Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Thursday, 17th December, 2015
Time:
3.30 pm
Place:
First Floor Committee Room, Town Hall, High Street, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Jim Beall(Chairman), Cllr Mrs Ann McCoy(Vice-Chairman), Cllr Sonia Bailey, Cllr Lynn Hall, Tony Beckwith, Jane Humphreys, Peter Kelly, David Brown (substitute Martin Barkley), Alan Foster, Sheila Lister (substitute for Audrey Pickstock), Steve Rose, Paul Williams, Ali Wilson
Officers:
Emma Champley, Mark Mcgivern, Peter Acheson (PH), Margaret Waggott, Michael Henderson (LD)
In Attendance:
Philippa Walters, Jo Linton (TVPHSS), Ann Baxter (Independent Chairman of the Teeswide Safeguarding Adults Board)
Apologies for absence:
Martin Barkley, Cllr David Harrington, Barry Coppinger, Audrey Pickstock, Cllr Di Hewitt
Item Description Decision
Public
HWB
55/15
DECLARATIONS OF INTEREST
 
HWB
56/15
MINUTES OF THE MEETING HELD ON 25 NOVEMBER 2015.
 
HWB
57/15
TEESWIDE SAFEGUARDING ADULTS BOARD - REPORTING ARRANGEMENTS
RESOLVED that the reporting arrangements be noted.
HWB
58/15
TEESWIDE ADULTS SAFEGUARDING ANNUAL REPORT AND STRATEGIC BUSINESS PLAN
RESOLVED that the Annual Report 2014/15 and Strategic Business Plan 2015/16, and the Board's discussion on them, be noted
HWB
59/15
STOCKTON BETTER CARE FUND
RESOLVED that:

1. the progress of the implementation of the Better Care Fund be noted.

2. the Better Care Fund Q2 2015/16 performance submission be noted.
HWB
60/15
INTERIM UPDATE TO PHARMACEUTICAL NEEDS ASSESSMENT
RESOLVED that:

1. the Board receive the report for information and assurance regarding the responsibility of the HWB for maintenance of the PNA, including the need to

• assess on-going changes which might impact on pharmaceutical need and the assessment, thereof and

• respond by initiating early review, or publishing a Supplementary Statement to the 2015 PNA as required; in this case, to note approval for publication of a supplementary statement to the PNA 2015 and updated map referencing the opening of a new pharmacy as described in the report.

2. member organisations be encouraged to actively contribute intelligence on changes which might impact on the local needs for pharmaceutical services.

3. the Board reaffirm its delegation of authority to the Director of Public Health to respond to requests for representations from NHS England in respect of pharmacy applications and make routine initial assessments with respect to the potential for Supplementary Statement or need for full review of the PNA.

4. the TVPHSS continues to facilitate and advise on all issues related to the Regulations and the PNA on behalf of the HWB and agenda items related to consultation, review, maintenance (including Supplementary Statements) and future publication of the Stockton on Tees PNA be received as required at future Board meetings.
HWB
61/15
CQC REVIEW - INTEGRATED SERVICES FOR OLDER PEOPLE
RESOLVED that the feedback be noted and the CQC slides be circulated.
HWB
62/15
CHAIR'S UPDATES
RESOLVED that the update be noted
HWB
63/15
FORWARD PLAN
RESOLVED that the Forward Plan be agreed.
3.30pm /5.00pm

Preamble

ItemPreamble
HWB
55/15
Paul Williams referred to the formation of the Hartlepool and Stockton Health GP Federation, which may need to be registered as an interest.

It was suggested that Dr Williams bring a report to a future Board meeting, on the purpose of the Federation.
HWB
56/15
The minutes of the meeting held on 25th November 2015 were confirmed as a correct record and were signed by the Chair.
HWB
57/15
The Board considered a report that provided details of reporting arrangements for Teeswide Safeguarding Adults Board (TSAB).

It was explained that the current Teeswide Safeguarding Inter-Agency Policy, which was agreed by the Teeswide Safeguarding Adults Board (TSAB) in September 2015 showed the accountability of the Board to the Health and Wellbeing Board.

The Terms of Reference and Governance Arrangements of the TSAB, dated September 2014, stated that ‘the TSAB was accountable for its work to its constituent agencies and to the Overview and Scrutiny Committees of the four Councils.'

It was agreed by the TSAB in May 2015 that the TSAB Independent Chair would:

• attend meetings of the Tees Valley Chief Executives Forum on a bi-annual basis for a specific agenda item.

• attend the Tees Valley DCS/DASS meetings bi-annually (together with the LSCB Chairs).

• attend meetings of the four Health and Wellbeing Boards on a bi-annual basis; once to present the TSAB Annual Report and once to deliver a mid-year report.

