Stockton-on-Tees Borough Council

Big plans, bright future

Health & Wellbeing Board Minutes

Date:
Thursday, 23rd January, 2014
Time:
5.00pm
Place:
Room J, Stockton Education Centre, Junction Road, Norton, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Jim Beall (Chairman),

Tony Beckwith, Barry Coppinger, Alan Foster, Cllr Ken Lupton, Jane Humphreys, Peter Kelly, Cllr Mrs McCoy, Audrey Pickstock, Dr Paul Williams, Ali Wilson
Officers:
Sarah Bowman, Zoe Greaves, Jane Smith (PH); Margaret Waggott, Michael Henderson
In Attendance:
Liz Greer, Steve Rose, Aishah Waithe
Apologies for absence:
Cllr David Harrington, Cllr Steve Walmsley
Item Description Decision
Public
HWB
61/13
DECLARATIONS OF INTEREST
 
HWB
62/13
DRAFT MINUTES OF THE HEALTH AND WELLBEING BOARD - 19 DECEMBER 2013
 
HWB
63/13
MINUTES OF COMMISSIONING GROUPS
 
HWB
64/13
EVERYONE COUNTS :PLANNING FOR PATIENTS 2014/15 TO 2018/19 INCLUDING BETTER CARE FUND UPDATE
RESOLVED that:-

1. the timescales, approach and requirements of the planning guidance be noted.

2. that members provide any comments on the vision statement directly to the CCG and the final version be presented to the Board's next meeting.
HWB
65/13
A CALL TO ACTION UPDATE - PRESENTATION
RESOLVED that the information provided be noted.
HWB
66/13
HEALTHWATCH UPDATE
RESOLVED that the information provided be noted.
HWB
67/13
JOINT WORKING ARRANGEMENTS BETWEEN THE HEALTH AND WELLBEING BOARD AND THE SAFEGUARDING VULNERABLE ADULTS COMMITTEE
RESOLVED that the interim arrangements be approved.

At this point the Chairman, Cllr Beall, left the meeting and Cllr Mrs McCoy took the Chair for the remaining items.
HWB
68/13
DEVELOPMENT SESSION - PRESENTATION ON SEXUAL HEALTH
RESOLVED that the information be noted
HWB
69/13
FORWARD PLAN
RESOLVED that the Forward Plan be agreed subject to the amendments identified.
HWB
70/13
CHAIRMAN'S UPDATE
 
5pm/6.50pm

Preamble

ItemPreamble
HWB
61/13
Cllr Ken Lupton declared a personal/no prejudicial interest as he was a non-executive Director serving on North Tees and Hartlepool NHS Trust Board.

Dr Paul Williams declared an interest in item 6 'A call to action' update and as he served on the Catalyst Board and the report referred to work undertaken by Catalyst.
HWB
62/13
The minutes of the meeting held on 19 December 2013 were approved and signed by the Chairman.

HWB
63/13
The minutes of the following were considered and noted:

Children and Young People's Health and Wellbeing Commissioning Group meetings held on 27 November 2013 and 16 December 2013.

Adults' Health and Wellbeing Commissioning Group held 3 December 2013.
HWB
64/13
The Boards was presented with a report that provided an overview of the planning guidance entitled Everyone Counts: Planning for Patients 2014/15 to 2018/19.

The guidance sets out the ambition for the NHS over the years ahead, including a focus on outcomes for patients. It described a series of changes to the way health services were delivered, that were considered required, to deliver improved outcomes within the resources that were available to the NHS

The guidance also set out the steps commissioners should take in order to achieve the ambitions identified. It explained the planning requirements to develop 5 year strategic plans (for 2014/15 to 2018/19) and 2 year operating plans (for 2014/15 to 2015/16)

• The key elements were expected to be included in strategic and operational plans

The paper also provided an update of the local timetable in place to ensure delivery of the requirements of the Better Care Fund (Previously referred to Integration Transformation Fund) and the first draft of the CCG vision statement required for both the Strategic and Better Care Fund Plan.

The Board discussed the paper and associated matters. Issues raised/noted included:

- The Oversight Group, that had been established, was meeting on a regular basis.

