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Contact: Helen Conway email  helenconway@gateshead.gov.uk 

Items
No. Item

CHW31

Minutes of last meeting pdf icon PDF 308 KB

Minutes:

RESOLVED –             that the minutes of the last meeting held on 24 January 2017                                   were agreed as a correct record.

CHW32

Matters Arising

Minutes:

The Chair reported that a reply had been received from the Secretary of State regarding the proposed additional £20,000 funding to encourage more GP’s to enter the specialism.

 

Officers and partners are currently looking into this as the CCG were unaware about this proposed additional funding and an update will be provided to the Committee in due course.

 

RESOLVED - that the information be noted.

CHW33

Case Study - Delayed Transfers of Care pdf icon PDF 280 KB

Report of the Interim Strategic Director, Care, Wellbeing and Learning

Minutes:

The Committee received a report providing progress to date to reduce delayed transfers of care from hospital, and to improve the system and experience for people who require a multi-agency approach at the point of leaving hospital.

 

In conjunction with the report the Committee received presentations from Steph Downey, Service Director, Adult Social Care and Independent Living, Michael Laing, Associate Director, Community Services, Gateshead Care Partnership and Jean Kielty, Service Manager, Assessment and Support, Adult Social Care and Independent Living.

 

This OSC received a case study in respect of delayed transfers of care in 2012. The OSC agreed to include an updated case study on this issue in its 2016-17 work programmes as this had been identified as an area where performance needed to improve.  The focus of the case study has been the pressure on the health and social care system in respect of timely and safe transfers of care, and the work being undertaken jointly by the Local Authority, CCG and QE Trust to address the issue.

 

A delayed transfer of care occurs when a patient is ready for transfer from acute care but is still occupying a bed for such care.  To achieve a safe discharge that the patient is ready to be discharged. These are not separate or sequential stages; all three should be addressed at the same time whenever possible. They are:-

 

·         A clinical decision has been made that the patient is medically fit for discharge/transfer AND,

·         A Multi-Disciplinary Team (MDT) decision has been made that the patient is ready for discharge/transfer AND,

·         The patient is safe to discharge/transfer

 

Delays are measured in key areas, and reflect delays between NHS to NHS service, and NHS to Local Authority Services.

 

Another two key factors are the increasingly older population which is projected to increase a further 20% over the decade to 2024 and system pressures and the associated costs with delayed transfers of care.

 

The support for people who require support at the point of discharge from hospital are as unique as the needs of the people themselves. However, they broadly fall into the following categories:

 

·         Equipment and adaptations

·         Housing

·         Reablement/intermediate care (bed based and community based)

·         Planned packages of support (home care)

·         District nursing interventions

·         Residential or nursing care

 

Best practice is that where possible people should be supported to return home directly from hospital, and one of the areas most frequently identified as a pressure, in terms of arranging safe discharge from hospital, is the provision of packages of home care.

 

Therefore the CCG, the QE Hospital Trust and the Local Authority have worked with the independent sector providers to develop a new and innovative approach to facilitating hospital discharges for those people who require a planned package of care. These ‘bridging’ packages, which commenced in January 2017, have enabled independent home care providers to employ home care assistants on a salaried basis, thereby enabling them to provide a rapid response service, to facilitate timely discharge from hospital. Whilst the data for January  ...  view the full minutes text for item CHW33

CHW34

Healthwatch Gateshead Activity Report September 2016 to March 2017 pdf icon PDF 272 KB

Report of Healthwatch Gateshead

Additional documents:

Minutes:

Douglas Ball, chair of Healthwatch Gateshead provided the Committee with a report highlighting key aspects of Healthwatch Gateshead for the period September 2016 to March 2017.

 

The Committee were also advised that the current provider for Healthwatch Gateshead has not been recommissioned and its contract finishes at the end of March 2017.

 

Cabinet awarded the new contract to Tell Us North to commence on 1 April 2017. Tell Us North CIC is the social enterprise set up to run Healthwatch Newcastle.

 

RESOLVED - that the information be noted.

CHW35

Review of the Role of Housing in Improving Health and Wellbeing - Interim Report pdf icon PDF 233 KB

Report of the Director of Public Health

Additional documents:

Minutes:

The Committee received the interim report into the review of the role of housing in improving health and wellbeing.  The review has been carried out over a six month period and has shown that many services across the council actively contribute towards the housing and health agenda. The review identified that all of these services were aware of key issues and challenges in ensuring that housing contributes positively to health in Gateshead.

 

The relationship between housing and health is generally well-appreciated amongst housing practitioners. Housing services were able to articulate how their activity contributed to health, and often saw securing, maintaining and improving health of their service users as central to their overall purpose.

 

Evidence submitted showed that activity under each of the three themes within the Council’s Housing Strategy 2013-18 contributes to the health and wellbeing of Gateshead residents. Delivering the Housing Strategy through 2013-18 contributes to the health and wellbeing of Gateshead residents. Delivering the Housing Strategy through the implementation of the Housing Intervention Action Plan is therefore key to maximising the contribution of housing to improving health in Gateshead.

 

The review also showed that the Council faces significant challenges in realising its housing ambitions. These arise from ongoing changes to legislation, policy and funding arrangements.

 

The Committee were advised that the draft recommendations can be outlined as follows:-

 

·         To review the actions set out in the Housing Intervention Action Plan, and, where appropriate, provide Public Health support to assist in maximising the benefits to health arising from delivering elements of the Plan. The evidence presented in the review identifies priority candidate elements with the greatest potential to improve health and wellbeing.

·         To ensure that improving health and wellbeing is reflected in the production of local development plan documents (i.e. Making Spaces for Growing Places).

·         Review how health and wellbeing is reflected in Council Letting Policies and TGHC support services (i.e. health criteria, preventative interventions).

·         To assess the current range of Council private sector housing interventions to maximise their contribution to health and wellbeing (including energy efficiency programmes, private landlord accreditation, Selective Landlord Licensing, financial assistance programmes, falls prevention, Making Every Contact Count)

·         To undertake actions to ensure that the greatest proportion of Council housing is maintained to a standard that secures the health and wellbeing of residents within the context of changes to revenue and capital funding.

·         Determine the circumstances where the council seeks to ensure that high design and space standards are delivered, including accessibility.

·         Determine the need for, location of and processes to deliver adequate levels of supported, specialist, and older persons housing

 

RESOLVED -

i)

That the information be noted

 

ii)

That the evidence presented and the outcomes from the recent focus groups will form the basis and preparation of the final report to be considered at its meeting on 25 April 2017

 

 

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