Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Wednesday, 18th September, 2019
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 Jacky Bright, Elspeth Devanney (Substitute for Dominic Gardner), Cllr Lynn Hall, Cllr Mrs Ann McCoy, Martin Gray, Fiona Adamson, Nicola Bailey, Sheila Lister, Katie Needham, Steve Rose
Officers:
Michael Henderson, Tanya Braun
In Attendance:
Kate Birkenhead, Joanne Mills, Jo Heaney
Apologies for absence:
Cllr Jim Beall, Cllr Lisa Evans, Cllr Luke Frost, Ann Workman, Barry Coppinger, Dominic Gardner, Julie Gillon, Anne Sykes, Saleem Hassan
Item Description Decision
Public
HWB
26/19
DECLARATIONS OF INTEREST
 
HWB
27/19
MINUTES OF THE MEETING HELD ON 21 AUGUST 2019
 
HWB
28/19
ANNUAL FLU VACCINATION
RESOLVED that:

1. the presentation and discussion be noted.

2. the planned work identified above be endorsed.

3. the Board endorse the establishment of a Flu Immunization Board to develop a Local Immunization Plan and an update on the work of the Immunization Board be provided to a future meeting.

HWB
29/19
CREATING BETTER OUTCOMES FOR CHILDREN AND YOUNG PEOPLE IN HARTLEPOOL AND STOCKTON ON TEES
RESOLVED that:

1. the Compact Agreement be endorsed and its principles supported as the way of working for all children and young people's development/commissioning when there was more than one strategic partner involved.

2. this Board provide oversight /governance of the integrated way of working and act as a point of escalation/resolution, when required.
HWB
30/19
TRANSFORMING CHILDREN AND YOUNG PEOPLE'S MENTAL HEALTH PROVISION - REFRESH OF LOCAL TRANSFORMATION PLANS:UPDATE
RESOLVED that:

1. the update be noted.

2. the overarching proposals, for the available Future in Mind Local Transformation Plan funding, of 329,000 for 2019/20, be approved.

3.the associated work described in he report and above, be endorsed.
HWB
31/19
SPECIAL EDUCATIONAL NEEDS AND/OR DISABILITIES (SEND) - LOCAL AREA INSPECTION
RESOLVED that:

1. the outcomes of the inspection and the submitted Written Statement of Action be noted.

2. an update on progress be provided in 6 months.
HWB
32/19
HEALTH AND WELLBEING UPDATE
RESOLVED that the minutes be noted.
HWB
33/19
MEMBERS' UPDATES
 
HWB
34/19
FORWARD PLAN
 

Preamble

ItemPreamble
HWB
26/19
There were no declarations of interest.
HWB
27/19
The minutes of the meeting held on 21 August were confirmed as a correct record.
HWB
28/19
Members received a presentation providing an update on Flu Vaccination.

The presentation included:

- The rationale for vaccination

- Vaccine effectiveness and eligibility. Overall effectiveness in 2018/19 was 44.3%. Those 65 years old and over received a one off attenuated vaccine.

- Provision and funding. This was mainly via the Department of Health/NHS. Stockton Borough Council provided funding for certain of its staff and other employers did something similar.

- Epidemiology statistics, in terms of GP consultations, hospital admissions, common circulating strains.

- uptake in Stockton versus the regional and national figures, including children, adults, pregnant women, NHS Staff


The Board received details of Vaccination Programmes for staff at North Tees Hospital, Tees, Esk and Wear Valleys Trust, Stockton Borough Council, plus staff flu vaccination programmes in care homes, home care and hospices.

Discussion:

- it was noted that students at colleges and universities were not eligible under the national flu vaccination programme

- NHS funding for staff was ending this year???

- Members noted that it was envisaged that a Tees Board would be established, co ordinated by NHSE to develop a local immunization plan. The CCG was keen to be involved in this work. It was requested that a report be presented to this Board, once the immunization plan had been developed.

- Much of the work by employers had been around myth busting and reinforcing that this was a patient/client safety issue. Communication was key to improving uptake.

- Members noted that planning for flu immunization began at an early stage, each year, and it was felt that the establishment of a Tees Immunization Board would assist with monitoring and planning on an ongoing basis.

- it was explained that, in Stockton, there would be 7 day access to GPs, to deliver the flu jab.

Members were informed of :

- a flu awareness campaign ‘Stay well this winter' was planned to ensure a consistent messages for patients and the general population.

- planned work with NHSE/provider organizations to improve the uptake of flu vaccinations, especially in children, clinical at-risk groups and pregnant women, through promotion and targeted information for children, at risk groups and pregnant women.

