overview, setting out the key issues in improving and protecting the health and wellbeing of the population and reducing inequalities. It identified current disease trends, examples of key work and priorities for action.
The report also discussed issues relating to:-
- addressing the wider determinants of health and wellbeing
- reducing inequalities
- addressing key health and wellbeing issues
- healthcare quality and commissioning
- protecting the health of the population
|Members considered a report that outlined the suggested process for discussing commissioning intentions at the Children and Young People Health and Wellbeing Commissioning Group (CYPHWCG) and the Adults Health and Wellbeing Commissioning Group (AHWCG), to inform Board discussions and commissioning rounds for 2014/15. The proposal had been agreed by both Commissioning Groups.|
Members were provided with details of the proposed process together with some principles that would be observed when agreeing commissioning intentions.
|Members considered a report that outlined ways by which wellbeing may be measured and the potential to do so.|
Members agreed that it was difficult to measure wellbeing as it was extremely subjective. Sample sizes was also an issue and any data captured was likely to be subject to varying interpretation.
A variety of approaches may be needed to try and measure wellbeing and all determinants of wellbeing considered.
|Members considered the existing Forward Plan and noted that a review of the Board's operation would be factored in to its Forward Plan as would the Transfer of Social Care 2013/14.|
|The Chairman provided information to members on the following;|
- a meeting with Duncan Selby from Public Health England. Mr Selby had indicated that he approved of the approach of the Health and Wellbeing Board and its supporting structures, and the fact that the Board would not be focusing on clinical issues but would look at wider determinants of health and wellbeing.
Mr Selby had explained that, in discussions with government, he was a very strong advocate of the health and wellbeing agenda.
- the Chair had attended a preventing suicide event and referred to recognising people at risk and the interventions that could be used.
- the Launch of the Safe Place Scheme was scheduled to take place on 17 October 2013 at the ARC. Members were welcome to attend.
- A major conference related to alcohol abuse, organised by Balance, would be held at Hardwick Hall on 21 and 22 November. Members were encouraged to attend for either or both of the days.
- the Regional meeting of Health and Wellbeing Chairmen were looking at the issue of Tobacco companies investing in local government pension funds. It was noted that Pension funds were entities in their own right and were difficult to influence individually. The issue was likely to be highlighted and raised within the North East. Some lobbying may be necessary.
- ANEC would be sponsoring a Regional Learning Event, in the New Year, related to Integrated Working
- the Government was expecting the Health and Wellbeing Board to take the lead on a Learning Disability self-assessment and sign it off. It was considered that this would be a more appropriate role for the Learning Disability Board.