• attend the four Adult Health Scrutiny meetings to present the TSAB annual report on an annual basis.

It was explained that reporting arrangements would be reviewed for effectiveness, in September 2016.
HWB
58/15
Ann Baxter, the Independent Chair of the Teeswide Safeguarding Adults Board (TSAB), presented the TSAB's Annual Report 2014/15 and its Strategic Business Plan 2015/16. Members were asked to consider the format and content of the documents.

The Board felt that the format of the report was excellent. In terms of information it was suggested that more demographic information on referrals may be useful and some benchmarking/comparison with other areas. It was explained that such information was available via the TSAB portal.

It was recognised that the documents were available on the TSAB website, and there was a limited budget, but it was suggested that it would be useful to make some hard copies, of the documents available, in certain targeted areas.
HWB
59/15
Members received a report and presentation that updated the Board on the progress of the implementation of the Better Care Fund (BCF) and provided the Quarter 2 2015/16 BCF Quarterly Performance.

Members were provided with an update on recent announcements, made as part of the Government's Spending Review, relevant to the Better Care Fund including:

• the Better Care Fund will continue, maintaining the NHS's mandated contribution in real terms over the Parliament.

• from 2017, the government will make funding available to local government, worth 1.5 billion in 2019-20, to be included in the Better Care Fund.

• a commitment of over 500 million by 2019-20 for the Disabled Facilities Grant.

• the creation of a new social care precept, to give local authorities the ability to raise new funding to spend exclusively on adult social care. This would allow local authorities the flexibility to raise council tax in their area by up to 2% above the existing threshold, to spend on adult social care.

• the intention that by 2020 health and social care were integrated across the country.

Members were reminded that the Stockton Better Care Fund plan had two main schemes:

Multi-Disciplinary Service (MDS)
Dementia Pathways

With the following enablers:

7 day working
Joint Assessments
Digital Health
Narrowing Health Inequalities
ICT System and Data Sharing

The Board was provided with details of work being undertaken in all of these areas, plus governance and accountability and communications and engagement.

Members noted the Stockton Vision - 'To provide integrated services and pathways of care that help people to stay at home, avoid hospital admission and remain independent for as long as possible'.

Members discussed the information provided.

There was a particular discussion relating to the Section 75 pooled budget. It was noted that, in some areas, additional funding to BCF, had been placed in the pooled budget. Any decision of this nature would need to be agreed through the Council and CCG's governing body.

It was explained that referrals to the MDS had, initially, come from Adult Social Care but this had recently been extended to the Rapid Response Community Health Team. From the New Year referrals would be opened up and it was planned to look at the top 2% in greatest need on the GP registers. It was noted that this could be as many as 3000 people and therefore may need further refinement and discussions with GP organisations, about how this might be achieved. It was noted that some people in the 2% may already have care plans.

Members felt the work detailed in the report was an excellent starting point but it was recognised that much more was needed to provide services that would keep people out of hospital.

Details of the Better Care Fund Q2 2015/16 performance submission was provided.

Members agreed that the report had been extremely useful and it was suggested that future performance submissions should provide a similar update. Members noted that attempts to make strategic links between BCF and 5 Year Strategic Plan
HWB
60/15
The Board received a report that provided assurance to the Board regarding statutory maintenance of the Stockton on Tees Pharmaceutical Need Assessment (PNA) 2015.

The Board had agreed the PNA in March 2015 and was now provided with a updates on required maintenance to that Assessment. The update included notification of:

- the opening of a new pharmacy. In this case, a distance selling (internet) pharmacy.

- changes to supplementary hours.

- relocation of a pharmacy.

- change of a pharmacy's ownership.

- improvements/ better access to services.

It was highlighted that partners needed to actively contribute intelligence on changes, which might impact on the local needs for pharmaceutical services.

Members noted the role of the Tees Valley Public Health Shared Service that it undertook on behalf of the Board in relation to the PNA.
HWB
61/15
Members received a verbal update of a Care Quality Commission (CQC) Review of Integrated Services for Older People.

Members noted that the review team had been impressed by the number of new initiatives and considered that services were joined up and delivering well.

It was agreed that slides produced by the CQC would be circulated to members of the Board.
HWB
62/15
The Chair provided an update on consultation relating to a review of the Neonatal Services in the North East and Cumbria.

It was explained that there would be no significant changes to the current neonatal services provided at North Tees Hospital would take place at this time. The review of neonatal services would be considered as part of the wider Better Health Programme (formerly SeQiHS).

The Chair explained that Tees, Esk an Wear Valleys Foundation Trust's Quality Assurance was underway.
HWB
63/15
The Board considered the Forward Plan.

Can't find it

Can't find what you're looking for? Let us know and we'll do our best to point you in the right direction