Stockton-on-Tees Borough Council

Big plans, bright future

Tees Valley Joint Health Scrutiny Committee Minutes

Date:
Thursday, 13th September, 2018
Time:
10.00am
Place:
Jim Cooke Conference Suite, Stockton Central Library, The Square, Stockton on Tees,
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Grainge, Hall, Weston (Sub for Cllr Cunningham), Cllr Newall, Cllr Taylor, Cllr Jeffrey, Cllr Tennant
Officers:
Peter Mennear, Michael Henderson (SBC), Caroline Breheny (MBC), Laura Stones (HBC)
In Attendance:
Karen Hawkins, Jo Heaney, Graeme Niven (HaST CCG), Alex Sinclair, Julie Bailey (South Tees CCG).
Item Description Decision
Public
TVH
8/18
EVACUATION PROCEDURE, AUDIO RECORDING AND HOUSEKEEPING
 
TVH
9/18
DECLARATIONS OF INTEREST
 
TVH
10/18
MINUTES OF THE MEETING HELD ON 18TH JUNE 2018
 
TVH
11/18
APPOINTMENT OF VICE CHAIR FOR 2018 - 2019
RESOLVED that Councillor John Tennant be appointed vice chair for 2018 - 2019.
TVH
12/18
RECOMMISSIONING OF IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES (IAPT) SERVICES
RESOLVED that:

1. the programme of current IAPT provision be noted.

2. the engagement feedback report be noted.

3. the pending procurement process be noted and a update report be provided following the award of the new contract.

4. the CCG considers what information it is able to provide to the Committee, relating to bidders in the procurement process and, subject to the outcome of its consideration, appropriate information be provided.
TVH
13/18
CCG UPDATES ON GP NUMBERS, DELIVERY OF URGENT CARE SERVICES, AND FINANCIAL OUTLOOK
RESOLVED that;

1. the information provided and ensuing discussion be noted/actioned as appropriate.

2. that an update on some of the issues discussed, including developments relating to additional funding and GP Sustainability Initiatives be reported to a future meeting.
TVH
14/18
REGIONAL AND LOCAL HEALTH SCRUTINY COMMITTEE WORK PROGRAMMES
RESOLVED that the update be noted.
TVH
15/18
COMMITTEE WORK PROGRAMME
 

Preamble

ItemPreamble
TVH
8/18
Members noted the Evacuation Procedures for the meeting room.
TVH
9/18
Cllr Lisa Grainge declared a personal non prejudicial interest in the minutes of the previous meeting of the Joint Committee as they referenced, Roseberry Park and she was a Regional Union Official, representing staff from TEWV.
TVH
10/18
The minutes of the meeting held on 18 June 2018 were confirmed as a correct record.

Members were provided with a brief update on the work of the Joint Committee's Task and Finish Group which was undertaking a review of the impact of building defects, at Roseberry Park Mental Health Hospital, on patients, carers and staff. Further updates would be provided as the Task and Finish Group's work progressed.
TVH
12/18
The Joint Committee was provided with an update in relation to the re-commissioning of Improving Access to Psychological Therapies (IAPT) Services.

A review of services had been undertaken and a proposed expanded IAPT model had been developed. Further engagement, with service users and stakeholders, had been undertaken, and the feedback from that engagement was provided to the Joint Committee. Overall, feedback about the proposal was positive, but there were some areas identified that the feedback suggested could be improved and this had been included in the service specification.

It was explained that the procurement process would commence, in September, with a new contract being put in place in April 2019.

It was anticipated that the new provider would be appointed by the end of November 2018, and Members would be advised of this, with further details being provided at the Joint Committee's December meeting.

Discussion:

- The value of the contract was around 13 million across Durham and Tees Valley.

- Members requested that they receive details of all the bidders for the contract and CCG representatives indicated that they would take advise on what information could be provided and pass it to the Joint Committee.

- It was noted that transitional arrangements would be in place, if the provider changed, and there would be continuity of therapy and patients would conclude their therapy with the therapist they were familiar with.
TVH
13/18
Following a request, at the Joint Committee's last meeting, members received updates on GP Numbers, Delivery of Urgent Care Services and Financial Outlook.

Discussion:

- It was explained that options for the One Life Centre, in Hartlepool, would continue to be considered in consultation with the local authority and other partners.

- Difficulties associated with GP recruitment was a national issue. CCGs were working with partners to raise the profile of health professions, as career choices.

- Members asked for a post redesign chart for Integrated Urgent Care North of Tees.

- It was noted that GPs developed their own appointment models and there were variations in these models across the area. The CCG was attempting to cut down on the variations and to work with practices to identify a range of access opportunities for patients, including online booking of appointments and e-consultation.

- Reference was made to Integrated Care Partnerships and it was suggested that those members, who wished to receive more information in this regard, should attend the dedicated Sustainability and Transformation Plan (STP) Regional Joint Health Scrutiny Committee, where updates were provided and there were opportunities to ask questions of the STP lead.

- there was national recruitment programme, for GPs, and also a regional team had been established that was trying to attract doctors to work in the North East.

- International GP recruitment was a key aspect of the recruitment programme and further details of the whole programme, together with GP development could be provided to the committee, at a future meeting.

- It was explained that, nationally, a decision had been taken not to recruit from countries that had a shortage of doctors.

- In addition to recruitment efforts, work was ongoing to retain GPs, develop local locum pools, and redesign the whole primary care workforce in line with the Five Year Forward View.

- Members asked for details of the number of GPs in the South Tees area.

- Work experience was available at GP surgeries and this could provide a useful insight for young people considering a career in primary care.

- Members discussed the announcement that an additional 20 billion, in real terms, would be made available to the NHS up to 2023/2024. There had been no indication of how this would be distributed.

- South Tees had a 10.8 million deficit for the last financial year and had a target of a 5 million deficit for this year, which relied on the delivery of a 19 million efficiency programme.
TVH
14/18
The Committee received an update on the work of other local and regional health scrutiny committee work programmes in order to enhance joint working and reduce duplication.

In addition to the report it was noted that Darlington Council's Children and Young People Committee was undertaking joint work with its Health Committee on a range of issues.
TVH
15/18
Members considered the Committee's work programme and noted some amendments that had come out of this meetings discussions.

The Committee noted some updates from other Tees Valley Authority Health Scrutiny work programmes and it was agreed that a number of recent final reports would be shared.

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