- It was noted that attempts would be made to commission appropriate services across the CCG footprint and a meeting with Hartlepool would be held shortly to look at this. It was considered that if synergies could be identified this would bring benefits, including equity of services across the local populations of both CCG localities and economies of scale.

- In 2015/2016 reduction of avoidable admissions to hospital would be a key target and this needed to be an important part of plans.

- Plans must be deliverable.

The CCG Strategic Plan and the Better Care Fund Plan required a vision statement describing what the desired state would be for the health and care economy in 2018/19. The Board was provided with a system vision, a vision statement for both plans. It was suggested that members consider the statement and provide the CCG with any comments. The statement would be provided to the next Board meeting for final agreement.
HWB
65/13
Members received a presentation relating to 'a Call to Action' that provided a brief outline of the engagement activity undertaken and particularly the work undertaken by Catalyst, on the CCGs behalf.

It was explained that Catalyst Stockton was a leading infrastructure organisation for the voluntary and community sector in Stockton, providing practical guidance and support to the sector.

Members noted that as part of the CCGs engagement plan Catalyst had been commissioned to hold 20 conversations with various groups in the Borough and in particular, from individuals and communities defined as 'hard to reach','seldom heard' or 'quiet voices'.


The Board noted Catalyst's approach and was provided with a summary of the findings:

Catalyst found that there were some common barriers to accessing health services. These related to:

- individual's perception of services
- cultural and social factors
- knowledge about health services, systems and general health information
- access to services
- a negative experience of services

The Board was reminded that outputs from all of the engagement activity would be used by the CCG to support the development of its two year operational and 5 year strategic plans.
HWB
66/13
The Board was provided with an update relating to Healthwatch.

It was explained that Healthwatch had recently appointed a Chairman, Tony Beckwith, who would be its representative on this Board. Mr Beckwith was in attendance and the Chairman welcomed him to the Board

It was explained that Healthwatch Stockton had 176 members, made up of 113 organisations and 63 individuals.

In terms of recent work, this had included providing support to the CCG on 'a Call to Action' and to the Council in relation to the School Nursing Review.

Future work programme topics would include Personalisation, Breastfeeding, North Tees Hospital discharges.

Healthwatch had received feedback relating to GP services and it was suggested that this information may be helpful to the Council's Adult Services and Health Select Committee, which was undertaking a review in this area.

Healthwatch was currently undertaking a public awareness campaign.

The Board was advised of consultation being undertaken by Healthwatch England which would ask for feedback relating to its vision, mission and strategic priorities. The consultation document was available on Healthwatch England's web site.
HWB
67/13
The Board was provided with a draft statement of principles regarding working arrangements between the Health and Wellbeing Board and the Safeguarding Vulnerable Adults Committee.

It was suggested that the document act as interim arrangements, pending the reconfiguration of the Tees Adult Safeguarding arrangements.
HWB
68/13
Members received a presentation relating to Sexual Health. The commissioning of comprehensive sexual health services became the commissioning responsibility of the Public Health service in the Local Authority, in April 2013.

Members noted the local and national drivers for sexual health services in the Borough and were provided with an overview of issues in the Borough.

Members noted some of the ongoing developments:

- Sexual Health Needs Assessment due to be completed in 2014. The Board was provided with draft recommendations from the Assessment.

- A focus on prevention - education across primary and secondary schools and informal education settings.

- Ensure sexual health services would be accessible for a higher proportion of the population

- Explore links with the school nursing review and the role of the school nurse in the provision of sexual health services.

The Board briefly discussed how the take up of services could be widened. It was suggested that the locally based voluntary sector could assist with this. The Board noted the sensitivities associated with the use of services and the need to give people options in terms of where they received advice, testing, treatment etc.

The Board was reminded that Local Authority sexual health services were currently commissioned as a joint contract with 3 other Tees authorities. The Tees Valley Public Health Shared Service leads on contract management and monitoring on behalf of the 4 authorities (Hartlepool, Middlesbrough, Stockton on Tees and Redcar and Cleveland). This contract would come to an end in March 2015. Consideration would need to be given to future commissioning and how the service might look post March 2015.
HWB
69/13
The Board considered the Forward Plan and made a number of amendments.
HWB
70/13
There was no update provided.

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