Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Thursday, 19th December, 2013
Time:
4.00pm
Place:
Room L, Stockton Education Centre, Junction Road, Norton, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Councillor Jim Beall (Chairman), Martin Booth (substitute for Liz Greer), Barry Coppinger, Alan Foster, Jane Humphreys, Councillor Ken Lupton, Councillor Ann McCoy, Audrey Pickstock, Dr Paul Williams and Ali Wilson.
Officers:
Michael Henderson, Margaret Waggott (LD); Kerry Anderson, Zoe Greaves (PH)
Apologies for absence:
Councillor David Harrigton and Peter Kelly
Item Description Decision
Public
HWB
51/13
DECLARATIONS OF INTEREST
 
HWB
52/13
MINUTES OF THE MEETING HELD ON 27TH NOVEMBER 2013
 
HWB
53/13
MINUTES OF COMMISSIONING GROUP
 
HWB
54/13
DEVELOPMENT SESSION - ADULT SUBSTANCE ABUSE PRESENTATION
RESOLVED that:

1. the presentation be noted.

2. the Board receives an Annual Review of Drugs Misuse in Stockton

3. a future development session/presentation relating to alcohol be provided to the Board.
HWB
55/13
BETTER CARE FUND (FORMERLY KNOWN AS THE INTEGRATION TRANSFORMATION FUND)
RESOLVED that the update be noted.
HWB
56/13
A CALL TO ACTION
RESOLVED that the update be noted.
HWB
57/13
DIRECTOR OF PUBLIC HEALTH'S ANNUAL REPORT
RESOLVED that the report be noted and any comments be provided to the Director of Public Health within 3 weeks.
HWB
58/13
COLLECTIVE COMMISSIONING INTENTIONS
RESOLVED that the information provided be noted.
HWB
59/13
FORWARD PLAN
RESOLVED that the Forward Plan be agreed.
HWB
60/13
CHAIRMAN'S UPDATE
RESOLVED that:

1. the information be noted.

2. relevant research information, as referred to above, be forwarded to Board members, together with the letter the Police and Crime Commissioner had sent to the Minister, on this matter.

3. the Chairman write to the Teesside Pension Fund requesting that it consider alternatives to investment in tobacco companies and the Chairman considers seeking the support, in this regard, of any Union representative on the Pension Fund Management Board.
4pm - 5.30pm

Preamble

ItemPreamble
HWB
51/13
Councillor Ken Lupton declared a personal/non prejudicial interest as he was a non executive Director serving on the North Tees and Hartlepool NHS Trust Board.
HWB
52/13
The minutes of the meeting held on 27 November were approved and signed by the Chairman.
HWB
53/13
The minutes of the Adults' Health and Wellbeing Commissioning Group were noted.
HWB
54/13
The Board was provided with a presentation relating to Adult Drug Misuse.

During discussion a number of issues were raised including:

- Performance on a Public Health Outcomes Framework indicator ' number of drug users that left drug treatment successfully who then did not re-present to treatment again within 6 months as a proportion to the total numbers in treatment' was linked to Public Health Grant

- a study in Glasgow suggested that 58% of opiate drug users were not in some kind of treatment but it was felt that the figure was much less than this in Stockton - there were very few new presentations in Stockton. The number of non opiate drug users not in treatment was very difficult to estimate.

- drug users had 24 hour support via mentoring and peer support schemes.

- there was evidence that Heroin misuse was in decline.

- the Comprehensive Assessment Framework was considered in cases of drug users living with children.

- it was important that Public Health and the Clinical Commissioning Group met to discuss the commissioning of services, associated with patients with drug misuse and mental health issues.

- Members noted details of public health grant relating to drugs misuse and the provision of services locally. The Chairman asked for further information on this.

- It was noted that the arrest referral process was being reviewed by the Police and Crime Commissioner.

- Tackling drugs misuse was an important strand of Health and Wellbeing and it would be important to receive updates on progress, perhaps via an Annual Overview report.

- it was suggested that the Board should receive a presentation relating to alcohol misuse.

- it was requested that a presentation on initiatives e.g. the Dare Programme, designed to counter the effects of drugs misuse on young people should go to the Children and Young People's Health and Wellbeing Commissioning Group.

