Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Wednesday, 25th January, 2017
Time:
2.00pm
Place:
Jim Cooke Conference Suite, Stockton Central Library, Stockton on Tees, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Councillor Jim Beall (Chair),

Councillor Ann McCoy, Councillor Sonia Bailey, Councillor Lynn Hall, Cllr Di Hewitt, Alan Foster, Martin Gray, Sarah Bowman Abouna, Ann Workman, Saleem Hassan
Officers:
Michael Henderson (SBC), Mick Shannon (SBC)
Apologies for absence:
Barry Coppinger, Sheila Lister, Ali Wilson, Paul Williams, Martin Gray, David Brown, Steve Rose
Item Description Decision
Public
HWB
79/16
DECLARATIONS OF INTEREST
 
HWB
80/16
MINUTES OF THE MEETING HELD ON 21 DECEMBER 2016
 
HWB
81/16
MINUTES OF PARTNERSHIP AND GROUPS
RESOLVED that the minutes be noted.
HWB
82/16
STOCKTON ON TEES LOCAL SAFEGUARDING CHILDREN BOARD - ANNUAL REPORT 2015/16
RESOLVED that the presentation and discussion be noted and actioned where appropriate.
HWB
83/16
UPDATE ON DIABETES - PREVENTION AND CARE
RESOLVED that the task and finish group be established as described above and in the report and updates be provided to the Board.
HWB
84/16
SUSTAINABILITY AND TRANSFORMATION PLAN
RESOLVED that the update be noted.
HWB
85/16
MEMBERS' UPDATES
RESOLVED that the updates be noted.
HWB
86/16
ACTION TRACKER
RESOLVED that the Action Tracker be noted.
HWB
87/16
FORWARD PLAN
RESOLVED that the Forward Plan be noted.

Preamble

ItemPreamble
HWB
79/16
Councillor Jim Beall declared a personal non prejudicial interest in the item entitled Stockton on Tees Local Safeguarding Children Board as his wife was the Safeguarding Board's Business Manager.
HWB
80/16
The minutes of the meeting held on 21 December 2016 were confirmed as a correct record.
HWB
81/16
Members of the Board considered and noted the following minutes:

• Children and Young People's Partnership - 16 November 2016
• Domestic Abuse Steering Group - 20 October 2016
• Children and Young People's Commissioning Group - 6 December 2016

Members noted the work being undertaken around joint commissioning.
HWB
82/16
The Board was provided with a presentation relating to Stockton on Tees Local Safeguarding Board. The presentation covered the following:

• Board Governance and Membership
• The Safeguarding Board's Annual report 2015/2016
• Stockton and Tees Locality Working
• The main functions of the Board
• Challenge and Change
• Priority Areas 2016/2017

Members noted that the main priorities for the Board were preventing harm and protecting vulnerable children. The Board's role in this regard was oversight and assurance; ensuring coordination, challenge and enabling change. Clearly the Board needed to ensure that it was effective and work was ongoing, led by Steve Rose from Catalyst, to drive forward necessary improvements, some of which were raised in a recent scrutiny review and Ofsted inspection.

Members noted that the Board would be piloting an Executive Structure running alongside the Board. The Executive would include the Police, NHS and the Council. Reference was made to the Wood Review, which had raised questions about the future arrangements around Safeguarding Boards. The Executive Structure would help deal with anything that came out of the Review and would be important should there be any fundamental changes to current arrangements.

Members asked a number of questions and discussion could be summarised as follows:

Agency Membership of the Board was fairly consistent, though personnel did change from time to time. Partner's attendance was very good but there may be a lack of understanding, by some partners, of what their role actually was. Work was ongoing to address this.

- The recent Ofsted inspection had rated the Board as ‘Requires Improvement', however, the narrative of the inspection's findings was strong and the inspectors had recognised that the Board was moving in the right direction.

- Members noted some of the Board's work that had been undertaken in terms of cutting down on duplication and it was explained that work associated with the Tees Valley Performance Framework had seen four groups merge into one. Work was underway looking at other sub groups.

There was a discussion about what the Health and Wellbeing Board might do to support the Safeguarding Board. Members noted that a protocol between this Board and the Safeguarding Board existed and this was positive. It was felt that a refresh of the protocol may be appropriate and it was suggested that this work could be undertaken as part of the work Steve Rose was leading on, referred to above. Also, the work could consider what protocols needed to be developed with other groups.
HWB
83/16
Members were reminded that in June 2016 the Board had received a presentation regarding diabetes care and prevention. Following the presentation, the Board had identified several areas of development work, including:

- Improved leadership in primary care for diabetes
- Reduced variations in clinical care across primary care for diabetes
- Improved clinical management of patients which included effective support for self-care.

It was suggested that the Board should agree to the establishment of a time limited task and finish group to take forward this work,

The task and finish groups membership would include:

Public Health
Hartlepool and Stockton Clinical Commissioning Group
Hartlepool and Stockton Health - GP Federation
North Tees and Hartlepool NHS Trust
Catalyst

It was explained that Public Health had been progressing work around the prevention element of diabetes and it was noted that a report on this work would be presented to a future meeting of the Board.

Relevant members were asked to contact Tanya Braun from the Council's Public Health Team, indicating who their organisation's representative would be on the group.
HWB
84/16
Members received a short update on the STP. Specific reference was made to:

- Challenges around workforces.
- The STP lead, Alan Foster, would be attending a workshop on 31 January with Simon Stevens and Jim Mackay. He would update the Board on any outcomes from this.
- Nothing would happen until after the elections but work would continue around potential high level options.

Members noted that the Tees Valley Health and Wellbeing Chairs' Network had recently met and received a presentation from Alan Foster about the STP. The Chairs of Durham and North Yorkshire Health and Wellbeing Boards had also been invited and this had been a unique opportunity for a discussion across the whole STP footprint. It was explained that Alan had been invited to the Network's May meeting, for an update, after the Mayoral Elections.
HWB
85/16
Members provided the following updates:

- Reference was made to Due North Inquiry report, associated with Health Inequalities. It was noted that a presentation had previously been provided to Partners on this matter and it was explained that arrangements were being made to receive an update.

- A Joint Health and Wellbeing Strategy refresh was underway and a working group would be taking this forward. The Joint Strategic Needs Assessment (JSNA) would be part of this process, including the management of the JSNA going forward.

- A refresh of the Children and Young People's Plan would be starting soon and a refreshed Plan would be provided to the Board in due course.

- Work on redesigning the whole Autism Spectrum Disorder pathway would be commenced in February, at a five day 3P event.

- Alma Street Practice would have a closed practice list for 6 months. Work was ongoing with Hartlepool and Stockton Health to build up a staff recruitment strategy.

- e-consulting would be rolled out in a number of Stockton practices soon, for none urgent queries

- NESTA 100 day challenge had started today and involved the Woodlands and Marsh House practices in the Borough. Woodlands aim was to target the frail elderly population, over 65, who had had a hospital attendance, or A&E visit, in the last year and provide support care plans. It was agreed that an evaluation of the outcomes from the challenge should come to a future meeting of the Board.

- Members were provided with details of a Refugee Focus Event in February. The Board had received a specific invite for one of its members to attend. It was noted that Public Health and the CCG, who were partner representatives on the Board would be in attendance, though specific members may attend if they wished.
HWB
86/16
Members considered the Board's current Action Tracker.
HWB
87/16
Members considered the Board's Forward Plan.

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