Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Wednesday, 20th December, 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:
Cllr Jim Beall(Chairman), Cllr Mrs Ann McCoy, Cllr Kevin Faulks, Cllr Lynn Hall, Cllr Di Hewitt, Tony Beckwith, Martin Gray, Ann Workman, Fiona Adamson, Dominic Gardner (Substitute for David Brown), Julie Gillon, Sheila Lister, Steve Rose, Ali Wilson
Officers:
Michael Henderson, Tanja Braun, Bob Cowell (SBC)
In Attendance:
Karen Hawkins (CCG), Louise Johnson (NTHFT)
Apologies for absence:
Cllr Sonia Bailey, Sarah Bowman - Abouna, Barry Coppinger, Saleem Hassan, David Brown
Item Description Decision
Public
HWB
55/17
DECLARATIONS OF INTEREST
 
HWB
56/17
MINUTES OF THE MEETING HELD ON 25 OCTOBER 2017
 
HWB
57/17
STOCKTON LOCAL SAFEGUARDING CHILDREN BOARD - ANNUAL REPORT
RESOLVED that the presentation and discussion be noted and an update be provided in 6 months.
HWB
58/17
INTEGRATED URGENT CARE
RESOLVED that the presentation be noted.
HWB
59/17
DRAFT PHARMACEUTICAL NEEDS ASSESSMENT
RESOLVED that the update report be noted.
HWB
60/17
ANNUAL HEALTH PROTECTION REPORT
1. the Annual Health Protection report be noted.

2. work with NHS England and local partners be undertaken to develop a local action plan to improve immunisation and screening uptake. In particular to improve uptake of the 2nd MMR vaccination for children and Hepatitis B vaccination and whooping cough vaccinations for vulnerable groups.

3. For the local authority to improve chlamydia diagnostic rates and treatment, through further targeted work with young people and at risk groups.

4. the report be presented to the Adults' Health and Wellbeing Partnership
and Children and Young People's Partnership for consideration.
HWB
61/17
STOCKTON BETTER CARE FUND QUARTERLY PERFORMANCE AND UPDATE
RESOLVED that the update report and Q2 2017/18 performance submission be noted.
HWB
62/17
AIR POLLUTION
RESOLVED that:

1. the impact of air pollution, on the health of residents, be acknowledged and member organisations continue to encourage interventions to improve air quality, within their respective organisations (e.g. transport, planning etc.)

2. a task & finish group be established to understand the wider implications of air pollution, on the health and wellbeing of the local population, and recommend specific actions for members of the Board.
HWB
63/17
BOARD DEVELOPMENT DAY - UPDATE AND NEXT STEPS
RESOLVED that the report and next steps be agreed.
HWB
64/17
SUSTAINABILITY AND TRANSFORMATION PLAN UPDATE
RESOLVED that Sustainability and Transformation Plan Update be removed as a standing item on the Board's Forward Plan.
HWB
65/17
HEALTH AND WELLBEING UPDATE
RESOLVED that the minutes be noted.
HWB
66/17
FORWARD PLAN
 
2.00 pm/4pm

Preamble

ItemPreamble
HWB
55/17
Councillor Jim Beall declared a personal, non-prejudicial interest in the item entitled ‘Stockton Local Safeguarding Children Board - Annual Report' as his wife was the Business Manager of the Safeguarding Board.
HWB
56/17
The minutes of the meeting held on 25 October 2017 were confirmed as a correct record.
HWB
57/17
Member received a presentation from Dave Pickard, Independent Chair of the Stockton Local Safeguarding Children Board, relating to the Board's Annual Report 2016/17, and priority areas going forward. The presentation also detailed work that was ongoing, to address issues raised during the last Ofsted inspection.

During discussion reference was made to:

- the recent Joint Targeted Area Inspection into childhood neglect and details of outcomes could be provided to members, following publication of the report on 15 January, together with an associated action plan.

- New arrangements for the Safeguarding Board. It was noted that a number of options had been considered but the preferred option for Stockton was to establish a new form of safeguarding partnership across Stockton and Hartlepool Boroughs. A working group to implement arrangements had been established and it was hoped the footprint would be an early adopter of the new arrangements
HWB
58/17
Members received a presentation that detailed progress relating to the Integrated Urgent Care service, based at University Hospital of North Tees and University Hospital of Hartlepool.

Members were advised of what was in place to support the delivery of the urgent care service, over the winter period:

- Improved access to GPs, via a hub approach.
- Enhancing the communication campaign, around how people access services throughout the winter.
- Providing additional GP capacity within urgent care services.
- Working with the GP Federation to develop an additional home visit service, through the winter, for people in their own home and care homes.

The Board noted the positive performance and feedback, received from patients and staff, since the service went live.

It was explained that patients presenting to the A and E department would be screened and, if appropriate would be moved to Urgent Care, but would not need to be rescreened. The same process was adopted, if someone presented to urgent care but needed emergency care.

It was noted that Healthwatch had reviewed the service and the report was very complimentary.

The Board provided very positive comments about the Urgent Care model and highlighted the need to keep highlighting the service and its features. The Chair explained that Stockton News was available for this purpose.
HWB
59/17
The Board was provided with a report that provided an update on the status of the current review of the Stockton on Tees Pharmaceutical Needs Assessment (PNA).

It was noted that the engagement with stakeholders was currently underway and partners were asked to actively contribute and support the statutory consultation process.