- drugs misuse placed a disproportionate call on health services and particularly by users who injected, as they were susceptible to infections. It was queried if any consideration had been given to interventions providing dedicated injection rooms. It was explained that this had not specifically been considered, however, there was a great deal of work taking place relating to reducing harm.
HWB
55/13
The Board received an update on the Better Care Fund and noted:-

- the fund would provide 3.8billion worth of funding to be spent locally health and care.

- in 2014/15,in addition to a 900m transfer planned from the NHS to adult social care a further 200m would transfer to help with preparation for 2015/16.

- allocations for 2015/16 would come into NHS Area Teams and put into a pooled budget. Hartlepool and Stockton was anticipated to receive 19.9 million. The split between Stockton and Hartlepool was to be determined.

- 1 billion of the 3.8 billion would be linked to outcomes.

- in addition to 5 national metrics local areas would choose one additional indicator that would be used for payment for performance. This could possibly be diagnosis of dementia in Stockton's area.

The Board noted the significant amount of work, that was on-going, to develop plans within the imposed deadlines. A Better Care Fund Plan would be submitted to the Board's February meeting.
HWB
56/13
Members considered a report that provided an overview and briefing on the NHS England published ‘A Call to Action'. A copy of the document was provided to the Board.

The report identified the key principles underpinning the challenges and opportunities facing the NHS in England, and the rationale for putting forward A Call to Action. The report described the local approach and actions being undertaken to meet the requirements.

It was noted that a questionnaire had been produced that was being made widely available to help inform priorities.

Members were reminded that the CCG was actively seeking views of people in hard to hear/reach groups. It had commissioned Catalyst, in partnership with HealthWatch to undertake some focussed work with particular groups. It was suggested that the outcomes of this could be reported to the Board.

The Board noted the challenging task and timescales the call to action presented to the CCG.
HWB
57/13
Members were provided with a draft of the Director of Public Health's Annual Report for 2012/13 for information.

The report outlined the key health and wellbeing challenges and opportunities in Stockton Borough, including data, evidence and details of current work and planned next steps. The report fitted with the priorities in the Joint Health and Wellbeing Strategy and outlined some key messages and challenges to partners and communities. The report highlighted three additional challenges that evidence suggested could have a significant impact on the health and wellbeing of the population:

- no alcohol in pregnancy
- fizzy and sugary drinks should only be a rare treat
- read to your child every day

The Director hoped the messages would stimulate debate in these areas and the Board raised some initial thoughts. Members were asked to provide any further comments/queries on the report within 3 weeks.
HWB
58/13
The Board discussed Commissioning Intentions and received some draft information from the Clinical Commissioning Group relating to its intentions. However, these were draft and required further work to fill some identified gaps.

It was agreed that the Board would look to align commissioning timescales for future years.

Members briefly discussed NHS funding allocations and noted that the situation reported to the Board's October meeting had changed and, as a result, the allocations to the North East would improve. It was considered that lobbying had been successful in this case.
HWB
59/13
Members were provided with a draft Forward Plan.
HWB
60/13
The Chairman raised an issue relating to research into the Government's negative response to a call for a Minimum Unit price for alcohol. The Institute of Alcohol Studies had analysed responses to the national alcohol strategy consultation and had highlighted flaws with the Government's interpretation of those responses. Additionally, it highlighted that the Government appeared to have ignored 14,838 responses collected by Balance, the North East Alcohol Office, which had been in favour of at minimum 50p per unit price. The Chairman indicated that the Council would be writing to the Government to express its concern at the findings and to raise the issue of Minimum pricing again. He suggested that others may wish to do the same and explained that he would arrange for the relevant research to be forwarded to Board Members. The Police and Crime Commissioner explained that he had already written to the Minister and would provide that letter to the Board.

The Chairman explained that ANEC would be writing to Teesside Pension Fund to ask that it consider alternatives to investments in tobacco companies. The Chairman suggested that he, on behalf of the Board, writes to the Pension Fund to make the same request. It was pointed out that there would be a Union representative would have a seat on the Pension Fund and the support of this person could be sought.

The Chairman raised the subject of Community Leadership and explained that the Council's members would be supported in promoting Health and Wellbeing within the Community.

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