Agenda and minutes

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Apologies for absence were received from Alison Elliott, Douglas Ball and Ian Renwick.

The minutes of the previous meeting held on 22 June were agreed as a correct record, subject to it being noted that Susan Watson was in attendance representing Gateshead NHS Foundation Trust.

Members of the Board to declare an interest in any particular agenda item.

None

The Action List highlighted several items which will be going forward on the Board’s Forward Plan for 2016/17.

Presentation from Newcastle Gateshead Clinical Commissioning Group

The Board received a presentation from Joe Corrigan of Newcastle Gateshead CCG on the STP for Northumberland and Tyne and Wear 2016/17 – 2020/21.

The STP covers 6 local authorities in Northumberland and Tyne and Wear.  There is also a component part around North Durham.

The plan is a whole system plan and there are narrative sub-levels covering the 3 local economies – Northumberland and North Tyneside, Sunderland and South Tyneside, and Newcastle Gateshead.

The plan is place based and population based and is not organisation based.  Nationally there are 44 STP areas which NHS England as a service will need to manage. 

An initial submission was made on 11 May with a further submission on 30 June.  There will be an assessment process undertaken in July.  The plan needs to address a whole system narrative on how we close the gap on the Triple Aims within the service.

There are 10 lines of enquiry:

1.    How are we going to prevent ill health and moderate demand for healthcare.

2.    How are we engaging patients, communities and NHS Staff.

3.    How will we support, invest in and improve general practice.

4.    How will we implement new care models that address local challenges.

5.    How will we achieve and maintain performance against core standards.

6.    How will be achieve our 2020 ambitions on key clinical priorities.

7.    How will we improve quality and safety.

8.    How will we deploy technology to accelerate change.

9.    How will we develop the workforce you need to deliver change.

10.  How will we achieve and maintain financial balance.

It is felt that Sustainability and Transformation Plans (STPs) are an opportunity to develop a route map to an improved, more sustainable, health and care system by:

·         Bringing organisations together to work much more closely, beyond organisation boundaries

·         Sharing of good practice and expertise

·         Identifying those areas where a single or small group or organisations would, or is, having difficulty transforming services

·         Identifying areas where the common agenda suggests we can do something once well, rather than several times less effectively

·         Alignment with the work of the NECA Commission for Health and Social Care Integration

Key areas for transformation include:

·         Acute hospital collaboration across clinical pathways

·         Reconfiguration of services between acute providers

·         Out of hospital collaboration

·         Radical upgrade in prevention and wellbeing

·         Development of accountable care systems

·         Financial stability

The Board were advised that this was very much a system wide process with a narrative for Gateshead footprint which builds to the Newcastle Gateshead footprint.  There will be a tiered approach to the work, however, in funding gap by 2020 is expected to be around £80m for Gateshead and approximately £960m across the whole footprint in Health and Social Care.

There are several layers to governance including an STP Programme Board covering Newcastle and Gateshead.  This is still very much a work in progress and work is ongoing towards the next stage submission by 30 June.  Further discussions will need to take place before final sign off.  ...  view the full minutes text for item HW39

Report to be presented by Alice Wiseman

The Board received a presentation from Iain Miller, Public Health Lead on Tobacco Control.  The Board were advised that the Council’s vision to reduce smoking to 5% prevalence in adults by 2025 in order to achieve a smoke free future for our children. 

The Board were advised that smoking continues to remain as the biggest killer in Gateshead and is the single most preventable cause of premature death.  Currently 42,000 people in Gateshead smoke, it is known that 32,000 of those wish to stop.  1400 are aged 16 or under.  If we had the lowest smoking rate in England at 8.4% only 16,000 would smoke.

It is proposed that we review the work of our SmokeFree alliance using a national standard and identify its strengths and areas for improvement.  The Board were asked to consider the following recommendations for Action:

1.    Ensure a great focus on tobacco control activity by all partners on Health and Wellbeing Board for Gateshead.

2.    Undertake a CLeaR review of the Gateshead Smokefree Tobacco Alliance in July 2016 in partnership with HWB members.

3.    For officers to work with young people in Gateshead to establish their views and build local action.

4.    Develop a local 10 year delivery plan based on both the output of the CLeaR assessment and national, regional and local intelligence (November / December 2016).

5.    To maintain public support for action, communicate a clear understanding of the harm caused by Tobacco and the benefits of stopping smoking in partnership with FRESH NE.

6.    Ensure the Sustainability and Transformation Plan (STP) included challenging action and targets for reducing smoking locally.

RESOLVED    -           That the actions outlined be agreed by the Board.

Report to be presented by Alice Wiseman

A report was presented to provide the Annual Report for Drug-related Deaths for 2015 and give an overview of the 2016 DRDs.