It was noted that the PNA would be coming to the Board in February 2018, for approval.
HWB
60/17
The Board was provided with the Annual Health Protection Report for 2016 - 17.

The Board felt that the report provided assurance, that there were systems in place to prevent, or reduce, the harm caused by communicable diseases and minimise the health impact from environmental hazards. However, there were some areas that would benefit from action.

There was discussion relating to immunisation and screening uptake, particularly in terms of uptake of the 2nd MMR for children, Hepatitis B and whooping cough for vulnerable groups. The Board noted the chlamydia diagnostic rates and agreed that targeted work with at risk groups may be beneficial.

The Board felt that it would be helpful for the Adults' Health and Wellbeing Partnership and Children and Young People's Partnership to consider the report in further detail.
HWB
61/17
Consideration was given to a report that provided the Board with details of the Quarter 2 2017/18 Better Care Fund quarterly performance submission and an update on the BCF and IBCF 2017/19 Plans.

In line with a previously agreed delegation the Chair of the Board had signed off the return to meet NHS England timescales.

Members noted that

- There had been minimal growth in non-elective activity for the over 65 age category.

- There had been significant improvement in Delayed Transfers of Care.

- Stockton was not on track to meet the local BCF reablement target. It was noted that performance management information was to be reviewed and analysed to understand why the target was not being met, and if the set trajectory was too ambitious.

- Stockton was not achieving against the planned trajectory for long term support needs of older people met by admission to residential and care homes per 100.000 population. Again work to understand why the planned trajectory was not being met would be undertaken.

- Dementia diagnosis rates continued to improve and exceed planned trajectory.

- The BCF and IBCF had been fully assured by NHS England in October 2017.
HWB
62/17
The Board considered a report relating to Air Quality in Stockton on Tees.

Members were provided with detailed information about the causes of air pollution and the regulatory framework associated managing and reducing it.

Members were also provided with information about the health effects of air pollution and how it contributed to early deaths.

The Board noted the role of local authorities in reducing air pollution and details of initiatives employed by Stockton on Tees Borough Council to improve air quality was provided.

It was explained that air quality in Stockton on Tees was generally good, when compared to Government objectives. However, there was still a public health issue and clearly any improvement in air quality would have a positive impact on the health and wellbeing of the local population, and, in particular, on cardio vascular disease, respiratory disease and cancer.

It was recommended that a task and finish group be established to understand the wider implications of air pollution on the health and wellbeing of the local population and to recommend specific actions for members of the Health and Wellbeing Board.

It was suggested that there should be a focus on areas, that may have poorer air quality than the Borough as a whole, particularly if there were schools in that area. Members were aware of national, long term, efforts to improve air quality, through moves to reduce car emissions, but this would take decades and there may be opportunities to improve matters locally, in the short term.

It was recognised that this was a very important area of work, but there was a concern raised around the proportionate use of resources, given that there were other, more immediate priorities, facing partners. It was suggested that some of the solutions to air quality problems were already well documented and could be implemented locally, without the establishment of a task and finish group. It was agreed that this was a legitimate concern to raise, but it was considered that a task and finish group would allow a small group of expert officers to come together, within existing resources, and produce proposals for this Board to consider. It was agreed that potential documented solutions still needed to be considered in the context of this Borough and a task and finish group was best placed to do this work.

It was noted that should the task and finish group need an elected member's/ Board member's perspective, then Councillor Bailey had signified her interest in this issue.
HWB
63/17
Members considered a report that summarised the discussion and outcomes of the Health and Wellbeing Board development day, held on 1st December 2017, which focused on how the Board would work in future in the context of the refreshed Joint Health and Wellbeing Strategy. The report also detailed suggested next steps.

The session was set in the context of ‘Think Community, not services'.

Attendees agreed that more open discussion about how Board issues sat, with their organisation's current priorities and pressures, would further develop trust among Board members, the maturity of the Board and its ability to work together on key priorities.

Board members also discussed where blocks may exist to achieving their aims as a Board and how these could be overcome. The main outcome was an agreement that the Board agenda should have fewer items, with a focus on a smaller number of shared priorities and a limited section for ‘business' items e.g. items that come to the Board more as a matter of process rather than to ask Board members to work together to problem-solve.

Members considered proposed next step:

• The Director of Adults and Health, Director of Public Health and Consultant in Public Health would work further with Change and Transformation to use the outcomes of the session to help frame the Strategy and its priorities.

• The development of the Strategy would continue through this work, with consultation and engagement across a range of stakeholders as previously agreed. The refreshed Strategy would set out key strategic issues where the Board could have most impact, working together across the health and wellbeing system.

• A further Board development session to be arranged when appropriate.
HWB
65/17
Members considered the following minutes:

- Adults' Health and Wellbeing Partnership - 3 October 2017.

- Children and Young People's Partnership - 18 October 2017.

- Adults' Health and Wellbeing Commissioning Group - 26 September 2017

- Adults Health and Wellbeing Commissioning Group - 23 October 2017

-Domestic Abuse Steering Group - 4 October 2017

-Tees Valley Health and Wellbeing Board Chairs' Network - 25 September 2017.
HWB
66/17
Members noted the Forward Plan.

It was noted that TEWV had been successful in an element of a bid for mental health services winter pressure funding. The trust had received 150k Children and Young People in crisis services.

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