- planned work to increase the uptake of staff flu vaccinations for all health and social care staff in Stockton.
HWB
29/19
Consideration was given to a report that provided an update on work that had taken place across health, local authorities (Stockton on Tees and Hartlepool) and voluntary, community and social enterprise (VCSE) sector in relation to integrated ways of working for children and young people. It also presented a Compact Agreement that had been jointly developed, as a result of the integrated work.

The Compact outlined the strategic goals, principles, behaviours, commitments, risks and sustainability, which the group would work too when working as an integrated system.

Emotional health and wellbeing had been identified as an area for testing the integrated way of working. The outcomes of this, including specific recommendations, were provided in a separate report, being presented to the Board at this meeting.

It was noted that a second priority area, Special Educational Needs and Disabilities, would be reviewed and other areas were being considered for inclusion in a work-plan.

The Board considered that the Compact Agreement was extremely positive and provided a mechanism where partners could work together in a integrated and supportive way.

It was noted that all Members of the Council and Partners would be able to view the Compact via the Council's website.
HWB
30/19
The Board considered a report that provided an update on the outcomes of a series of multi agency workshops, to develop a collective vision, for the future delivery of Children and Young Peoples Mental Health provision. The report also included details of other work which was happening concurrently, within the CYP Mental Health agenda.

It was noted that the workshops had identified 5 main areas of work which needed further defining and exploration through task and finish groups:

- Workforce
- Communication
- Pooling Resources
- Community/ Family Hubs
- Multi-disciplinary Team

Members were reminded that high level priorities had been set as part of the Local Transformation Plan and there was 329,000 available for the financial year 2019/2020.

The Board was asked to make 150,000 available to facilitate and take forward work which is likely to come from the task & finish groups detailed above. It was proposed that the remaining 179,000 be utilised to fund a further 4 months Autism waiting list initiative. This would enable the ‘needs' led element of the pathway to be more embedded, allow for the school based training to be completed and for more time to embed the multi-agency triage process and to enable more children to be seen, thus making the transition to a fully operational neurodevelopmental service more efficient.

Members were informed that new guidance stated that plans could be refreshed in March 2020, rather than October 2019. This would allow time for any outcomes from the task and finish groups to be included.

The Board received details of other work that would support the proposals outlined above:

- Kooth - an online digital platform that provided advice and counselling from trained psychologists to young people aged 11 -19.

Trailblazer - A successful funding bid will see Mental Health Support Teams being present in 18 Stockton Schools within the Billingham cluster from September 2020. This would help with tackling capacity issues in schools.

- Joint Commissioning with schools - Work was being taken forward on the SEND joint commissioning agenda. Meetings with schools were ongoing and a working group would be established to plan, implement and evaluate a joint commissioning project.

Anna Freud School Link Programme - The remit of this programme was to improve relationships between schools and specialist mental health services.

- Neurodevelopmental pathway - moving towards needs led support.
HWB
31/19
Members considered a report relating to the Special Educational Needs and/or Disabilities (SEND) Local Area Inspection that took place in February 2019.

The key outcome of the inspection was that a Written Statement of Action (WSOA) would be required to address issues identified. This was submitted on 12 August 2019.

The Board noted that there were many positive findings from the inspection, including some areas identified in the WSOA, such as joint commissioning where a needs assessment had been developed, a joint commissioning strategy agreed and examples of joint commissioning being undertaken. However, a key judgement in the inspection was the level and pace of progress since 2014 was too slow.

An overview of the WSOA was provided and, specifically, Partners' response to the four areas of weakness identified by the inspection:

- The co-production and strategic joint commissioning actions were very closely linked, and related to a set of principles and approaches for how local partners would continue to work together and develop future services, with the emphasis on co-production as the method by which this would be achieved.

- There were a number of agencies which could provide some assistance to the work on co-production including Catalyst and Contact (who had been commissioned nationally by DfE to support in this area).

- Quality of education, health and care plans and a bigger focus on outcomes were also closely related, and partners had made a commitment to develop and implement a new format and approach to EHCPs which included a stronger focus on outcomes, and was linked to a refreshed quality assurance process. This would also enable more detailed data to be collected about outcomes across the system to, in turn, inform further co-production and commissioning.
HWB
32/19
Members considered the minutes of the following meetings:

- Adults' Health and Wellbeing Partnership - 6 June 2019

- Domestic Abuse Steering Group - 13 June 2019
HWB
33/19
It was explained that proposals for the future configuration of CCGs in the area had been agreed and a Tees Valley CCG would come into force in April 2020.
HWB
34/19
Members considered the Board's Forward Plan

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