The Gateshead DRD Panel is a local multi-agency group that undertake inquiries into all deaths where drugs are suspected to be a direct cause of the death of a person in Gateshead.

The Board were advised that in 2015 there were 17 DRDS.  To date (January to May 2016) there have been 13 potential DRDs in Gateshead which is a significant increase.  There is a national rise in numbers, however, the number in Gateshead is of significant concern.

The cases will be looked at and discussed at the next DRD panel, however, some areas of concern have been highlighted in particular:

·         Dual Diagnosis

·         Involvement with Social Services and the Criminal Justice System

·         Unemployment

·         Not in Drug Treatment

·         Prescribing

·         People present at the death not being aware of the signs of an overdose

·         Previous overdoses (intentional and accidental); and

·         Complex/chaotic lifestyle

Public Health are commissioning an audit of shared care arrangements to gain a better understanding of how we are working together and can improve services.

RESOLVED -             (i)         That the current work be noted.

                                    (ii)        That an update report be brought to December meeting.

Report to be presented by Alison Elliott

The Board were presented with a report to update on the Safeguarding Adults Board Strategic Plan 2016-2019 and the Annual Business Plan 2016/17.

The Care Act 2014 enshrined in law the principles of Safeguarding Adults which will not only ensure that the most vulnerable members of society are afforded appropriate support and protection, but will also help them to live as independently as possible, for as long as possible.

It is the legal duty for the Local Authority to have a Safeguarding Adults Board and the Board must produce a Strategic Plan and Annual Report.

This is the first strategic plan for the now statutory Safeguarding Adults Board. The Board is committed to making Safeguarding in Gateshead person-led and outcome focused by adopting and implementing a preventing model.

The Board has established five strategic priorities for 2016/17

·         Quality Assurance

·         Prevention

·         Community Engagement and communication

·         Improved Operational Practice

·         Implementing Mental Capacity Act / Deprivation of Liberty Safeguards

These strategic priorities will be underpinned by the six Principles of Safeguarding identified within the Care Act.

·         Empowerment – people being supported and encouraged to make their own decisions and give informed consent

·         Prevention – it is better to take action before harm occurs

·         Proportionality – the least intrusive response appropriate to the risk presented

·         Protection – support and representation to those in greatest need

·         Partnership – local solutions through services working with their communities

·         Accountability – accountability and transparency in safeguarding practice

RESOLVED -             That the Safeguarding Adults Board Annual Report continue to be brought to future meetings of the Health and Wellbeing Board

Report to be presented by Lisa Philliskirk

A report was presented to the Board on the Learning Disability Joint Health and Social Care Self-Assessment Framework.  The Board were advised that this year’s assessment was undertaken on a light touch basis on the understanding that a more in-depth assessment will be undertaken next year.

The information provides a comparison from Gateshead against North East and National England and this information should be enshrined into the JSNA and Commissioning Intentions.

The information will be used to set objectives for the year and a report will be brought back to the Board when these objectives are set.

RESOLVED - That the information in the report be noted.

Report to be presented by John Costello

A report was presented to the Board to seek formal endorsement of the BCF Quarter 4 Return which was submitted to NHS England on 27 May.  The trends have previously been submitted to the Board.  2016/17 will be used as a transition year to move to new models of care.  We are still waiting guidance from NHS England on the what the 2016/17 models will be.

RESOLVED -             That the BCF Quarter 4 return be endorsed by the Board.

Report to be presented by Dave Andrew

The Board received an update report on the current position with regards to the Voluntary Sector in Gateshead.  Newcastle Council for Voluntary Service has been awarded a one year contract.  They have taken some space with Age UK and have TUPEd one member of staff from GVOC.  2 new staff have also been appointed.  There are 5 events planned over the next few weeks in each of the Gateshead Neighbourhood areas.

The main focus of the work will be around smaller community organisations and there is a desire to re-instate the Chief Officer Group.  The website is established and information magazine will be distributed in the next few days.  Currently within the contract there is no community empowerment network and concern has been expressed that some voluntary sector leaders have not been engaged in the process at all.  It is hoped that there will be consultation with the voluntary sector during the one year contract period.

RESOLVED -             That the information in the report be noted.

Newcastle Gateshead CCG

As well as the STP, the CCG are working on a local digital roadmap.  There has been lots of regional work and it will have to be submitted to NHS England.  The plan is about rolling out digital technology.  All providers are involved in early discussions.

Community Based Care Services

Work is currently ongoing through the mobilisation phase.  There are still quite a lot of mechanics to sort through.  There are 400 staff to transfer.  Michael Laing will be joining the team as Associate Director.  The Go Live date is 1 October 2016.

Friday 15 July 2016 at 10.00am

The next meeting will take place on Friday 15 July at 10am.